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Barriers affecting medication adherence to dienogest among patients with ovarian endometriosis: a qualitative study
Yihui Duan1, Chaonan Wang1, Yuyi Luo1
1School of Nursing, Shanxi Medical University, Taiyuan, China.
Objective:
To explore barriers affecting medication adherence (e.g., missed doses, forgotten doses, or discontinuation) among patients with Ovarian Endometriosis (OE) using the Capability, Opportunity, Motivation - Behaviour (COM-B) behavioural change model as a theoretical framework and propose targeted improvement measures.
Methods:
A qualitative research approach was used. From March to May 2025, interviews were conducted with 15 patients diagnosed with Ovarian Endometriosis and taking dienogest for over six months at a Grade A tertiary hospital in Linfen City. Data were analysed using directed content analysis.
Results:
Three themes were identified: lack of capability, lack of opportunity, and insufficient patient motivation.
Conclusion:
This study employed semi-structured interviews combined with the COM-B behavioural change model to systematically analyse barriers affecting dienogest medication adherence among patients with Ovarian Endometriosis. It deeply explored their experiences and perceptions of medication use, providing a reference for developing subsequent intervention strategies to enhance patient medication adherence.
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