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Patient non-compliance with paper diaries
Open accessAbstract
Doctors often ask patients to recall recent health experiences, such as pain, fatigue, and quality of life. 1 Research has shown, however, that recall is unreliable and rife with inaccuracies and biases. 2 Recognition of recall's shortcomings has led to the use of diaries, which are intended to capture experiences close to the time of occurrence, thus limiting recall bias and producing more accurate data.3 The rationale for using diaries would be undermined if patients failed to complete diaries according to protocol.In this study we used a newly developed paper diary that could objectively record when patients made diary entries in order to compare patients' reported and actual compliance with diary keeping.For comparison, we also used an electronic diary designed to enhance compliance in order to assess what compliance rates might be achieved.
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“The electronic data were compared to the self-reported record of self-monitoring and revealed that there was little concordance between the self-reported and electronically documented data (35, 37).”
From Self-monitoring in weight loss: a systematic review of the literature (2011) · cites this paper as [37]
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Metadata
- Authors
- Stone, A. A., Shiffman, S., Schwartz, J. E., Broderick, J. E., & Hufford, M. R.
- Affiliations
- Stony Brook University (US)
- Corresponding author
- Stone, Arthur A
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2002-05-18
- Volume
- 324
- Issue
- 7347
- Pages
- 1193-1194
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- PMC
- PMC111114
- OpenAlex
- W2135374245
- Semantic Scholar
- fa7362653cde1df677f2bce06810aebf6ca6b177
- Cited by
- 810
- References
- 10
- Citations by year
- 2026: 12 · 2025: 17 · 2024: 19 · 2023: 18 · 2022: 36 · 2021: 25 · 2020: 40 · 2019: 27 · 2018: 43 · 2017: 26 · 2016: 34 · 2015: 43 · 2014: 44 · 2013: 41 · 2012: 38
- FWCI
- 135.02
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.bmj.com/company/legal-information/terms-conditions/legal-information/tdm-licencepolicy (tdm)
- Locations
- BMJ (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Cancer Institute (R01CA085819, CA-85819)
- Topics
- Social Sciences › Sociology and Political Science › Survey Methodology and Nonresponse
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Health Professions › Health Information Management › Electronic Health Records Systems
- Keywords
- medication adherence, paper diaries, electronic diary, recall bias, patient-reported outcomes, self-monitoring
- MeSH terms
- Adult, Humans, Medical Records, Intractable Pain, Treatment Refusal
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