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Patient factors associated with attrition from a self-management education programme
Enza Gucciardi1, Margaret DeMelo, Ana Offenheim
1Ryerson University, School of Nutrition, Toronto, Ontario, Canada. enza.gucciardi@uhnres.utoronto.ca
Journal of Evaluation in Clinical Practice
|December 12, 2007
Summary
Nearly 50% of patients with type 2 diabetes discontinue diabetes self-management training (DSME). Older, English-speaking, and working patients were more likely to drop out, highlighting the need for accessible, tailored programs.
Area of Science:
- Diabetes care research
- Health services research
- Patient education
Background:
- Diabetes self-management training (DSME) is crucial for managing type 2 diabetes.
- Understanding patient attrition from DSME is vital for improving program effectiveness.
Purpose of the Study:
- To analyze DSME utilization patterns.
- To identify patient characteristics linked to attrition from DSME services.
- To explore factors associated with non-use of group education.
Main Methods:
- Retrospective chart review of 536 new patients with type 2 diabetes.
- Descriptive analysis of utilization over one year.
- Multivariable logistic regression to identify attrition predictors.
Main Results:
- Nearly 50% of patients withdrew from DSME prematurely.
- Only 24.8% attended group education sessions.
- Older age (>65), English as primary language, and employment were associated with higher attrition.
Conclusions:
- High attrition rates necessitate a focus on retention strategies in DSME programs.
- Tailoring DSME to cultural/linguistic needs and improving accessibility for older/working patients can enhance retention.
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