TY -的AU -尼古拉斯,詹妮弗AU - Proudfoot,朱迪思盟-帕克,戈登-非盟Gillis Inika盟——Burckhardt罗文盟——Manicavasagar Vijaya AU -史密斯,梅格PY - 2010 DA - 2010/12/19 TI -在线双相情感教育项目的来龙去脉:研究计划减员乔- J地中海互联网Res SP - e57六世- 12 - 5 KW -不KW -不依从KW -摩擦KW -电子健康KW -在线心理教育计划KW -双相情感障碍KW -网络干预AB -背景:电子卫生干预的科学正在迅速发展。然而，尽管取得了积极的结果，对电子健康应用程序的评估迄今未能解释与一些电子健康项目相关的高流失率。患者的依从性仍然是一个问题，减员科学仍处于起步阶段。据我们所知，目前还没有深入的定性研究旨在确定不坚持在线干预和在线干预减量的原因。目的:本文探讨了新诊断为双相情感障碍患者的在线心理教育项目不坚持的预测因素和参与者报告的原因。方法:作为一项正在进行的随机对照试验(RCT)的一部分，我们评估了一项针对新诊断为双相情感障碍患者的在线心理教育项目，我们进行了一项深入的定性研究，以确定参与者不坚持和从在线干预中流失的原因，以及一项调查流失预测因素的定量研究。在RCT中，370名参与者被随机分配到两种积极干预措施或注意力控制条件中的一种。描述性分析和卡方检验用于探索358名参与者的完成率，并使用标准回归分析来确定减员的预测因素。对39名未完成在线课程的子样本参与者的访谈数据进行了“主题分析”，以确定报告的减员原因的模式。 Results: Overall, 26.5% of the sample did not complete their assigned intervention. Standard multiple regression analysis revealed that young age (P= .004), male gender (P= .001), and clinical recruitment setting (P= .001) were significant predictors of attrition (F7,330= 8.08, P< .001). Thematic analysis of interview data from the noncompleter subsample revealed that difficulties associated with the acute phases of bipolar disorder, not wanting to think about one’s illness, and program factors such as the information being too general and not personally tailored were the major reasons for nonadherence. Conclusions: The dropout rate was equivalent to other Internet interventions and to face-to-face therapy. Findings from our qualitative study provide participant-reported reasons for discontinuing the online intervention, which, in conjunction with the quantitative investigations about predictors, add to understanding about Internet interventions. However, further research is needed to determine whether there are systematic differences between those who complete and those who do not complete eHealth interventions. Ultimately, this may lead to the identification of population subgroups that most benefit from eHealth interventions and to informing the development of strategies to improve adherence. Trial Registration: ACTRN12608000411347; http://www.anzctr.org.au/ACTRN12608000411347.aspx (Archived by WebCite at http://www.webcitation.org/5uX4uYwVN) SN - 1438-8871 UR - //www.mybigtv.com/2010/5/e57/ UR - https://doi.org/10.2196/jmir.1450 UR - http://www.ncbi.nlm.nih.gov/pubmed/21169169 DO - 10.2196/jmir.1450 ID - info:doi/10.2196/jmir.1450 ER -