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Investigation of Expectations and Barriers to Motivation in Dropout from Web-Based Interventions: A Multi-Method Qualitative Study

Beyer, S.L. (2024) Investigation of Expectations and Barriers to Motivation in Dropout from Web-Based Interventions: A Multi-Method Qualitative Study.

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Abstract:Web-based interventions (WBIs) are an effective alternative for face-to-face treatment, particularly during the COVID-19 pandemic. However, WBIs experience high dropout rates, and factors influencing dropout need to be further explored, such as expectations for the intervention, and barriers to motivation. Text mining offers a way to comprehensively analyze complex qualitative data to provide new insights. This paper investigates what expectations were held by participants who dropped out of a WBI, sentiments underlying them and barriers to motivation they experienced to continue with the intervention. Open-ended questions adapted from a previous study researching attitudes towards WBIs were filled out by 80 participants who dropped out of one of three WBIs, Mental Health COVID, Grief COVID or Healthcare Workers COVID. The resulting data was analyzed with text mining via Orange, as well as with thematic analyses via Atlas.ti. Expectations ranging from ‘Emotional Support’, ‘Understanding oneself’, ‘Professional Support’, ‘Expectations’ and ‘Support during the Pandemic’ with several sub themes were found. Moreover, there are neutral sentiments underlying the expectations and the overall experience of the intervention. Barriers to motivation could be sorted into intervention-related barriers such as ‘Additional Support’, and person-related barriers such as ‘Lack of Time’. Overarching expectations between multiple WBI have been found, however their role in dropout is uncertain and needs to be further explored. Multiple nuanced barriers to motivation in WBIs, such as time and support, have been identified and further research into their mechanisms is required. This study provides guidance for the design of future WBIs on areas of relevance for dropouts and highlights the differences in individual needs.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
Link to this item:https://purl.utwente.nl/essays/102329
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