ArticleThe international journal of behavioral nutrition and physical activity2009
Factors associated with non-participation and drop-out in a lifestyle intervention for workers with an elevated risk of cardiovascular disease.
Article in The international journal of behavioral nutrition and physical activity, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.
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Who cites it
48 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review and meta-analysis of weight loss in control group participants of lifestyle randomized trials.Scientific reports · 2022Pooled it
- Efficacy of morning versus afternoon aerobic exercise training on reducing metabolic syndrome components: A randomized controlled trial.The Journal of physiology · 2024Trial
- The efficacy of morning versus evening exercise for weight loss: A randomized controlled trial.Obesity (Silver Spring, Md.) · 2023Trial
- Trial
- Implementation Evaluation of a Cluster Randomized Controlled Trial to Promote the Use of Respiratory Protective Equipment Among Migrant Workers Exposed to Organic Solvents in Small and Medium-Sized Enterprises.Frontiers in public health · 2022Trial
- Enhanced motivational interviewing for reducing weight and increasing physical activity in adults with high cardiovascular risk: the MOVE IT three-arm RCT.Health technology assessment (Winchester, England) · 2019Trial
- Selection bias and subject refusal in a cluster-randomized controlled trial.BMC medical research methodology · 2017Trial
- Characteristics of European adults who dropped out from the Food4Me Internet-based personalised nutrition intervention.Public health nutrition · 2017Trial
- The effectiveness of physical activity monitoring and distance counseling in an occupational setting - results from a randomized controlled trial (CoAct).BMC public health · 2012Trial
- Results from an online computer-tailored weight management intervention for overweight adults: randomized controlled trial.Journal of medical Internet research · 2012Trial
- Initial and sustained participation in an internet-delivered long-term worksite health promotion program on physical activity and nutrition.Journal of medical Internet research · 2012Trial
- Short and long term effects of a lifestyle intervention for construction workers at risk for cardiovascular disease: a randomized controlled trial.BMC public health · 2011Trial
- Successful reach and adoption of a workplace health promotion RCT targeting a group of high-risk workers.BMC medical research methodology · 2010Trial
- Linking health lifestyle classes to blue-collar workers' participation in worksite health promotion programs in freight transport: a latent class analysis.International archives of occupational and environmental health · 2025Article
- The First Step is the Hardest: A Mixed Methods Single-Case Experimental Design Study of a VR-Enhanced Training Program in a Forensic Youth Care Setting.Research on child and adolescent psychopathology · 2025Article
- Article
- Reasons for non-participation and dropout in a longitudinal study of an app-based support service among adult patients in a psychiatric outpatient setting during the COVID-19 pandemic.Frontiers in psychiatry · 2025Article
- Patients' perspectives on adherence to cardiovascular screening consultation and lifestyle changes.Archives of public health = Archives belges de sante publique · 2024Article
- Advantages and disadvantages of mobile applications for workplace health promotion: A scoping review.PloS one · 2024Article
- Participation in the Global Corporate ChallengeInternational journal of environmental research and public health · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNon-response and drop-out are problems that are commonly encountered in health promotion trials. Understanding the health-related characteristics of non-participants and drop-outs and the reasons for non-participation and drop-out may be beneficial for future intervention trials.
methodsMale construction workers with an elevated risk of cardiovascular disease (CVD) were invited to participate in a lifestyle intervention study. In order to investigate the associations between participation and CVD risk factors, and drop-out and CVD risk factors, crude and multiple logistic regression analyses were performed. The reasons for non-participation and drop-out were assessed qualitatively.
results20% of the workers who were invited decided to participate; 8.6% of the participants dropped out before the first follow-up measurement. The main reasons for non-participation were 'no interest', 'current (para-)medical treatment', and 'feeling healthy', and for drop-out they were 'lack of motivation', 'current (para-)medical treatment', and 'disappointment'. Participants were 4.2 years older, had a higher blood pressure, higher total cholesterol, and lower HDL cholesterol than non-participants, and were more likely to report 'tiredness and/or stress' and 'chest pain and/or shortness of breath'. After adjusting for age, most risk factors were not significantly associated with participation. Drop-outs were 4.6 years younger than those who completed the study. The prevalence of smoking was higher among non-participants and drop-outs.
conclusionParticipants had a worse CVD risk profile than non-participants, mainly because of the difference in age. Non-participants and drop-outs were younger and more likely to be smokers. The main reasons for non-participation and drop-out were health-related. Investigators in the field of health promotion should be encouraged to share comparable information.
trial registrationCurrent Controlled Trials ISRCTN60545588.
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Registered trials
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