J. Med. Internet Res. - Internet-based motivation program for women with eating disorders: eating disorder pathology and depressive mood predict dropout.


{ treatment(1704) effect(941) patient(846) }
{ intervent(3218) particip(2042) group(1664) }
{ high(1669) rate(1365) level(1280) }
{ activ(1452) weight(1219) physic(1104) }
{ age(1611) year(1155) adult(843) }
{ model(2341) predict(2261) use(1141) }
{ assess(1506) score(1403) qualiti(1306) }
{ method(1557) propos(1049) approach(1037) }
{ cancer(2502) breast(956) screen(824) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ care(1570) inform(1187) nurs(1089) }
{ sampl(1606) size(1419) use(1276) }
{ use(976) code(926) identifi(902) }
{ data(1737) use(1416) pattern(1282) }
{ clinic(1479) use(1117) guidelin(835) }
{ control(1307) perform(991) simul(935) }
{ studi(1410) differ(1259) use(1210) }
{ research(1085) discuss(1038) issu(1018) }
{ can(774) often(719) complex(702) }
{ framework(1458) process(801) describ(734) }
{ problem(2511) optim(1539) algorithm(950) }
{ error(1145) method(1030) estim(1020) }
{ data(1714) softwar(1251) tool(1186) }
{ method(984) reconstruct(947) comput(926) }
{ howev(809) still(633) remain(590) }
{ import(1318) role(1303) understand(862) }
{ ehr(2073) health(1662) electron(1139) }
{ gene(2352) biolog(1181) express(1162) }
{ first(2504) two(1366) second(1323) }
{ use(2086) technolog(871) perceiv(783) }
{ use(1733) differ(960) four(931) }
{ estim(2440) model(1874) function(577) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ inform(2794) health(2639) internet(1427) }
{ system(1976) rule(880) can(841) }
{ measur(2081) correl(1212) valu(896) }
{ imag(1057) registr(996) error(939) }
{ bind(1733) structur(1185) ligand(1036) }
{ sequenc(1873) structur(1644) protein(1328) }
{ method(1219) similar(1157) match(930) }
{ featur(3375) classif(2383) classifi(1994) }
{ imag(2830) propos(1344) filter(1198) }
{ network(2748) neural(1063) input(814) }
{ imag(2675) segment(2577) method(1081) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ chang(1828) time(1643) increas(1301) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ algorithm(1844) comput(1787) effici(935) }
{ extract(1171) text(1153) clinic(932) }
{ design(1359) user(1324) use(1319) }
{ model(2220) cell(1177) simul(1124) }
{ general(901) number(790) one(736) }
{ search(2224) databas(1162) retriev(909) }
{ featur(1941) imag(1645) propos(1176) }
{ case(1353) use(1143) diagnosi(1136) }
{ data(3963) clinic(1234) research(1004) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ system(1050) medic(1026) inform(1018) }
{ visual(1396) interact(850) tool(830) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ studi(1119) effect(1106) posit(819) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ record(1888) medic(1808) patient(1693) }
{ health(3367) inform(1360) care(1135) }
{ model(3480) simul(1196) paramet(876) }
{ monitor(1329) mobil(1314) devic(1160) }
{ state(1844) use(1261) util(961) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ medic(1828) order(1363) alert(1069) }
{ signal(2180) analysi(812) frequenc(800) }
{ cost(1906) reduc(1198) effect(832) }
{ group(2977) signific(1463) compar(1072) }
{ data(3008) multipl(1320) sourc(1022) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ patient(1821) servic(1111) care(1106) }
{ can(981) present(881) function(850) }
{ analysi(2126) use(1163) compon(1037) }
{ health(1844) social(1437) communiti(874) }
{ structur(1116) can(940) graph(676) }
{ drug(1928) target(777) effect(648) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ decis(3086) make(1611) patient(1517) }
{ process(1125) use(805) approach(778) }
{ method(1969) cluster(1462) data(1082) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }


CKGROUND: One of the main problems of Internet-delivered interventions for a range of disorders is the high dropout rate, yet little is known about the factors associated with this. We recently developed and tested a Web-based 6-session program to enhance motivation to change for women with anorexia nervosa, bulimia nervosa, or related subthreshold eating pathology.OBJECTIVE: The aim of the present study was to identify predictors of dropout from this Web program.METHODS: A total of 179 women took part in the study. We used survival analyses (Cox regression) to investigate the predictive effect of eating disorder pathology (assessed by the Eating Disorders Examination-Questionnaire; EDE-Q), depressive mood (Hopkins Symptom Checklist), motivation to change (University of Rhode Island Change Assessment Scale; URICA), and participants' age at dropout. To identify predictors, we used the least absolute shrinkage and selection operator (LASSO) method.RESULTS: The dropout rate was 50.8% (91/179) and was equally distributed across the 6 treatment sessions. The LASSO analysis revealed that higher scores on the Shape Concerns subscale of the EDE-Q, a higher frequency of binge eating episodes and vomiting, as well as higher depression scores significantly increased the probability of dropout. However, we did not find any effect of the URICA or age on dropout.CONCLUSIONS: Women with more severe eating disorder pathology and depressive mood had a higher likelihood of dropping out from a Web-based motivational enhancement program. Interventions such as ours need to address the specific needs of women with more severe eating disorder pathology and depressive mood and offer them additional support to prevent them from prematurely discontinuing treatment.

