Impact of telephone prompts on the adherence to an Internet-based aftercare program for women with bulimia nervosa: a secondary analysis of data from a randomized controlled trial
Open accessAbstract
INTRODUCTION: Poor adherence is a common challenge in self-directed mental health interventions. Research findings indicate that telephone prompts may be useful to increase adherence. METHOD: Due to poor adherence in a randomized controlled trial evaluating an Internet-based aftercare program for women with bulimia nervosa we implemented regular short telephone prompts into the study protocol halfway through the trial period. Of the 126 women in the intervention group, the first 63 women were not prompted by telephone (unprompted group) and compared with 63 women who subsequently enrolled into the study and were attempted to prompt bimonthly by a research assistant (telephone prompt group). Completed telephone calls took less than 5 min and did not include any symptom-related counseling. RESULTS: Most of the women in the telephone prompt group (67%) were reached only once or twice during the intervention period. However, overall adherence in the telephone prompt group was significantly higher than in the unprompted group (T = - 3.015, df = 124, p = 0.003). CONCLUSION: Our findings from this secondary analysis suggest that telephone prompts can positively affect adherence to an Internet-based aftercare intervention directed at patients with bulimia nervosa.
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External strategies such as automated reminders, therapist-led coaching, and moderated peer-support groups can be effective toward promoting engagement with digital interventions for mental health.
“There is already some promising research being done in this space, with several studies finding that external strategies such as automated reminders (13, 67), therapist-led coaching (68, 69), and moderated peer-support groups (70) can be effective toward promoting engagement with digital interventions for mental health.”
From Effect of Engagement With Digital Interventions on Mental Health Outcomes: A Systematic Review and Meta-Analysis (2021) · cites this paper as [68]
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- Authors
- Beintner, I., & Jacobi, C.
- Affiliations
- Technische Universität Dresden (DE)
- Corresponding author
- Beintner, Ina
- Venue
- Internet Interventions
- Publisher
- Elsevier BV
- Published
- 2019-03
- Volume
- 15
- Pages
- 100-104
- ISSN
- 2214-7829 (ISSN-L)
- PMC
- PMC6371202
- OpenAlex
- W2767530045
- Cited by
- 14
- References
- 32
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2023: 2 · 2022: 2 · 2021: 2 · 2020: 1 · 2018: 1
- FWCI
- 0.63
- 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)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Qucosa (Saxon State and University Library Dresden) (submittedVersion, cc-by-nc-nd)
- Funders
- Deutsche Forschungsgemeinschaft
- Technische Universität Dresden
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Keywords
- medication adherence, bulimia nervosa, women, e-mental health
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