Merius Heidy N, Rohan Annie J
a School of Nursing, Stony Brook University , Stony Brook , New York.
J Community Health Nurs. 2017 Oct-Dec;34(4):214-228. doi: 10.1080/07370016.2017.1369811.
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.
使用PubMed和CINAHL数据库进行了一项综合综述,以回答:关于社区卫生工作者(CHW)糖尿病自我护理项目中的成人流失情况,我们了解到了什么?这14篇文章描述了多个种族的患者,他们主要是社会经济地位较低的人群。CHW干预通过个别会议和/或小组会议进行。减少流失的激励措施有不同形式。障碍包括交通、家庭义务和日程冲突。这些项目中的流失是一个多因素问题。减轻交通障碍似乎具有保护作用。项目规划者在规划CHW项目时应考虑这些障碍。