Measuring adherence to behavioral and medical interventions
Measuring adherence to behavioral and medical interventions
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DOI：
10.1016/s0197-2456(00)00077-5
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发表时间：
2000-10-01
期刊：
影响因子：
--
通讯作者：
Sevick, MA
中科院分区：
文献类型：
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作者：
Vitolins, MZ;Rand, CS;Sevick, MA
测量对医疗和行为干预的依从性对临床医生和研究人员很重要，因为依从性不足会降低干预的有效性。不幸的是，没有衡量健康行为依从性的金标准。依从性需要根据情况定义，仔细描述可接受的依从性参数，并适合于正在研究的健康行为。此外，测量方法必须是有效的，可靠的，并对变化敏感;本文回顾了这些标准。用于测量饮食干预依从性的方法包括24小时回忆、食物日记和食物频率问卷。直接和间接量热法、双标记水和各种自我报告方法可用于测量身体活动干预的依从性。使用自我报告方法、生化指标、药物计数和自动化药房数据库审查策略评估药物干预的依从性。本文综述了这些测量饮食、身体活动和药物干预依从性的方法的优点和缺点。对照临床试验2000;21：188 S-194 S（C）Elsevier Science Inc. 2000.
Measuring adherence to medical and behavioral interventions is important to clinicians and researchers since inadequate adherence can reduce the effectiveness of an intervention. Unfortunately, there is no gold standard for measuring adherence across health behaviors. Adherence needs to be defined situationally with parameters of acceptable adherence carefully delineated and appropriate to the health behavior being studied. Additionally, measurement methods must be valid, reliable, and sensitive to change; this paper reviews these criteria. Methods used to measure adherence to dietary interventions include 24-hour recalls, food diaries, and food frequency questionnaires. Direct and indirect calorimetry, doubly labeled water, and a variety of self-report methods can be used to measure adherence in physical activity interventions. Adherence to pharmacological interventions is assessed using self-report methods, biochemical measures, medication counts, and the automated pharmacy database review strategy. The strengths and weaknesses of these methods for measuring adherence to dietary, physical activity, and pharmacological interventions are reviewed. Control Clin Trials 2000;21:188S-194S (C) Elsevier Science Inc. 2000.