Commentary: adherence matters.
Commentary: adherence matters.
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评论：坚持很重要。
DOI：
10.1093/jpepsy/jst045
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发表时间：
2013
影响因子：
3.6
通讯作者：
Rapoff,MichaelA
中科院分区：
文献类型：
--
作者：
Rapoff,MichaelA
20 世纪 70 年代末，当我考虑论文主题时，我想选择一系列研究，既可以使患有慢性病的年轻人（及其家人）受益，并帮助我的医学同事成功改善这些年轻人的健康和生活质量。我偶然发现了一本现在经典的书《医疗保健的合规性》（Haynes、Taylor 和 Sackett，1979 年），它为我数十年来关于遵守儿科医疗方案这一主题的研究提供了概念和方法上的灵感（Rapoff，2010 年）。我们现在有两项荟萃分析（Graves、Roberts、Rapoff 和 Boyer，2010 年；Kahana、Drotar 和 Frazier，2008 年）表明，我们增强依从性的干预措施产生的平均效应大小范围从小组设计研究的小（d 1/4 0.34）到中（d 1/4 0.58）到单受试者设计研究的大（d 1/4 1.53）。此外，其中一项荟萃分析报告了 31 项干预研究，这些研究对健康结果（例如肺功能测试）产生了从小到中（d=0.40）的平均效应大小（Graves、Roberts、Rapoff 和 Boyer，2010）。简而言之，依从性很重要，因此本期特刊的重点是报告测量、预测和提高慢性病儿科医疗方案依从性的研究。我的目的是回顾和批评这些研究，并为未来的依从性研究提供一些建议。
In the late 1970s when I was contemplating a topic for my dissertation, I wanted to choose a line of research that could benefit young people with chronic diseases (and their families) and help my medical colleagues succeed in improving the health and quality of life of these young people. I happened upon a now classic volume, Compliance in Health Care (Haynes, Taylor, and Sackett, 1979), which provided the conceptual and methodological inspiration for my now decades of research on the topic of adherence to pediatric medical regimens (Rapoff, 2010). We now have two meta-analyses (Graves, Roberts, Rapoff, & Boyer, 2010; Kahana, Drotar, & Frazier, 2008) showing that our interventions for enhancing adherence produce mean effects sizes ranging from small (d ¼ 0.34) to medium (d ¼ 0.58) for group design studies and large (d ¼ 1.53) for single subject design studies. In addition, one of the meta-analyses reported on 31 intervention studies that produced a mean effect size from small to medium (d ¼ 0.40) for health outcomes, such as pulmonary function testing (Graves, Roberts, Rapoff, & Boyer, 2010). Simply said, adherence matters and therefore the focus of this special issue is on studies that report on the measurement, prediction, and enhancement of adherence to pediatric medical regimens for chronic diseases. My intention is to review and critique these studies and offer some suggestions for future research on adherence.