Educational Preferences in PCOS/PMOS: A Multicentre, Multilanguage Exploration of Socioeconomic and Linguistic Determinants

Abstract Purpose To evaluate educational preferences in PCOS/PMOS and the influence of socioeconomic status, language, and culture. Methods This multicentre mixed-methods study was conducted across five centres through convenience sampling. Women aged ≥18 years with PCOS/PMOS consented to a survey. Participants were provided with multilingual videos, English-language leaflets, and a mobile application, followed by semi-structured interviews in their native languages. To ensure robust multivariable analysis while achieving within-site thematic saturation and cross-site comparability, we targeted 100 quantitative and 25 qualitative participants per site. Data analysis involved descriptive statistics, multinomial logistic regression, and thematic coding. Results Among 524 women with PCOS/PMOS (median age 27 years, IQR 23–31) across India (40.1%), Greece (20.4%), Turkey (20.4%), and the UK (19.1%), videos were the most preferred medium (58.4%), followed by leaflets (20.8%) and mobile applications (13.4%). Preferences differed significantly by language (p < 0.001) and income (p = 0.002). Compared to English-speakers, Hindi- (OR = 6.20, 95%CI = 1.31–29.2) and Marathi-speakers (OR = 27.2, 95%CI = 2.96–250) were more favoured videos over leaflets, while Turkish-speakers least preferred mobile applications (OR = 0.29, 95% CI 0.09–0.88). Women with lower income and education were more likely to favour native-language videos. Among 125 interviewees, 56.1% deemed videos the most useful due to clarity, though they requested more cultural diversity. Leaflets were viewed as credible but dense; mobile applications were perceived as impersonal. Conclusions Video-based, particularly native-language education is the preferred medium for women with PCOS/PMOS. Language is the strongest predictor of preference. Culturally tailored multimedia resources may improve understanding, engagement, and equity in PCOS/PMOS care.