Norman A. Krasnegor
The section on measurement contains two chapters. Both of these focus on how to assess the health compliance construct. The first chapter uses childhood diabetes as an example of a chronic disease in the context of which many compliance behaviors are required to avoid the deleterious consequences of the illness. The second chapter focuses mainly on measurement methodology associated with accurately characterizing whether or not compliance to medical regimes is occurring.
The chapter by Suzanne Bennett Johnson, "Chronic Diseases of Childhood: Assessing Compliance with Complex Medical Regimens", has as its focus the assessment of health compliance behavior to required medical regimens among children who are afflicted with chronic disease. The author employs insulin-dependent diabetes mellitus (IDDM) as the example of a chronic disease that involves compliance problems. Thus, the child or child/caregiver dyad are required to make complex measurements of body fluids (urine) to determine glucose levels and use this information to set the amount of insulin injected on a daily basis into the body of the diabetic child or change his or her daily diet.
Johnson addresses the issue whether compliance is a unitary or a multidimensional construct and comes down firmly on the side of it being multidimensional in nature. Her analysis of 13 diabetes compliance behaviors from a sample of IDDM children when subjected to a principle component analysis resulted in a five-