Dropping out of a transdiagnostic online intervention: A qualitative analysis of client's experiences
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INTRODUCTION: An important concern in Internet-based treatments (IBTs) for emotional disorders is the high dropout rate from these protocols. Although dropout rates are usually reported in research studies, very few studies qualitatively explore the experiences of patients who drop out of IBTs. Examining the experiences of these clients may help to find ways to tackle this problem. METHOD: A Consensual Qualitative Research study was applied in 10 intentionally-selected patients who dropped out of a transdiagnostic IBT. RESULTS: 22 categories were identified within 6 domains. Among the clients an undeniable pattern arose regarding the insufficient support due to the absence of a therapist and the lack of specificity of the contents to their own problems. CONCLUSIONS: The analyzed content has direct impact on the clinical application of IBTs. A more tailored manage of expectations as well as strategies to enhance the therapeutic relationship in certain clients are identified as the two key elements in order to improve the dropout in IBTs. Going further, in the mid and long run, ideographic interventions would be vital. The present study permits to better grasp the phenomenon of dropout in IBTs and delineate specific implications both in terms of research, training and practice.
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Our research group conducted a qualitative study to determine why patients dropped out of the web-based transdiagnostic program for EDs (TIBP), with the results emphasizing the lack of individualization of the treatment or the lack of support (ie, the lack of affective and personal contact with the therapist).
“our research group conducted a qualitative study to determine why patients dropped out of the web-based transdiagnostic program for EDs (TIBP) [97], with the results emphasizing the lack of individualization of the treatment or the lack of support (ie, the lack of affective and personal contact with the therapist).”
From Negative and positive affect regulation in a transdiagnostic internet-based protocol for emotional disorders: Randomized controlled trial (2021) · cites this paper as [97]
The lack of individualization could act as a barrier to engage with the program.
“The lack of individualization could act as a barrier to engage with the program (Fernández-Álvarez et al., 2017).”
From ICBT program for improving informal caregiver well-being: A qualitative study (2021) · cites this paper as Fernández-Álvarez et al., 2017
Literature suggests reasons that affect dropout rates include insufficient amount of support and lack of specificity of intervention contents.
“However, following the literature, there might be some reasons that affect the dropout rates, such as the amount of support (insufficient) and the lack of specificity of the intervention contents to the participants’ own psychological problems (91).”
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“org the intervention contents to the participants’ own psychological problems (91).”
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“The lack of individualization could act as a barrier to engage with the program (Fernández-Álvarez et al., 2017).”
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Self-citation
- Authors
- Fernández-Álvarez, J., Díaz-García, A., González-Robles, A., Baños, R., García-Palacios, A., & Botella, C.
- Affiliations
- Universitat de València (ES)
- Universitat Jaume I (ES)
- Corresponding author
- Botella, C.
- ORCID
- Venue
- Internet Interventions
- Publisher
- Elsevier BV
- Published
- 2017-12
- Volume
- 10
- Pages
- 29-38
- ISSN
- 2214-7829 (ISSN-L)
- PMC
- PMC6084825
- OpenAlex
- W2760726715
- Cited by
- 60
- References
- 95
- Citations by year
- 2026: 8 · 2025: 6 · 2024: 4 · 2023: 7 · 2022: 5 · 2021: 11 · 2020: 10 · 2019: 6 · 2018: 3
- FWCI
- 5.95
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Internet Interventions (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- Repositori UJI (Universitat Jaume I) (submittedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Ministerio de Economía y Competitividad (BES-2015-072360)
- Instituto de Salud Carlos III (CB06/03/0052, PSI2014-56303-REDT)
- Centro de Investigación Biomédica en Red-Fisiopatología de la Obesidad y Nutrición
- Ministerio de Educación, Cultura y Deporte (FPU13/00576)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- dropout, online therapy, customer experience, therapist support, therapeutic relationship, treatment expectations, emotional disorders
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