caa a22 4500 606153136 CHVBK 20210128100552.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s11121-013-0451-1 doi (NATIONALLICENCE)springer-10.1007/s11121-013-0451-1 Participant and Site Characteristics Related to Participant Retention in a Diabetes Prevention Translational Project [Elektronische Daten] [Luohua Jiang, Spero Manson, Edward Dill, Janette Beals, Ann Johnson, Haixiao Huang, Kelly Acton, Yvette Roubideaux] Using multilevel analysis, this study investigated participant and site characteristics associated with participant retention in a multisite diabetes prevention translational project among American Indian and Alaska Native (AI/AN) people. We analyzed data from the Special Diabetes Program for Indians Diabetes Prevention Program (SDPI-DP), a lifestyle intervention to prevent diabetes implemented in 36 AI/AN grantee sites. A total of 2,553 participants were recruited and started the intervention between January 1, 2006 and July 31, 2008. They were offered the 16-session Lifestyle Balance Curriculum from the Diabetes Prevention Program (DPP) in the first 16-24weeks of intervention. Generalized estimating equation models and proportional hazards models with robust standard error estimates were used to evaluate the relationships of participant and site characteristics with retention. As of July 31, 2009, about 50% of SDPI-DP participants were lost to follow-up. Those who were younger, male, with lower household income, no family support person, and more baseline chronic pain were at higher risk for both short-term and long-term retention failure (i.e., not completing all 16 DPP sessions and loss to follow-up, respectively). Sites with large user populations and younger staff had lower likelihood of retaining participants successfully. Other site characteristics related to higher risk for retention failure included staff rating of participant disinterest in SDPI-DP and barriers to participant transportation and child/elder care. Future translational initiatives need to pay attention to both participant- and site-level factors in order to maximize participant retention. Society for Prevention Research, 2014 Attrition nationallicence Dropout nationallicence American Indians and Alaska Natives nationallicence Lifestyle intervention nationallicence Community-based settings nationallicence Jiang Luohua Department of Epidemiology and Biostatistics, School of Rural Public Health, Texas A&M Health Science Center, 219 SRPH Administration Building, TAMU 1266, 77843-1266, College Station, TX, USA aut Manson Spero Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA aut Dill Edward Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA aut Beals Janette Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA aut Johnson Ann Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA aut Huang Haixiao Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA aut Acton Kelly Office of the Assistant Secretary of Health, US Department of Health & Human Services, San Francisco, CA, USA aut Roubideaux Yvette Office of the Director, Indian Health Service, Rockville, MD, USA aut Prevention Science Springer US; http://www.springer-ny.com 16/1(2015-01-01), 41-52 1389-4986 16:1<41 2015 16 11121 https://doi.org/10.1007/s11121-013-0451-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11121-013-0451-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Jiang Luohua Department of Epidemiology and Biostatistics, School of Rural Public Health, Texas A&M Health Science Center, 219 SRPH Administration Building, TAMU 1266, 77843-1266, College Station, TX, USA aut NATIONALLICENCE 700 1- Manson Spero Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA aut NATIONALLICENCE 700 1- Dill Edward Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA aut NATIONALLICENCE 700 1- Beals Janette Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA aut NATIONALLICENCE 700 1- Johnson Ann Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA aut NATIONALLICENCE 700 1- Huang Haixiao Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, Aurora, CO, USA aut NATIONALLICENCE 700 1- Acton Kelly Office of the Assistant Secretary of Health, US Department of Health & Human Services, San Francisco, CA, USA aut NATIONALLICENCE 700 1- Roubideaux Yvette Office of the Director, Indian Health Service, Rockville, MD, USA aut NATIONALLICENCE 773 0- Prevention Science Springer US; http://www.springer-ny.com 16/1(2015-01-01), 41-52 1389-4986 16:1<41 2015 16 11121