Facilitating and Hindering Factors of Health Help-Seeking Behavior in Patients with Chronic Diseases: A Qualitative Study

(1) <b>Background</b>: Help-seeking behavior is a key way to maintain health and seek effective treatment, and it also helps to improve patients' self-management ability. This study aimed to investigate the facilitating and hindering factors of help-seeking behaviors among patients with chronic diseases concerning their health issues. (2) <b>Methods</b>: Based on the Capability, Opportunity, and Motivation-Behavior (COM-B) model, 18 patients with chronic diseases in a tertiary hospital in Zhengzhou City, Henan Province, were selected for semi-structured in-depth interviews between July and November 2024 using a descriptive qualitative research approach. The collected data were analyzed using directed content analysis. (3) <b>Results</b>: A total of 18 interviews were conducted, and two themes and six sub-themes were extracted. The factors that promote health help-seeking behavior in patients with chronic diseases include ability (self-health monitoring ability, sufficient communication preparation ability), opportunity (health support in social bonds, effective support of medical staff), and motivation (good illness identity, past successful experience of health seeking help). Barriers include ability (symptom attribution bias, difficulty in identifying health information), opportunity (heavier financial burden, poor sense of gain in interactions), and motivation (fear and avoidance, stigma of illness). (4) <b>Conclusions</b>: There are some hindering factors and obvious contributing factors regarding health help-seeking behavior among patients with chronic diseases. Medical staff should prioritize guiding patients to seek help for health problems. The COM-B model can be applied to develop targeted intervention strategies for improving help-seeking behavior. This approach is beneficial for enhancing patients' health management capabilities by promoting proactive health help-seeking practices.