ArticleBMC health services research2008
Factors contributing to attrition behavior in diabetes self-management programs: a mixed method approach.
Article in BMC health services research, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
43 citing papers in PubMed, 1 synthesis or guideline pooled it, 103 citations in OpenAlex.
- Using the RE-AIM framework to evaluate internal and external validity of mobile phone-based interventions in diabetes self-management education and support.Journal of the American Medical Informatics Association : JAMIA · 2020Pooled it
- Trial
- Attrition and social vulnerability during 2-year-long structured care in type 2 diabetes, the ERMIES randomized controlled trial.BMC endocrine disorders · 2022Trial
- Effectiveness of a Self-Management Program to Improve Cognition and Quality of Life in Epilepsy: A Pragmatic, Randomized, Multicenter Trial.Neurology · 2022Trial
- Determinants of weight outcomes in type 2 diabetes prevention intervention in primary health care setting (the DE-PLAN project).BMC public health · 2018Trial
- The Mobile Insulin Titration Intervention (MITI) for Insulin Adjustment in an Urban, Low-Income Population: Randomized Controlled Trial.Journal of medical Internet research · 2015Trial
- Factors influencing participation in a vascular disease prevention lifestyle program among participants in a cluster randomized trial.BMC health services research · 2013Trial
- Navigating Type 2 Diabetes Care: Asian American Perspectives on Self-Management Education and Support.The science of diabetes self-management and care · 2025Article
- Patient characteristics and reasons for discontinuation in a cardiovascular risk management programme in The Netherlands.BMC primary care · 2024Article
- The influence of demographic, health and psychosocial factors on patient uptake of the English NHS diabetes prevention programme.BMC health services research · 2023Article
- Article
- Examining Use Behavior of a Goal-Supporting mHealth App in Primary Care Among Patients With Multiple Chronic Conditions: Qualitative Descriptive Study.JMIR human factors · 2022Article
- Enrollment and Completion Characteristics for Novel Remote Delivery Modes of the Self-management Programs During the COVID-19 Pandemic: Exploratory Analysis.JMIR formative research · 2022Article
- Socio-economic determinants of attendance at diabetes self-management education program: using Andersen's behavioral model.BMC health services research · 2022Article
- Treatment Discontinuation Prediction in Patients With Diabetes Using a Ranking Model: Machine Learning Model Development.JMIR bioinformatics and biotechnology · 2022Article
- A qualitative study exploring the barriers to attending structured education programmes among adults with type 2 diabetes.BMC health services research · 2022Article
- Reasons for non-participation in a self-care training program for diabetic patients: a qualitative study.BMC health services research · 2022Article
- Development and validation of the self-management Barriers and Supports Evaluation for working-aged adults with type 1 diabetes mellitus.BMJ open diabetes research & care · 2022Article
- Adapting in-person diabetes group visits to a virtual setting across federally qualified health centers.Frontiers in health services · 2022Article
- Factors Affecting the Reception of Self-Management Health Education: A Cross-Sectional Survey Assessing Perspectives of Lower-Income Seniors with Cardiovascular Conditions.Patient preference and adherence · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDiabetes self-management education is a critical component in diabetes care. Despite worldwide efforts to develop efficacious DSME programs, high attrition rates are often reported in clinical practice. The objective of this study was to examine factors that may contribute to attrition behavior in diabetes self-management programs.
methodsWe conducted telephone interviews with individuals who had Type 2 diabetes (n = 267) and attended a diabetes education centre. Multivariable logistic regression was performed to identify factors associated with attrition behavior. Forty-four percent of participants (n = 118) withdrew prematurely from the program and were asked an open-ended question regarding their discontinuation of services. We used content analysis to code and generate themes, which were then organized under the Behavioral Model of Health Service Utilization.
resultsWorking full and part-time, being over 65 years of age, having a regular primary care physician or fewer diabetes symptoms were contributing factors to attrition behaviour in our multivariable logistic regression. The most common reasons given by participants for attrition from the program were conflict between their work schedules and the centre's hours of operation, patients' confidence in their own knowledge and ability when managing their diabetes, apathy towards diabetes education, distance to the centre, forgetfulness, regular physician consultation, low perceived seriousness of diabetes, and lack of familiarity with the centre and its services. There was considerable overlap between our quantitative and qualitative results.
conclusionReducing attrition behaviour requires a range of strategies targeted towards delivering convenient and accessible services, familiarizing individuals with these services, increasing communication between centres and their patients, and creating better partnerships between centres and primary care physicians.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.