{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T02:26:43Z","timestamp":1790908003538,"version":"4.1.0"},"reference-count":40,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,11,12]],"date-time":"2016-11-12T00:00:00Z","timestamp":1478908800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001655","name":"German Academic Exchange Service","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001655","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>We sought to identify predictors and moderators of failure to engage (i.e., pretreatment attrition) and dropout in both Internet\u2010based and traditional face\u2010to\u2010face cognitive\u2010behavioral therapy (CBT) for bulimia nervosa. We also sought to determine if Internet\u2010based treatment reduced failure to engage and dropout.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Participants (<jats:italic>N<\/jats:italic>\u00a0=\u00a0191, 98% female) were randomized to Internet\u2010based CBT (CBT4BN) or traditional face\u2010to\u2010face group CBT (CBTF2F). Sociodemographics, clinical history, eating disorder severity, comorbid psychopathology, health status and quality of life, personality and temperament, and treatment\u2010related factors were investigated as predictors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Failure to engage was associated with lower perceived treatment credibility and expectancy (odds ratio [OR]\u00a0=\u00a00.91, 95% CI: 0.82, 0.97) and body mass index (BMI) (OR\u00a0=\u00a01.10; 95% CI: 1.03, 1.18). Dropout was predicted by not having a college degree (hazard ratio [HR]\u00a0=\u00a00.55; 95% CI: 0.37, 0.81), novelty seeking (HR\u00a0=\u00a01.02; 95% CI: 1.01, 1.03), previous CBT experience (HR\u00a0=\u00a01.77; 95% CI: 1.16, 2.71), and randomization to the individual's nonpreferred treatment format (HR\u00a0=\u00a01.95, 95% CI: 1.28, 2.96).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Those most at risk of failure to engage had a higher BMI and perceived treatment as less credible and less likely to succeed. Dropout was associated with less education, higher novelty seeking, previous CBT experience, and a mismatch between preferred and assigned treatment. Contrary to expectations, Internet\u2010based CBT did not reduce failure to engage or dropout. \u00a9 2016 Wiley Periodicals, Inc.(Int J Eat Disord 2017; 50:569\u2013577)<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.22644","type":"journal-article","created":{"date-parts":[[2016,11,16]],"date-time":"2016-11-16T13:04:37Z","timestamp":1479301477000},"page":"569-577","source":"Crossref","is-referenced-by-count":51,"title":["Predictors of dropout in face\u2010to\u2010face and internet\u2010based cognitive\u2010behavioral therapy for bulimia nervosa in a randomized controlled trial"],"prefix":"10.1002","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8405-381X","authenticated-orcid":false,"given":"Hunna J.","family":"Watson","sequence":"first","affiliation":[{"name":"Department of Psychiatry University of North Carolina at Chapel Hill Chapel Hill North Carolina"},{"name":"Eating Disorders Program, Child and Adolescent Health Service, Department of Health in Western Australia 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