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Dropout from Internet-based treatment for psychological disorders.
Katherine M Melville1, Leanne M Casey, David J Kavanagh
1Psychological Health Research Unit, Griffith Institute of Health and Medical Research, Griffith University, Brisbane, Queensland, Australia. k.melville@griffith.edu.au
The British Journal of Clinical Psychology
|October 6, 2009
Summary
Internet-based psychological treatment dropout rates average 31%, with significant variability. Limited evidence exists on specific factors predicting dropout from these online programs.
Area of Science:
- Psychology
- Digital Health
- Clinical Research
Background:
- Internet-based treatments offer accessible mental healthcare.
- Understanding patient dropout is crucial for treatment efficacy.
Purpose of the Study:
- To analyze the extent of dropout in internet-based psychological treatment programs.
- To identify variables associated with dropout from these online interventions.
Main Methods:
- Comprehensive literature search of PSYCHINFO and PUBMED databases.
- Included 19 studies published between 1990 and April 2009.
- Focused on internet-based programs with minimal therapist contact.
Main Results:
- Dropout rates varied widely, from 2% to 83%.
- A weighted average of 31% of participants dropped out.
- Evidence for specific predictors of dropout remains limited.
Conclusions:
- Significant dropout rates necessitate further investigation.
- More rigorous, theoretically guided research is needed to understand dropout variables.
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