The Ins and Outs of an Online Bipolar Education Program: A Study of Program Attrition
2010

Understanding Why People Drop Out of an Online Bipolar Education Program

Sample size: 370 publication 10 minutes Evidence: moderate

Author Information

Author(s): Cuijpers Pim, Meyer Björn, Ritterband Lee, Smits Luc, Nicholas Jennifer, Proudfoot Judith, Parker Gordon, Gillis Inika, Burckhardt Rowan, Manicavasagar Vijaya, Smith Meg

Primary Institution: University of New South Wales

Hypothesis

What factors predict attrition in an online psycho-education program for individuals newly diagnosed with bipolar disorder?

Conclusion

The study found that young age, male gender, and clinical recruitment setting were significant predictors of attrition in the online bipolar education program.

Supporting Evidence

  • 26.5% of participants did not complete their assigned intervention.
  • Young age, male gender, and clinical recruitment setting were significant predictors of attrition.
  • Qualitative interviews revealed that difficulties associated with bipolar disorder phases were major reasons for nonadherence.

Takeaway

Some people stop using online programs for bipolar education because they feel overwhelmed or are not ready to think about their illness, while others find the information too basic.

Methodology

The study used a randomized controlled trial design with qualitative interviews to explore reasons for nonadherence and quantitative analyses to identify predictors of attrition.

Potential Biases

The sample of interviewees was not representative, as it was purposively selected and may not reflect the broader population.

Limitations

The study's reliance on workbook returns as a measure of adherence may not fully capture participant engagement.

Participant Demographics

{"gender":{"female":250,"male":108},"age":{"under_30":103,"over_30":255},"marital_status":{"married":163,"not_married":195},"education":{"tertiary":253,"non_tertiary":105},"employment":{"full_time":206,"not_full_time":164}}

Statistical Information

P-Value

P<0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.2196/jmir.1450

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