Attrition from self-directed interventions: Investigating the relationship between psychological predictors, intervention content and dropout from a body dissatisfaction intervention

Geraghty, Adam W A; Wood, Alex M.; Hyland, Michael E.

doi:10.1016/j.socscimed.2010.03.007

Cited by 186 publications

(111 citation statements)

References 51 publications

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“…[2,14]) and adherence (the amount of an intervention an individual engages with or completes [15]) to online psychological interventions is sparse. A systematic review on barriers to uptake of computerised cognitive behavioural therapy found a median uptake of 38% (range 4-84%) [14].…”

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confidence: 99%

“…Non-completion in research studies of online interventions typically ranges from 30-60% [15,16] and completion is as low as 1% [16] and 0.5% [17] for open access interventions. Low adherence can skew interpretations of efficacy if not clearly reported, and can moderate intervention outcomes, with evidence that longer exposure to an intervention yields greater benefits [15,[18][19][20] A recent systematic review of adherence to online interventions for a variety of conditions found that greater adherence was predicted by female gender, higher treatment expectancy, sufficient time, and personalised intervention content [21].…”

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confidence: 99%

“…Low adherence can skew interpretations of efficacy if not clearly reported, and can moderate intervention outcomes, with evidence that longer exposure to an intervention yields greater benefits [15,[18][19][20] A recent systematic review of adherence to online interventions for a variety of conditions found that greater adherence was predicted by female gender, higher treatment expectancy, sufficient time, and personalised intervention content [21]. Mixed findings were obtained for relationships between intervention adherence and age, baseline symptom severity and control group allocation.…”

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confidence: 99%

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Uptake and adherence to an online intervention for cancer-related distress: older age is not a barrier to adherence but may be a barrier to uptake

Beatty

Kemp

Binnion

et al. 2017

Support Care Cancer

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Uptake and adherence to an online intervention for cancer-related distress: older age is not a barrier to adherence but may be a barrier to uptake. 2Uptake and adherence to an online intervention for cancer-related distress: older age is not a barrier to adherence but may be a barrier to uptake. Abstract PurposeWhile online interventions are increasingly explored as an alternative to therapist-based interventions for cancer-related distress, limitations to efficacy potentially include low uptake and adherence. Few predictors of uptake or adherence to online interventions have been consistently identified, particularly in individuals with cancer. This study examined rates and predictors of uptake and adherence to Finding My Way, a RCT of an online intervention versus an information-only online control for cancer-related distress. MethodsParticipants were adults with cancer treated with curative intent. Adherence was assessed by login frequency, duration, and activity level; analyses examined demographic, medical and psychological predictors of uptake and adherence. ResultsThe study enrolled 191 adults (aged 26 -94 years) undergoing active treatment for cancer of any type. Uptake was highest for females and for individuals with ovarian (80%) and breast cancer (49.8%), and lowest for those with melanoma (26.5%). Adherence was predicted by older age and control-group allocation. Baseline distress levels did not predict adherence. High adherers to the full intervention had better emotion regulation and quality of life than low adherers. ConclusionsUptake of online intervention varies according to age, gender and cancer type. While uptake was higher among younger individuals, once enrolled, older individuals were more likely to adhere to online interventions for cancer-related distress.

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confidence: 99%

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confidence: 99%

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confidence: 99%

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Uptake and adherence to an online intervention for cancer-related distress: older age is not a barrier to adherence but may be a barrier to uptake

Beatty

Kemp

Binnion

et al. 2017

Support Care Cancer

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“…Often considered a subsector of positive psychology, gratitude refers to a positive orientation towards life (Geraghty et al, 2010). Originating from the Latin root gratia, meaning graciousness and gratefulness, gratitude is associated with the act of giving and receiving kindness (Emmons and McCullough, 2003;Emmons and Shelton, 2002).…”

Section: Gratitudementioning

confidence: 99%

“…The positive psychology field emphasises the subjective experience of human life, such as satisfaction, optimism and happiness . This realm of psychology is expected to help individuals and communities flourish and survive in the most adverse situations (Geraghty et al, 2010). A newly researched positive emotion is gratitude, which is considered a buffer against negative experiences.…”

Section: Introductionmentioning

confidence: 99%

Can Health Status and Self-Esteem Predict Gratitude in Adult Females?

Stapleton¹,

Isles²,

Chatwin³

et al. 2015

Current Research in Psychology

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Gratitude is often considered a sub-sector of positive psychology. The aim of this study was to examine whether health status and self-esteem could predict gratitude scores in a sample of women. A non-clinical female sample (N = 200) completed self-reported measures online. A hierarchical multiple regression analysis was used to examine whether health status and self-esteem could significantly predict gratitude scores. Findings revealed that health status did not significantly predict gratitude scores in the sample of women in the current study. However, self-esteem was found to statistically predict gratitude scores, suggesting that women with low self-esteem levels were more likely to have lower gratitude scores, which is supported by previous research. The implications of this finding may benefit treatment programs, to increase self-esteem levels in individuals to achieve higher gratitude levels, resulting in various benefits for overall health and well-being.

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