Table 1_Barriers affecting medication adherence to dienogest among patients with ovarian endometriosis: a qualitative study.docx

ObjectiveTo 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.
MethodsA 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.
ResultsThree themes were identified: lack of capability, lack of opportunity, and insufficient patient motivation.
ConclusionThis 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.