Functional Impairment Variability in Children With ADHD Due to Emotional Impulsivity

2014 ◽  
Vol 22 (8) ◽  
pp. 724-737 ◽  
Author(s):  
Danielle M. Walerius ◽  
Rachel A. Reyes ◽  
Paul J. Rosen ◽  
Perry I. Factor
Keyword(s):  
Functional Impairment ◽  
Ecological Momentary Assessment ◽  
Hierarchical Regression ◽  
Regression Analyses ◽  
Children With Adhd ◽  
Assessment Protocol ◽  
Emotional Impulsivity ◽  
Ecological Momentary ◽  
Momentary Assessment ◽  
Over Time

Objective: The present study utilized ecological momentary assessment (EMA) to examine the effects of emotional impulsivity on overall functional impairment and functional impairment variability (FIV) of children with and without ADHD. Method: Parents of 74 children, 8- to 12-year-olds (42 with ADHD, 32 without ADHD), completed EMA assessment protocol ratings of their child’s mood (3 times daily) and functional impairment (1 time daily) over the course of 28 days. Results: Hierarchical regression analyses supported the interaction of ADHD diagnostic status and greater EMA-derived emotional impulsivity in the estimation of total functional impairment (Total FI) and FIV. Thus, greater emotional impulsivity was found to be related to greater Total FI and FIV among children with ADHD but not among children without ADHD. Conclusion: This study suggests that children with ADHD and greater emotional impulsivity demonstrate greater overall levels of functional impairment, with the severity of their impairment varying significantly over time.

Developing a smartphone-based ecological momentary assessment protocol to collect biopsychosocial data with community-dwelling late-middle-aged and older adults

2018 ◽  
Vol 9 (4) ◽  
pp. 711-719 ◽  
Author(s):  
Huiying Liu ◽  
Vivian W Q Lou
Keyword(s):  
Ecological Momentary Assessment ◽  
Community Dwelling ◽  
Middle Aged ◽  
Assessment Protocol ◽  
Future Design ◽  
Design And Implementation ◽  
Older Chinese ◽  
High Level ◽  
Ecological Momentary ◽  
Momentary Assessment

Abstract Although ecological momentary assessment (EMA) has been used in youth and adult populations, very few of the studies provided evidence of the feasibility and utility of smartphone-based EMA protocols to collect biopsychosocial data from aging populations. This study aimed to describe the design and implementation of a smartphone-based EMA protocol, and to evaluate the feasibility and utility of this EMA protocol among community-dwelling late-middle-aged and older Chinese. A sample of 78 community-dwelling Chinese aged between 50 and 70 years was trained to participate in a 1-week EMA data collection, during which each participant carried an Android smartphone loaded with a researcher-developed EMA application and a smartphone-based electrocardiogram (ECG) monitor to provide psychosocial (e.g., daily activities, social interaction, affect) data and ECG recordings six times daily. Adherence was demonstrated with a total response rate of 91.5% of all scheduled assessments (n = 3,822) and a moderately high level of perceived feasibility. Female participants reported higher compliance to the study and rated the overall experience as more pleasant and interesting than male participants. Our study provided the first evidence of the feasibility and utility of smartphone-based EMA protocols among late-middle-aged and older Chinese. Key areas for improvement in future design and implementation of mobile-based EMA include the incorporation of usable technology, adequate and training, and timely assistance.

scholarly journals Assessing Change Over Time in Voice Handicap and Voice-Related Perceived Control Using Ecological Momentary Assessment

2019 ◽  
Vol 128 (9) ◽  
pp. 829-837 ◽  
Author(s):  
Viann N. Nguyen-Feng ◽  
Patricia A. Frazier ◽  
Ali Stockness ◽  
Scott Lunos ◽  
Alexis N. Hoedeman ◽  
...  
Keyword(s):  
Ecological Momentary Assessment ◽  
Perceived Control ◽  
Medical Center ◽  
Voice Disorders ◽  
Completion Rates ◽  
Cross Sectional ◽  
Modeling Analysis ◽  
Ecological Momentary ◽  
Momentary Assessment ◽  
Over Time

