Barriers and facilitators to weight and lifestyle management in women with polycystic ovary syndrome: general practitioners' perspectives

Arasu, Alexis, Moran, Lisa J, Robinson, Tracy, Boyle, Jacqueline and Lim, Siew 2019, Barriers and facilitators to weight and lifestyle management in women with polycystic ovary syndrome: general practitioners' perspectives, Nutrients, vol. 11, no. 5, pp. 1-12, doi: 10.3390/nu11051024.

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Title Barriers and facilitators to weight and lifestyle management in women with polycystic ovary syndrome: general practitioners' perspectives
Author(s) Arasu, Alexis
Moran, Lisa J
Robinson, Tracy
Boyle, Jacqueline
Lim, SiewORCID iD for Lim, Siew orcid.org/0000-0002-5333-6451
Journal name Nutrients
Volume number 11
Issue number 5
Article ID 1024
Start page 1
End page 12
Total pages 12
Publisher MDPI
Place of publication Basel, Switzerland
Publication date 2019-05
ISSN 2072-6643
Keyword(s) PCOS
barriers
facilitators
general practitioners
guidelines
implementation
lifestyle management
primary care
weight management
Summary BACKGROUND: Weight and lifestyle management is advocated as the first-line treatment for polycystic ovary syndrome (PCOS) by evidence-based guidelines. Current literature describes both systems- and individual-related challenges that general practitioners (GPs) face when attempting to implement guideline recommendations for lifestyle management into clinical practice for the general population. The GPs' perspective in relation to weight and lifestyle advice for PCOS has not been captured. METHODS: Fifteen GPs were recruited to take part in semi-structured interviews. NVIVO software was used for qualitative analysis. RESULTS: We report that GPs unanimously acknowledge the importance of weight and lifestyle management in PCOS. Practice was influenced by both systems-related and individual-related facilitators and barriers. Individual-related barriers include perceived lack of patient motivation for weight loss, time pressures, lack of financial reimbursement, and weight management being professionally unrewarding. System-related barriers include costs of accessing allied health professionals and unavailability of allied health professionals in certain locations. Individual-related facilitators include motivated patient subgroups such as those trying to get pregnant and specific communication techniques such as motivational interviewing. System-related facilitators include the GP's role in chronic disease management. CONCLUSIONS: This study contributes to the understanding of barriers and facilitators that could be addressed to optimize weight and lifestyle management in women with PCOS in primary care.
Language eng
DOI 10.3390/nu11051024
Field of Research 1111 Nutrition and Dietetics
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2019, the authors
Persistent URL http://hdl.handle.net/10536/DRO/DU:30122836

Document type: Journal Article
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