Health literacy needs in weight management of women with Polycystic Ovary Syndrome.
Polycystic ovary syndrome
barriers
lifestyle
qualitative
weight management
Journal
Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals
ISSN: 1036-1073
Titre abrégé: Health Promot J Austr
Pays: Australia
ID NLM: 9710936
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
received:
07
08
2019
revised:
07
02
2020
accepted:
04
03
2020
pubmed:
24
4
2020
medline:
19
8
2021
entrez:
24
4
2020
Statut:
ppublish
Résumé
Lifestyle modification plays a key role in weight management and chronic disease prevention in polycystic ovary syndrome (PCOS). Women with PCOS experience challenges in adopting and maintaining healthy lifestyle behaviours, which may be related to health literacy. The aims of this study were to explore the health literacy needs of women with PCOS in lifestyle and weight management to inform research and practice. Ten women with PCOS participated in focus groups and semi-structured telephone interviews on lifestyle and weight management in PCOS. For functional health literacy, women with PCOS are highly motivated for lifestyle and weight management due to the long-term consequences of PCOS. For interactive health literacy, barriers included delayed diagnosis and poor communication. Women with PCOS were resourceful in accessing a wide range of weight management services but some experience barriers such as costs or the feelings of embarrassment associated with accessing relevant services. For critical health literacy, no facilitators and barriers could be identified for the domain of participation in making decisions for health. Women with PCOS experience facilitators and barriers in functional and interactive health literacy in lifestyle and weight management. SO WHAT?: Future interventions should seek to further understand and address these gaps in health literacy by increasing weight management skills through behaviour change techniques, improving health professional-patient communication through tools such as question prompt lists, enhancing peer support by increasing distributed health literacy in PCOS support groups and by providing opportunities for co-design of interventions.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
41-48Subventions
Organisme : Western Sydney University Human Research Ethics Committee
ID : H11935/28
Informations de copyright
© 2021 Australian Health Promotion Association.
Références
Broekmans FJ, Knauff EAH, Valkenburg O, Laven JS, Eijkemans MJ, Fauser BCJM. PCOS according to the Rotterdam consensus criteria: change in prevalence among WHO-II anovulation and association with metabolic factors. BJOG. 2006;113:1210-7.
Bozdag G, Mumusoglu S, Zengin D, Karabulut E, Yildiz BO. The prevalence and phenotypic features of polycystic ovary syndrome: a systematic review and meta-analysis. Hum Reprod. 2016;31:2841-55.
Moran LJ, Misso ML, Wild RA, Norman RJ. Impaired glucose tolerance, type 2 diabetes and metabolic syndrome in polycystic ovary syndrome: a systematic review and meta-analysis. Hum Reprod Update. 2010;16:347-63.
Kakoly NS, Khomami MB, Joham AE, Cooray SD, Misso ML, Norman RJ, et al. Ethnicity, obesity and the prevalence of impaired glucose tolerance and type 2 diabetes in PCOS: a systematic review and meta-regression. Hum Reprod Update. 2018;24:455-67.
Elsenbruch S, Hahn S, Kowalsky D, Öffner AH, Schedlowski M, Mann K, et al. Quality of life, psychosocial well-being, and sexual satisfaction in women with polycystic ovary syndrome. J Clin Endocrinol Metab. 2003;88:5801-7.
Himelein MJ, Thatcher SS. Depression and body image among women with polycystic ovary syndrome. J Health Psychol. 2006;11:613-25.
Kaczmarek C, Haller DM, Yaron M. Health-related quality of life in adolescents and young adults with polycystic ovary syndrome: a systematic review. J Pediatr Adolesc Gynecol. 2016;29:551-7.
Nasiri Amiri F, Ramezani Tehrani F, Simbar M, Montazeri A, Mohammadpour Thamtan RA. The experience of women affected by polycystic ovary syndrome: a qualitative study from iran. Int J Endocrinol Metab. 2014;12:e13612.
Pastore LM, Patrie JT, Morris WL, Dalal P, Bray MJ. Depression symptoms and body dissatisfaction association among polycystic ovary syndrome women. J Psychosom Res. 2011;71:270-6.
