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Informing a PCOS Lifestyle Program: Mapping Behavior Change Techniques to Barriers and Enablers to Behavior Change

Stephanie Pirotta1, A E Joham1,2, L J Moran1

  • 1Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.

Seminars in Reproductive Medicine
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This study identified 23 behavior change techniques (BCTs) to help women with polycystic ovary syndrome (PCOS) manage their lifestyle. These techniques address barriers and enablers within the Capability, Opportunity, Motivation-Behavioral (COM-B) model.

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Area of Science:

  • Endocrinology and Metabolic Science
  • Behavioral Science
  • Public Health

Background:

  • Polycystic Ovary Syndrome (PCOS) is a complex endocrine disorder requiring effective lifestyle management.
  • Identifying facilitators and barriers to lifestyle changes is crucial for developing targeted interventions in women with PCOS.

Purpose of the Study:

  • To identify behavior change techniques (BCTs) applicable to lifestyle management in women with PCOS.
  • To map identified barriers and enablers to the Capability, Opportunity, Motivation-Behavioral (COM-B) model and Theoretical Domains Framework (TDF).

Main Methods:

  • Qualitative study employing semistructured interviews with 20 women with PCOS in Australia.
  • Inductive thematic analysis to identify barriers and enablers.
  • Mapping findings to COM-B constructs and TDF domains.

Main Results:

  • Twenty-three BCTs were identified as influential for behavior change in women with PCOS.
  • Barriers and enablers were categorized across COM-B components: psychological capability, physical capability, physical opportunity, social opportunity, reflective motivation, and automatic motivation.
  • Specific examples include lack of credible information, managing multiple health conditions, resource access, social support, health expectancies, and emotional eating.

Conclusions:

  • The identified BCTs provide a theoretical foundation for developing tailored PCOS lifestyle interventions.
  • Future research should focus on testing the effectiveness of these theory-informed interventions through experimental phases for evidence-based PCOS management.