TY -的盟Postel玛洛G AU - de Haan嗯AU - ter Huurne, Elke D非盟-范德Palen工作非盟-贝克尔,埃尼年代非盟-德容,软木AJ PY - 2011 DA - 2011/12/27 TI -摩擦在基于web的治疗问题饮酒者乔- J地中海互联网Res SP - e117六世- 13 - 4 KW -基于web的治疗KW -在线治疗KW -问题KW -饮酒KW -摩擦KW -辍学AB -背景:基于网络的酗酒干预是有效的，但其特点是流失率高。为了提高完成率和基于网络的治疗方案的成功，有必要更好地了解损失率。目的:我们的研究目的是(1)在一个针对问题饮酒者的网络项目的开放获取用户样本中检验消耗的流行率和消耗的预处理预测因素，(2)进一步探索来自我们的网络项目的随机对照试验(RCT)的消耗数据。方法:收集两组说荷兰语问题饮酒者的流失数据:(1)2009年参加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)，则被归为未完成者。在这两个样本中，我们评估了磨损的患病率和治疗完成的预处理预测因素。Logistic回归分析用于探索治疗完成的预测因素。在随机对照试验样本中，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方法进行分析。 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) SN - 1438-8871 UR - //www.mybigtv.com/2011/4/e117/ UR - https://doi.org/10.2196/jmir.1811 UR - http://www.ncbi.nlm.nih.gov/pubmed/22201703 DO - 10.2196/jmir.1811 ID - info:doi/10.2196/jmir.1811 ER -