2022
DOI: 10.2196/36404
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Nonusage Attrition of Adolescents in an mHealth Promotion Intervention and the Role of Socioeconomic Status: Secondary Analysis of a 2-Arm Cluster-Controlled Trial

Abstract: Background Mobile health (mHealth) interventions may help adolescents adopt healthy lifestyles. However, attrition in these interventions is high. Overall, there is a lack of research on nonusage attrition in adolescents, particularly regarding the role of socioeconomic status (SES). Objective The aim of this study was to focus on the role of SES in the following three research questions (RQs): When do adolescents stop using an mHealth intervention (RQ1… Show more

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Cited by 11 publications
(10 citation statements)
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References 85 publications
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“…Incorporating reminders has been shown to increase engagement levels in mental healthcare research, making it more effective than interventions without this feature [46][47][48]. Using reminders in digital health interventions can also lead to higher levels of adherence to the research and lower non-usage attrition, which are common issues with online-based interventions [49][50][51]. Non-usage attrition refers to participants who stop using the digital intervention while still participating in the research through other protocols, such as filling out questionnaires.…”
Section: Reminders and Alertsmentioning
confidence: 99%
“…Incorporating reminders has been shown to increase engagement levels in mental healthcare research, making it more effective than interventions without this feature [46][47][48]. Using reminders in digital health interventions can also lead to higher levels of adherence to the research and lower non-usage attrition, which are common issues with online-based interventions [49][50][51]. Non-usage attrition refers to participants who stop using the digital intervention while still participating in the research through other protocols, such as filling out questionnaires.…”
Section: Reminders and Alertsmentioning
confidence: 99%
“…Only 26 users (17.33%) reported having watched three or more of the twelve episodes of the narrative. Attrition rates of this study are discussed in more detail elsewhere [ 66 ]. Median in-app duration was 19 (MAD 15) minutes.…”
Section: Resultsmentioning
confidence: 99%
“…Physical inactivity and inadequate nutritional habits are often interrelated to disabling emotional problems, and integrated strategies should include all 3 pillars to improve physical as well as mental well-being in adolescent populations. mHealth interventions targeting disabling emotional problems in adolescent populations have revealed encouraging outcomes, despite the fact that attrition rates in these interventions are generally high [ 11 , 25 - 30 ]. Varying definitions of attrition have complicated research on this topic, but attrition is defined as leaving treatment before obtaining a required level of improvement or completing intervention goals [ 31 - 33 ].…”
Section: Introductionmentioning
confidence: 99%
“…Varying definitions of attrition have complicated research on this topic, but attrition is defined as leaving treatment before obtaining a required level of improvement or completing intervention goals [ 31 - 33 ]. Research on mental mHealth interventions among adolescents has frequently lacked detailed time-related attrition data alongside accurate definitions and analysis of attrition reasons, though recent studies show promise in that regard [ 11 , 30 , 34 ]. Attrition is regularly reported at 2 distinct points of time, that is, intervention start and intervention end.…”
Section: Introductionmentioning
confidence: 99%