Which Patients with Type 2 Diabetes Will Have Greater Compliance to Participation in the Diabetes Conversation Map™ Program? A Retrospective Cohort Study.
Diabetes Research and Clinical Practice, 2018. 143: pp. 337-347.
Srulovici E, Feldman B, Reges O, Hoshen M, Balicer RD, Rotem M, Shadmi E, Key C, Curtis B, He X, Rubin G, Strizek A, Leventer-Roberts M.
Aim: To investigate the characteristics of participants in the Diabetes Conversation Map™ (Map™) program who had higher vs. lower compliance to the program, to determine if program tailoring and monitoring is needed among these groups.
Methods: This was a retrospective cohort study of 8,990 patients enrolled in the Map™ program (low compliance [attending 0-1 sessions, n=2,759] and high compliance [attending ≥2 sessions, n=6,231]). Socio-demographic, clinical, health behaviors, and healthcare utilization characteristics were extracted. Multivariable stepwise logistic regression was used as the analysis strategy.
Results: Those who were of higher socio-economic status (OR=1.567, 95%CI:1.317-1.865), who lived in urban area (OR=1.501, 95%CI:1.254-1.798), with greater frequency of primary care visits (OR=1.012, 95%CI:1.002-1.021), with medium (OR=1.176, 95%CI:1.013-1.365) or high oral medication adherence (OR=1.198, 95%CI:1.059-1.356), and with a greater frequency of blood glucose tests (OR=1.102, 95%CI:1.033-1.175) had greater odds of being in the high compliance group. Conversely, those aged 35-44 (OR=0.538, 95%CI:0.402-0.721) and 45-54 years (OR=0.763, 95%CI:0.622-0.937), with longer Type 2 diabetes duration (OR=0.980, 95%CI:0.967-0.993), with higher blood glucose levels (OR=0.999, 95%CI:0.998-1.000), and current (OR=0.659, 95%CI:0.569-0.762) or former smokers (OR=0.831, 95%CI:0.737-0.938) had reduced odds for being in the higher compliance group.
Conclusions: Instructors in advance can target sub-groups to increase their attendance rates, and consequently improve their outcomes.