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International Journal of Reproductive BioMedicine
Research and Clinical Center for Infertility, Shahid Sadoughi University of Medical Sciences of Yazd
ISSN: 1680-6433 EISSN: 1680-6433
Vol. 15, No. 9, 2017, pp. 553-560
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Bioline Code: rm17065
Full paper language: English
Document type: Research Article
Document available free of charge
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International Journal of Reproductive BioMedicine, Vol. 15, No. 9, 2017, pp. 553-560
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Facilitating and inhibiting factors related to treatment adherence in women with polycystic ovary syndrome: A qualitative study
Bazarganipour, Fatemeh; Taghavi, Seyed Abdolvahab; Allan, Helen & Hosseini, Nazafarin
Abstract
Background: Adherence issues in polycystic ovary syndrome (PCOS) patients have
not been examined thoroughly. Patients report prolonged periods of treatment and
side effects of the drug as the most common reason for withdrawal from treatment.
To improve the effective management of PCOS patients, it is fundamental to
understand facilitating and inhibiting factors to treatment adherence.
Objective: To explore facilitating/inhibiting factors related to treatment adherence
among PCOS patients.
Materials and Methods: This was a qualitative study with a purposive sample of
women with confirmed diagnosis of PCOS. The data were collected via 20 in-depth
semi-structured interviews with women aged between 21-34 yr. A qualitative
content analysis was used to analyze the data.
Results: Five themes were identified which described different types of facilitating/inhibiting factors to treatment adherence. Inhibiting factors included financial issues,
patient-related, disease-related, and health care provider-related factors; while social
factors were found to be both facilitating and inhibiting.
Conclusion: The findings suggest that successful adherence to PCOS treatment is
highly dependent on patients recognizing and adapting to financial, social, and
health care related inhibiting factors. It is also crucial for clinicians and policy
makers to recognize these key inhibiting factors in order to improve treatment
outcomes.
Keywords
Polycystic ovarian syndrome; Adherence; Qualitative research.
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