{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T21:54:51Z","timestamp":1775253291545,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,11,17]],"date-time":"2019-11-17T00:00:00Z","timestamp":1573948800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Nursing"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study explored factors associated with attrition of vulnerable women from a community\u2010based, longitudinal mental health intervention study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>The study employed a quasi\u2010experimental, nonequivalent comparison group pretest\u2013posttest design. The intervention consisted of six, 90\u2010min meetings featuring education and support.<\/jats:p><\/jats:sec><jats:sec><jats:title>Sample<\/jats:title><jats:p>One hundred and eighteen women aged 18\u201388\u00a0years enrolled from four urban neighborhoods.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurements<\/jats:title><jats:p>The team used the Generalized Anxiety Disorder\u20107, the Primary Health Questionnaire\u20109, a self\u2010care knowledge for anxiety and depression instrument, and demographics to measure variables.<\/jats:p><\/jats:sec><jats:sec><jats:title>Intervention<\/jats:title><jats:p>Sessions occurred at trusted neighborhood sites. The team provided transportation, child care, and reminder calls or texts. Community health workers actively encouraged participants to continue in the study. The researchers did not offer financial incentives. Completion of the intervention involved attending four of six sessions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study had a 39% attrition rate. Results, using a Chi\u2010square test for independence, indicated significant associations between attrition, neighborhood\/homelessness, and family income. Additionally, there were significant associations between attrition, a past diagnosis of anxiety, and a lack of concurrent therapy for anxiety\/depression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study identified social determinants and mental health factors linked to the attrition of urban, ethnically diverse, and impoverished women from longitudinal intervention studies.<\/jats:p><\/jats:sec>","DOI":"10.1111\/phn.12687","type":"journal-article","created":{"date-parts":[[2019,11,18]],"date-time":"2019-11-18T03:24:35Z","timestamp":1574047475000},"page":"73-80","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Factors impacting attrition of vulnerable women from a longitudinal mental health intervention study"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7531-0490","authenticated-orcid":false,"given":"Mary","family":"Molewyk Doornbos","sequence":"first","affiliation":[{"name":"Department of Nursing Calvin College Grand Rapids MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2627-917X","authenticated-orcid":false,"given":"Gail Landheer","family":"Zandee","sequence":"additional","affiliation":[{"name":"Department of Nursing Calvin College Grand Rapids MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Timmermans","sequence":"additional","affiliation":[{"name":"Department of Nursing Calvin College Grand Rapids MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1241-1969","authenticated-orcid":false,"given":"Jesse","family":"Moes","sequence":"additional","affiliation":[{"name":"Department of Nursing Calvin College Grand Rapids MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Heitsch","sequence":"additional","affiliation":[{"name":"Department of Nursing Calvin College Grand Rapids MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Morgan","family":"Quist","sequence":"additional","affiliation":[{"name":"Department of Nursing Calvin College Grand Rapids MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erica","family":"Heetderks","sequence":"additional","affiliation":[{"name":"Department of Nursing Calvin College Grand Rapids MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christa","family":"Houskamp","sequence":"additional","affiliation":[{"name":"Department of Nursing Calvin College Grand Rapids MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"VanWolde","sequence":"additional","affiliation":[{"name":"Department of Nursing Calvin College Grand Rapids MI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,11,17]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-017-0744-7"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-14-42"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1353\/cpr.2015.0085"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rasd.2016.02.003"},{"key":"e_1_2_5_6_1","volume-title":"Social determinants of health: Know what affects health","author":"Centers for Disease Control and Prevention","year":"2018"},{"key":"e_1_2_5_7_1","unstructured":"City Data(2019).City\u2010Data.com\u2014Stats about all US cities\u2014Real estate relocation info crime house prices cost of living races home value estimator recent sales income photos schools maps weather neighborhoods and more. 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