Patient factors associated with attrition from a self‐management education programme

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.

Individual and contextual factors associated with follow‐up use of diabetes self‐management education programmes: a multisite prospective analysis

“…This preference may be especially true for employed individuals, who, in our study, had a lower mean number of contacts compared with those who were unemployed. Similarly, previous studies also reported higher attrition rates in DSME programmes among employed compared with unemployed or retired individuals with diabetes [21,22].…”

An Evaluation of a Web-Based Diabetes Education Program Designed to Enhance Self-management Among Patients Living With Diabetes

“…Lower-thanexpected attendance rates were often reported. 10 In alternative modalities that efficiently reach a majority of the community-dwelling diabetes clients, DMSE is warranted. 6 Studies examining computer-assisted learning (CAL) as an adjunct to conventional DSME have been increasing in recent years.…”

Competing Demands for Time and Self-Care Behaviors, Processes of Care, and Intermediate Outcomes Among People With Diabetes

“…Previous studies have shown higher attrition rates in diabetes self-management education classes for the employed compared with the unemployed or retired (13,14). Employment demands may be qualitatively different from caregiving demands, and less accommodating to the requirements of diabetes care.…”