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Additionally, time-varying factors such as affect, social context, and time of day have been found to predict EMA compliance [15]. Completion also decays over time, with gradual drop-offs or sudden declines [13]. This complicates separating true change from artifactual patterns. It is important to note that most EMA studies are relatively short-term, typically lasting from a few days to several weeks, with some extending to a few months [12].
JMIR Mhealth Uhealth 2025;13:e67117
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Current research predominantly evaluated compliance through single-dimensional metrics such as laxative consumption or dietary compliance, failing to holistically evaluate the full-process compliance, which includes dietary management, fluid intake restrictions, medication dosage, timing, and duration of medication use [21,22]. This study aims to evaluate the holistic compliance with bowel preparation instructions among patients undergoing colonoscopy and its multidimensional influencing factors in China.
Interact J Med Res 2025;14:e77189
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How AI-Based Digital Rehabilitation Improves End-User Adherence: Rapid Review
Although the terms compliance and adherence are different in some ways, the 2 words are used interchangeably by medical professionals [18]. Compliance or adherence guarantees that there is willing, cooperative, and engaged interaction between the client and the health care provider [19].
Several factors and explanations contribute to the complexity of compliance or adherence to rehabilitation.
JMIR Rehabil Assist Technol 2025;12:e69763
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Higher compliance with electronic assessments has been found in both adults and children [31]. However, compliance rates can vary. De Vries and Bartels [32] reported an average compliance rate of 72%, ranging from 43% to 95%, while Passini et al [33] reported an average compliance rate of 83%. Factors such as the frequency of prompts and asking repeating questions can affect compliance; studies with higher prompt frequencies tend to have lower compliance rates [30].
JMIR Form Res 2025;9:e67451
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However, the mitigating effect of these measures obviously depends on public compliance, which might be limited since people often do not adhere to health recommendations [2]. Consequently, public health agencies and researchers have closely monitored adherence to COVID-19 measures throughout the pandemic, tracking both compliance levels and influencing factors.
A primary research instrument for these evaluations has been repeated surveys [3].
JMIR Public Health Surveill 2025;11:e50929
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These include deidentification processes, stringent access controls, safeguards against cyberattacks, regulatory compliance, and governance structures defining authorized users and use parameters. However, these proposals remain theoretical and lack national-level recommendations. In France, the implementation of CDWs must align with the CNIL CDW framework, which sets rigorous standards to ensure GDPR compliance while enabling the seamless reuse of health data in a competitive environment.
JMIR Med Inform 2025;13:e63754
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Reference 17: Adherence versus compliancecompliance
JMIR Res Protoc 2025;14:e55475
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