Structured education programme for women with polycystic ovary syndrome: a randomised controlled trial

Abstract

Objective: To evaluate the effectiveness of a structured education programmes in women with polycystic ovary syndrome (PCOS).

Methods: Single-centre, randomised controlled trial, testing a single exposure to a group-based, face-to-face, structured education programme. Inclusion criteria were women with PCOS, aged 18-49 years inclusive and body mass index ≥23 kg/m² for black and minority ethnicities or ≥25 kg/m² for white Europeans. Primary outcome was step-count/day at 12 months. Secondary outcomes included indices of physical activity, cardiovascular risk factors, quality of life (QoL) and illness perception (IP).

Results: 161 women were included (78 control, 83 intervention); 69% white; mean age 33.4 (s.d. 7.6) years, of whom 100 (48 intervention; 52 control) attended their 12-month visit (38% attrition). 77% of the intervention arm attended the education programme. No significant change in step-count was observed at 12 months (mean difference: +351 steps/day (95% confidence interval -481, +1183); P = 0.40). No differences were found in biochemical or anthropometric outcomes. The education programme improved participants' IP in 2 dimensions: understanding their PCOS (P < 0.001) and sense of control (P < 0.01) and improved QoL in 3 dimensions: emotions (P < 0.05), fertility (P < 0.05), weight (P < 0.01) and general mental well-being (P < 0.01).

Discussion: A single exposure to structured education programme did not increase physical activity or improve biochemical markers in overweight and obese women with PCOS. However, providing a structured education in parallel to routine medical treatment can be beneficial for participants' understanding of their condition, reducing their anxiety and improving their QoL.

Keywords: attrition rate; illness perception; physical activity; polycystic ovary syndrome; quality of life; structured education.

Figure 1

CONSORT flow diagram (http://www.consort-statement.org/) for the participants in SUCCESS study. BMI, Body Mass Index. ^‡Participants with diabetes were referred to a diabetes education programme. ^†Did not meet the BMI eligibility criteria and had been incorrectly randomised.

Figure 2

Word cloud summary of feelings of women with PCOS towards their condition and when they found out they had PCOS http://www.wordle.net/. (Larger words have been repeated more frequently.)