THEORIES OF HEALTH COMPLIANCE BEHAVIOR
Norman A. Krasnegor
This section of the book contains four chapters. Each of these focuses on theoretical approaches for understanding health compliances behavior. The first two works offer specific viewpoints for characterizing developmental aspects of compliance. The third contribution is a more general theory of health compliance that has meaningful implications for compliance behavior in adolescents. The fourth offers a bridge between theoretical considerations and the issues of measurement and intervention.
The chapter by Ronald Iannotti and Patricia J. Bush, "Toward a Developmental Theory of Compliance," addresses three domains that the authors posit must be understood to achieve an insight into the factors that are responsible for health compliance behavior in children as they develop. The three domains are, respectively, (a) memory and causality, (b) development of personal control, and (c) social, cultural, and socioeconomic factors. The authors introduce their Children's Health Belief Model (CHBM) to help illustrate the relevance of these domains for health compliance behavior.
Iannotti and Bush stress that appropriate developmental levels of cognitive processes are essential for carrying out behaviors that relate to adherence to medical regimens. They point out that children must not only be able to remember to recall but must be able to remember what to recall. Further, they suggest that an essential ingredient in compliance is the understanding by a child of causal