Differential attrition in health behaviour change trials: A systematic review and meta-analysis.

Objective:Attrition is a common problem in health behaviour change (HBC) trials. When the degree of attrition differs between treatment conditions, then this is called differential attrition and is regarded as a major threat to internal validity. The primary research question of this study was: how...

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Publicado en:Psychology & Health Vol. 30; no. 1; pp. 122 - 135
Autores principales: Crutzen, Rik, Viechtbauer, Wolfgang, Spigt, Mark, Kotz, Daniel
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jan2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2015
      vid: 30
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/08870446.2014.953526
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        atl: Differential attrition in health behaviour change trials: A systematic review and meta-analysis.
      aug:
        au:
          Crutzen, Rik
          Viechtbauer, Wolfgang
          Spigt, Mark
          Kotz, Daniel
        affil: CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands
      sug:
        subj:
          Health Behavior
          Behavioral Changes
          Behavioral Research
          Human
          Systematic Review
          Meta Analysis
          Confidence Intervals
          PubMed
          Self-Efficacy
          Descriptive Statistics
          T-Tests
          McNemar's Test
          Maximum Likelihood
          Clinical Trial Registry
      ab: Objective:Attrition is a common problem in health behaviour change (HBC) trials. When the degree of attrition differs between treatment conditions, then this is called differential attrition and is regarded as a major threat to internal validity. The primary research question of this study was: how often and to what degree does differential attrition occur in HBC trials? Design:A systematic review and meta-analysis of a random selection of HBC trials (k = 60). We meta-analysed the relative attrition rates using a random-effects model and examined the relationship between the relative attrition rates and the potential moderators: the amount of human contact in delivery and the intensity of the intervention/control condition, the type of control condition, and the follow-up intensity and duration. Main outcome measures:Relative attrition rates. Results: The average attrition rate was 18% (SD = .15;M = .15) in the intervention and 17% (SD = .13;M = .13) in the control conditions. The estimated average relative attrition rate was 1.10 (95% CI: 1.01–1.20,p = .02), suggesting an overall higher attrition rate of 10% in the intervention conditions. This relative attrition rate was not related to any of the potential moderators. Conclusion:There is indication of a slightly higher amount of attrition on average in the intervention conditions of HBC trials.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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