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Gholami R, Akhavan Amjadi M, Dashti S. Evaluating the Characteristics of Questionnaires Evaluating Knowledge, Attitude, and Practice Regarding Polycystic Ovarian Syndrome Among Women of Reproductive Age: A Systematic Review. Mod Care J 2026; 23 (2) :33-42
URL: http://mcj.bums.ac.ir/article-1-605-en.html
URL: http://mcj.bums.ac.ir/article-1-605-en.html
1- Department of Midwifery, TeMS.C., Islamic Azad University, Tehran, Iran
2- Department of Nursing and Midwifery, MMS.C., Islamic Azad University, Mashhad, Iran. Email: sareh_dashti@iau.ac.ir
2- Department of Nursing and Midwifery, MMS.C., Islamic Azad University, Mashhad, Iran. Email: sareh_dashti@iau.ac.ir
Abstract: (236 Views)
Context: Although polycystic ovarian syndrome (PCOS) is common, little is known regarding the knowledge, attitude, and practice (KAP) of women regarding PCOS, possibly due to the scarcity of KAP assessment tools.
Objectives: This systematic review aimed to identify the questionnaires used to evaluate KAP regarding PCOS among PCOS women during reproductive age. Methods: In this systematic review, published articles in PubMed, Web of Science, Magiran, and SID databases were searched until 24 Jul 2025. Inclusion criteria included original research articles in Persian or English that investigated KAP using questionnaires among PCOS women of reproductive age. Exclusion criteria were unavailable full texts, seminar abstracts, commentaries, letters, and opinions. The search keywords were PCOS, questionnaire, knowledge, attitudes, and practice. Joanna Briggs Institute (JBI) quality assessment tool was used for quality assessment of the included articles.
Results: Of the initial 4606 articles, five articles were eligible for review. Validity and reliability were reported in 60% and 40% of the articles, respectively. All the articles evaluated knowledge. Attitude and practice were evaluated in three and two articles, respectively. The knowledge domain mostly included questions on the definition, diagnosis, and complications of PCOS. The attitude domain included questions on feelings after diagnosis, the effectiveness of PCOS treatments, and lifestyle modification.
Conclusions: The available KAP questionnaires failed to cover the main domains and subdomains of KAP. Holistic KAP questionnaires regarding PCOS should be developed and standardized to improve PCOS management and health education.
Objectives: This systematic review aimed to identify the questionnaires used to evaluate KAP regarding PCOS among PCOS women during reproductive age. Methods: In this systematic review, published articles in PubMed, Web of Science, Magiran, and SID databases were searched until 24 Jul 2025. Inclusion criteria included original research articles in Persian or English that investigated KAP using questionnaires among PCOS women of reproductive age. Exclusion criteria were unavailable full texts, seminar abstracts, commentaries, letters, and opinions. The search keywords were PCOS, questionnaire, knowledge, attitudes, and practice. Joanna Briggs Institute (JBI) quality assessment tool was used for quality assessment of the included articles.
Results: Of the initial 4606 articles, five articles were eligible for review. Validity and reliability were reported in 60% and 40% of the articles, respectively. All the articles evaluated knowledge. Attitude and practice were evaluated in three and two articles, respectively. The knowledge domain mostly included questions on the definition, diagnosis, and complications of PCOS. The attitude domain included questions on feelings after diagnosis, the effectiveness of PCOS treatments, and lifestyle modification.
Conclusions: The available KAP questionnaires failed to cover the main domains and subdomains of KAP. Holistic KAP questionnaires regarding PCOS should be developed and standardized to improve PCOS management and health education.
Article Types: Systematic Review |
Subject:
General
Received: 2026/02/10 | Accepted: 2026/01/15 | Published: 2026/01/15
Received: 2026/02/10 | Accepted: 2026/01/15 | Published: 2026/01/15
References
1. 1. Joham AE, Norman RJ, Stener-Victorin E, Legro RS, Franks S, Moran LJ, et al. Polycystic ovary syndrome. Lancet Diabetes Endocrinol. 2022;10(9):668-80. [PubMed ID: 35934017]. [DOI:10.1016/S2213-8587(22)00163-2]
2. Sheikh J, Khalil H, Shaikh S, Hebbar M, Zia N, Wicks S, et al. Emotional and psychosexual well-being is influenced by ethnicity and birthplace in women and individuals with polycystic ovary syndrome in the UK and India. BJOG. 2023;130(8):978-86. [PubMed ID: 36807756]. [PubMed Central ID: PMC10952802]. [DOI:10.1111/1471-0528.17428]
3. World Health Organization. Polycystic ovary syndrome. World Health Organization; 2023. Available from: https://www.who.int/news- room/fact-sheets/detail/polycystic-ovary-syndrome.
