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Predictors of Patient Engagement in a Care Coordination Program
Kelechi L Adejumo1, Joseph Kakyomya1, Alison Bank1
1School of Health and Rehabilitation Science, Data Center, University of Pittsburgh, Pittsburgh, PA, USA.
Patient Preference and Adherence
|January 1, 2026
Summary
Patient engagement in work disability programs is influenced by factors like work absence, unemployment, education, self-rated health, and age. Tailored strategies are key for optimizing participation.
Area of Science:
- Occupational health
- Health services research
- Disability management
Background:
- Patient engagement is crucial for the success of care coordination programs, particularly for individuals with work disabilities.
- Understanding predictors of engagement can help optimize program delivery and outcomes.
- The PROGRESS-Plus framework provides a comprehensive approach to identifying relevant patient characteristics.
Purpose of the Study:
- To identify predictors of patient engagement in a care coordination program for individuals with work disabilities.
- To utilize a continuum-based definition of engagement and the PROGRESS-Plus framework for analysis.
Main Methods:
- Observational analysis of deidentified data from the Vermont RETAIN Phase II program.
- Inclusion of 429 intervention participants with complete engagement data.
- Categorization of patient engagement into four ordinal levels (none, low, medium, high) based on care manager assessment.
- Bivariable and multivariable ordinal logistic regression analyses using variables defined according to the PROGRESS-Plus framework.
Main Results:
- Injury or illness-related work absence significantly predicted higher engagement (OR = 2.87).
- Unemployment (OR = 0.43) and lower educational attainment (high school or less: OR = 0.40; college: OR = 0.52) predicted lower engagement.
- Poor/fair self-rated health (OR = 1.87) and older age (OR = 1.02 per year) predicted higher engagement.
Conclusions:
- Tailored work disability prevention strategies are essential for optimizing patient engagement.
- Strategies should consider individual health, work, and educational profiles.
- Findings underscore the need for personalized approaches in care coordination for individuals with work limitations.
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