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https://hdl.handle.net/2440/134354
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Type: | Journal article |
Title: | Barriers and facilitators to the implementation of lifestyle management in polycystic ovary syndrome: endocrinologists’ and obstetricians and gynaecologists’ perspectives |
Author: | Chhour, I. Blackshaw, L. Moran, L.J. Boyle, J.A. Robinson, T. Lim, S.S. |
Citation: | Patient Education and Counseling, 2022; 105(7):2292-2298 |
Publisher: | Elsevier BV |
Issue Date: | 2022 |
ISSN: | 0738-3991 1873-5134 |
Statement of Responsibility: | Irene Chhour, Lucinda Blackshaw, Lisa J. Moran, Jacqueline A. Boyle, Tracy Robinson, Siew S. Lim |
Abstract: | Objective: To study the barriers and facilitators to lifestyle management in PCOS from the perspectives of endocrinologists and obstetricians and gynecologists (Ob/Gyns) to inform the translation and implementation of the international evidence-based guideline on lifestyle management in PCOS. Methods: 11 endocrinologists and ten Ob/Gyns participated in semi-structured interviews and transcripts were thematically analyzed on NVIVO software. Results: Both endocrinologists and Ob/Gyns supported lifestyle as key to PCOS management but faced systemic barriers of lack of access to allied health services and had limited capacity for in-depth lifestyle discussions. They suggested team-based approach to address these barriers. Endocrinologists reported lifestyle could be a less effective treatment option and most of their patients had challenges with past failed lifestyle attempts while Ob/Gyns perceived the desire to conceive among patients a facilitator. The importance of credible, individualised and PCOS-specific lifestyle advice was highlighted. Conclusion: Endocrinologists and Ob/Gyns perceived lifestyle management as integral to PCOS management but experience barriers to lifestyle management related to specialist care. Practice implications: Resources that provide credible, individualized and PCOS-specific lifestyle advice, team care approach and professional development on motivating patients for lifestyle modification may address these barriers. |
Keywords: | Lifestyle management; qualitative; PCOS; endocrinologists; obstetricians and gynecologists |
Description: | Published online 2022 |
Rights: | © 2021 Published by Elsevier B.V. |
DOI: | 10.1016/j.pec.2021.12.013 |
Grant ID: | NHMRC |
Published version: | http://dx.doi.org/10.1016/j.pec.2021.12.013 |
Appears in Collections: | Medicine publications |
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