Recruitment and retention in a 10-month social network-based intervention promoting diabetes self-management in socioeconomically deprived patients: a qualitative process evaluation
| Autor: | Vera Nierkens, Paul J M Uitewaal, Karien Stronks, Barend J. C. Middelkoop, Charlotte Vissenberg |
|---|---|
| Přispěvatelé: | Public and occupational health, APH - Methodology, APH - Health Behaviors & Chronic Diseases, ACS - Heart failure & arrhythmias |
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Male
retention Turkish Psychological intervention 030209 endocrinology & metabolism Interviews as Topic 03 medical and health sciences Social support 0302 clinical medicine low socioeconomic groups Nursing Intervention (counseling) Humans Medicine 030212 general & internal medicine Patient participation Aged Netherlands Social influence Glycated Hemoglobin Self-management Social network business.industry Patient Selection Self-Management Research Social Support General Medicine Middle Aged language.human_language Diabetes Mellitus Type 2 Socioeconomic Factors recruitment Evaluation Studies as Topic language Female Public Health type 2 diabetes Patient Participation business |
| Zdroj: | BMJ Open BMJ open, 7(7). BMJ Publishing Group |
| ISSN: | 2044-6055 |
| Popis: | Objectives Socioeconomically deprived patients with type 2 diabetes often face challenges with self-management, resulting in more diabetes-related complications. However, these groups are often under-represented in self-management interventions. Evidence on effective recruitment and retention strategies is growing, but lacking for intensive self-management interventions. This study aims to explore recruitment, retention and effective intervention strategies in a 10-month group-based intervention among Dutch, Moroccan, Turkish and Surinamese patients from socioeconomically deprived neighbourhoods. Methods Participants were recruited through general practitioners (GPs) and participated in a 10-month social network-based intervention (10 groups, n=69): Powerful Together with Diabetes . This intervention also targeted the significant others of participants and aimed to increase social support for self-management and to decrease social influences hindering self-management. A qualitative process evaluation was conducted. Retention was measured using log books kept by group leaders. Further, we conducted 17 in-depth interviews with participants (multiethnic sample) and 18 with group leaders. Interviews were transcribed, coded and analysed using framework analyses. Results The GP9s letter and reminder calls, an informational meeting and the intervention9s informal nature facilitated recruitment. During the first months, positive group atmosphere, the intervention9s perceived usefulness, opportunities to socialise and a reduction in practical barriers facilitated retention. After the first months, conflicting responsibilities and changes in the intervention9s nature and planning hindered retention. Calls from group leaders and the prospect of a diploma helped participants overcome these barriers. Conclusion To promote retention in lengthy self-management interventions, it seems important that patients feel they are going on an outing to a social gathering that is enjoyable, recreational, useful and easy to attend. However, rewards and intensive personal recruitment and retention strategies remained necessary throughout the entire intervention period. Trial registration number Dutch Trial Register NTR1886; Results. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|