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At least 343 records · Page 19Linked to original sources
PubMed1994

Dropout of young non-insulin-dependent diabetics from diabetic care.

We investigated the follow-up status and prognosis of 109 patients with non-insulin-dependent diabetes mellitus aged from 10 to 19 years old (66 males and 43 females). Patients who had not attended hospital for at least 20 months up to the end of September 1990 were regarded as defaulters, and were surveyed by questionnaire. There were 62 defaulters (56.9%) among the 109 patients originally enrolled in diabetes care. The defaulters had a significantly higher body mass index (both males and females), mean arterial blood pressure, and fasting blood glucose level than the patients still attending the diabetes clinic, as well as a significantly worse lipid profile. The main reason given for non-attendance was a busy schedule. Compared with patients attending the diabetes clinic, a lower percentage of the defaulters remained on a diet or took regular exercise. Rapid eating was more common among the defaulters than the attendees (92.9% vs. 60%, P = n.s.). Thus, the lifestyle of the defaulters seemed to be undesirable for young diabetic patients. These findings emphasize the importance of effective education and follow-up for young obese patients with non-insulin-dependent diabetes mellitus.

Adolescent↗
PubMed1987

Family therapy and reductions in treatment dropout in a residential therapeutic community for chemically dependent adolescents.

The study explores the effects of family therapy and staff training on dropping out of treatment for chemically dependent adolescents who are residents of a therapeutic community. A naturally occurring experiment in which one facility of a therapeutic community introduced a structural family systems approach into its treatment, while another facility did not, provided the opportunity for this study. It was found that involving the families of chemically dependent adolescents in family therapy made a significant difference in reducing the number of youth who dropped out of residential treatment.

Adolescent↗
PubMed2005

Women in cardiac rehabilitation: outcomes and identifying risk for dropout.

BACKGROUND: Women are underrepresented in cardiac rehabilitation (CR). Few reports describe outcomes and explore factors that may be barriers to CR participation among women. The purposes of this study were to (1) compare baseline characteristics between women who completed and did not complete CR, (2) identify factors associated with women completing CR, and (3) describe outcomes among completers. METHODS: Study sample included women (n = 228) with coronary heart disease enrolled in CR at an academic medical center's program (January 1996-August 2003). Baseline differences between completers and noncompleters were compared; multivariate regression analyses identified factors associated with completers. Outcome measures included lipid levels, 6-minute walk distances, body mass index, Beck Depression Inventory II (BDI-II), self-reports of diet, physical activity, smoking, and perceived health status. RESULTS: Mean age was 62 +/- 11 years, 44% were nonwhite, and 42% were stratified as high risk. Dyslipidemia was the most common risk factor (85%) followed by hypertension (81%), low physical activity (74%), obesity (53%), diabetes (39%), and smoking (18%). BDI-II scores were elevated (> or = 14) in 31% of women. In the adjusted multivariate regression model, completers were less likely to be obese (adjusted odds ratio [AOR] 0.28, CI 0.10-0.76, P = .01) or have elevated BDI-II scores (AOR 0.87, CI 0.81-0.95 P = .001) than noncompleters. Completers achieved significant improvements in all outcome measures (all P < .05) except for high-density lipoprotein. CONCLUSION: Women enrolled in CR had a high risk factor burden and those completing achieved significant benefits. Women not completing CR were more likely to be obese or have depressive symptoms which may serve as barriers to completing CR.

Coronary Disease↗
PubMedDate not supplied

Mental health service use by patients with dysthymic disorder: treatment use and dropout in a 7 1/2-year naturalistic follow-up study.

Little is known about long-term treatment use among patients with dysthymia. This paper describes patterns of treatment use by 85 outpatients with dysthymic disorder and a comparison group of 36 outpatients with nonchronic (episodic) major depression in a naturalistic follow-up. Patients with dysthymia had higher rates of treatment use across 7 1/2 years compared with patients with episodic major depression. Baseline variables that predicted which patients with dysthymia dropped out of treatment before recovering from dysthymic disorder included age, ethnicity, Diagnostic and Statistical Manual of Mental Disorders, Revised Third Edition Axis II pathology as obtained from informant reports, higher self-reported autonomy, and receiving psychotherapy alone as compared to receiving a combination of psychotherapy and medication. Dysthymic disorder places a significant burden on the mental health services system, yet many outpatients with dysthymia may be receiving inadequate treatment. Younger patients, ethnic minority patients, and patients with personality disorders may be at increased risk of dropping out from treatment for depression. Combination treatments may increase treatment retention.

Adolescent↗
PubMed1998

Silent dropouts in health surveys: are nonrespondent absent teenagers different from those who participate in school-based health surveys?

OBJECTIVE: To compare the health problems, needs and behavior of pupils absent from school with participants in the Swiss Multicenter Adolescent Survey on Health. METHODS: The present pupils' group (N = 3324; adolescents between 15 and 20 years old, randomly selected from high schools and professional centers of French-speaking Switzerland) answered a self-administered anonymous questionnaire. The absent pupils group (N = 96) was questioned on the phone by means of a shorter but similar version of the questionnaire. RESULTS: The proportion of respondents reporting skin problems, weight concerns, sleep difficulties, headaches, stomach aches, as well as vision or dental problems was higher in the present pupils sample (p < 0.01). The percentages of teenagers reporting the need for help were higher in the present pupils sample than in the absent group: nutrition (21.8 vs. 9.4, p < 0.01) stress (44.2 vs. 31.3, p < 0.05), depression (28.4 vs. 18.9, p < 0.05), sleep problems (21.3 vs. 12.1, p < 0.05), sports (9.2 vs. 4.2, p < 0.05), and love life (31.5 vs. 14.5, p < 0.01). The rates of hospitalizations and injuries were lower among absent pupils (28.2 vs. 40.1, p < 0.01). A higher proportion of absent students were sexually active (p < 0.05). They had a tendency to use tobacco, alcohol, and cannabis more frequently than did present pupils (p < 0.05). CONCLUSION: Within the Swiss context, nonparticipation owing to school absenteeism is probably related less to physical or chronic health problems that to lifestyles which predispose these students to truancy.

Absenteeism↗