title: The effects of target behavior choice and self-management skills training on compliance with behavioral self-monitoring.
abstract: OBJECTIVE
  The purpose of this study was to evaluate two potential methods for increasing participant compliance with behavioral self-monitoring (BSM).
  
  
  METHODS
  A randomized 2 × 2 factorial design was used to evaluate the effects of target behavior choice (choice vs. assigned) and self-management skills training (training vs. no-training) on BSM compliance. In the choice manipulation, participants either chose or were assigned one of seven types of healthful or safe behaviors to self-monitor. In the training manipulation, participants either completed computer-based self-management skills training or received no training. Participants were then asked to complete daily BSM for 2 weeks.
  
  
  METHODS
  The study was conducted at a university and teaching hospital.
  
  
  METHODS
  Participants (N=60) were predominantly university and hospital employees.
  
  
  METHODS
  The primary dependent measure was percent compliance with BSM.
  
  
  METHODS
  A factorial analysis of variance of compliance scores was performed.
  
  
  RESULTS
  Mean compliance with prescribed BSM was 52.6% (SD=31.8). The main effect for choice was significant, with choice participants showing 18% higher BSM compliance than those in no-choice conditions (d=.59; p<.05). The effects of self-management skills training and the interaction term were both nonsignificant.
  
  
  CONCLUSIONS
  Although self-management skills training did not appear to affect BSM compliance, offering individuals a choice in target behavior substantially increased both BSM compliance and self-reported behavior change.
authors.affiliation: Oregon Health and Science University, Portland, OR 97239, USA.
authors.forename: Ryan
authors.initials: R
authors.lastname: Olson
authors.forename: Sara
authors.initials: S
authors.lastname: Schmidt
authors.forename: Carrie
authors.initials: C
authors.lastname: Winkler
authors.forename: Brad
authors.initials: B
authors.lastname: Wipfli
mesh_terms: D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D002755:Choice Behavior; D003625:Data Collection; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D010353:Patient Education as Topic; D012648:Self Care / Q000379:methods*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014495:Universities; D055815:Young Adult