Λεπτομέρειες βιβλιογραφικής εγγραφής
| Τίτλος: |
Absolute and relative rates of treatment non-initiation, dropout, and attrition in internet-based and face-to-face cognitive-behavioral therapy: a meta-analysis of randomized controlled trials. |
| Συγγραφείς: |
Linardon J; SEED Lifespan Strategic Research Centre, School of Psychology, Faculty of Health, Deakin University, Geelong, Vctoria, Australia., Messer M; SEED Lifespan Strategic Research Centre, School of Psychology, Faculty of Health, Deakin University, Geelong, Vctoria, Australia., Reid R; SEED Lifespan Strategic Research Centre, School of Psychology, Faculty of Health, Deakin University, Geelong, Vctoria, Australia., Bolger T; SEED Lifespan Strategic Research Centre, School of Psychology, Faculty of Health, Deakin University, Geelong, Vctoria, Australia., Andersson G; Department of Psychiatry in Linköping, Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.; Department of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.; Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden. |
| Πηγή: |
Cognitive behaviour therapy [Cogn Behav Ther] 2026 Jul; Vol. 55 (4), pp. 614-627. Date of Electronic Publication: 2025 Aug 04. |
| Τύπος έκδοσης: |
Journal Article; Meta-Analysis; Review; Research Support, Non-U.S. Gov't |
| Γλώσσα: |
English |
| Στοιχεία περιοδικού: |
Publisher: Taylor & Francis Country of Publication: England NLM ID: 101143317 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1651-2316 (Electronic) Linking ISSN: 16506073 NLM ISO Abbreviation: Cogn Behav Ther Subsets: MEDLINE |
| Imprint Name(s): |
Original Publication: Basingstoke, Hampshire, UK ; Philadelphia, PA : Taylor & Francis, c2002- |
| Ιατρικοί όροι (MeSH): |
Cognitive Behavioral Therapy*/methods , Cognitive Behavioral Therapy*/statistics & numerical data , Patient Dropouts*/statistics & numerical data , Patient Dropouts*/psychology , Mental Disorders*/therapy , Internet* , Internet-Based Intervention*, Humans ; Randomized Controlled Trials as Topic |
| Περίληψη: |
Internet-based cognitive-behavioral therapy (ICBT) appears to produce comparable clinical benefits to face-to-face CBT. However, whether these two CBT modalities are equally accepted by patients remains unclear. We conducted a meta-analysis examining absolute and relative rates of treatment non-initiation, dropout, and attrition in ICBT and face-to-face CBT. Thirty trials comparing ICBT to face-to-face CBT for psychiatric and somatic disorders were included. Pooled event rates were calculated to estimate absolute rates of treatment non-initiation, dropout, and attrition. Risk ratios (RR) were computed to compare relative rates between modalities. Absolute rates of treatment non-initiation for ICBT were 8.7% (95% CI = 5.0-14.5) compared to 11.9% for face-to-face CBT (95% CI = 8.3-16.8), which produced a significant RR of 0.58. This effect remained significant in various sensitivity analyses. Absolute rates of treatment dropout were 16.3% (95% CI = 11.8-22.2) for ICBT and 12.0% (95% CI = 7.6-18.5) for face-to-face CBT, while absolute rates of post-treatment and follow-up attrition were 15.2% (95% CI = 11.1-20.4) and 22.3% (95% CI = 16.9-28.8) for ICBT and 14.1% (95% CI = 10.3-19.0) and 23.1% (95% CI = 17.5-29.7) for face-to-face CBT, respectively. These RRs were non-significant. Findings suggest that while ICBT is more readily initiated than face-to-face CBT, both modalities demonstrate comparable rates of treatment completion and study retention across diverse clinical contexts. |
| Grant Information: |
APP1196948 United Kingdom MRC_ Medical Research Council |
| Contributed Indexing: |
Keywords: Cognitive-behavioral therapy; dropout; meta-analysis; psychiatry; randomized controlled trials |
| Entry Date(s): |
Date Created: 20250804 Date Completed: 20260520 Latest Revision: 20260617 |
| Update Code: |
20260617 |
| DOI: |
10.1080/16506073.2025.2542364 |
| PMID: |
40757987 |
| Βάση Δεδομένων: |
MEDLINE |