Resumo Limpo

ckground one main problem internetdeliv intervent rang disord high dropout rate yet littl known factor associ recent develop test webbas session program enhanc motiv chang women anorexia nervosa bulimia nervosa relat subthreshold eat pathologyobject aim present studi identifi predictor dropout web programmethod total women took part studi use surviv analys cox regress investig predict effect eat disord patholog assess eat disord examinationquestionnair edeq depress mood hopkin symptom checklist motiv chang univers rhode island chang assess scale urica particip age dropout identifi predictor use least absolut shrinkag select oper lasso methodresult dropout rate equal distribut across treatment session lasso analysi reveal higher score shape concern subscal edeq higher frequenc bing eat episod vomit well higher depress score signific increas probabl dropout howev find effect urica age dropoutconclus women sever eat disord patholog depress mood higher likelihood drop webbas motiv enhanc program intervent need address specif need women sever eat disord patholog depress mood offer addit support prevent prematur discontinu treatment

Resumos Similares

J Am Med Inform Assoc - mHealth interventions for weight loss: a guide for achieving treatment fidelity. ( 0,798302787862473 )
J. Med. Internet Res. - Internet-delivered interpersonal psychotherapy versus internet-delivered cognitive behavioral therapy for adults with depressive symptoms: randomized controlled noninferiority trial. ( 0,789325050494347 )
J. Med. Internet Res. - Acceptability of a clinician-assisted computerized psychological intervention for comorbid mental health and substance use problems: treatment adherence data from a randomized controlled trial. ( 0,784832060223687 )
J. Med. Internet Res. - Effectiveness of an online group course for depression in adolescents and young adults: a randomized trial. ( 0,780412499499331 )
J. Med. Internet Res. - Effects of a multilingual information website intervention on the levels of depression literacy and depression-related stigma in Greek-born and Italian-born immigrants living in Australia: a randomized controlled trial. ( 0,778174038434807 )
J. Med. Internet Res. - Effectiveness of a web-based solution-focused brief chat treatment for depressed adolescents and young adults: randomized controlled trial. ( 0,775175741877548 )
J. Med. Internet Res. - Is a severe clinical profile an effect modifier in a Web-based depression treatment for adults with type 1 or type 2 diabetes? Secondary analyses from a randomized controlled trial. ( 0,773923614536152 )
J. Med. Internet Res. - Web-based treatment program using intensive therapeutic contact for patients with eating disorders: before-after study. ( 0,763192003537885 )
J. Med. Internet Res. - Pretreatment attrition and formal withdrawal during treatment and their predictors: an exploratory study of the anxiety online data. ( 0,762201270836841 )
J. Med. Internet Res. - Internet-based cognitive behavioral therapy for patients with chronic somatic conditions: a meta-analytic review. ( 0,759470112164193 )
J. Med. Internet Res. - The clinical effectiveness of web-based cognitive behavioral therapy with face-to-face therapist support for depressed primary care patients: randomized controlled trial. ( 0,75822979956657 )
J. Med. Internet Res. - Anxiety online: a virtual clinic: preliminary outcomes following completion of five fully automated treatment programs for anxiety disorders and symptoms. ( 0,750484507739506 )
J. Med. Internet Res. - Comparing in-person to videoconference-based cognitive behavioral therapy for mood and anxiety disorders: randomized controlled trial. ( 0,744202816126793 )
J. Med. Internet Res. - An Internet-based intervention to promote mental fitness for mildly depressed adults: randomized controlled trial. ( 0,742068532979717 )
J. Med. Internet Res. - Cost-utility and cost-effectiveness of internet-based treatment for adults with depressive symptoms: randomized trial. ( 0,741058409176772 )
J. Med. Internet Res. - Chinese My Trauma Recovery, a Web-based intervention for traumatized persons in two parallel samples: randomized controlled trial. ( 0,740352515077857 )
J. Med. Internet Res. - Short-term effects of a web-based guided self-help intervention for employees with depressive symptoms: randomized controlled trial. ( 0,735839617725507 )
J. Med. Internet Res. - An Internet-based guided self-help intervention for panic symptoms: randomized controlled trial. ( 0,734550095679339 )
