Abstract:
BACKGROUND:In a recent uncontrolled trial of a new therapist-assisted Web-based treatment of adolescent victims of sexual abuse, the treatment effects were found to be promising. However, the study suffered a large pretreatment withdrawal rate that appeared to emanate from reluctance among the participants to disclose their identity and obtain their parents' consent. OBJECTIVE:Our objectives were to confirm the effects of the online treatment in a controlled trial and to evaluate measures to reduce pretreatment withdrawal in vulnerable populations including young victims of sexual abuse. METHODS:The study was designed as a within-subject baseline-controlled trial. Effects of an 8-week attention-placebo intervention were contrasted with the effects of an 8-week treatment episode. Several measures were taken to reduce pretreatment dropout. RESULTS:Pretreatment withdrawal was reduced but remained high (82/106, 77%). On the other hand, treatment dropout was low (4 out of 24 participants), and improvement during treatment showed significantly higher effects than during the attention placebo control period (net effect sizes between 0.5 and 1.6). CONCLUSIONS:In treatment of vulnerable young populations, caregivers and researchers will have to come to terms with high pretreatment withdrawal rates. Possible measures may reduce pretreatment withdrawal to some degree. Providing full anonymity is not a viable option since it is incompatible with the professional responsibility of the caregiver and restricts research possibilities.
journal_name
J Med Internet Resjournal_title
Journal of medical Internet researchauthors
Lange A,Ruwaard Jdoi
10.2196/jmir.1455subject
Has Abstractpub_date
2010-12-19 00:00:00pages
e58issue
5eissn
1439-4456issn
1438-8871pii
v12i5e58journal_volume
12pub_type
杂志文章,随机对照试验abstract:BACKGROUND:Recent years have seen an exponential increase in people with long-term conditions using the Internet for information and support. Prior research has examined support for long-term condition self-management through the provision of illness, everyday, and emotional work in the context of traditional offline c...
journal_title:Journal of medical Internet research
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abstract:BACKGROUND:Precision medicine has resulted in increasing complexity in the treatment of cancer. Web-based educational materials can help address the needs of oncology health care professionals seeking to understand up-to-date treatment strategies. OBJECTIVE:This study aimed to assess learning styles of oncology health...
journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
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abstract:BACKGROUND:There has been a rapid rise in the popularity of electronic cigarettes (e-cigarettes) over the last decade, with growth predicted to continue. The uptake of these devices has escalated despite inconclusive evidence of their efficacy as a smoking cessation device and unknown long-term health consequences. As ...
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
pub_type: 杂志文章,随机对照试验
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
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pub_type: 杂志文章,随机对照试验
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journal_title:Journal of medical Internet research
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journal_title:Journal of medical Internet research
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