Effect of Using 5A’s Model for Self management Counseling on Quality of Life and Self Efficacy in Women with Polycystic Ovary Syndrome: A Randomized Clinical Trial
Abstract
Background: Polycystic ovary syndrome (PCOS) has adverse effects on mental health and quality of life. International guidelines recommended the provision of cognitive behavioral models to support self‑management for these women. The patient‑centered 5A’s model might meet this need. Thus, this study aimed to evaluate the effect of using the 5A’s model for self‑management counseling on quality of life and self‑efficacy in women with PCOS. Materials and Methods: This study is a randomized clinical trial, and the research population included women with PCOS referred to Baghaeipour Clinic in Yazd, Iran, between April 2023 and October 2023. Sixty‑four women were randomized to the intervention (the self‑management program based on the 5A’s model) and active control groups (educational booklet). PCOS Quality of Life and General Self‑Efficacy Scale were completed by participants. Data were analyzed using SPSS 19, independent t‑test, and repeated measures (p < 0.05). Results: The mean difference between quality of life (F2,60 = 75.25, p < 0.001) and self‑efficacy (F2,60 = 29.09, p < 0.001) scores before, after, and follow‑up in the intervention group was significant. The mean difference between quality of life (F2,62 = 24.64, p < 0.001) and self‑efficacy (F2,62 = 20.39, p < 0.001) scores before, after, and follow‑up in the active control group was significant. However, the increase in the quality of life and self‑efficacy score in the intervention group was higher than in the control group. Conclusions: The 5A’s model and educational booklets to improve self‑management increased quality of life and self‑efficacy of women
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