An Integrative Review of Factors Associated with Patient Attrition from Community Health Worker Programs that Support Diabetes Self-Care. Issue 4 (2nd October 2017)

• Record Type: Journal Article
• Authors: Merius, Heidy N.; Rohan, Annie J.
• Is Part Of: Journal of community health nursing. Volume 34:Issue 4(2017)
• Page Start: 214
• Page End: 228
• Publication Date: 2017-10-02
• Subjects: Community health nursing -- Periodicals; 362.14
• DOI: 10.1080/07370016.2017.1369811
• Languages: English
• ISSNs: 0737-0016

Abstract

ABSTRACT: An integrative review was conducted using PubMed and CINAHL databases to answer: What is known about adult attrition from community health worker (CHW) programs on diabetes self-care? The 14 articles described patients of multiple races who were mainly of lower socioeconomic status. CHW interventions were given in individual meetings and/or group sessions. Incentives to reduce attrition came in different forms. Barriers involved transportation, family obligations, and scheduling conflicts. Attrition from these programs is a multifactorial problem. Alleviating transportation barrier appears to be protective. Program planners should consider these barriers when planning CHW programs.