%0期刊文章%@ 1438-8871 %I Gunther Eysenbach %V 13% N 4% P 117% T基于网络治疗的问题饮酒者流失Postel,Marloes G %A de Haan,Hein A %A ter Huurne,Elke D %A van der Palen,Job %A Becker,Eni S %A de Jong,Cor AJ %+ Tactus成瘾治疗，Institutenweg 1, Enschede, 7521 PH, Netherlands, 31 534824750，m.postel@tactus.nl %K网络治疗%K在线治疗%K问题饮酒%K酒精%K减量%K辍学%D 2011 %7 27.12.2011 %9原始论文%J J医学互联网资源%G英语%X背景:基于网络的问题饮酒干预是有效的，但具有较高的减量率。为了提高基于网络的治疗项目的完成率和成功率，有必要更好地了解流失率。目的:我们研究的目的是:(1)在一个基于网络的问题饮酒者计划的开放获取用户样本中，检查消耗的患病率和预处理预测因素;(2)进一步探索来自基于网络计划的随机对照试验(RCT)的消耗数据。方法:收集了两组荷兰语问题饮酒者的流失数据:(1)2009年参加该项目的开放获取参与者(n = 885)，(2)随机对照试验参与者(n = 156)。如果参与者没有完成所有12个治疗疗程(9个任务和3个评估)，则被归类为未完成者。在这两个样本中，我们评估了磨耗发生率和治疗完成的预处理预测因素。使用Logistic回归分析来探索治疗完成的预测因素。在RCT样本中，我们还测量了不完成的原因和参与者对加强治疗依从性的建议。定性资料采用专题分析。 Results: The open-access and RCT group differed significantly in the percentage of treatment completers (273/780, 35.0% vs 65/144, 45%, χ21 = 5.4, P = .02). Logistic regression analysis revealed a significant contribution of treatment readiness, gender, education level, age, baseline alcohol consumption, and readiness to change to predict treatment completion. The key reasons for noncompletion were personal reasons, dissatisfaction with the intervention, and satisfaction with their own improvement. The main suggestions for boosting strategies involved email notification and more flexibility in the intervention. Conclusions: The challenge of Web-based alcohol treatment programs no longer seems to be their effectiveness but keeping participants involved until the end of the treatment program. Further research should investigate whether the suggested strategies to improve adherence decrease attrition rates in Web-based interventions. If we can succeed in improving attrition rates, the success of Web-based alcohol interventions will also improve and, as a consequence, their public health impact will increase. Trial: International Standard Randomized Controlled Trial Number (ISRCTN): 39104853; http://www.controlled-trials.com/ISRCTN39104853 (Archived by WebCite at http://www.webcitation.org/63IKDul1T) %M 22201703 %R 10.2196/jmir.1811 %U //www.mybigtv.com/2011/4/e117/ %U https://doi.org/10.2196/jmir.1811 %U http://www.ncbi.nlm.nih.gov/pubmed/22201703