The DOI matches its Crossref record; 76 of the 76 references it cites were found in a registry or an index.
Attrition in Randomized Controlled Trials for Pediatric Chronic Conditions
Abstract
OBJECTIVE: To examine attrition variables in randomized controlled trials of cognitive behavioral interventions for children with chronic illnesses. METHODS: We examined attrition rates reported on 40 randomized cognitive behavioral interventions published in six pediatric research journals, during the years 2002-2007. Intervention focus was limited to children with a chronic medical condition, such as asthma, obesity, arthritis, diabetes, cancer, sickle cell disease, and cystic fibrosis. RESULTS: Mean rate of enrollment refusal was 37% (range 0-75%). Mean attrition rate was 20% (range 0-54%) for initial follow-up and 32% (range 0-59%) for extended follow-up. Of the reviewed articles, 40% included a CONSORT diagram. CONCLUSIONS: Strategies that can be used to limit attrition include tailoring recruitment to the study population, providing personalized feedback, maintaining consistent study procedures, providing incentives, and using intensive tracking measures. There is a need for standardized definitions and reporting of attrition rates in randomized cognitive behavioral intervention studies.
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“More than one-third decline traditional cognitive behavioral therapy (CBT)”
From Promoting resilience in adolescents and young adults with cancer: Results from the PRISM randomized controlled trial (2018) · cites this paper as [21]
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“and an additional one-third discontinue participation because of CBT's typical time commitment.21”
From Promoting resilience in adolescents and young adults with cancer: Results from the PRISM randomized controlled trial (2018) · cites this paper as [21]
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Hui, D., Glitza, I., Chisholm, G., Yennu, S., & Bruera, E. (2013) · Cancer · doi:10.1002/cncr.27854 · Cited by 250
“Average age (range), y 60 (23–93) Female sex 685 (56) Race White 691 (57) Black 153 (13) Hispanic 129 (11) Asian 23 (2) Not available 218 (18) Married Yes 619 (51) No 312 (26) Not available 283 (23) Education High school or less 217 (18) College 237 (20) Advanced degree 39 (3) Not available 721 (59) ECOG performance s…”
BackgroundRosenberg, A. R., Bradford, M. C., McCauley, E., Curtis, J. R., Wolfe, J., Baker, K. S., & Yi‐Frazier, J. P. (2018) · Cancer · doi:10.1002/cncr.31666 · Cited by 215
“More than one-third decline traditional cognitive behavioral therapy (CBT), and an additional one-third discontinue participation because of CBT’s typical time commitment.(21) AYAs learn and communicate differently than younger and older patients, and this necessitates age-targeted language and educational methods.”
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“The average refusal rate for traditional CBT interventions in pediatric chronic disease settings is 37%, with attrition rates up to 32% (Karlson & Rapoff, 2009).”
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Phonics training for English-speaking poor readers
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Metadata
- Authors
- Karlson, C. W., & Rapoff, M. A.
- Affiliations
- University of Kansas (US)
- ORCID
- Karlson, C. W.
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2008-12-08
- Volume
- 34
- Issue
- 7
- Pages
- 782-793
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- OpenAlex
- W2117776447
- Cited by
- 162
- References
- 72
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 10 · 2023: 15 · 2022: 9 · 2021: 7 · 2020: 10 · 2019: 10 · 2018: 15 · 2017: 10 · 2016: 10 · 2015: 9 · 2014: 15 · 2013: 10 · 2012: 10
- FWCI
- 4.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Decision Sciences › Statistics, Probability and Uncertainty › Meta-analysis and systematic reviews
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Clinical Trials
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics in Clinical Research
- Keywords
- attrition, randomized controlled trials, pediatric chronic conditions, cognitive-behavioral intervention, children, attrition rates, CONSORT flow diagram, reporting guidelines, recruitment strategies, incentives, asthma, cystic fibrosis, sickle cell disease, diabetes mellitus, obesity, arthritis, childhood cancer
- MeSH terms
- Analysis of Variance, Child, Chronic Disease, Follow-Up Studies, Humans, Pediatrics, Cognitive Behavioral Therapy, Randomized Controlled Trials as Topic, Patient Selection, Research Subjects
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