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

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dc.contributor.author Gucciardi, E.
dc.contributor.author DeMelo, M.
dc.contributor.author Offenheim, A.
dc.contributor.author Grace, Sherry L.
dc.contributor.author Stewart, Donna E.
dc.date.accessioned 2009-05-26T02:52:34Z
dc.date.available 2009-05-26T02:52:34Z
dc.date.issued 2007
dc.identifier.citation Journal of Evaluation in Clinical Practice, 13(6), 913-919. en
dc.identifier.issn 1356-1294
dc.identifier.uri doi: 10.1111/j.1365-2753.2006.00773.x
dc.identifier.uri http://hdl.handle.net/10315/2565
dc.description.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. en
dc.description.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. en
dc.language.iso en en
dc.publisher Blackwell Publishing en
dc.subject Retention en
dc.subject Programme evaluation en
dc.subject Patient dropout en
dc.subject Disease self-management education en
dc.subject Type 2 diabetes mellitus en
dc.subject Attrition en
dc.title Patient factors associated with attrition from a patient self-management education programme en
dc.type Article en

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