Differential attrition and engagement in randomized controlled trials of occupational mental health interventions in person and online: A systematic review and meta-analysis.

IF 5.4 3区材料科学 Q2 CHEMISTRY, PHYSICAL ACS Applied Energy Materials Pub Date : 2024-07-29 DOI:10.5271/sjweh.4173

Carlota de Miquel, Josep Maria Haro, Christina M van der Feltz-Cornelis, Ana Ortiz-Tallo, Tom Chen, Marjo Sinokki, Päivi Naumanen, Beatriz Olaya, Rodrigo A Lima

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Abstract

Objective: This study systematically reviewed and meta-analyzed the differential attrition and utilization of occupational mental health interventions, specifically examining delivery methods (internet-based versus in-person).

Methods: The research, with papers spanning 2010-2024, involved filtering criteria and comprehensive searches across PubMed, Scopus, and Web of Science Core (PROSPERO registration n. CRD42022322394). Of 28 683 titles, 84 records were included in the systematic review, with 75 in meta-analyses. Risk of bias was assessed through the revised Cochrane risk of bias tool for randomized control trials and funnel plots. Differential attrition across studies was meta-analysed through a random-effects model with limited maximum-likelihood estimation for the degree of heterogeneity.

Results: Findings reveal higher mean differential attrition in the intervention group, indicating a potential challenge in maintaining participant engagement. The attrition rates were not significantly influenced by the mode of intervention delivery (internet versus in-person). Compensation for participation and year of publication could potentially influence differential attrition from baseline to follow-up measurements.

Conclusions: These results suggest a need for cautious consideration of attrition in occupational mental health intervention study designs and emphasize the importance of adapting statistical analyses to mitigate potential bias arising from differential attrition.

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在职业心理健康干预的随机对照试验中，面对面和在线的自然减员和参与度存在差异：系统回顾和荟萃分析。

目的本研究系统回顾并荟萃分析了职业心理健康干预措施的不同损耗和利用情况，特别是研究了提供方法（基于互联网与面对面）：这项研究的论文时间跨度为 2010-2024 年，采用了筛选标准，并在 PubMed、Scopus 和 Web of Science Core（PROSPERO 注册编号：CRD42022322394）上进行了全面检索。在 28 683 篇论文中，84 篇被纳入系统综述，75 篇被纳入荟萃分析。偏倚风险通过修订版 Cochrane 随机对照试验偏倚风险工具和漏斗图进行评估。通过随机效应模型和有限的最大似然估计异质性程度，对不同研究之间的差异损耗进行了荟萃分析：结果：研究结果显示，干预组的平均差异损耗率较高，这表明在维持参与者参与度方面存在潜在挑战。干预方式（互联网与面对面）对流失率的影响不大。参与补偿和发表年份可能会影响从基线到随访测量的不同流失率：这些结果表明，在职业心理健康干预研究设计中需要谨慎考虑自然减员问题，并强调了调整统计分析以减少因自然减员差异而产生的潜在偏差的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACS Applied Energy Materials Materials Science-Materials Chemistry

CiteScore

10.30

自引率

6.20%

发文量

1368

期刊介绍： ACS Applied Energy Materials is an interdisciplinary journal publishing original research covering all aspects of materials, engineering, chemistry, physics and biology relevant to energy conversion and storage. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrate knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important energy applications.