J. Med. Internet Res. - Attrition in web-based treatment for problem drinkers. ( 0,733026935573253 )
J. Med. Internet Res. - Posttreatment attrition and its predictors, attrition bias, and treatment efficacy of the anxiety online programs. ( 0,730155971514753 )
J. Med. Internet Res. - Multimodal e-mental health treatment for depression: a feasibility trial. ( 0,728634807702159 )
J. Med. Internet Res. - For whom does it work? moderators of outcome on the effect of a transdiagnostic internet-based maintenance treatment after inpatient psychotherapy: randomized controlled trial. ( 0,725857311031162 )
J. Med. Internet Res. - Internet-based, culturally sensitive, problem-solving therapy for Turkish migrants with depression: randomized controlled trial. ( 0,724471105552913 )
J. Med. Internet Res. - Long-term results of a web-based guided self-help intervention for employees with depressive symptoms: randomized controlled trial. ( 0,721592481073006 )
J Am Med Inform Assoc - Toward personalizing treatment for depression: predicting diagnosis and severity. ( 0,720567685715348 )
J. Med. Internet Res. - Working alliance in online cognitive behavior therapy for anxiety disorders in youth: comparison with clinic delivery and its role in predicting outcome. ( 0,716352320787508 )
J. Med. Internet Res. - Rethinking the dose-response relationship between usage and outcome in an online intervention for depression: randomized controlled trial. ( 0,713648784754535 )
J. Med. Internet Res. - Development and initial evaluation of an Internet-based support system for face-to-face cognitive behavior therapy: a proof of concept study. ( 0,712405363180757 )
J. Med. Internet Res. - Self-monitoring using mobile phones in the early stages of adolescent depression: randomized controlled trial. ( 0,703813212633005 )
J. Med. Internet Res. - Mining online social network data for biomedical research: a comparison of clinicians' and patients' perceptions about amyotrophic lateral sclerosis treatments. ( 0,700766855104065 )
Telemed J E Health - Faked depression: comparing malingering via the internet, pen-and-paper, and telephone administration modes. ( 0,698807576983461 )
J. Med. Internet Res. - Internet-based early intervention to prevent posttraumatic stress disorder in injury patients: randomized controlled trial. ( 0,686164301461969 )
Med Biol Eng Comput - Assessing the effectiveness of robot facilitated neurorehabilitation for relearning motor skills following a stroke. ( 0,683242944913357 )
J. Med. Internet Res. - Online cognitive behavioral therapy for bulimic type disorders, delivered in the community by a nonclinician: qualitative study. ( 0,683139554850482 )
J. Med. Internet Res. - Effectiveness of a web-based cognitive-behavioral tool to improve mental well-being in the general population: randomized controlled trial. ( 0,68202462190213 )
Telemed J E Health - Who is being reached for a telephone-delivered intervention for patients with uncontrolled hypertension? ( 0,6804673213879 )
J Telemed Telecare - Telephone-delivered cognitive behavioural therapy: a systematic review and meta-analysis. ( 0,679866758526359 )
Methods Inf Med - Relationship between malocclusion and heart rate variability indices in young adults: a pilot study. ( 0,679703715886689 )
J. Med. Internet Res. - Individually tailored internet-based treatment for young adults and adults with panic attacks: randomized controlled trial. ( 0,676436765548028 )
J. Med. Internet Res. - Multilevel growth curve analyses of treatment effects of a Web-based intervention for stress reduction: randomized controlled trial. ( 0,675960384007327 )
Telemed J E Health - A randomized controlled trial of an internet-based posttreatment care for patients with eating disorders. ( 0,674024186104445 )
J. Med. Internet Res. - Comparing effects in regular practice of e-communication and Web-based self-management support among breast cancer patients: preliminary results from a randomized controlled trial. ( 0,672646080880909 )
J. Med. Internet Res. - Predictors of participant retention in a guided online self-help program for university students: prospective cohort study. ( 0,667960081098347 )
Med Decis Making - Validation of SURE, a four-item clinical checklist for detecting decisional conflict in patients. ( 0,665986437001581 )
J. Med. Internet Res. - Internet-based interventions to promote mental health help-seeking in elite athletes: an exploratory randomized controlled trial. ( 0,665857497348583 )
