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Published on: February 28, 2013
Special diabetes program for Indians: retention in cardiovascular risk reduction
Spero M Manson1, Luohua Jiang, Lijing Zhang
1Centers for American Indian and Alaska Native Health, University of Colorado Denver, 13055 East 17th Avenue, Mail Stop F800, Aurora, CO 80045. spero.manson@ucdenver.edu.
The Gerontologist
|May 14, 2011
Summary
Participant retention in cardiovascular disease prevention programs is influenced by both individual factors and site characteristics. Older participants with higher physical activity and BMI were more likely to complete follow-up assessments.
Area of Science:
- Cardiovascular disease prevention
- Health disparities
- Public health interventions
Background:
- Cardiovascular disease (CVD) poses a significant risk to American Indians and Alaska Natives with diabetes.
- The Special Diabetes Program for Indians Healthy Heart Demonstration Project aimed to reduce CVD risk in this population.
- Participant retention is crucial for the success of long-term health interventions.
Purpose of the Study:
- To investigate the relationship between participant demographics, sociobehavioral factors, and site characteristics with participant retention in a CVD risk reduction project.
- To identify key factors influencing successful participant engagement in health interventions.
Main Methods:
- Utilized data from the Special Diabetes Program for Indians Healthy Heart Demonstration Project, including 1,072 participants from 30 sites.
- Collected baseline data on participant demographics and sociobehavioral factors via questionnaires and medical examinations.
- Administered Provider Annual Questionnaires to assess site characteristics and used generalized estimating equation models to analyze retention at 1 year.
Main Results:
- 74% of enrolled participants (792 out of 1,072) completed their first annual assessment.
- Older participants with higher baseline body mass index (BMI) and physical activity levels showed better retention.
- Site characteristics associated with higher retention included average staff age, higher proportion of female staff, and higher percentage of staff with graduate degrees.
Conclusions:
- Participant retention in health interventions is influenced by a combination of individual participant characteristics and the attributes of the intervention setting.
- Understanding site-level factors is essential for optimizing the design and implementation of effective health programs, particularly for underserved populations.
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