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A 12-week ad libitum Mediterranean diet intervention was delivered to women with PCOS (n=12) to assess acceptability, adherence, and lived experience. Acceptability and experiences were examined via surveys and semi-structured interviews, analyzed using thematic approaches mapped to COM-B, TDF, and the Behaviour Change Wheel. Mediterranean diet adherence improved significantly by week 12, alongside gains in knowledge, cooking confidence, and time 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Intervention for Women with PCOS: A  \nMixed-Methods Exploration of Acceptability, Adherence, and Participant Lived Experience  \nScannell, Nicole; Villani, Anthony; Moran, Lisa; [et.al](et.al).  \n[https://research.usc.edu.au/esploro/outputs/journalArticle/A-Pilot-Study-on-Ad-Libitum/991114191502621/filesAndLinks?index=0](https://research.usc.edu.au/esploro/outputs/journalArticle/A-Pilot-Study-on-Ad-Libitum/991114191502621/filesAndLinks?index=0)  \nScannell, N., Villani, A., Moran, L., Mantzioris, E., & Cowan, S. (2025). A Pilot Study on Ad Libitum Mediterranean Diet Intervention for Women with PCOS: A Mixed-Methods Exploration of Acceptability, Adherence, and Participant Lived Experience. Nutrients, 17(7), Article 1105.  \n[https://doi.org/10.3390/nu17071](https://doi.org/10.3390/nu17071) 105  \nDocument Type: Published Version  \nLink to Published Version: [https://doi.org/10.3390/nu17071](https://doi.org/10.3390/nu17071) 105  \nUniSC Research Bank: [https://research.usc.edu.au](https://research.usc.edu.au)[ ](https://research.usc.edu.au)[research-repository@usc.edu.au](research-repository@usc.edu.au)  \n[CC BY V4.0](CC BY V4.0)  \n© 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license  \n( [https://creativecommons.org/licenses/by/4.0/](https://creativecommons.org/licenses/by/4.0/)).  \nDownloaded On 2026/09/27 23:27:46 +1000  \nPlease do not remove this page  \nArticle  \nA Pilot Study on Ad Libitum Mediterranean Diet Intervention for Women with PCOS: A Mixed-Methods Exploration of Acceptability, Adherence, and Participant Lived Experience  \nNicole Scannell 1, Anthony Villani 1, Lisa Moran 2,*, Evangeline Mantzioris 3 and Stephanie Cowan 2  \nAcademic Editor: Herbert Ryan Marini  \nReceived: 4 March 2025  \nRevised: 17 March 2025  \nAccepted: 19 March 2025  \nPublished: 21 March 2025  \nCitation: Scannell, N.; Villani, A.; Moran, L.; Mantzioris, E.; Cowan, S. A Pilot Study on AdLibitum Mediterranean Diet Intervention for Women with PCOS: A Mixed-Methods Exploration of Acceptability, Adherence, and Participant Lived Experience. Nutrients 2025, 17, 1105 . [https://doi.org/10.3390/nu17071105](https://doi.org/10.3390/nu17071105)  \n[Copyright:](Copyright:) © 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ([https://creativecommons.org/](https://creativecommons.org/)[ ](https://creativecommons.org/)[licenses/by/4.0/](licenses/by/4.0/)) .  \n1 School of Health, University of the Sunshine Coast, Sunshine Coast, QLD 4556, Australia; [nicole.scannell@research.usc.edu.au](nicole.scannell@research.usc.edu.au) (N.S.); [avillani@usc.edu.au](avillani@usc.edu.au) (A.V.)  \n2 Monash Centre for Health Research and Implementation (MCHRI), School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3168, Australia; [stephanie.cowan@monash.edu](stephanie.cowan@monash.edu)  \n[3](3 UniSA: Clinical & Health Sciences)[ UniSA: Clinical & Health Sciences](3 UniSA: Clinical & Health Sciences), [Alliance for Research in Exercise](Alliance for Research in Exercise), [Nutrition](Nutrition), [and Activity](and Activity) ([ARENA](ARENA)), University of South Australia, Adelaide, SA 5000, Australia; [evangeline.mantzioris@unisa.edu.au](evangeline.mantzioris@unisa.edu.au)  \n* Correspondence: [lisa.moran@monash.edu](lisa.moran@monash.edu); Tel.: +61-03-8572-2664  \nAbstract: Background/Objectives: A healthy diet is essential for managing Polycystic Ovary Syndrome (PCOS), yet optimal recommendations remain unclear, highlighting the need to explore alternative lifestyle interventions. The Mediterranean diet (MedDiet) supports cardiometabolic health; however, challenges with adherence within this population ar","cbCaisDzENDdRZqb","https://ap.wps.com/l/cbCaisDzENDdRZqb","pdf",2640224,28,"English","# Abstract\n# Keywords\n# Introduction","[{\"question\":\"What was the main purpose of the pilot study?\",\"answer\":\"To explore acceptability, adherence, and participant lived experience of an ad libitum Mediterranean diet intervention in women with PCOS.\"},{\"question\":\"How long was the Mediterranean diet intervention, and who participated?\",\"answer\":\"The intervention lasted 12 weeks and included women aged 18–45 years diagnosed with PCOS and BMI ≥ 25 kg/m2 (n=12).\"},{\"question\":\"What outcomes were reported regarding adherence by week 12?\",\"answer\":\"Mediterranean diet adherence increased significantly from baseline to week 12, and participants also showed improvements in knowledge, cooking confidence, and time management.\"}]","A Pilot Study on Ad Libitum Mediterranean Diet Intervention for Women with PCOS: A Mixed-Methods Exploration of Acceptability, Adherence, and Participant Lived Experience | PDF",1790515680,71]