J. Med. Internet Res. - Virtual reality for enhancing the cognitive behavioral treatment of obesity with binge eating disorder: randomized controlled study with one-year follow-up. ( 0,665307069675258 )
J. Med. Internet Res. - Patients' experiences of helpfulness in guided internet-based treatment for depression: qualitative study of integrated therapeutic dimensions. ( 0,6646715637144 )
J. Med. Internet Res. - A 5-Year follow-up of internet-based cognitive behavior therapy for social anxiety disorder. ( 0,650713904089761 )
J. Med. Internet Res. - Comorbidity structure of psychological disorders in the online e-PASS data as predictors of psychosocial adjustment measures: psychological distress, adequate social support, self-confidence, quality of life, and suicidal ideation. ( 0,650402591051391 )
Telemed J E Health - Computerized recovery support for substance use disorders: predictors of posttreatment usage. ( 0,646894839929316 )
BMC Med Inform Decis Mak - Prevention praised, cure preferred: results of between-subjects experimental studies comparing (monetary) appreciation for preventive and curative interventions. ( 0,640576621496487 )
J Telemed Telecare - Email reminders as a self-management tool in depression: a needs assessment to determine patients' interests and preferences. ( 0,638485119411484 )
Telemed J E Health - Are e-health web users looking for different symptom information than callers to triage centers? ( 0,636535472175225 )
Med Decis Making - Cross-cultural evaluation of the WHOQOL-BREF domains in primary care depressed patients using Rasch analysis. ( 0,636158020043353 )
J Am Med Inform Assoc - Depression screening via a smartphone app: cross-country user characteristics and feasibility. ( 0,635308023698835 )
J. Med. Internet Res. - Effectiveness of a web-based physical activity intervention in patients with knee and/or hip osteoarthritis: randomized controlled trial. ( 0,631898244466109 )
J Telemed Telecare - Effect of mobile phone-based psychotherapy in suicide prevention: a randomized controlled trial in Sri Lanka. ( 0,631180010848185 )
Comput. Biol. Med. - Use of agent-based simulations to design and interpret HIV clinical trials. ( 0,630839786894902 )
Telemed J E Health - Telemedicine-based treatment versus hospitalization in patients with severe chronic obstructive pulmonary disease and exacerbation: effect on cognitive function. A randomized clinical trial. ( 0,625056044844048 )
Telemed J E Health - Posttraumatic stress disorder treatment for Operation Enduring Freedom/Operation Iraqi Freedom combat veterans through a civilian community-based telemedicine network. ( 0,624315203642902 )
J. Med. Internet Res. - Experiential virtual scenarios with real-time monitoring (interreality) for the management of psychological stress: a block randomized controlled trial. ( 0,622470499296377 )
Comput Methods Programs Biomed - First pilot trial of the STAR-Liege protocol for tight glycemic control in critically ill patients. ( 0,622101960655714 )
J. Med. Internet Res. - Effect of a Kinect-based exercise game on improving executive cognitive performance in community-dwelling elderly: case control study. ( 0,619764351845119 )
Med Decis Making - Efficacy of phototherapy for newborns with hyperbilirubinemia: a cautionary example of an instrumental variable analysis. ( 0,617697777548104 )
J. Med. Internet Res. - Telephone versus internet administration of self-report measures of social anxiety, depressive symptoms, and insomnia: psychometric evaluation of a method to reduce the impact of missing data. ( 0,614980731750702 )
Artif Intell Med - Unveiling relevant non-motor Parkinson's disease severity symptoms using a machine learning approach. ( 0,614561659486409 )
J. Med. Internet Res. - Ethical dilemmas in online research and treatment of sexually abused adolescents. ( 0,6128768990813 )
Int J Med Inform - One-year outcome of an interactive internet-based physical activity intervention among university students. ( 0,612488058787146 )
J. Med. Internet Res. - Exploring patients' views of a cognitive behavioral therapy-based website for the self-management of irritable bowel syndrome symptoms. ( 0,609622690163175 )
J. Med. Internet Res. - Effectiveness of a self-guided web-based cannabis treatment program: randomized controlled trial. ( 0,606180627323819 )
J. Med. Internet Res. - Activities on Facebook reveal the depressive state of users. ( 0,603739362325151 )
