Skip to main content

Research Repository

See what's under the surface

Advanced Search

Factors associated with dropout during recruitment and follow-up periods of a mHealth-based randomized controlled trial for Mobile.Net to encourage treatment adherence for people with serious mental health problems

Kannisto, Kati Anneli; Korhonen, Joonas; Adams, Clive E.; Koivunen, Marita Hannele; Vahlberg, Tero; Välimäki, Maritta Anneli

Authors

Kati Anneli Kannisto

Joonas Korhonen

Clive E. Adams

Marita Hannele Koivunen

Tero Vahlberg

Maritta Anneli Välimäki



Abstract

Background: Clinical trials are the gold standard of evidence-based practice. Still many papers inadequately report methodology in randomized controlled trials (RCTs), particularly for mHealth interventions for people with serious mental health problems. To ensure robust enough evidence, it is important to understand which study phases are the most vulnerable in the field of mental health care.

Objective: We mapped the recruitment and the trial follow-up periods of participants to provide a picture of the dropout predictors from a mHealth-based trial. As an example, we used a mHealth-based multicenter RCT, titled “Mobile.Net,” targeted at people with serious mental health problems.

Methods: Recruitment and follow-up processes of the Mobile.Net trial were monitored and analyzed. Recruitment outcomes were recorded as screened, eligible, consent not asked, refused, and enrolled. Patient engagement was recorded as follow-up outcomes: (1) attrition during short message service (SMS) text message intervention and (2) attrition during the 12-month follow-up period. Multiple regression analysis was used to identify which demographic factors were related to recruitment and retention.

Results: We recruited 1139 patients during a 15-month period. Of 11,530 people screened, 36.31% (n=4186) were eligible. This eligible group tended to be significantly younger (mean 39.2, SD 13.2 years, P

Journal Article Type Article
Publication Date Feb 21, 2017
Journal Journal of Medical Internet Research
Electronic ISSN 1438-8871
Publisher Journal of Medical Internet Research
Peer Reviewed Peer Reviewed
Volume 19
Issue 2
Article Number e46
APA6 Citation Kannisto, K. A., Korhonen, J., Adams, C. E., Koivunen, M. H., Vahlberg, T., & Välimäki, M. A. (2017). Factors associated with dropout during recruitment and follow-up periods of a mHealth-based randomized controlled trial for Mobile.Net to encourage treatment adherence for people with serious mental health problems. https://doi.org/10.2196/jmir.6417
DOI https://doi.org/10.2196/jmir.6417
Keywords text messaging; mobile health; antipsychotics; mental health; psychiatric services; methodological study
Publisher URL http://www.jmir.org/2017/2/e46/
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0

Files

Kannisto 2017.pdf (453 Kb)
PDF

Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0





You might also like



Downloadable Citations

;