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- Title
Signaling Does Not Adequately Improve Diary Compliance.
- Authors
Broderick, Joan E.; Schwartz, Joseph E.; Shiftman, Saul; Hufford, Michael R.; Stone, Arthur A.
- Abstract
The article investigates the hypothesis that compliance with a paper diary protocol would be improved by using auditory signaling. Background: Prior research has demonstrated that compliance with the reporting schedule in paper diary protocols is poor. Methods: Adults with chronic pain (N = 27) were recruited from the community to participate in a 24-day experience sampling protocol of 3 pain assessments per day (10:00 a.m., 4:00p.m., 8:00p.m.). Diaries were instrumented to record openings and closings. thereby permitting determination of date and time when the participant could have made diary entries. Participants were signaled with a programmed wristwatch at the onset of each 30-min assessment window. Two compliance windows were defined: ± 15 min and ± 45 min of the targeted assessment time. Results: Self-reported compliance based on participants' paper diaries was 85% and 91% for the 30- and 90-min windows. Verified compliance was 29% and 39% for the two windows. Signaling produced a significant increment in verified compliance when compared with an identical trial without signaling. A significant eroding of verified compliance was observed across the 3 weeks of the study. Conclusions: Self-report dating of diary entries may be misleading investigators about compliance with diary protocols. Although auditory signaling enhances compliance, the result is still unsatisfactory.
- Subjects
STATISTICAL hypothesis testing; LEGAL compliance; CHRONIC pain; PAIN in old age; BEHAVIORAL assessment; SELF-evaluation; THERAPEUTICS
- Publication
Annals of Behavioral Medicine, 2003, Vol 26, Issue 2, p139
- ISSN
0883-6612
- Publication type
Article
- DOI
10.1207/S15324796ABM2602_06