An online survey and interview of GPs in the UK for assessing their satisfaction regarding the medical training curriculum and NICE guidelines for the management of menopause

Dintakurti, Nitya; Kalyanasundaram, Shreya; Jha, Prashant; Talaulikar, Vikram

doi:10.1177/20533691221106011

Cited by 10 publications

(4 citation statements)

References 2 publications

(1 reference statement)

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“…A 2022 study exploring the views of GPs on their levels of confidence and comfort when advising or treating menopausal women demonstrated that GPs require better medical training to help them advise and treat women with menopausal symptoms. 19 The majority of women in our survey expressed the need for improved training on menopause during medical school and GP training. Similar results were found in a study assessing menopause education of American obstetrics and gynaecology residents where only 20.8% of the 510 respondents reported that their program had a formal menopause learning curriculum.…”

Section: Gp's Educationmentioning

confidence: 88%

An online survey of postmenopausal women to determine their attitudes and knowledge of the menopause

2023

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Objective To explore postmenopausal women’s attitudes and knowledge of the menopause. Study design An online survey to evaluate women’s attitudes and knowledge of the menopause, promoted via social media. In this study, only the data from 829 women who identified as postmenopausal were analysed. Main outcome measures Quantitative and qualitative data. Results Regarding women’s attitudes towards the menopause before they went through it, 18.0% were accepting of it, 15.8% were dreading it and 5.1% were looking forward to it. 38.1% of women felt that the menopause was difficult, 24.6% felt it was very difficult and 20.7% felt it was fine. 94.1% of women had never been taught about the menopause at school, and 49.0% did not feel informed at all about the menopause. More than 60% started looking for information regarding menopause as their symptoms started. The qualitative thematic analysis of the participants’ responses produced six themes: the need for education, knowledge and understanding of symptoms, why is getting treatment so difficult, feelings and attitudes towards the menopause, the impact of menopause on a woman’s life, the importance of the media – are they getting it right. Conclusion Women’s lack of education and their healthcare professionals’ lack of adequate training on the menopause means that women enter this critical life stage uneducated and unsupported. It is vital that everyone is taught about the menopause and that general practitioners receive proper training. The negative narrative of menopause needs to be re-addressed to normalise the menopause and give postmenopause women hope.

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Section: Gp's Educationmentioning

confidence: 88%

An online survey of postmenopausal women to determine their attitudes and knowledge of the menopause

2023

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“…As a first point of contact, health professionals need to be aware of the most up-to-date evidencebased guidelines for menopause care to make sure women are offered sufficient advice to make informed decisions and feel supported throughout and after the menopausal transition. Women are often anxious and overwhelmed by menopausal symptoms and visiting a health professional can be a stressful experience, particularly if there is limited time available (Dintakurti et al, 2022). Hence, a multidisciplinary approach for the management of menopause may be considered best practice, as GP's can provide individualised hormonal or non-hormonal treatments and exercise physiologists and registered nutrition/dietetic professionals can offer simple, practical, effective, evidence-based lifestyle behaviour advice and support.…”

Section: Discussionmentioning

confidence: 99%

‘MenoWell’: A pilot 6-week novel, online, multimodal exercise and health education programme for women in all stages of menopause living in Laois, Ireland

Cooper,

Ward,

Kavanagh

et al. 2023

Phys Act & Health

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Introduction: Perimenopausal and post-menopausal women experience a myriad of physical, endocrine, and psychological changes, which may negatively impact their wellness. Menopause education and lifestyle behaviours may enhance women's experience during this transition. Our aim was to examine the efficacy of ‘MenoWell’, a 6-week menopause-specific multimodal exercise and health education intervention, on physical performance, menopausal symptoms, wellbeing, and self-efficacy in this population in Laois, Ireland. Methods: Twenty-three female participants (51.3±5.6 years, n=11 perimenopausal, n=12 post-menopausal) completed a 6-week online multimodal exercise (2*40-minute/week) and health education (1*40-minute/week) intervention. Pre- and post-testing of physical performance was conducted. Online questionnaires examined baseline menopause knowledge and education and changes in menopausal symptoms, wellbeing, and physical self-efficacy. Paired samples t-tests and Wilcoxon signed rank tests examined changes pre- and post-intervention. Results: Most participants did not feel informed about menopause. Post-intervention, there were significant improvements in sit-to-stand (p<0.001, η2=0.81), sit-and-reach (p<0.001, η2=0.49), box press-up (p<0.001, η2=0.73), 6-minute walk test (p<0.001, η2=0.56), menopause symptoms (p<0.001, η2=0.76), wellbeing (p<0.001, η2=0.36), and physical self-efficacy (p<0.001, η2=0.27). No significant change was observed for physical activity participation and bilateral single leg balance (p>0.05). Discussion: A substantial lack of awareness and knowledge surrounding menopause exists in Ireland. Only 6 weeks of online, evidence-based, time-efficient (2 hours per week) and menopause-specific multimodal exercise and health education significantly improved physical performance, menopausal symptoms, wellbeing, and physical self-efficacy in perimenopausal and post-menopausal women. Thus, a widespread rollout of women-specific multimodal exercise and health education programmes to inform and prepare women is recommended.

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“…It is particularly alarming that some women received incorrect information about the menopause from their HCPs. In the UK, where primary care providers play a crucial role in managing menopause symptoms within the NHS, it is concerning that GPs often feel they lack adequate support to effectively advise and treat women experiencing menopausal symptoms [40]. Despite efforts to improve menopause training in medical schools, there is still a perceived need for further improvement in equipping GPs with the necessary knowledge and skills to provide comprehensive menopause care [40].…”

Section: Overall Quality Of Menopausal Care Provisionmentioning

confidence: 99%

“All women in their 40s are miserable” - health care provision throughout the menopause in the UK: a mixed-methods study

Martin-Key

Funnell

Spadaro

et al. 2023

Preprint

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Background: The UK healthcare system faces a shortage of high-quality menopausal care. Objective: To understand perspectives regarding the availability and quality of menopause care services in the UK. Methods: An online survey was generated using Qualtrics XM®. Data from 952 respondents were analysed using a mixed-methods approach. Results: 74.47% of women sought help for the menopause. Oral (68.83%) and topical medication (17.21%), as well as lifestyle changes (17.21%) were the most common treatment approaches. There was a lack of consistent integration of mental health screening into menopausal care. Open-ended response data from women who reported poor quality of care revealed six themes: consequences of poor care, dismissive or negative attitudes from healthcare professionals (HCPs), poor treatment management, symptom information and misattribution, poor HCP knowledge, and the need for self-advocacy. Conclusions: The findings underscore the importance of improving HCP knowledge, providing empathetic and supportive care, and involving women in decision-making.

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An online survey and interview of GPs in the UK for assessing their satisfaction regarding the medical training curriculum and NICE guidelines for the management of menopause

Cited by 10 publications

References 2 publications

An online survey of postmenopausal women to determine their attitudes and knowledge of the menopause

An online survey of postmenopausal women to determine their attitudes and knowledge of the menopause

‘MenoWell’: A pilot 6-week novel, online, multimodal exercise and health education programme for women in all stages of menopause living in Laois, Ireland

“All women in their 40s are miserable” - health care provision throughout the menopause in the UK: a mixed-methods study

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