scholarly journals Use of digital health technologies to examine subjective and objective sleep with next-day cognition and daily indicators of health in persons with and without HIV

2021 ◽  
Author(s):  
Ni Sun-Suslow ◽  
Laura M. Campbell ◽  
Bin Tang ◽  
Arin C. Fisher ◽  
Ellen Lee ◽  
...  
Keyword(s):  
Depressed Mood ◽  
Functional Outcomes ◽  
Digital Health ◽  
Daily Activities ◽  
Subjective Ratings ◽  
Linear Mixed Effects ◽  
Health Technologies ◽  
Health Measures ◽  
Ecological Momentary ◽  
Momentary Assessment

AbstractMost previous studies investigating sleep’s association with health outcomes have relied on averaged sleep quality and laboratory-based health measures. This study examines the dynamic within-person relationships between subjective (Ecological Momentary Assessment) and objective sleep (actigraphy) on next-day cognition (subjective and objective), mood, and engagement in daily activities using linear mixed-effects regression modeling. Participants included 94 individuals (59 people with HIV, 35 HIV-) aged 50–74, assessed daily for 14 consecutive days/nights. Subjective and objective sleep were well correlated and were both associated with subjective ratings of cognition, but not objective cognition. Worse subjective sleep was associated with next-day lower happiness and higher depressed mood, and more pain, but was not related to next-day daily activities. Objective sleep was associated with next-day depressed mood and feelings of worry, and was positively associated with next-day television watching. Results provide evidence to support the utility of real-time assessment for sleep and functional outcomes that may lead to potential personalized interventions for individuals with and without HIV.

scholarly journals Understanding Cognitive Complaints Among Breast Cancer Survivors

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 576-576
Author(s):  
Brent Small ◽  
Heather Jim ◽  
Sarah Eisel ◽  
Stacey Scott
Keyword(s):  
Breast Cancer ◽  
Cancer Survivors ◽  
Cognitive Performance ◽  
Depressed Mood ◽  
Breast Cancer Survivors ◽  
Accelerated Aging ◽  
Breast Cancer Patients ◽  
Subjective Ratings ◽  
Performance Deficits ◽  
Ecological Momentary

Abstract Cancer and its treatment can induce accelerated aging changes in physiological and behavioral processes. In studies of cancer associated cognitive decline, subjective reports of cognitive impairment are often many times greater than performance deficits on objective tests of neurocognitive functioning. In an Ecological Momentary Assessment study of 47 breast cancer patients (M age = 53.3 years), subjective ratings of cognitive performance and the occurrence of memory lapses assessed at the end of day were predicted by cognitive performance and ratings of fatigue and depressed mood throughout the day. Results indicated that poorer subjective cognition was significantly associated with elevated fatigue throughout the day. Slower processing speed, elevated ratings of fatigue, and depressed mood throughout the day were associated with a greater likelihood of memory lapses. Subjective ratings of cognitive deficits are related to objective performance, as well as common quality of life decrements among cancer survivors.

scholarly journals Rhythms of the day: how electronic media and daily routines influence mood during COVID-19 pandemic

2021 ◽  
Author(s):  
Julian Zubek ◽  
Karolina Ziembowicz ◽  
Marek Pokropski ◽  
Paweł Gwiaździński ◽  
Michał Denkiewicz ◽  
...  
Keyword(s):  
Electronic Communication ◽  
Public Information ◽  
Daily Activities ◽  
Planning And Scheduling ◽  
Face To Face ◽  
Daily Routines ◽  
Ecological Momentary ◽  
Positive Effect ◽  
Momentary Assessment

This study aims to investigate how daily activities affect mood in the context of social distancing guidelines enforced during the COVID-19 pandemic. Using Ecological Momentary Assessment (EMA) administered four times a day during a two-week period, we asked participants (N = 91) about their mood and the activities they engaged in. Seven individuals were selected for a follow-up, open-ended questionnaire. Results show that a stable routine, including physical exercise, hobbies, regular sleep hours, and minimal time spent in front of the computer, helps maintain a good mood. Coping strategies such as planning and scheduling help keep routines and circadian rhythms stable. Face-to-face contact is associated with a more positive mood, while similar interaction through electronic communication has a less positive effect. We observe an effect related to the infodemic phenomenon: daily reports on COVID-19 cases and deaths affect mood fluctuations. This is an important consideration in shaping public information policies.

scholarly journals Ecological Momentary Assessment Within a Digital Health Intervention for Reminiscence in Persons With Dementia and Caregivers: User Engagement Study (Preprint)

