TY - JOUR
T1 - Barriers and facilitators to the implementation of lifestyle management in polycystic ovary syndrome
T2 - Endocrinologists’ and obstetricians and gynaecologists’ perspectives
AU - Chhour, Irene
AU - Blackshaw, Lucinda
AU - Moran, Lisa J.
AU - Boyle, Jacqueline A.
AU - Robinson, Tracy
AU - Lim, Siew S.
N1 - Funding Information:
This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. Co-author Lisa Moran received a NHMRC CRE and Partnership grant as part of the National Heart Foundation Future Leader Fellowship.
Publisher Copyright:
© 2021
PY - 2022/7
Y1 - 2022/7
N2 - 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.
AB - 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.
KW - Endocrinologists
KW - Lifestyle Management
KW - Obstetricians and gynecologists
KW - PCOS
KW - Qualitative
UR - http://www.scopus.com/inward/record.url?scp=85122385237&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2021.12.013
DO - 10.1016/j.pec.2021.12.013
M3 - Article
C2 - 34980547
AN - SCOPUS:85122385237
SN - 0738-3991
VL - 105
SP - 2292
EP - 2298
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 7
ER -