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.

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 with PCOS, which can be used in clinical settings for healthcare providers.