Cited by 241Eating Disorders and BehaviorsBody Image and Dysmorphia StudiesDigital Mental Health Interventions

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Attrition from self-directed interventions: Investigating the relationship between psychological predictors, intervention content and dropout from a body dissatisfaction intervention

Geraghty, Adam W.A., Wood, Alex M., Hyland, Michael E.·2010·Social Science & Medicine

DOI 10.1016/j.socscimed.2010.03.007

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Abstract

The aims of this study were to (a) identify the predictors of attrition from a fully self-directed intervention, and (b) to test whether an intervention to increase gratitude is an effective way to reduce body dissatisfaction. Participants (N=479, from the United Kingdom) aged 18-76 years took part in a self-help study via the Internet and were randomized to receive one of two interventions, gratitude diaries (n=130), or thought monitoring and restructuring (n=118) or a waitlist control (n=231) for a two week body dissatisfaction intervention. The gratitude intervention (n=40) was as effective as monitoring and restructuring (n=22) in reducing body dissatisfaction, and both interventions were significantly more effective than the control condition (n=120). Participants in the gratitude group were more than twice as likely to complete the intervention compared to those in the monitoring and restructuring group. Intervention content, baseline expectancy and internal locus of control significantly predicted attrition. This study shows that a gratitude intervention can be as effective as a technique commonly used in cognitive therapy and is superior in retaining participants. Prediction of attrition is possible from both intervention content and psychological variables.

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Authors: Geraghty, A. W. A., Wood, A. M., & Hyland, M. E.
Affiliations: University of Southampton (GB)
University of Manchester (GB)
University of Plymouth (GB)
Corresponding author: Geraghty, Adam W.A.
ORCID: Geraghty, Adam W.A.
Wood, Alex M.
Hyland, Michael E.
Venue: Social Science & Medicine
Publisher: Elsevier BV
Published: 2010-07
Volume: 71
Issue: 1
Pages: 30-37
ISSN: 0277-9536 (ISSN-L)
DOI: 10.1016/j.socscimed.2010.03.007
OpenAlex: W2150861271
Cited by: 241
References: 73
Citations by year: 2026: 3 · 2025: 13 · 2024: 14 · 2023: 16 · 2022: 24 · 2021: 16 · 2020: 23 · 2019: 12 · 2018: 11 · 2017: 11 · 2016: 28 · 2015: 25 · 2014: 17 · 2013: 8 · 2012: 7
FWCI: 9.81
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Social Science & Medicine (publishedVersion)
PubMed (publishedVersion)
Research Explorer (The University of Manchester) (publishedVersion)
RePEc: Research Papers in Economics (submittedVersion)
Stirling Online Research Repository (University of Stirling) (submittedVersion, public-domain)
ePrints Soton (University of Southampton) (submittedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Social Sciences › Psychology › Clinical Psychology › Body Image and Dysmorphia Studies
Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Keywords: attrition, dropout, self-guided intervention, body dissatisfaction, gratitude interventions, cognitive restructuring, online self-help, intervention content, locus of control, expectancy, participant retention, predictors of attrition
MeSH terms: Adolescent, Adult, Aged, Body Image, Female, Humans, Internal-External Control, Male, Middle Aged, Patient Dropouts, Personal Satisfaction, Psychotherapy, Self-Help Groups, Treatment Outcome, Internet, Young Adult

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Attrition from self-directed interventions: Investigating the relationship between psychological predictors, intervention content and dropout from a body dissatisfaction intervention

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