Identifying Attrition Phases in Survey Data: Applicability and Assessment Study

Background Although Web-based questionnaires are an efficient, increasingly popular mode of data collection, their utility is often challenged by high participant dropout. Researchers can gain insight into potential causes of high participant dropout by analyzing the dropout patterns. Objective This study proposed the application of and assessed the use of user-specified and existing hypothesis testing methods in a novel setting—survey dropout data—to identify phases of higher or lower survey dropout. Methods First, we proposed the application of user-specified thresholds to identify abrupt differences in the dropout rate. Second, we proposed the application of 2 existing hypothesis testing methods to detect significant differences in participant dropout. We assessed these methods through a simulation study and through application to a case study, featuring a questionnaire addressing decision-making surrounding cancer screening. Results The user-specified method set to a low threshold performed best at accurately detecting phases of high attrition in both the simulation study and test case application, although all proposed methods were too sensitive. Conclusions The user-specified method set to a low threshold correctly identified the attrition phases. Hypothesis testing methods, although sensitive at times, were unable to accurately identify the attrition phases. These results strengthen the case for further development of and research surrounding the science of attrition.

[1]  R B D'Agostino,et al.  Comparison of baseline and repeated measure covariate techniques in the Framingham Heart Study. , 1988, Statistics in medicine.

[2]  T. Hothorn,et al.  Simultaneous Inference in General Parametric Models , 2008, Biometrical journal. Biometrische Zeitschrift.

[3]  Alexander H. Krist,et al.  Designing a patient-centered personal health record to promote preventive care , 2011, BMC Medical Informatics Decis. Mak..

[4]  G. Eysenbach The Law of Attrition , 2005, Journal of medical Internet research.

[5]  Zarnie Khadjesari,et al.  Impact of Length or Relevance of Questionnaires on Attrition in Online Trials: Randomized Controlled Trial , 2011, Journal of medical Internet research.

[6]  R. Tortora Respondent Burden, Reduction of , 2014 .

[7]  D. Rubin INFERENCE AND MISSING DATA , 1975 .

[8]  S. Woolf,et al.  Engaging Patients in Decisions About Cancer Screening: Exploring the Decision Journey Through the Use of a Patient Portal. , 2017, American journal of preventive medicine.

[9]  Cedric E. Ginestet ggplot2: Elegant Graphics for Data Analysis , 2011 .

[10]  S. Woolf,et al.  Methods for Evaluating Respondent Attrition in Web-Based Surveys , 2016, Journal of medical Internet research.

[11]  Gary L. Kreps,et al.  Applying Multiple Methods to Comprehensively Evaluate a Patient Portal’s Effectiveness to Convey Information to Patients , 2016, Journal of medical Internet research.

[12]  Ghalib A. Bello,et al.  Interactive Preventive Health Record to Enhance Delivery of Recommended Care: A Randomized Trial , 2012, The Annals of Family Medicine.

[13]  Thomas Lumley,et al.  Analysis of Complex Survey Samples , 2004 .

[14]  S. Kelders,et al.  Persuasive System Design Does Matter: A Systematic Review of Adherence to Web-Based Interventions , 2012, Journal of medical Internet research.

[15]  Ghalib A. Bello,et al.  Engaging Primary Care Patients to Use a Patient-Centered Personal Health Record , 2014, The Annals of Family Medicine.

[16]  Emily Zimmerman,et al.  Authentic Engagement Of Patients And Communities Can Transform Research, Practice, And Policy. , 2016, Health affairs.

[17]  R B D'Agostino,et al.  Relation of pooled logistic regression to time dependent Cox regression analysis: the Framingham Heart Study. , 1990, Statistics in medicine.

[18]  Michael Hoerger,et al.  Participant Dropout as a Function of Survey Length in Internet-Mediated University Studies: Implications for Study Design and Voluntary Participation in Psychological Research , 2010, Cyberpsychology Behav. Soc. Netw..

[19]  Y. Benjamini,et al.  Controlling the false discovery rate: a practical and powerful approach to multiple testing , 1995 .

[20]  Joseph G. Ibrahim,et al.  Missing data methods in longitudinal studies: a review , 2009 .

[21]  M. Clarke,et al.  Increasing response rates to postal questionnaires: systematic review , 2002, BMJ : British Medical Journal.

[22]  M. Clarke,et al.  Methods to increase response to postal and electronic questionnaires , 2023, The Cochrane database of systematic reviews.

[23]  J. Cunningham,et al.  What is the price of perfection? The hidden costs of using detailed assessment instruments to measure alcohol consumption. , 1999, Journal of studies on alcohol.