2019 ◽  
Author(s):  
Courtney Potts ◽  
Raymond Bond ◽  
Assumpta Ryan ◽  
Maurice Mulvenna ◽  
Claire McCauley ◽  
...  
Keyword(s):  
Ecological Momentary Assessment ◽  
Digital Health ◽  
User Interaction ◽  
Large Data ◽  
Feasibility Trial ◽  
User Engagement ◽  
Time Data ◽  
Quasi Experimental ◽  
Ecological Momentary ◽  
Momentary Assessment

BACKGROUND User-interaction event logs provide rich and large data sets that can provide valuable insights into how people engage with technology. Approaches such as ecological momentary assessment (EMA) can be used to gather accurate real-time data in an individual’s natural environment by asking questions at any given instant. OBJECTIVE The purpose of this study was to evaluate user engagement and responses to EMA questions using InspireD, an app used for reminiscence by persons with dementia and their caregivers. Research findings can be used to inform EMA use within digital health interventions. METHODS A feasibility trial was conducted in which participants (n=56) used the InspireD app over a 12-week period. Participants were a mean age of 73 (SD 13) and were either persons with dementia (n=28) or their caregivers (n=28). Questions, which they could either answer or choose to dismiss, were presented to participants at various instants after reminiscence with personal or generic photos, videos, and music. Presentation and dismissal rates for questions were compared by hour of the day and by trial week to investigate user engagement. RESULTS Overall engagement was high, with 69.1% of questions answered when presented. Questions that were presented in the evening had the lowest dismissal rate; the dismissal rate for questions presented at 9 PM was significantly lower than the dismissal rate for questions presented at 11 AM (9 PM: 10%; 11 AM: 50%; χ<sup>2</sup><sub>1</sub>=21.4, <i>P</i>&lt;.001). Questions asked following reminiscence with personal media, especially those asked after personal photos, were less likely to be answered compared to those asked after other media. In contrast, questions asked after the user had listened to generic media, in particular those asked after generic music, were much more likely to be answered. CONCLUSIONS The main limitation of our study was the lack of generalizability of results to a larger population given the quasi-experimental design and older demographic where half of participants were persons with dementia; however, this study shows that older people are willing to participate and engage in EMA. Based on this study, we propose a series of recommendations for app design to increase user engagement with EMA. These include presenting questions no more than once per day, after 8 PM in the evening, and only if the user is not trying to complete a task within the app.

scholarly journals Ecological Momentary Assessment Within a Digital Health Intervention for Reminiscence in Persons With Dementia and Caregivers: User Engagement Study

10.2196/17120 ◽  
2020 ◽  
Vol 8 (7) ◽  
pp. e17120
Author(s):  
Courtney Potts ◽  
Raymond Bond ◽  
Assumpta Ryan ◽  
Maurice Mulvenna ◽  
Claire McCauley ◽  
...  
Keyword(s):  
Ecological Momentary Assessment ◽  
Digital Health ◽  
User Interaction ◽  
Large Data ◽  
Feasibility Trial ◽  
User Engagement ◽  
Time Data ◽  
Quasi Experimental ◽  
Ecological Momentary ◽  
Momentary Assessment

Background User-interaction event logs provide rich and large data sets that can provide valuable insights into how people engage with technology. Approaches such as ecological momentary assessment (EMA) can be used to gather accurate real-time data in an individual’s natural environment by asking questions at any given instant. Objective The purpose of this study was to evaluate user engagement and responses to EMA questions using InspireD, an app used for reminiscence by persons with dementia and their caregivers. Research findings can be used to inform EMA use within digital health interventions. Methods A feasibility trial was conducted in which participants (n=56) used the InspireD app over a 12-week period. Participants were a mean age of 73 (SD 13) and were either persons with dementia (n=28) or their caregivers (n=28). Questions, which they could either answer or choose to dismiss, were presented to participants at various instants after reminiscence with personal or generic photos, videos, and music. Presentation and dismissal rates for questions were compared by hour of the day and by trial week to investigate user engagement. Results Overall engagement was high, with 69.1% of questions answered when presented. Questions that were presented in the evening had the lowest dismissal rate; the dismissal rate for questions presented at 9 PM was significantly lower than the dismissal rate for questions presented at 11 AM (9 PM: 10%; 11 AM: 50%; χ21=21.4, P<.001). Questions asked following reminiscence with personal media, especially those asked after personal photos, were less likely to be answered compared to those asked after other media. In contrast, questions asked after the user had listened to generic media, in particular those asked after generic music, were much more likely to be answered. Conclusions The main limitation of our study was the lack of generalizability of results to a larger population given the quasi-experimental design and older demographic where half of participants were persons with dementia; however, this study shows that older people are willing to participate and engage in EMA. Based on this study, we propose a series of recommendations for app design to increase user engagement with EMA. These include presenting questions no more than once per day, after 8 PM in the evening, and only if the user is not trying to complete a task within the app.

