Objective: To confirm the effects of a transtheoretical model (TTM) based on multidimensional life management on healthy behavior in patients with polycystic ovary syndrome (PCOS).
Methods: In total, eighty eligible patients were recruited from March 2021 to June 2021 and randomly assigned to either the intervention ( = 40) or control ( = 40) groups. Outcome measures include health-promoting behavior, self-efficacy, anthropometrics, and the number of unplanned outpatient admissions. Data were collected at baseline, 3, and 6 months after the intervention. The chi-square test, rank-sum test, -test, and repeated measurement analysis of variance (ANOVA) were used to analyze the data.
Results: In total, sixty-six participants completed the study: 35 participants in the intervention group and 31 participants in the control group. After 6 months of intervention, the healthy behavior level of patients with PCOS increased from moderate [health-promoting lifestyle profile (HPLP)-II score of 105.37 ± 12.57] to good (156.94 ± 19.36) in the intervention group; and there was no change observed in the control group. In addition, the total self-efficacy score ( < 0.001), PCOS-related unplanned outpatient admissions ( = 0.008), waist circumference (WC) ( = 0.016), and body mass index (BMI) ( = 0.011) were found to have a significant difference in the intervention group at 6 months. Meanwhile, repeated measures analysis of variance showed a significantly greater improvement in health-promoting behavior and self-efficacy over time in the intervention group than in the control group ( < 0.001).
Conclusion: The transtheoretical model based on multidimensional life management positively affected healthy behavior, self-efficacy, the number of unplanned outpatient admissions, and anthropometrics in patients with PCOS.
Clinical Trial Registration: www.chictr.org.cn, ChiCTR2000034572.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9434338 | PMC |
| http://dx.doi.org/10.3389/fpsyg.2022.918991 | DOI Listing |
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