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PCOS Study Consent and Questionnaire

The document is a consent form for a study comparing moderate intensity interval training and ballistic exercises on the quality of life among women with Polycystic Ovarian Syndrome (PCOS). It assures participants of data confidentiality and their right to withdraw at any time. The accompanying questionnaire collects demographic information and assesses various symptoms related to PCOS.

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sheriowsten
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68 views4 pages

PCOS Study Consent and Questionnaire

The document is a consent form for a study comparing moderate intensity interval training and ballistic exercises on the quality of life among women with Polycystic Ovarian Syndrome (PCOS). It assures participants of data confidentiality and their right to withdraw at any time. The accompanying questionnaire collects demographic information and assesses various symptoms related to PCOS.

Uploaded by

sheriowsten
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

CONSENT FORM

The study you are about to participate is “Comparison of Moderate Intensity


Interval Training versus Ballistic Exercises on Quality of life among women with
Polycystic Ovarian Syndrome”. The study has no potential harm to participants. All
data collected from you will be coded in order to protect your identity and should not
be disclosed to anyone. Following the study there will be no way to connect your
name with your data. Your answers to the questions will not affect the quality of
treatment given to you. Any additional information about the study results will be
provided to you at its conclusion, upon your request.

You are free to withdraw from the study at any time. You agree to participate,
indicating that you have read and understood the nature of the study, and that all your
inquiries concerning the activities have been answered to your satisfaction.

Name: Date:

Signature:
Questionnaire
SECTION A
Demographics
Name: ____________
Age: _______
Marital status: Single/Married
Residence: _____________________
Phone Number: ________________
Family system: Nuclear/ Joint family
Nature of lifestyle: Sedentary/ Active
Approach towards life: Optimistic/Pessimistic

SECTION B

Have you ever been diagnosed by PCOS? Yes No

Are you having irregular menstrual cycle?


Yes No
Have you diagnosed by Diabetes type 2?
Yes No
Have you diagnosed by any other endocrine disorder
(hypothyroidism, hyperthyroidism) Yes No

Are you using antipsychotic medication?


Yes No
Are you using antihypertensive, androgen lowering, insulin sensitizing?
Yes No

SECTION C
PCOSQ (Polycystic Ovarian Syndrome Questionnaire)
The Polycystic Ovarian Syndrome Questionnaire (PCOSQ) consist on 5 domains each relating to
a common symptom of PCOS, emotions, menstrual problems, infertility, weight and body hair.
Questions are scored on a 7-point Likert scale in which 1 represents poorest function and 7
represents optimal function.

Emotions
 Felt depressed that you have PCOS?
1 2 3 4 5 6 7
Strongly Disagree Strongly Agree

 Easily tired?
1 2 3 4 5 6 7
 Moody as a result of PCOS?
1 2 3 4 5 6 7
 Had low self-esteem as a result of having PCOS?
1 2 3 4 5 6 7
 Felt frightened of getting cancer?
1 2 3 4 5 6 7
 Worried about having PCOS?
1 2 3 4 5 6 7
 Self-conscious as a result of having PCOS?
1 2 3 4 5 6 7
 Late menstrual period?
1 2 3 4 5 6 7
Infertility
 Concerned with infertility problem?
1 2 3 4 5 6 7
 Felt afraid of not being able to Have children?
1 2 3 4 5 6 7
 Feel lack of control over the situation with PCOS?
1 2 3 4 5 6 7
 Feel sad because of infertility problems?
1 2 3 4 5 6 7
Body hair
 Growth of visible hair on chin?
1 2 3 4 5 6 7
 Growth of visible hair upper lip?
1 2 3 4 5 6 7
 Growth of excess hair face?
1 2 3 4 5 6 7
 Embarrassment about excessive body hair?
1 2 3 4 5 6 7
 Growth of visible body hair?
1 2 3 4 5 6 7

Weight
 Concerned about being overweight?
1 2 3 4 5 6 7
 Had trouble dealing with your weight?
1 2 3 4 5 6 7
 Felt frustration in trying to lose weight?
1 2 3 4 5 6 7
 Having difficulties staying at your ideal weight?
1 2 3 4 5 6 7

Menstrual problems
 Headaches?
1 2 3 4 5 6 7
 Irregular menstrual period?
1 2 3 4 5 6 7
 Abdominal bloating?
1 2 3 4 5 6 7
 Menstrual cramps?
1 2 3 4 5 6 7

Common questions

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The consent form ensures participant confidentiality by stating that all data will be coded and identities will not be disclosed. It also stresses participant autonomy by allowing participants to withdraw at any time without affecting their treatment quality. Participants are informed about the study's nature and given the option to request additional information post-study, underlining respect for their autonomy and information rights .

The study includes questions about family systems, categorizing them as either 'Nuclear' or 'Joint'. This information can help analyze how family support structures affect women's experiences and coping mechanisms with PCOS. It may reveal differences in quality of life based on family dynamics and social support, providing insights for more targeted interventions .

The primary health concerns explored in the study include emotional well-being, menstrual irregularities, infertility issues, body hair growth, and weight management. These areas are assessed through the PCOSQ, which evaluates women's experiences and struggles in these domains, providing insights into how PCOS affects quality of life .

Including questions about medication use is important because medications can significantly impact the symptoms and quality of life of women with PCOS. By understanding participants' use of antipsychotic, antihypertensive, androgen lowering, and insulin-sensitizing drugs, the study can better assess how these factors may interact with exercise interventions and potentially confound the results .

The findings can be used to tailor exercise interventions that specifically address quality of life issues in women with PCOS. By identifying which type of exercise is more effective in improving symptoms like menstrual irregularities, emotional well-being, weight management, or body hair, healthcare providers can develop personalized exercise programs. This can lead to better management of PCOS symptoms, enhancing overall quality of life .

Participant lifestyle is categorized as either 'Sedentary' or 'Active' within the demographics section of the study questionnaire. This categorization helps in understanding and analyzing participant lifestyle patterns in relation to their PCOS symptoms and how these may influence their quality of life .

The 7-point Likert scale in the PCOSQ allows participants to express varying degrees of agreement or experience regarding symptoms and emotional states associated with PCOS. This scale enhances data collection by providing nuanced data that captures the intensity of individual feelings and experiences, facilitating detailed statistical analysis to understand the impact of PCOS on quality of life .

The study's design minimizes harm by focusing on non-invasive interventions like exercise and using a comprehensive questionnaire to assess quality of life domains. It ensures participant safety and well-being, as there are no harmful procedures involved. The consent form outlines that participation is voluntary and data confidentiality is maintained, reinforcing ethical research practices .

Optimism or pessimism can significantly influence how individuals manage PCOS symptoms. The study captures these psychological orientations to assess their impact on coping strategies, adherence to treatment plans, and overall quality of life. Optimistic outlooks may correlate with better management practices and more positive health outcomes, providing a psychological dimension to PCOS treatment .

The PCOSQ assesses emotional well-being through a series of questions that measure feelings of depression, fatigue, moodiness, self-esteem issues, fear of cancer, worry about PCOS, self-consciousness, and frustrations about menstrual irregularities. Participants rate these emotions on a 7-point Likert scale where 1 signifies poorest function and 7 indicates optimal function. This allows for a detailed evaluation of the emotional impact of PCOS on individuals .

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