Lim SS, Norman RJ, Davies MJ, Moran LJ. The effect of obesity on polycystic ovary syndrome: a systematic review and meta-analysis. Obes Rev. 2013;14:95-109.
Lim SS, Davies MJ, Norman RJ, Moran LJ. Overweight, obesity and central obesity in women with polycystic ovary syndrome: a systematic review and meta-analysis. Hum Reprod Update. 2012;18:618-37.
Barbieri RL, Makris A, Randall RW, Daniels G, Kistner RW, Ryan KJ. Insulin stimulates androgen accumulation in incubations of ovarian stroma obtained from women with hyperandrogenism. J Clin Endocrinol Metab. 1986;62:904-10.
Teede HJ, Joham AE, Paul E, Moran LJ, Loxton D, Jolley D, et al. Longitudinal weight gain in women identified with polycystic ovary syndrome: results of an observational study in young women. Obesity. 2013;21:1526-32.
Zheng Y, Manson JE, Yuan C, Liang MH, Grodstein F, Stampfer MJ, et al. Associations of weight gain from early to middle adulthood with major health outcomes later in life. JAMA. 2017;318:255-69.
Teede HJ, Misso ML, Costello MF, Dokras A, Laven J, Moran L, et al. Recommendations from the international evidence-based guideline for the assessment and management of polycystic ovary syndrome. Hum Reprod. 2018;33:1602-18.
Domecq JP, Prutsky G, Mullan RJ, Hazem A, Sundaresh V, Elamin MB, et al. Lifestyle modification programs in polycystic ovary syndrome: systematic review and meta-analysis. J Clin Endocrinol Metab. 2013;98:4655-63.
Moran LJ, Hutchison SK, Norman RJ, Teede HJ. Lifestyle changes in women with polycystic ovary syndrome. Cochrane Database Syst Rev. 2011;7:Cd007506.
Nutbeam D. Health promotion glossary. Health Promotion. 1986;1:113-27.
Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int. 2000;15:259-67.
Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty K. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med. 2011;155:97-107.
Cheng Y-L, Shu J-H, Hsu H-C, Liang Y, Chou R-H, Hsu P-F, et al. High health literacy is associated with less obesity and lower Framingham risk score: sub-study of the VGH-HEALTHCARE trial. PLoS ONE. 2018;13:e0194813.
Al-Ruthia YS, Balkhi B, AlGhadeer S, Mansy W, AlSanawi H, AlGasem R, et al. Relationship between health literacy and body mass index among Arab women with polycystic ovary syndrome. Saudi Pharm J. 2017;25:1015-8.
Osborne RH, Batterham RW, Elsworth GR, Hawkins M, Buchbinder R. The grounded psychometric development and initial validation of the Health Literacy Questionnaire (HLQ). BMC Public Health. 2013;13:658.
Nutbeam D. The evolving concept of health literacy. Soc Sci Med. 2008;67:2072-8.
Chinn D. Critical health literacy: a review and critical analysis. Soc Sci Med. 2011;73:60-7.
Lim S, Beauchamp A, Dodson S, O’Hara J, McPhee C, Fulton A, et al. Health literacy and fruit and vegetable intake in rural Australia. Public Health Nutr. 2017;20:2680-4.
Friis K, Lasgaard M, Rowlands G, Osborne RH, Maindal HT. Health literacy mediates the relationship between educational attainment and health behavior: a danish population-based study. J Health Commun. 2016;21:54-60.
Moran LJ, Ranasinha S, Zoungas S, McNaughton SA, Brown WJ, Teede HJ. The contribution of diet, physical activity and sedentary behaviour to body mass index in women with and without polycystic ovary syndrome. Human Reprod. 2013;28:2276-83.
Banting LK, Gibson-Helm M, Polman R, Teede HJ, Stepto NK. Physical activity and mental health in women with polycystic ovary syndrome. BMC Women's Health. 2014;14:51.
Kataoka J, Tassone E, Misso M, Joham A, Stener-Victorin E, Teede H, et al. Weight management interventions in women with and without PCOS. A systematic review. Nutrients. 2017;9:996.
