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Semin Reprod Med 2021; 39(03/04): 143-152
DOI: 10.1055/s-0041-1735456
Review Article

Informing a PCOS Lifestyle Program: Mapping Behavior Change Techniques to Barriers and Enablers to Behavior Change Using the Theoretical Domains Framework

Stephanie Pirotta 
1   Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
,
A.E. Joham 
1   Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
2   Department of Diabetes, Monash Health, Clayton, Victoria, Australia
,
L.J. Moran 
1   Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
,
H. Skouteris 
1   Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
3   Warwick Business School, Warwick University, Coventry, United Kingdom
,
S.S. Lim 
1   Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
› Author Affiliations Funding This study received funding from the Collier Charitable Fund and the NHMRC Partnership Grant. S.P. was funded by a Monash University Post Graduate Publication Award, A.E.J. and S.S.L. by an NHMRC Early Career Fellowship, L.J.M. by a National Heart Foundation Future Leader Fellowship, and H.S. by a NHMRC Medical Research Future Fund (MRFF) Fellowship.
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Abstract

This article aimed to identify the behavior change techniques (BCTs) based on facilitators and barriers to lifestyle management in women with polycystic ovary syndrome (PCOS) according to the behavior change wheel (BCW). This qualitative study design using inductive thematic analysis following semistructured interviews (n = 20) identified barriers and enablers to lifestyle management. These were then mapped to Capability, Opportunity, Motivation—Behavioral Model (COM-B) constructs and the corresponding Theoretical Domains Framework (TDF) domains. This study included women with PCOS residing in Australia. Main outcome measures include intervention functions, policy categories, and BCTs described in the BCW. Twenty-three BCTs were recognized to influence behavior change in women with PCOS. Factors were categorized into the subcomponents of the COM-B: psychological capability (e.g., lack of credible information), physical capability (e.g., managing multiple health conditions), physical opportunity (e.g., limited access to resources), social opportunity (e.g., adequate social support), reflective motivation (e.g., positive health expectancies following behavior change), and automatic motivation (e.g., emotional eating). Future research should use this work to guide PCOS lifestyle intervention development and then test intervention effectiveness through an experimental phase to provide empirical evidence for wider use and implementation of tailored, theory-informed PCOS lifestyle programs as part of evidence-based PCOS management.

Keywords

polycystic ovary syndrome - behavior change techniques - lifestyle management

Supplementary Material



Publication History

Article published online:
25 August 2021

© 2021. Thieme. All rights reserved.

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