Pooja Rai, Pravin Sahadevan, Abhishek L Mensegere, Thomas G Issac, Graciela Muniz-Terrera, Jonas S Sundarakumar
Rural-urban disparities in the diagnosis and treatment of hypertension and diabetes among aging Indians
Alzheimer's & dementia : the journal of the Alzheimer's Association
diabetes selfmanagement education exposed attrition services structured ambulatory care however knowledge factors related attrition educational programs remains limited context social vulnerability due low income may interfere aim study identify sociodemographic clinical psychometric lifestyle factors associated attrition ermies multicentre randomized parallel controlled trial rct interrupted due combination slow inclusion high attrition ermies trial performed 2011 2016 reunion island characterized multicultural population high social vulnerability original objective rct test efficacy a2year structured group selfmanagement education improving blood glucose adult patients nonrecent insufficiently controlled type 2 diabetes one hundred participants randomized intensive educational intervention maintained two years n 51 versus initial education n 49 randomization stratified two factors centres five strata antidiabetic treatment two strata insulintreated sociodemographic clinical healthcare access pathway psychometric lifestyle characteristics data collected baseline used assess determinants attrition particular social context vulnerability attrition retention rates measured visit study multiple correspondence analysis cox regression performed identify variables associated attrition global attrition rate 26 study significant difference two arms randomization 9 dropouts 51 patients intervention group 17 49 control group male gender multiperson household low household incomes 800 euros probable depression history hospitalization medical leave inclusion associated higher risk attrition study multivariate regression social context vulnerability health care history related attrition 2year longitudinal comparative study structured care considering potential determinants biases importance scaling interventions aimed optimization longterm care type 2 diabetes mellitus idrcb number 2011a0004635 clinicaltrialsgov number nct01425866 registration date 30082011 ministry health france