{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T19:04:29Z","timestamp":1782846269923,"version":"3.54.5"},"reference-count":68,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Med Internet Res"],"abstract":"\n Background<\/jats:title>\n Telehealth-based nutrition care is increasingly used for polycystic ovary syndrome (PCOS); yet, little is known about women\u2019s real-world experiences with PCOS-specific telenutrition in tertiary care settings. Understanding these experiences can guide patient-centered service design.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n We aim to explore women\u2019s lived experiences, barriers, and preferences regarding telehealth-based nutrition interventions for PCOS and to derive actionable design implications.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We conducted a qualitative descriptive study at a tertiary clinical nutrition center in Beijing, China. Purposive sampling recruited 12 adult women with PCOS who had engaged in telenutrition for at least 3 months. We conducted one-on-one, semistructured video interviews via WeChat (Tencent Holdings Limited; approximately 45-60 minutes each) between February and March 2025; interviews were audio-recorded, transcribed verbatim, and analyzed using the reflexive thematic analysis by Braun and Clarke. Trustworthiness was enhanced through dual-coding, audit trails, reflexive memos, and member checking.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Four participant-framed themes captured a tension between high acceptability and unmet needs. (1) \u201cIt fits my life\u201d\u2014convenience and access: flexible scheduling, reduced travel, and greater privacy lowered practical and emotional barriers and fostered a sense of continuity. (2) \u201cOne size doesn\u2019t fit me\u201d\u2014frictions undermining engagement: standardized guidance did not reflect metabolic individuality (eg, insulin resistance or cycle-related symptoms) or daily routines; usability issues (glitches or nonintuitive logging) and limited communication bandwidth or timeliness impeded use. (3) \u201cI\u2019m not just a diet\u201d\u2014emotional and behavioral responses: timely, empathic feedback increased agency and accountability and supported adherence, whereas impersonal or delayed interactions left emotional needs unmet, highlighting the need for integrated mental health support. (4) \u201cMake it smarter and more human\u201d\u2014participant recommendations: priorities included data-informed personalization (integration of laboratory and body-composition data and symptoms), integrated tracking and feedback loops, proactive check-ins with response-time standards, options for peer support, and cognitive behavioral therapy\u2013informed microlessons.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Telenutrition for PCOS is acceptable and convenient, but often underpersonalized and psychologically undersupported. Design implications include integrating individual metabolic data, embedding mental health screening and brief supports, instituting dietitian-initiated follow-ups, and improving usability and interactive feedback. Addressing the metabolic, reproductive, and psychological complexity of PCOS is essential for effective, scalable telehealth-based nutrition services.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/77709","type":"journal-article","created":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T16:45:10Z","timestamp":1761669910000},"page":"e77709","source":"Crossref","is-referenced-by-count":0,"title":["Patients\u2019 Experiences of Telehealth-Based Nutrition Interventions for Polycystic Ovary Syndrome in China: Qualitative Descriptive 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