Effectiveness of Health Promotion Strategies on Biopsychosocial Problems Among Perimenopausal Women- A Community-Based Study

Objectives Perimenopause is the transitional period leading up to menopause, typically occurring in women during their 40’s. It is characterised by hormonal fluctuations that can lead to a range of biological, psychological, and social challenges. Addressing these challenges through targeted health interventions may significantly enhance the quality of life (QoL) and long-term health outcomes for women. The present study assessed the biopsychosocial problems experienced by perimenopausal women and evaluated the effectiveness of a structured health promotion strategy in reducing these problems while also examining their association with selected demographic variables. Material and Methods A community-based quasi-experimental time series study with intervention and control groups was conducted among 247 perimenopausal women selected through a structured multi-stage cluster sampling technique. Effectiveness was measured as change over time using two-way repeated measures mixed ANOVA (group x time interaction) across four time points (baseline, 4 th , 8 th , and 12 th week). The 12-week intervention consisted of video-based perimenopausal health education, dietary counselling, and an integrated yoga and meditation programme delivered through structured small group sessions. Data were analysed using SPSS version 26. Results Significant differences were found in vasomotor problems ( F = 782.26, p <0.001), psychosocial ( F = 1009.114, p <0.001), and physical ( F = 881.528, p <0.001) domains between groups over time. No significant difference was noted in sexual problems ( F = 1.076, p = 0.301). Significant associations were observed between vasomotor problems and family income and number of children, and between psychosocial problems and age at menarche ( p <0.05). Conclusion Health promotion strategies effectively alleviate biopsychosocial problems among perimenopausal women. The findings support the establishment of community-level menopausal wellness clinics within structured platforms such as Kudumbashree units.