Norman G R, McFarlane A H, Streiner D L, Neale K
Med Care. 1982 Jun;20(6):623-9. doi: 10.1097/00005650-198206000-00008.
This article described experience with the use of health diaries in a two-year prospective study of the influence of the psychosocial environment on the health status of 500 subjects in the Hamilton area. Three strategies were used to maintain compliance: 1) random sampling of three days within each two-week interval; 2) a lottery ticket incentive; and 3) telephone follow-up. The results of an initial telephone and lottery ticket study demonstrated a significant effect on compliance. The data from the two-year study were analyzed to characterize health change based on diary reports over successive six-month intervals and to determine the relationship of reported health to medical utilization data. The results indicated that subjects reported symptoms on about one third of the days surveyed but took no action on about one third of these symptom days. Only one quarter of the symptom days resulted in a change in usual activity, and fewer than one tenth of the symptom days resulted in time off from work or physician visits. The diary variable showed a low, positive correlation with health utilization.
本文描述了在一项为期两年的前瞻性研究中使用健康日记的经验，该研究旨在探讨社会心理环境对汉密尔顿地区500名受试者健康状况的影响。采用了三种策略来维持依从性：1）在每两周的间隔内随机抽取三天；2）彩票激励；3）电话随访。初步的电话和彩票研究结果表明对依从性有显著影响。对为期两年的研究数据进行了分析，以根据连续六个月间隔的日记报告来描述健康变化，并确定报告的健康状况与医疗利用数据之间的关系。结果表明，受试者在约三分之一的调查日报告有症状，但在这些有症状的日子里约有三分之一未采取任何行动。只有四分之一的有症状日子导致日常活动发生变化，不到十分之一的有症状日子导致请假或看医生。日记变量与健康利用之间呈低正相关。
