Roberts M C, Wurtele S K, Leeper J D
Soc Sci Med. 1983;17(11):741-6. doi: 10.1016/0277-9536(83)90262-9.
Two experiments are reported which attempted to apply techniques derived from an extensive set of psychological theories and research to enhance return compliance in a tuberculosis detection drive. Experiment 1 manipulated four methods of providing return reminders (postcard, telephone call, direct person-to-person or take-home card) in combination with two types of authority sources (expert vs nonexpert). Experiment 2 manipulated types of patient commitment (verbal, verbal plus written or no commitment) and importance-or-returning message (enhanced vs standard) in combination with two types of return reminders (take-home card vs no reminder card). These theoretically-derived procedures failed to significantly enhance return compliance. The experiments are examined for procedural failures and the findings are discussed in terms of the limited applicability of some theoretical notions in health settings and particular populations. It is asserted that through such failures useful knowledge is gained for understanding the complex phenomenon of compliance.
本文报告了两项实验，这些实验试图运用源自一系列心理学理论与研究的技术，以提高结核病检测活动中的回访依从性。实验1对四种提供回访提醒的方式（明信片、电话、直接面对面或带回家的卡片）与两种权威来源类型（专家与非专家）进行了组合操作。实验2对患者承诺的类型（口头、口头加书面或无承诺）以及回访重要性信息（强化与标准）与两种回访提醒类型（带回家的卡片与无提醒卡片）进行了组合操作。这些从理论推导出来的程序未能显著提高回访依从性。对实验的程序失败情况进行了审视，并依据一些理论观念在健康环境和特定人群中的有限适用性对研究结果进行了讨论。有人断言，通过这些失败，能获得有助于理解依从性这一复杂现象的有用知识。
