Wright Pamela J, Corbett Cynthia, Pinto Bernardine M, Wirth Michael D, Dawson Robin M
Advancing Chronic Care Outcomes through Research and Innovation (ACORN) Center, College of Nursing, University of South Carolina, Columbia, SC, USA.
Department of Biobehavioral Health and Nursing Science, College of Nursing, University of South Carolina, Columbia, SC, USA.
Womens Health (Lond). 2025 Jan-Dec;21:17455057251357061. doi: 10.1177/17455057251357061. Epub 2025 Jul 12.
According to clinical practice guidelines for polycystic ovary syndrome, first-line treatment includes performing 150 min of moderate-to-vigorous physical activity on most days of the week plus at least 2 days of resistance training. However, <40% of women with polycystic ovary syndrome engage in regular physical activity, and about 60% are sedentary. Research evidence supports theory-informed physical activity interventions to improve motivation for physical activity. This study examined the fit of a behavioral change theory for women with polycystic ovary syndrome.
The purposes of this qualitative study were to analyze physical activity barriers through the lens of self-determination theory and identify motivational strategies that may promote initiation and maintenance of physical activity among women with polycystic ovary syndrome.
The study involved a qualitative, descriptive design using theory-driven thematic analysis.
After emailing a demographic questionnaire and Personal Health Questionnaire-8 to screen for depressive symptoms, participants (n = 7) met three times via Zoom during the summer of 2021. Meetings were audio-recorded, transcribed, and analyzed.
Participants were aged 33.9 (±8.1) years, premenopausal, mostly White (71%), educated (100% with at least some college), employed full-time (86%), and married (86%) with a mean depressive symptoms score of 6.4 (±3.4) indicating mild depression. Strategies such as a buddy system, physician support, technology, and behavioral change techniques are necessary to meet the psychological needs of autonomy, competence, and relatedness among women with polycystic ovary syndrome to help increase exercise motivation.
Findings supported the use of self-determination theory by emphasizing that the social context of polycystic ovary syndrome can undermine physical activity behavior. Thus, physical activity interventions should consider the social context, peer support system, and mental health status of women with polycystic ovary syndrome, and include tailored programs and motivational strategies to help meet the psychological needs of autonomy, competence, and relatedness.
根据多囊卵巢综合征的临床实践指南，一线治疗包括每周大多数日子进行150分钟的中等至剧烈体育活动，外加至少2天的阻力训练。然而，不到40%的多囊卵巢综合征女性进行规律的体育活动，约60%的人久坐不动。研究证据支持基于理论的体育活动干预，以提高体育活动的动机。本研究探讨了一种行为改变理论对多囊卵巢综合征女性的适用性。
这项定性研究的目的是通过自我决定理论的视角分析体育活动障碍，并确定可能促进多囊卵巢综合征女性开始并维持体育活动的动机策略。
该研究采用了基于理论驱动的主题分析的定性描述性设计。
在通过电子邮件发送人口统计学调查问卷和个人健康问卷-8以筛查抑郁症状后，参与者（n = 7）于2021年夏季通过Zoom进行了三次会面。会面进行了录音、转录和分析。
参与者年龄为33.9（±8.1）岁，处于绝经前，大多为白人（71%），受过教育（100%至少上过大学），全职工作（86%），已婚（86%），平均抑郁症状评分为6.4（±3.4），表明有轻度抑郁。诸如伙伴制度、医生支持、技术和行为改变技巧等策略对于满足多囊卵巢综合征女性在自主性、能力和关联性方面的心理需求很有必要，有助于增强运动动机。
研究结果支持使用自我决定理论，强调多囊卵巢综合征的社会背景可能会破坏体育活动行为。因此，体育活动干预应考虑多囊卵巢综合征女性的社会背景、同伴支持系统和心理健康状况，并包括量身定制的方案和动机策略，以帮助满足她们在自主性、能力和关联性方面的心理需求。
