title: Predictors of attrition in older users of a home-based monitoring and health information delivery system.
abstract: OBJECTIVE
  This retrospective study evaluated predictors of attrition in data from veterans with chronic medical conditions who were enrolled in a Veterans Administration Care Coordination Home Telehealth program.
  
  
  METHODS
  Data were collected over a 4-year period. The enrolled sample was 73 veterans, 55.3% of whom discontinued enrollment during this period.
  
  
  RESULTS
  Among the selected variables examined, program discontinuation was assessed within the first 30 days of enrollment by response frequency to the home telehealth device. Intermittent device response was associated with earlier dropout. Enrollment in the program via telephone (rather than in person) was the largest predictor of premature dropout.
  
  
  CONCLUSIONS
  To ensure sustained home telehealth utilization, it is essential to engage patients through encouraging active and regular responding to the provider through the home telehealth device within the first 30 days of program initiation.
authors.affiliation: Puget Sound Healthcare System, Seattle, Washington, USA.
authors.forename: Meghan
authors.initials: M
authors.lastname: Juretic
authors.forename: Robert
authors.initials: R
authors.lastname: Hill
authors.forename: Bret
authors.initials: B
authors.lastname: Hicken
authors.forename: Marilyn
authors.initials: M
authors.lastname: Luptak
authors.forename: Randall
authors.initials: R
authors.lastname: Rupper
authors.forename: Byron
authors.initials: B
authors.lastname: Bair
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003266:Continuity of Patient Care; D005544:Forecasting; D006699:Home Care Services; D006801:Humans; D008875:Middle Aged; D010352:Patient Dropouts; D019338:Polypharmacy; D012189:Retrospective Studies; D017216:Telemedicine; D014589:Utah; D014728:Veterans / Q000706:statistics & numerical data*