Dropout from Internet‐based treatment for psychological disorders

British Journal of Clinical Psychology - Tập 49 Số 4 - Trang 455-471 - 2010
Katherine M. Melville1, Leanne M. Casey1, David J. Kavanagh2
1Psychological Health Research Unit, Griffith Institute of Health and Medical Research, Griffith University, Brisbane, Queensland, Australia
2Institute of Health & Biomedical Innovation, Queensland University of Technology, Kelvin Grove, Brisbane, Australia.

Tóm tắt

Purpose. The purpose of this review was to present an in‐depth analysis of literature identifying the extent of dropout from Internet‐based treatment programmes for psychological disorders, and literature exploring the variables associated with dropout from such programmes.

Methods. A comprehensive literature search was conducted on PSYCHINFO and PUBMED with the keywords: dropouts, drop out, dropout, dropping out, attrition, premature termination, termination, non‐compliance, treatment, intervention, and program, each in combination with the key words Internet and web. A total of 19 studies published between 1990 and April 2009 and focusing on dropout from Internet‐based treatment programmes involving minimal therapist contact were identified and included in the review.

Results. Dropout ranged from 2 to 83% and a weighted average of 31% of the participants dropped out of treatment. A range of variables have been examined for their association with dropout from Internet‐based treatment programmes for psychological disorders. Despite the numerous variables explored, evidence on any specific variables that may make an individual more likely to drop out of Internet‐based treatment is currently limited.

Conclusions. This review highlights the need for more rigorous and theoretically guided research exploring the variables associated with dropping out of Internet‐based treatment for psychological disorders.

Từ khóa


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