141st APHA Annual Meeting

In This section

287559
Characterizing high risk drop-out neighborhoodhelp households

Monday, November 4, 2013

Rakesh Ravikumaran Nair, MD., MPH., CHES , Division of Research and Information and Data Coordinating Center, Florida International University Herbert Wertheim College of Medicine, Miami, FL
Scott Mariouw , Division of Research and Information and Data Coordinating Center, Florida International University Herbert Wertheim College of Medicine, Miami, FL
Kenji Ogura , Division of Research and Information and Data Coordinating Center, Florida International University Herbert Wertheim College of Medicine, Miami, FL
Juan Lozano, MD., MSc , Division of Research and Information and Data Coordinating Center, Florida International University Herbert Wertheim College of Medicine, Miami, FL
Grettel Castro, MPH , Division of Research and Information and Data Coordinating Center, Florida International University Herbert Wertheim College of Medicine, Miami, FL
Pura Rodriguez de la Vega, MPH , Division of Research and Information and Data Coordinating Center, Florida International University Herbert Wertheim College of Medicine, Miami, FL
Background: NeighborhoodHELP is a program that matches selected households in North Miami-Dade County with a student healthcare team. Along the first three years the program has experienced important attrition.

Objectives: To describe the frequency of attrition in the program and to explore households factors associated with it.

Design: Historical cohort using data obtained within a randomized trial assessing the impact of the program. The baseline assessment included 156 standardized questions pertaining household and individual health/wellness.

Setting: Low income areas in North Miami Dade County (Miami Gardens, Op Locka and Unincorporated Miami).

Participants: A total of 272 households were originally recruited and were randomized into Student (n=64) and Control groups (n=208).

Interventions: NA.

Main Outcome Measures: Household drop-out status and time from inclusion into the program to drop-out. Reasons for leaving the program were also explored.

Results: 120 (44%) households had left the program. Univariate analysis showed that intervention status, race/ethnicity, primary language of the households, time resided at the households and household ownership were all associated with leaving the program. Cox regression analysis combining these factors with employment status and household income showed that Spanish as primary language was the only predictor independently associated with leaving the program (HR 1.69; 95% CI 1.05 - 2.72; p = 0.03).

Conclusions: The results of the study suggest that Spanish speaking households was the only factor associated with an increased likelihood of leaving the program. As the program expands further analysis will be conducted to provide greater insight about its attrition.

Learning Areas:
Administer health education strategies, interventions and programs
Assessment of individual and community needs for health education
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Program planning
Provision of health care to the public

Learning Objectives:
Describe the frequency of attrition in a community program involving households in North Miami Dade Describe the role of predictors associated with program drop-outs

Keywords: Community-Based Partnership, Evaluation

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Rakesh serves as Research Specialist for Division of Research. He works within the University's system to move epidemiological and clinical research from concept to implementation by assisting in the design, creation and implementation of research assessment surveys and other ancillary evaluation tools. Rakesh holds a Master’s degree in Public Health from FIU as well as a Medical Degree from India. He is also a Certified Health Education Specialist.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.