Woodward Amie, Klonizakis Markos, Broom David, Cholerton Rachel, Piercy Hilary
Lifestyle, Exercise and Nutrition Improvement (LENI) ResearchGroup, College of Health, Wellbeing and Life Sciences, Sheffield Hallam University, Collegiate Crescent, Sheffield S10 2BP, United Kingdom.
Insitute for Health and Care Improvement, York St John University, Lord Mayor's Walk, York YO31 7EX.
Health Educ Res. 2025 Feb 19;40(1). doi: 10.1093/her/cyae040.
Physical activity (PA) is recommended in clinical practice guidelines as effective for the management of polycystic ovary syndrome (PCOS). However, adherence to PA interventions is low in this population, and long-term uptake of PA is a challenge. We conducted a feasibility trial of two PA interventions for women with PCOS. This paper reports a qualitative evaluation of the trial in tandem with an evaluation of barriers and facilitators to PA in a sub-group of participants. Eleven participants with PCOS were purposively sampled from the main sample (n = 36) and participated in semi-structured interviews. Interviews were audio-recorded and transcribed verbatim. Data were analysed using reflexive thematic analysis. Five themes were developed relating to experiences of the intervention and factors influencing PA behaviour: (1) The Changing Nature of Priorities, (2) The Push and Pull of PCOS Symptoms, (3) Focusing Beyond the Scale, (4) Knowledge as a Foundation for Change and (5) The Balance of Stigma and Social Support. These findings can be used to design PA interventions that consider the interplay between PCOS and PA behaviour to achieve health benefits beyond short-term interventions.
临床实践指南推荐体育活动（PA）对多囊卵巢综合征（PCOS）的管理有效。然而，该人群对PA干预措施的依从性较低，长期坚持PA是一项挑战。我们对两种针对PCOS女性的PA干预措施进行了可行性试验。本文报告了该试验的定性评估，并对一个亚组参与者中PA的障碍和促进因素进行了评估。从主要样本（n = 36）中有意抽取了11名PCOS参与者，并参与了半结构化访谈。访谈进行了录音并逐字转录。使用反思性主题分析对数据进行了分析。围绕干预体验和影响PA行为的因素形成了五个主题：（1）优先事项的变化性质，（2）PCOS症状的推拉作用，（3）超越体重秤关注重点，（4）知识作为改变的基础，以及（5）耻辱感与社会支持的平衡。这些发现可用于设计PA干预措施，考虑PCOS与PA行为之间的相互作用，以实现短期干预之外的健康益处。