4. Hussin SN, Abd Kadir NH. A study on knowledge, attitude and perception of polycystic ovary syndrome (pcos) among young students in higher educational institutions, perak. J Soc Sci Adv Res. 2020;1(2):160-81.
5. Jasim RN, Oleiwi SS. Knowledge of Iraqi girls towards polycystic ovary syndrome. Health. 2023; 2:1-14.
6. Dashti S, Abadibavil D, Roozbeh N. Evaluating e-health literacy, knowledge, attitude and practice regarding COVID-19 prevention and Self-Protection among Iranian students: a cross-sectional online survey. BMC Med Educ. 2022;22(1):148. [PubMed ID: 35248025]. [PubMed Central ID: PMC8897549]. [DOI:10.1186/s12909-022-03210-3]
7. Rad M, Shahravan A, Haghdoost AA. Oral health knowledge, attitude,and practice in 12-year-old schoolchildren in Iran. J Int Soc Prev Community Dent. 2015;5(5):419-24. [PubMed ID: 26539396]. [PubMed Central ID: PMC4606608]. [DOI:10.4103/2231-0762.165926]
8. Narayana G, Suchitra MJ, Sunanda G, Ramaiah JD, Kumar BP, Veerabhadrappa KV. Knowledge, attitude, and practice toward cervical cancer among women attending Obstetrics and Gynecology Department: A cross-sectional, hospital-based survey in South India. Indian J Cancer. 2017;54(2):481-7. [PubMed ID:29469083]. [DOI:10.4103/ijc.IJC_251_17]
9. Lima Ribeiro G, Teixeira Moreira Vasconcelos C, Silva Gomes ML, Veras Firmiano ML, Oliveira Batista Oria M, Gomes Lopes L. Knowledge, attitude, and practice instruments for urinary incontinence: A psychometric review. Neurourol Urodyn. 2020;39(1):25-34. [PubMed ID: 31692067]. [DOI:10.1002/nau.24202]
10. Andrade C, Menon V, Ameen S, Kumar Praharaj S. Designing and Conducting Knowledge, Attitude, and Practice Surveys in Psychiatry: Practical Guidance. Indian J Psychol Med. 2020;42(5):478-81. [PubMedID: 33414597]. [PubMed Central ID: PMC7750837]. [DOI:10.1177/0253717620946111]
11. Erku EW, Yanni MM, Mohamed HM, Weldehawaria SF, Asfaw EM, Tibebu M, et al. Knowledge, Attitude, and Practice of Polycystic Ovarian Syndrome Diagnosis among Health Care Providers in Addis Ababa, Ethiopia. BMC Womens Health. 2025;25(1):414. [PubMed ID: 40883800]. [PubMed Central ID: PMC12395725]. [DOI:10.1186/s12905-025-03948-0]
12. Rizvi M, Islam MA, Aftab MT, Naqvi AA, Jahangir A, Ishaqui AA, et al. Knowledge, attitude, and perceptions about polycystic ovarian syndrome, and its determinants among Pakistani undergraduate students. PLoS One. 2023;18(5). e0285284. [PubMed ID: 37228116]. [PubMed Central ID: PMC10212137]. [DOI:10.1371/journal.pone.0285284]
13. Adhikari P, Bhattarai J. Knowledge, Attitude and Practice regarding Polycystic Ovarian Syndrome (PCOS) among final year medical students and interns in a Medical College in Kathmandu Nepal. J Diabet Endocrinol Assoc Nepal. 2023;7(1):4-12. [DOI:10.3126/jdean.v7i1.57452]
14. Moher D, Liberati A, Tetzlaff J, Altman DG; Prisma Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7). e1000097. [PubMed ID: 19621072]. [PubMed Central ID: PMC2707599]. [DOI:10.1371/journal.pmed.1000097]
15. Zeng X, Zhang Y, Kwong JS, Zhang C, Li S, Sun F, et al. The methodological quality assessment tools for preclinical and clinical studies, systematic review and meta-analysis, and clinical practice guideline: a systematic review. J Evid Based Med. 2015;8(1):2-10. [PubMed ID: 25594108]. [DOI:10.1111/jebm.12141]
16. Bekhatroh Rashed A, S. Abu Almakarem A, A. Ahmed A, Mohamed El- Sherbieny E, Yehia Moustafa Sweelam M. Impact of Multimedia Education on Women's knowledge and Practices regarding Polycystic Ovarian Syndrome. Egypt J Health Care. 2023;14(4):211-26. [DOI:10.21608/ejhc.2023.325530]
17. Naz S, Asghar F, Iqbal Y, Naseem Z, jathol M. Knowledge and attitude of young female population toward early diagnosis of polycystic ovary syndrome. BioMedica. 2022;38(4):219-24. [DOI:10.24911/BioMedica/5-713]
18. Safdar NA, Nikhat EAS, Fatima SJ. Cross-sectional study to assess the knowledge, attitude, and behavior of women suffering from PCOS and their effect on the skin. Acta Traditional Med. 2023;2(1):19-26
19. Selvaraj V, Vanitha J, M Dhanraj F, Sekar P, Rajendra Babu A. Implementation of an Awareness Program and Lifestyle Intervention on Polycystic Ovarian Syndrome among Adolescent Schoolgirls in India. Acta Sci Paediatrics. 2020;4(5):24-30. [DOI:10.31080/ASPE.2020.03.0245]
20. Teede H, Gibson-Helm M, Norman RJ, Boyle J. Polycystic ovary syndrome: perceptions and attitudes of women and primary health care physicians on features of PCOS and renaming the syndrome. J Clin Endocrinol Metab. 2014;99(1): E107-11. [PubMed ID: 24178791]. [DOI:10.1210/jc.2013-2978]
21. Barker TH, Habibi N, Aromataris E, Stone JC, Leonardi-Bee J, Sears K, et al. The revised JBI critical appraisal tool for the assessment of risk of bias for quasi-experimental studies. JBI Evid Synth. 2024;22(3):378-88. [PubMed ID: 38287725]. [DOI:10.11124/JBIES-23-00268]
22. Moola S, Munn Z, Tufanaru C, Aromataris E, Sears K, Sfetic R; Joanna Briggs Institute, et al. Chapter 7: Systematic reviews of etiology and risk. Joanna Briggs Institute Reviewers' Manual. Adelaide, Australia: Joanna Briggs Institute; 2019. [DOI:10.46658/JBIRM-17-06]
23. Fitzgerald JT, Funnell MM, Hess GE, Barr PA, Anderson RM, Hiss RG, et al. The reliability and validity of a brief diabetes knowledge test. Diabetes Care. 1998;21(5):706-10. [PubMed ID: 9589228]. [DOI:10.2337/diacare.21.5.706]
24. Kim K, Shin S, Kim S, Lee E. The Relation Between eHealth Literacy and Health-Related Behaviors: Systematic Review and Meta-analysis. J Med Internet Res. 2023;25. e40778. [PubMed ID: 36716080]. [PubMed Central ID: PMC9926349]. ئ [DOI:10.2196/40778]
25. Goh JE, Farrukh MJ, Keshavarzi F, Yap CS, Saleem Z, Salman M, et al. Assessment of prevalence, knowledge of polycystic ovary syndrome and health-related practices among women in klang valley: A cross- sectional survey. Front Endocrinol (Lausanne). 2022; 13:985588. [PubMed ID: 36105409]. [PubMed Central ID: PMC9465311]. [DOI:10.3389/fendo.2022.985588]
26. Alnuaimi AS, Syed MA, Zainel AA, Mohamed HA, Bougmiza MI, Syed MA. Cultural & region-specific adaptation of KAP (Knowledge, attitude, and practice) tool to capture healthy lifestyle within primary care settings. PLoS One. 2024;19(12). e0312852. [PubMed ID: 39700224]. [PubMed Central ID: PMC11658580]. [DOI:10.1371/journal.pone.0312852]
27. Amiri P, Asghari G, Sadrosadat H, Karimi M, Amouzegar A, Mirmiran P, et al. Psychometric Properties of a Developed Questionnaire to Assess Knowledge, Attitude and Practice Regarding Vitamin D (D- KAP-38). Nutrients. 2017;9(5). [PubMed ID: 28481302]. [PubMed Central ID: PMC5452201]. [DOI:10.3390/nu9050471]
28. Jimam NS, Ismail NE, Dapar ML. Development and validation of instrument for assessing patients' knowledge, attitude, and practice (KAP) on uncomplicated malaria management. J Appl Pharm Sci. 2019;9(6):33-42. [DOI:10.7324/JAPS.2019.90605]
29. Fan Y, Zhang S, Li Y, Li Y, Zhang T, Liu W, et al. Development and psychometric testing of the Knowledge, Attitudes and Practices (KAP) questionnaire among student Tuberculosis (TB) Patients (STBP- KAPQ) in China. BMC Infect Dis. 2018;18(1):213. [PubMed ID: 29739363]. [PubMed Central ID: PMC5941627]. [DOI:10.1186/s12879-018-3122-9]
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