Date of Award

Fall 12-9-2023

Degree Type

Project

Degree Name

Doctor of Nursing Practice (DNP)

Department

School of Nursing

First Advisor

Jennifer Stewart-Glenn

Abstract

Problem Statement: Women with PCOS have a higher prevalence of overweight and obesity, a problem that is directly linked with many of the symptoms and long-term health problems experienced by these individuals. Research studies indicate that lifestyle modifications, including dietary changes and increased physical activity aimed at promoting weight loss, are often the initial approach to treatment, but many women fail to adopt those health-promoting behaviors, which may be due to insufficient teaching and support provided by healthcare professionals.

Purpose: Utilize Pender’s Health Promotion Model to develop and evaluate a set of educational video modules focused on encouraging women with PCOS to adopt the health-promoting behaviors of healthy eating and physical activity.

Methods: Posttest-only control group design was utilized to evaluate the patient-education modules.

Participants included a total of 46 women with self-reported diagnosis of PCOS between the ages of 18-49 years old, who were randomly assigned to either experimental or control groups. The experimental group viewed a series of 3 patient-education videos, while the control group had no special intervention, and both groups completed a posttest survey based on the constructs of the Health Promotion Model.

Analysis: Mann Whitney U test was used to compare participant responses between groups on the overall scales of healthy eating and physical activity, and the subscales of each construct of the Health Promotion Model. There was a statistically significant difference on the overall physical activity scale (U=297.0, p= 0.03), and on the subscales of perceived benefit of action (U=126.5, p=0.02) and situational influences (U=135.0, p=0.02), but no difference noted on the other scales.

Implications for Practice: Quality patient education is paramount to helping individuals with PCOS adopt health-promoting behaviors to optimize their health and well-being. This project demonstrates that providing patients with access to online educational videos is a useful strategy that healthcare providers can utilize, as a supplement to usual patient-education activities, to empower patients to understand their condition and increase their desire and commitment to the adoption of health-promoting behaviors.

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