Abstract
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.
Highlights
Polycystic ovary syndrome (PCOS) is a common and complex endocrine disorder affecting women of reproductive age with a prevalence of 8% to 13% [1]
In this novel qualitative study, we explored the perspective of general practitioners (GPs) on perceived facilitators and barriers in the knowledge and practice of the implementation of lifestyle management for polycystic ovary syndrome (PCOS) in primary care
We report that GPs recognize and understand the importance of lifestyle management and its role as a first-line treatment for PCOS
Summary
Polycystic ovary syndrome (PCOS) is a common and complex endocrine disorder affecting women of reproductive age with a prevalence of 8% to 13% [1]. It is associated with a range of features including hyperandrogenism, polycystic ovaries, and menstrual disturbances, which forms the Rotterdam diagnostic criteria [2]. 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. Individual-related facilitators include motivated patient subgroups such as those trying to get pregnant and specific communication techniques such as motivational interviewing
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