scholarly journals In Search of Digital Dopamine: How Apps Can Motivate Depressed Patients, a Review and Conceptual Analysis

2021 ◽  
Vol 11 (11) ◽  
pp. 1454
Author(s):  
Stephane Mouchabac ◽  
Redwan Maatoug ◽  
Ismael Conejero ◽  
Adrien Vladimir ◽  
Olivier Bonnot ◽  
...  
Keyword(s):  
Digital Health ◽  
Treatment Options ◽  
Smartphone Apps ◽  
Daily Lives ◽  
Depressed Patients ◽  
Promising Tool ◽  
Treatment Of Depression ◽  
Technical Principles ◽  
Ecological Momentary ◽  
Momentary Assessment

Introduction: Depression is highly prevalent and causes considerable suffering and disease burden despite the existence of wide-ranging treatment options. Momentary assessment is a promising tool in the management of psychiatric disorders, and particularly depression. It allows for a real-time evaluation of symptoms and an earlier detection of relapse or treatment efficacy. Treating the motivational and hedonic aspects of depression is a key target reported in the literature, but it is time-consuming in terms of human resources. Digital Applications offer a major opportunity to indirectly regulate impaired motivational circuits through dopaminergic pathways. Objective: The main objective of this review was twofold: (1) propose a conceptual and critical review of the literature regarding the theoretical and technical principles of digital applications focused on motivation in depression, activating dopamine, and (2) suggest recommendations on the relevance of using these tools and their potential place in the treatment of depression. Material and Methods: A search for words related to “dopamine”, “depression”, “smartphone apps”, “digital phenotype” has been conducted on PubMed. Results: Ecological momentary interventions (EMIs) differ from traditional treatments by providing relevant, useful intervention strategies in the context of people’s daily lives. EMIs triggered by ecological momentary assessment (EMA) are called “Smart-EMI”. Smart-EMIs can mimic the “dopamine reward system” if the intervention is tailored for motivation or hedonic enhancement, and it has been shown that a simple reward (such as a digital badge) can increase motivation. Discussion: The various studies presented support the potential interest of digital health in effectively motivating depressed patients to adopt therapeutic activation behaviors. Finding effective ways to integrate EMIs with human-provided therapeutic support may ultimately yield the most efficient and effective intervention method. This approach could be a helpful tool to increase adherence and motivation. Conclusion: Smartphone apps can motivate depressed patients by enhancing dopamine, offering the opportunity to enhance motivation and behavioral changes, although longer term studies are still needed.

Emotionsregulation bei Depression

2013 ◽  
Vol 64 (4) ◽  
pp. 235-243 ◽  
Author(s):  
Sven Barnow ◽  
Maren Aldinger ◽  
Ines Ulrich ◽  
Malte Stopsack
Keyword(s):  
Ecological Momentary Assessment ◽  
Ecological Momentary ◽  
Momentary Assessment

Die Anzahl der Studien, die sich mit dem Zusammenhang zwischen Emotionsregulation (ER) und depressiven Störungen befassen, steigt. In diesem Review werden Studien zusammengefasst und metaanalytisch ausgewertet, die den Zusammenhang zwischen ER und Depression mittels Fragebögen bzw. Ecological Momentary Assessment (EMA) erfassen. Dabei zeigt sich ein ER-Profil welches durch die vermehrte Nutzung von Rumination, Suppression und Vermeidung bei gleichzeitig seltenerem Einsatz von Neubewertung und Problemlösen gekennzeichnet ist. Mit mittleren bis großen Effekten, ist der Zusammenhang zwischen Depression und maladaptiven Strategien besser belegt als bei den adaptiven Formen, wo die Effekte eher moderat ausfielen. EMA-Messungen bestätigen dieses Profil. Da EMA-Studien neben der Häufigkeit des Strategieeinsatzes auch die Erfassung anderer ER-Parameter wie Effektivität und Flexibilität ermöglichen, sollten solche Designs in der ER-Forschung zukünftig vermehrt Einsatz finden.

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