Enza Gucciardi|Margaret DeMelo|Ana Offenheim|Donna E. Stewart
Factors contributing to attrition behavior in diabetes self-management programs: A mixed method approach
Toronto Metropolitan University|University Health Network|University Health Network|University Health Network
diabetes selfmanagement education critical component diabetes care despite worldwide efforts develop efficacious dsme programs high attrition rates often reported clinical practice objective study examine factors may contribute attrition behavior diabetes selfmanagement programswe conducted telephone interviews individuals type 2 diabetes n 267 attended diabetes education centre multivariable logistic regression performed identify factors associated attrition behavior fortyfour percent participants n 118 withdrew prematurely program asked openended question regarding discontinuation services used content analysis code generate themes organized behavioral model health service utilizationworking full parttime 65 years age regular primary care physician fewer diabetes symptoms contributing factors attrition behaviour multivariable logistic regression common reasons given participants attrition program conflict work schedules centres hours operation patients confidence knowledge ability managing diabetes apathy towards diabetes education distance centre forgetfulness regular physician consultation low perceived seriousness diabetes lack familiarity centre services considerable overlap quantitative qualitative resultsreducing attrition behaviour requires range strategies targeted towards delivering convenient accessible services familiarizing individuals services increasing communication centres patients creating better partnerships centres primary care physicians