Table 2.
Mapping of antecedents of polycystic ovary syndrome (PCOS) self-management and psychological well-being onto new PCOS self-management intervention session content.
| Potentially modifiable antecedent | Course sessions | |||||
| 1 | 2 | 3 | 4 | 5 | 6 | |
| Long-term implications of PCOS | ✓ |
|
✓ |
|
✓ |
|
| Getting the most from the health care system | ✓ |
|
|
✓ | ✓ | ✓ |
| How to eat well in PCOS |
|
✓ | ✓ |
|
|
|
| Coping with low self esteem | ✓ | ✓ | ✓ | ✓ | ✓ |
|
| What self-management of PCOS entails | ✓ | ✓ | ✓ | ✓ | ✓ |
|
| How to use physical activity to manage PCOS | ✓ | ✓ | ✓ |
|
|
|
| Which information sources to trust | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Maintaining motivation longer term | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Coping with feeling “not properly feminine” | ✓ |
|
✓ | ✓ |
|
✓ |
| Basic biology of PCOS | ✓ |
|
✓ | ✓ | ✓ | ✓ |
| Coping with depression and low mood | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Following a PCOS-healthy diet | ✓ |
|
✓ |
|
|
|
| Making healthy choices | ✓ |
|
✓ |
|
|
|
| Coping with eating distress, for example, binge eating and overeating |
|
|
✓ |
|
|
|
| Motivation to self-manage | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Coping with embarrassment and shame | ✓ | ✓ | ✓ | ✓ |
|
✓ |
| Confidence to self-manage | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Using physical activity to manage PCOS | ✓ | ✓ | ✓ |
|
|
|
| Trust in health professionals | ✓ |
|
✓ | ✓ | ✓ | ✓ |
| Coping with anxiety and fear | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Prioritizing your own needs | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Setting clear self-management goals | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Not giving up on self-management | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Coping with frustration and anger | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Coping with loneliness and isolation | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Finding a physical activity that is enjoyable |
|
✓ |
|
|
|
|
| Skills to communicate with health professionals | ✓ |
|
|
✓ | ✓ |
|
| Monitoring your menstrual cycle | ✓ | ✓ |
|
✓ |
|
✓ |
| How to keep trying to self-manage | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Setting realistic goals | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
| Realistic expectations of the body | ✓ |
|
|
✓ |
|
|
| Getting social support | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |