Originating from behavior modification and motivation theory, several factors need to be present to promote behavioral changes:
- Capability
- Opportunity
- Motivation

PRIME theory explains the processes necessary to achieve these goals.

The COM-B Model of Behavior

Lifestyle management is the behavioral modification of aspects central to the treatment, mitigation, and remission of symptoms in chronic illnesses. It is a holistic approach to health and requires cooperation from patients, providers, and support networks to implement positive change in the lives of those living with an incurable condition. 

Grand Valley State University

As a chronic condition, PCOS requires lifelong monitoring and maintenance. Some challenges patients and providers face in creating a long-term treatment plan include:
- Attrition
- Stigma
- Lack of health literacy
- Poor relationship between patient and provider
- Distressing symptoms and psychiatric comorbidities

Difficulties in Maintaining PCOS Treatment

West, R., & Michie, S. (2020). A brief introduction to the COM-B model of behaviour and the PRIME theory of motivation. Qeios, 2. https://doi.org/10.32388/ww04e6.2

A brief introduction to the COM-B model of behaviour and the PRIME theory of motivation

Lifestyle Management

Attrition refers to the loss of participants during a study. This is a particularly significant issue in longitudinal research, where dropout rates are often high and tend to increase as the study progresses over time. Participants may leave a study for numerous reasons, including major life events like moving, marriage, illness, or death, or they may simply decide to stop participating. This reduction in participants can threaten a study's validity, introduce bias, and weaken the power of its statistical conclusions.

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