Translating evidence into practice in primary care management of adolescents and women with polycystic ovary syndrome: a mixed-methods study

Simple item page
dc.contributor.authorCowan, S.
dc.contributor.authorMoran, L.
dc.contributor.authorGarad, R.
dc.contributor.authorSturgiss, E.
dc.contributor.authorLim, S.
dc.contributor.authorEe, C.
dc.date.issued2024
dc.descriptionAdvance access publication 4 March 2024
dc.description.abstractBackground: The international guideline on polycystic ovary syndrome (PCOS) provides evidence-based recommendations on the management of PCOS. Guideline implementation tools (GItools) were developed for general practitioner (GP) use to aid rapid translation of guidelines into practice. This mixed-methods study aimed to evaluate barriers and enablers of the uptake of PCOS GItools in general practice. Design and setting: A cross-sectional survey was distributed through professional networks and social media to GPs and GPs in training in Australia. Survey respondents were invited to contribute to semi-structured interviews. Interviews were audio-recorded and transcribed verbatim. Qualitative data were thematically analysed and mapped deductively to the Theoretical Domains Framework and Capability, Opportunity, Motivation and Behaviour model. Results: The study engaged 146 GPs through surveys, supplemented by interviews with 14 participants. A key enabler to capability was reflective practice. Barriers relating to opportunity included limited awareness and difficulty locating and using GItools due to length and lack of integration into practice software, while enablers included ensuring recommendations were relevant to GP scope of practice. Enablers relevant to motivation included co-use with patients, and evidence of improved outcomes with the use of GItools. Discussion: This study highlights inherent barriers within the Australian healthcare system that hinder GPs from integrating evidence for PCOS. Findings will underpin behaviour change interventions to assist GPs in effectively utilising guidelines in clinical practice, therefore minimising variations in care. While our findings will have a direct influence on guideline translation initiatives, changes at organisational and policy levels are also needed to address identified barriers.
dc.description.statementofresponsibilityStephanie Cowan, Lisa Moran, Rhonda Garad, Elizabeth Sturgiss, Siew Lim, Carolyn Ee
dc.identifier.citationFamily Practice, 2024; 41(2):175-184
dc.identifier.doi10.1093/fampra/cmae007
dc.identifier.issn0263-2136
dc.identifier.issn1460-2229
dc.identifier.orcidMoran, L. [0000-0001-5772-6484]
dc.identifier.urihttps://hdl.handle.net/2440/142233
dc.language.isoen
dc.publisherOxford University Press
dc.relation.grantNHMRC
dc.rights© The Author(s) 2024. Published by Oxford University Press. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.source.urihttp://dx.doi.org/10.1093/fampra/cmae007
dc.subjectbehaviour change
dc.subjectgeneral practice
dc.subjectguideline
dc.subjectpolycystic ovary syndrome
dc.subjectresearch translation
dc.subject.meshHumans
dc.subject.meshPolycystic Ovary Syndrome
dc.subject.meshCross-Sectional Studies
dc.subject.meshQualitative Research
dc.subject.meshAdolescent
dc.subject.meshPrimary Health Care
dc.subject.meshAustralia
dc.subject.meshFemale
dc.subject.meshGeneral Practice
dc.titleTranslating evidence into practice in primary care management of adolescents and women with polycystic ovary syndrome: a mixed-methods study
dc.typeJournal article
pubs.publication-statusPublished

Files

Original bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
hdl_142233.pdf
Size:
729.68 KB
Format:
Adobe Portable Document Format
Description:
Published version
Download

Collections

Research Outputs