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Published on: March 5, 2022
Transtheoretical model-based mobile health application for PCOS
LianHong Wang1,2, Ying Liu1,2, Huiwen Tan1,2
1Nursing Department of Affiliated Hospital of Zunyi Medical University, Zunyi, 563000, Guizhou, China.
A mobile health app based on the transtheoretical model (TTM) effectively reduced BMI, anxiety, and depression in women with polycystic ovary syndrome (PCOS). This program also improved long-term adherence to exercise and diet, demonstrating its value for PCOS lifestyle modification.
Area of Science:
- Reproductive endocrinology and metabolism
- Digital health interventions
- Behavioral science in women's health
Background:
- Lifestyle modification is the primary treatment for Polycystic Ovary Syndrome (PCOS).
- Mobile health technology's impact on PCOS lifestyle changes requires further investigation.
- This study evaluated a transtheoretical model (TTM)-based mobile health application for PCOS management.
Purpose of the Study:
- To assess the efficacy of a TTM-based mobile health application intervention for PCOS.
- To determine the long-term effects of the intervention on key health indicators and behaviors.
- To explore the potential of mobile health for PCOS lifestyle modification.
Main Methods:
- A randomized controlled, single-blind trial involving 122 PCOS participants from October 2018 to March 2019.
- Participants were assigned to either a TTM-based mobile health app intervention group (n=61) or a control group (n=61) receiving routine care.
- Data were collected and analyzed over 6-month and 12-month follow-up periods.
Main Results:
- The intervention group showed significant reductions in Body Mass Index (BMI) and Waist Circumference (WC) at 6 and 12 months (P<0.05).
- Statistically significant decreases in anxiety (SAS) and depression (SDS) scores were observed in the intervention group (P<0.05).
- Improved exercise and diet adherence, indicated by behavior stage changes, was significant in the intervention group at 6 and 12 months (P<0.05).
Conclusions:
- A TTM-based mobile health application program effectively decreases BMI, WC, anxiety, and depression in PCOS patients long-term.
- The intervention significantly enhances exercise and diet adherence in women with PCOS.
- This mobile health application is a viable tool for lifestyle modification in women diagnosed with PCOS.
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