Ee C, Smith C, Costello M, MacMillan F, Moran L, Baylock B, et al. Feasibility and acceptability of a proposed trial of acupuncture as an adjunct to lifestyle interventions for weight loss in Polycystic Ovary Syndrome: a qualitative study. BMC Complement Altern Med. 2018;18:298.
Liamputtong P, Ezzy D. Qualitative research methods, 3rd edn. South Melbourne, Vic: Oxford University Press; 2009.
Corbin JM, Strauss A. Grounded theory research: procedures, canons, and evaluative criteria. Qualitative Sociology. 1990;13:3-21.
Batterham RW, Hawkins M, Collins PA, Buchbinder R, Osborne RH. Health literacy: applying current concepts to improve health services and reduce health inequalities. Public Health. 2016;132:3-12.
Moran LJ, Brown WJ, McNaughton SA, Joham AE, Teede HJ. Weight management practices associated with PCOS and their relationships with diet and physical activity. Hum Reprod. 2017;32:669-78.
Humphreys L, Costarelli V. Implementation of dietary and general lifestyle advice among women with polycystic ovarian syndrome. J R Soc Promot Health. 2008;128:190-5.
Jeanes YM, Barr S, Smith K, Hart KH. Dietary management of women with polycystic ovary syndrome in the United Kingdom: the role of dietitians. J Hum Nutr Diet. 2009;22:551-8.
Mulquiney KJ, Tapley A, van Driel ML, Morgan S, Davey AR, Henderson KM, et al. Referrals to dietitians/nutritionists: a cross-sectional analysis of Australian GP registrars' clinical practice. Nutr Diet. 2018;75:98-105.
Michie S, Abraham C, Whittington C, McAteer J, Gupta S. Effective techniques in healthy eating and physical activity interventions: a meta-regression. Health Psychol. 2009;28:690-701.
Avery JC, Braunack-Mayer AJ. The information needs of women diagnosed with Polycystic Ovarian Syndrome-implications for treatment and health outcomes. BMC Women's Health. 2007;7:9.
Bazarganipour F, Taghavi SA, Allan H, Hosseini N. Facilitating and inhibiting factors related to treatment adherence in women with polycystic ovary syndrome: a qualitative study. Int J Reprod Biomed (Yazd). 2017;15:553-60.
Crete J, Adamshick P. Managing polycystic ovary syndrome: what our patients are telling us. J Holistic Nurs. 2011;29:256-66.
Kushner RF. Barriers to providing nutrition counseling by physicians: a survey of primary care practitioners. Prev Med. 1995;24:546-52.
Khan NN, Vincent A, Boyle JA, Burggraf M, Pillay M, Teede H, et al. Development of a question prompt list for women with polycystic ovary syndrome. Fertil Steril. 2018;110:514-22.
Xie J, Burstein F, Garad R, Teede HJ, Boyle JA. Personalized mobile tool AskPCOS delivering evidence-based quality information about Polycystic Ovary Syndrome. Semin Reprod Med. 2018;36:66-72.
Amundsen A, Bergvik S, Butow P, Tattersall MHN, Sorlie T, Nordoy T. Supporting doctor-patient communication: providing a question prompt list and audio recording of the consultation as communication aids to outpatients in a cancer clinic. Patient Educ Couns. 2018;101:1594-600.
Holbrey S, Coulson NS. A qualitative investigation of the impact of peer to peer online support for women living with polycystic ovary syndrome. BMC Womens Health. 2013;13:51.
Edwards M, Wood F, Davies M, Edwards A. 'Distributed health literacy': longitudinal qualitative analysis of the roles of health literacy mediators and social networks of people living with a long-term health condition. Health Expect. 2015;18:1180-93.
Sentell T, Zhang W, Davis J, Baker KK, Braun KL. The influence of community and individual health literacy on self-reported health status. J Gen Intern Med. 2014;29:298-304.
Greenhalgh T, Jackson C, Shaw S, Janamian T. Achieving research impact through co-creation in community-based health services: literature review and case study. Milbank Q. 2016;94:392-429.