Feasibility, acceptability and effectiveness of a lifestyle program for perimenopause: a pilot study

Purpose To assess the feasibility and acceptability of a lifestyle program for perimenopausal women and to evaluate the program’s preliminary effectiveness on symptoms, physical activity and menopause-specific health literacy. Design/methodology/approach A lifestyle intervention incorporating physical activity and menopause-specific health education was implemented over six-weeks. Feasibility was assessed through recruitment, retention and adherence rates, as well as safety measures. Acceptability was evaluated using weekly questionnaires and a focus group with a subset of participants. Secondary outcomes included self-reported perimenopausal symptoms (Menopause Rating Scale [MRS]), physical activity (International Physical Activity Questionnaire [IPAQ]) and menopause-specific health literacy. Findings Of 38 eligible participants, 21 enrolled (55% recruitment rate), of which 17 completed pre- and post-intervention assessments (81% retention rate). On average, participants attended 83% of group sessions either in person or online. No safety concerns were reported. Participants found the program acceptable, with focus group interviews revealing positive feedback regarding its relevance and efficacy. Total MRS score decreased over time (pre-intervention: 16.82 ± 7.74 Au; post-intervention: 8.53 ± 5.72 Au, p = <0.001). Total physical activity increased from pre- (869.53 ± 873.73 MET-min/week, p = <0.001) to post-intervention (1909.29 ± 1261.44 MET-min/week). Menopause-specific health literacy largely improved from pre-to post-intervention ( p < 0.013). Originality/value This pilot study supports the feasibility and acceptability of a lifestyle program for perimenopausal women with additional support for a positive impact of the program on perimenopause-related symptoms, physical activity and menopause-specific health literacy.