Feasibility and acceptability of a proposed trial of acupuncture as an adjunct to lifestyle interventions for weight loss in Polycystic Ovary Syndrome: a qualitative study.
Feasibility and acceptability of a proposed trial of acupuncture as an adjunct to lifestyle interventions for weight loss in Polycystic Ovary Syndrome: a qualitative study.
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DOI：
10.1186/s12906-018-2358-7
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发表时间：
2018-11-08
影响因子：
--
通讯作者：
Teede H
中科院分区：
文献类型：
--
作者：
Ee C;Smith C;Costello M;MacMillan F;Moran L;Baylock B;Teede H
多囊卵巢综合征(PCOS)是一种常见的女性生殖功能障碍，临床表现多样。体重管理是一个关键的治疗目标。在非PCOS人群中，针灸是一种潜在的辅助减肥疗法。我们的目标是让患者参与共同设计并评估随机对照试验(RCT)的可行性和可接受性，该试验采用定性方法，针对患有多囊卵巢综合征的超重或肥胖女性进行针灸和基于电话的健康指导。我们使用社交媒体招募了患有多囊卵巢综合征、年龄在18-45岁之间、体重指数在25公斤/平方米及以上的女性。进行了两次面对面的焦点小组会议和三次半结构化电话访谈(n = 10)。我们使用主题分析对数据进行分析，目的是比较和对比积极尝试怀孕的女性(n = 7)和不试图怀孕的女性(n = 3)参加试验的动机。收集了对针灸的态度、知识和经验；对随机对照试验(真正的针灸、假针灸和电话健康辅导)中干预措施的看法和态度；重要的结果；以及成功招募和保留试验的障碍和促进者。女性都有针灸经验--天真的，也有针灸经验的。总体而言，对针灸的态度是积极的，试验设计是可以接受的，并要求预约灵活性。如果女性试图怀孕，理想的注册时间是怀孕前六个月。女性支持为期三个月的干预，并使用假针灸作为对照。财务激励被认为是不必要的，女性在登记参加这样的试验时谈到了利他主义的意图。试图怀孕的女性表示，她们需要家人、健康教练和同龄人的支持。以电话为基础的健康指导提供了受欢迎的支持和责任，被认为是可能的减肥促进者。我们的发现表明，针灸可能是多囊卵巢综合征患者减肥生活方式干预的一种可接受的辅助手段，而假对照试验是可行的，对多囊卵巢综合征女性来说也是可以接受的。为了评估针灸和生活方式对多囊卵巢综合征患者体重管理的疗效，还需要进一步的研究。本文的在线版本(10.1186/s12906-0182358-7)包含补充材料，可供授权用户使用。
Polycystic Ovary Syndrome (PCOS) is a common female reproductive disorder with multiple manifestations. Weight management is a key therapeutic goal. Acupuncture is a potential adjunctive weight loss treatment in non-PCOS populations. We aimed to engage patients in co-design and assess the feasibility and acceptability of methods for a randomised controlled trial (RCT) on acupuncture and telephone-based health coaching for weight management in overweight or obese women with PCOS using qualitative methods. We recruited women who had PCOS and were aged 18–45 years and with a body mass index of 25 kg/m2 and over, using social media. Two face-to-face focus group meetings and three semi-structured telephone interviews were conducted (n = 10). We analysed data using thematic analysis and aimed to compare and contrast motivations for joining the trial between women who were actively trying to conceive (n = 7) and not trying to conceive (n = 3). Attitudes to, knowledge and experiences of acupuncture; perceptions and attitudes towards the interventions in the RCT (real acupuncture, sham acupuncture and telephone-based health coaching); the outcomes of importance; and barriers and facilitators to successful trial recruitment and retention were collected. Women were both acupuncture-naive and acupuncture-experienced. Overall, attitudes towards acupuncture were positive, and the trial design was acceptable with appointment flexibility requested. Ideal enrolment time, if women were trying to conceive, was six months prior to conception. Women supported three-month intervention and the use of sham acupuncture as a control. Financial incentives were not believed to be necessary, and women spoke of altruistic intentions in enrolling for such a trial. Women who were trying to conceive voiced a need for support from their family, health coaches, and peers. The telephone-based health coaching offered welcome support and accountability, noted as possible facilitators of weight loss. Our findings show that acupuncture is a likely acceptable adjunct to lifestyle interventions for weight loss in PCOS, and that a sham-controlled trial is feasible and acceptable to PCOS women. Further research is required in order to evaluate the efficacy of acupuncture together with lifestyle for weight management in PCOS. The online version of this article (10.1186/s12906-018-2358-7) contains supplementary material, which is available to authorized users.
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影响因子：
--
作者：
Lin, Rong-Tsung;Tzeng, Chung-Yuh;Chang, Shih-Liang
通讯作者：
Chang, Shih-Liang
影响因子：
2.5
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Lin, Rong-Tsung;Chen, Ching-Yuan;Chang, Shih-Liang
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影响因子：
3.2
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影响因子：
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通讯作者：
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