been a paucity of studies that examine compliance with health-promoting or disease-prevention activities, and yet multiple areas have been targeted for disease prevention by the Surgeon General. The dissonance between the current trends in pediatric compliance research and the trends in the utilization of health delivery systems by the pediatric population suggest an examination of the direction of research efforts is warranted.
The research to date leaves many areas that need to be addressed. There are numerous common acute and chronic illness about which we know very little in terms of compliance. Similarly, we know very little about changing compliance or factors associated with compliance as children age. The problem of omissions of reports of compliance data in intervention studies combined with the limited use of experimental designs and theoretical models leaves us with little knowledge about how best to improve compliance. In addition, the lack of attention to the evaluation of interventions that would be useful in the current care delivery system raises questions about the ability to generalize successful studies into the practice setting. The past decade has continued to develop the field, but the omissions of the past point out the need for a focused and systematic examination of compliance in pediatrics in the future.
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