ArticleJournal of medical Internet research2014
Internet-based motivation program for women with eating disorders: eating disorder pathology and depressive mood predict dropout.
Article in Journal of medical Internet research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Digital Mental Health Interventions in Obesity Management: A Systematic Review and Evidence-Based Recommendations.Current obesity reports · 2026Pooled it
- Barriers to and Facilitators of User Engagement With Digital Mental Health Interventions: Systematic Review.Journal of medical Internet research · 2021Pooled it
- Technology-delivered adaptations of motivational interviewing for health-related behaviors: A systematic review of the current research.Patient education and counseling · 2016Pooled it
- Effectiveness of a Web-Based Cognitive Behavioral Self-Help Intervention for Binge Eating Disorder: A Randomized Clinical Trial.JAMA network open · 2024Trial
- Benefits of a brief, remote psychoeducation intervention in treating eating disorders: a preliminary study in a predominantly AN/BN sample.Eating and weight disorders : EWD · 2026Article
- Determinants of Dropout From a Virtual Agent-Based App for Insomnia Management in a Self-Selected Sample of Users With Insomnia Symptoms: Longitudinal Study.JMIR mental health · 2025Article
- Psychotherapies for eating disorders: findings from a rapid review.Journal of eating disorders · 2023Review
- The engagement problem: A review of engagement with digital mental health interventions and recommendations for a path forward.Current treatment options in psychiatry · 2023Article
- Days between sessions predict attrition in text-based internet intervention of Binge Eating Disorder.Internet interventions · 2023Article
- Can a Single Variable Predict Early Dropout From Digital Health Interventions? Comparison of Predictive Models From Two Large Randomized Trials.Journal of medical Internet research · 2023Article
- Virtual Reality-Based Immersive Rehabilitation for Cognitive- and Behavioral-Impairment-Related Eating Disorders: A VREHAB Framework Scoping Review.International journal of environmental research and public health · 2022Article
- Applying a web-based self-help intervention for bulimia nervosa in routine care: Study protocol for a randomized controlled trial.Internet interventions · 2022Article
- Integrating a web-based intervention into routine care of binge-eating disorder: Study protocol for a randomized controlled trial.Internet interventions · 2022Article
- Systemic Delivery of hGhrelin Derivative by Lyophilizate for Dry Powder Inhalation System in Monkeys.Pharmaceutics · 2021Article
- Predicting Dropouts From an Electronic Health Platform for Lifestyle Interventions: Analysis of Methods and Predictors.Journal of medical Internet research · 2019Article
- An evaluation of the predictive validity of the URICA and ANSOCQ scales for weight gain in adults with AN in an outpatient eating disorders program: a prospective cohort study.Journal of eating disorders · 2017Article
- Adherence to Internet-Based Mobile-Supported Stress Management: A Pooled Analysis of Individual Participant Data From Three Randomized Controlled Trials.Journal of medical Internet research · 2016Article
- E-Health Interventions for Eating Disorders: Emerging Findings, Issues, and Opportunities.Current psychiatry reports · 2016Review
- A Guided Online and Mobile Self-Help Program for Individuals With Eating Disorders: An Iterative Engagement and Usability Study.Journal of medical Internet research · 2016Article
- The impact of indicated prevention and early intervention on co-morbid eating disorder and depressive symptoms: a systematic review.Journal of eating disorders · 2014Review
Corrections and comments
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Authors and funding
9 authors at 6 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOne 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.
objectiveThe aim of the present study was to identify predictors of dropout from this Web program.
methodsA 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.
resultsThe 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.
conclusionsWomen 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.
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