Background: The Internet is a promising channel for delivering health-promoting interventions. A common problem for Internet-based interventions is low adherence. The current paper reports adherence rates from three different Internet-based trials with potential covariates.
Methods: Data on adherence and baseline characteristics of users were collected from three different Internet-based trials: one supporting diabetes self-management, one supporting smoking cessation, and one offering an online personal health record. Logging of web use was used as the measure of adherence in two of the trials, while logging of authentication SMS messages was used in the third.
Results: In all three trials, users dropped out at a high rate early in the intervention. The baseline variables that were related to use were self-efficacy, having smoking friends, age, gender, and education. Tailored emails increased use for up to five months into a one-year intervention.
Conclusion: Dropout from Internet-based trials is substantial, and attrition curves can be a valuable tool for more accurate pretrial estimates of sample size power. Automated follow-up of users via email seems likely to increase adherence and should be included in Internet-based interventions. Tailoring on baseline covariates to adherence such as self-efficacy could make them even more effective.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2770402 | PMC |
Publication Analysis
Top Keywords
Similar Publications
The Effectiveness of an Online Nutrition Education Program on Varsity Athletes' Nutritional & Dietary Supplement Knowledge.
Nutrients
December 2024
Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON N1G 2W1, Canada.
: Research has shown that athletes often have poor nutritional knowledge, particularly regarding dietary supplements. The purpose of this study was to investigate the effectiveness of an online nutrition education program in improving nutritional and dietary supplement knowledge among varsity athletes at the University of Guelph in Ontario, Canada. : A total of 30 varsity athletes at the University of Guelph were randomized into experimental [n = 18] and control [n = 12] groups.
View Article and Find Full Text PDFReflection to enhance dental students´ awareness of and comfort with uncertainty - an experimental study.
BMC Med Educ
January 2025
Department of Endodontics, Faculty of Odontology, Malmö University, Malmö, Sweden.
Background: Uncertainty is present in many situations in dental practice, but must not prevent wise clinical decision-making. Dental education should acknowledge uncertainty and teach useful management strategies. This study explored if dental students are aware of, and comfortable with uncertainty.
View Article and Find Full Text PDFA Novel Telehealth Exercise Program Designed for Rural Survivors of Cancer With Cancer-Related Fatigue: Single-Arm Feasibility Trial.
JMIR Cancer
January 2025
Department of Health and Exercise Science, Colorado State University, Fort Collins, CO, United States.
Background: Exercise interventions are among the best-known interventions for cancer-related fatigue (CRF). Rural survivors of cancer, however, report specific barriers to engaging in exercise programs and lack overall access to effective programs.
Objective: The purpose of this investigation was to assess the feasibility of a novel telehealth exercise program designed specifically for rural survivors of cancer with CRF.
Virtual Reality Interventions for Older Adults With Mild Cognitive Impairment: Systematic Review and Meta-Analysis of Randomized Controlled Trials.
J Med Internet Res
January 2025
School of Design, Shanghai Jiao Tong University, Shanghai, China.
Background: Alzheimer disease is incurable, but it is possible to intervene and slow down the progression of dementia during periods of mild cognitive impairment (MCI) through virtual reality (VR) technology.
Objective: This study aimed to analyze the effects of VR interventions on older adults with MCI. The examined outcomes include cognitive abilities, mood, quality of life, and physical fitness, including general cognitive function, memory performance, attention and information processing speed, executive function, language proficiency, visuospatial abilities, depression, daily mobility of individuals, muscle performance, and gait and balance.
Exploring tele-speech therapy: A scoping review of interventions, applications, benefits, and challenges.
Int J Med Inform
January 2025
Artificial Intelligence in Medical Sciences Research Center , Smart University of Medical Sciences, Tehran, Iran; Department of Artificial Intelligence, Smart University of Medical Sciences, Tehran, Iran. Electronic address:
Background: Speech disorders can significantly impact communication, social interaction, and overall quality of life, affecting individuals of all ages. Telespeech therapy has emerged as an innovative solution, leveraging technology to provide accessible and effective speech interventions remotely. This approach offers flexibility and convenience, addressing barriers such as geographical limitations and scheduling conflicts.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!