We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Compliance Trials and the Clinician

David L. Sackett, MD
Arch Intern Med. 1978;138(1):23-25. doi:10.1001/archinte.1978.03630250007004.
Text Size: A A A
Published online


Although we are slow to learn, even from our mistakes, the frequency with which proper experiments have shattered accepted beliefs in the value of a host of standard preventive, therapeutic, and rehabilitative maneuvers has convinced all but closed minds of the need to rigorously validate new clinical procedures. Strategies for improving compliance, like other clinical maneuvers, consume resources and expose patients to potential toxic reactions and side effects (in the form of preoccupations with medicines, illness, and infirmity). Accordingly, potential compliance-improving strategies should undergo the same experimental testing as new drugs or operations, and the report from Spector and his colleagues elsewhere in this issue (p 36) is an addition to a small but burgeoning group of compliance trials.

What should the clinical reader look for (or look out for!) in such reports? The execution of a human experiment, even with random allocation to alternative treatments, is no guarantee of


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.