Conclusions: This study supports the importance of using appropriate methods for measuring compliance, if valid estimates of compliance are a serious objective of an investigation.
Several studies have reported an association between higher compliance and lower infection rates, 47 49 but data completeness and the methods chosen for compliance monitoring are rarely described in detail, and the literature on hand hygiene demonstrates poor correlation between self-reported and observed compliance.
A variety of methods for ensuring compliance are available, such as through peer review, which may suit more-informal arrangements, or the creation of a formalized body to which grievances may be taken.
In its 70-page report, the commission unanimously recommended that the Education Department strengthen enforcement of Title IX, advise schools that cutting boys' and men's teams as a way of achieving equity is a "disfavored practice," and give equal weight to three possible methods for demonstrating compliance.
However, there are yet no standardized, automated methods for a compliance management used in situations where circumstances change and are dependent on the specific location.
Due to the potential for serious outcomes and in light of poor adherence with return to play guidelines, additional research into the most effective prevention measures to address these injury mechanisms, as well as looking further at methods for improving compliance with return to play guidelines for concussion are recommended.
Trial registration may be a valuable mechanism for promoting transparency in clinical trials, but methods for improving compliance with the provision of registration data should be established.
One study [ 16] evaluated the effects of external peer review on CS birth and one study [ 17] evaluated opinion leader education and audit and feedback as methods for encouraging compliance with a guideline for the management of women with a previous CS.
Funnell et al. [ 10] attribute this to the fact that the effort of healthcare professionals has traditionally been spent on developing methods for ensuring compliance with prescribed therapeutic regimens rather than understanding the complexity and reality of managing diabetes on a daily basis [ 10].
