Lupus & antiphospholipid syndrome

Factors Associated With the Initiation and Retention of Patients With Lupus in the Chronic Disease Self‐Management Program

Arthritis Care Res (Hoboken)Published Cohort study

Authors' conclusion

Our findings suggest that young Black women with SLE face barriers to attend and complete in-person CDSMP workshops, possibly in relation to work and child care demands.

Study context

Population
Black women with systemic lupus erythematosus (SLE) who consented to attend a Chronic Disease Self-Management Program (CDSMP) workshop
Participants
228 women
Exposure
Factors associated with CDSMP initiation and completion
Outcome
CDSMP initiation (attended ≥1 of first 2 weekly classes) and completion (completed ≥4 of 6 weekly classes)
Methodological detailslogistic regression, unadjusted and adjusted odds ratios (ORs)
  • Logistic regression
  • Unadjusted and adjusted ORs

Main finding

As reported in the abstract

CDSMP initiators
74% [n = 168]
CDSMP completers (of initiators)
126 (75%)
Initiation: older age, aOR
1.03 (95% CI 1.00-1.06)
Initiation: unemployment/disability, aOR
2.05 (95% CI 1.05-4.14)
Initiation: each additional child in household, unadjusted OR
0.78 (95% CI 0.62-0.98)
Initiation: each additional child in household, aOR (nonsignificant)
0.89 (95% CI 0.68-1.18)
Completion: each additional year of age (only factor differing significantly), aOR
1.04 (95% CI 1.00-1.07)

Observational data: associations, not effects.

Original publication

Factors Associated With the Initiation and Retention of Patients With Lupus in the Chronic Disease Self‐Management Program. Arthritis Care Res (Hoboken). Published 10 January 2023. doi:10.1002/acr.24811

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