AUTHOR=Guo Yunmei , Liu Ying , Yan Xin , Ding Rui , Wang LianHong 

TITLE=Effects of multidimensional life management on healthy behavior in polycystic ovary syndrome patients: A randomized controlled trial

JOURNAL=Frontiers in Psychology

VOLUME=13

YEAR=2022

URL=https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2022.918991

DOI=10.3389/fpsyg.2022.918991

ISSN=1664-1078

ABSTRACT=<sec><title>Objective</title><p>To confirm the effects of a transtheoretical model (TTM) based on multidimensional life management on healthy behavior in patients with polycystic ovary syndrome (PCOS).</p></sec><sec><title>Methods</title><p>In total, eighty eligible patients were recruited from March 2021 to June 2021 and randomly assigned to either the intervention (<italic>n</italic> = 40) or control (<italic>n</italic> = 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, <italic>t</italic>-test, and repeated measurement analysis of variance (ANOVA) were used to analyze the data.</p></sec><sec><title>Results</title><p>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 (<italic>p</italic> &lt; 0.001), PCOS-related unplanned outpatient admissions (<italic>p</italic> = 0.008), waist circumference (WC) (<italic>p</italic> = 0.016), and body mass index (BMI) (<italic>p</italic> = 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 (<italic>p</italic> &lt; 0.001).</p></sec><sec><title>Conclusion</title><p>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.</p></sec><sec><title>Clinical Trial Registration</title><p><ext-link ext-link-type="uri" xlink:href="www.chictr.org.cn" xmlns:xlink="http://www.w3.org/1999/xlink">www.chictr.org.cn</ext-link>, ChiCTR2000034572.</p></sec>