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Patient factors associated with attrition from a patient self-management education programme

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Patient factors associated with attrition from a patient self-management education programme

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Title: Patient factors associated with attrition from a patient self-management education programme
Author: Gucciardi, E.; DeMelo, M.; Offenheim, A.; Grace, Sherry L.; Stewart, Donna E.
Abstract: Objective To examine utilization patterns of diabetes self-management training (DSME)
and identify patient factors associated with attrition from these services at an ambulatory
diabetes education centre (DEC).
Methods A retrospective medical chart review of first time visits (536) to the centre
between I August 2000 and 31 July 2001 was conducted for patients with type 2 diabetes.
Descriptive analyses were conducted to examine utilization patterns over a I-year period.
Multivariable logistic regression was used to identify patient factors associated with
attrition from DSME and non-use of group education among new patients.
Results Almost 50% of new patients withdrew prematurely from recommended DSME
services over the I-year period, and only 24.8% attended group education. Patient variables
such as being older than 65 years of age, primarily speaking English, or working full or
part-time were associated with attrition from DSME and non-use of group education when
compared with middle aged, non-English-speaking, and non-working patients.
Conclusions High DSME attrition rates indicate that retention needs to become a focus of
programme policy, planning and evaluation to improve programme effectiveness. DSME
tailored to the cultural and linguistic characteristics of the community, and convenient and
accessible to working and older patients will potentially increase retention in and accessibility
to these services.
Sponsorship: The authors would like to thank the Canadian Institute of Health Research (CIHR) for the Canadian Graduate Scholarship doctoral award to E. Gucciardi and for a CIHR postdoctoral award to S.L. Grace, and Dr Gillian Booth and Dr George Tomlinson for their constructive feedback on the manuscript.
Subject: Retention
Programme evaluation
Patient dropout
Disease self-management education
Type 2 diabetes mellitus
Attrition
Type: Article
URI: doi: 10.1111/j.1365-2753.2006.00773.x
http://hdl.handle.net/10315/2565
Published: Blackwell Publishing
Citation: Journal of Evaluation in Clinical Practice, 13(6), 913-919.
ISSN: 1356-1294
Date: 2007

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