J. Med. Internet Res. - Methodological issues in Internet-mediated research: a randomized comparison of internet versus mailed questionnaires. ( 0,603113967165509 )
Med Decis Making - Crediting treatments for good outcomes that would have happened anyway: the impact of baseline risk on treatment perceptions. ( 0,603058378632389 )
Telemed J E Health - Computer-based recovery support for patients receiving residential treatment for alcohol/drug dependence: relationship between program use and outcomes. ( 0,602762571517244 )
J. Med. Internet Res. - Reducing suicidal ideation: cost-effectiveness analysis of a randomized controlled trial of unguided web-based self-help. ( 0,601782474279141 )
Med Decis Making - Do clinical psychologists extend the bereavement exclusion for major depression to other stressful life events? ( 0,601775097081022 )
Telemed J E Health - A study on the effectiveness of videoconferencing on teaching parent training skills to parents of children with ADHD. ( 0,601309723792457 )
Artif Intell Med - Artificial metaplasticity prediction model for cognitive rehabilitation outcome in acquired brain injury patients. ( 0,600706476394309 )
J Telemed Telecare - A brief self-guided telehealth intervention for post-traumatic stress disorder in combat veterans: a pilot study. ( 0,600339784963882 )
J. Med. Internet Res. - Technology-based interventions for mental health in tertiary students: systematic review. ( 0,59962330194098 )
J. Med. Internet Res. - Harnessing context sensing to develop a mobile intervention for depression. ( 0,597440163331442 )
J Biomed Inform - Avatar-based simulation in the evaluation of diagnosis and management of mental health disorders in primary care. ( 0,594400539441186 )
J. Med. Internet Res. - Web-based cognitive behavioral self-help intervention to reduce cocaine consumption in problematic cocaine users: randomized controlled trial. ( 0,592641518053546 )
J. Med. Internet Res. - Acceptability of online self-help to people with depression: users' views of MoodGYM versus informational websites. ( 0,590694494396366 )
J. Med. Internet Res. - How feedback biases give ineffective medical treatments a good reputation. ( 0,590259570398222 )
J. Med. Internet Res. - Executive functioning in alcoholics following an mHealth cognitive stimulation program: randomized controlled trial. ( 0,589534223171933 )
J. Med. Internet Res. - Understanding the usage of content in a mental health intervention for depression: an analysis of log data. ( 0,588198284600883 )
J. Med. Internet Res. - Web-based cognitive behavior therapy for depression with and without telephone tracking in a national helpline: secondary outcomes from a randomized controlled trial. ( 0,587914599781768 )
J. Med. Internet Res. - Adherence to a web-based physical activity intervention for patients with knee and/or hip osteoarthritis: a mixed method study. ( 0,582388366567778 )
Med Biol Eng Comput - Communication breakdown: clinicians disagree on subacromial impingement. ( 0,582210202295487 )
J Clin Monit Comput - Cardiac asynchrony in Duchenne muscular dystrophy. ( 0,579988503458578 )
Health Informatics J - A feasibility study of conducting the Montreal Cognitive Assessment remotely in individuals with movement disorders. ( 0,579063612831706 )
J Clin Monit Comput - The accuracy of respiratory rate assessment by doctors in a London teaching hospital: a cross-sectional study. ( 0,578079777157649 )
Comput Methods Programs Biomed - A SAS macro for a clustered logrank test. ( 0,578048765857402 )
Med Decis Making - Understanding who benefits at each step in an internet-based diabetes self-management program: application of a recursive partitioning approach. ( 0,575475745938116 )
Telemed J E Health - Feasibility and impact of telemonitor-based depression care management for geriatric homecare patients. ( 0,57490602958501 )
J. Med. Internet Res. - Single-case experimental designs to evaluate novel technology-based health interventions. ( 0,572183268247522 )
J. Med. Internet Res. - Feasibility and effectiveness of a web-based positive psychology program for youth mental health: randomized controlled trial. ( 0,570260244530575 )
J. Med. Internet Res. - Web-based intervention in mindfulness meditation for reducing residual depressive symptoms and relapse prophylaxis: a qualitative study. ( 0,569737803506052 )
Comput Math Methods Med - Haptic-based neurorehabilitation in poststroke patients: a feasibility prospective multicentre trial for robotics hand rehabilitation. ( 0,56754824465335 )