Objectives: Voice handicap has generally been measured at a single timepoint. Little is known about its variability from hour to hour or day to day. Voice handicap has been shown to be negatively related to voice-related perceived control in cross-sectional studies, but the within-person variability in voice-related perceived control is also unknown. We aimed to use ecological momentary assessment (EMA) to (1) assess the feasibility of EMA to examine daily voice handicap and voice-related perceived control in patients with voice disorders, (2) measure within-person variability in daily voice handicap and perceived control, and (3) characterize temporal associations (eg, correlations over time) between daily voice handicap and perceived control. Methods: Adults with voice problems were recruited from a large public university medical center in the Midwest. They completed baseline measures, followed by twice-daily assessments, including selected items measuring voice handicap and perceived control, and then repeated the baseline measures at the final timepoint. Feasibility was assessed via completion rates. Within-person variability was measured using standard deviations. Temporal associations were characterized using simulation modeling analysis. Results: EMA of voice handicap and perceived control was feasible in this patient population. Momentary voice handicap varied more than perceived control, though both were variable. Multiple patterns of temporal associations between daily voice handicap and perceived control were found. Conclusions: These findings identified important variability in (1) measures of voice handicap and perceived control and (2) their associations over time. Future EMA studies in patients with voice disorders are both feasible and warranted.

scholarly journals Youth Psychopathology in Daily Life: Systematically Reviewed Characteristics and Potentials of Ecological Momentary Assessment Applications

2021 ◽  
Author(s):  
Marjolein R. Thunnissen ◽  
Marije aan het Rot ◽  
Barbara J. van den Hoofdakker ◽  
Maaike H. Nauta
Keyword(s):  
Ecological Momentary Assessment ◽  
Clinical Samples ◽  
Future Research ◽  
Daily Lives ◽  
Clinical Interviews ◽  
And Behavior ◽  
Ecological Momentary ◽  
Momentary Assessment ◽  
Predict Treatment Response ◽  
Over Time

AbstractTraditionally, symptoms of youth psychopathology are assessed with questionnaires, clinical interviews, or laboratory observations. Ecological Momentary Assessment (EMA) could be a particularly valuable additional methodology, since EMA enables examining the daily lives of youths near real-time, considering fluctuations and specific contexts of symptoms. This systematic review aimed to review the characteristics of current EMA applications and to provide a synthesis of their potential in studying youth psychopathology. Following a systematic search in PsycInfo and Medline, we identified 50 studies in clinical samples. Most studies used EMA to examine fluctuations in symptoms, affect, and behavior, and the relation with contextual factors. EMA was also used to investigate interactions between parents and their children over time, and to monitor and predict treatment response. EMA appeared feasible in youth and could provide valuable insights that contribute to understanding youth psychopathology. Benefits, gaps, and suggestions for future research and clinical practice are discussed.

scholarly journals Mood and Stress Evaluation of Adult Patients With Moyamoya Disease in Korea: Ecological Momentary Assessment Method Using a Mobile Phone App

10.2196/17034 ◽  
2020 ◽  
Vol 8 (5) ◽  
pp. e17034 ◽  
Author(s):  
Yong Sook Yang ◽  
Gi Wook Ryu ◽  
Chang Gi Park ◽  
Insun Yeom ◽  
Kyu Won Shim ◽  
...  
Keyword(s):  
Mobile Phone ◽  
Moyamoya Disease ◽  
Ecological Momentary Assessment ◽  
Public Place ◽  
The Mean ◽  
Ecological Momentary ◽  
Ema Method ◽  
Momentary Assessment ◽  
Different Levels ◽  
Over Time

Background Moyamoya disease (MMD) is a known progressive obstructive cerebrovascular disorder. Monitoring and managing mood and stress are critical for patients with MMD, as they affect clinical outcomes. The ecological momentary assessment (EMA) method is a longitudinal study design by which multiple variable assessments can be performed over time to detect momentary fluctuations and changes in psychological dimensions such as mood and stress over time. Objective This study aimed to identify predicting factors associated with momentary mood and stress at both the within-person and between-person levels and to examine individual fluctuation of mood over time in the short term using an EMA method combined with a mobile phone app. Methods Participants aged older than 18 years were recruited from a tertiary hospital in Seoul, Korea, between July 2018 and January 2019. The PsyMate scale for negative affect (NA) and positive affect (PA) and the Trier Inventory for Chronic Stress Scale were uploaded on patient mobile phones. Using a mobile app, data were collected four times a day for 7 days. Pearson correlations and mixed modeling were used to predict relationships between repeatedly measured variables at both the between-person and within-person levels. Results The mean age of the 93 participants was 40.59 (SD 10.06) years, 66 (71%) were female, and 71 (76%) were married. Participants provided 1929 responses out of a possible 2604 responses (1929/2604, 74.08%). The mean momentary NA and PA values were 2.15 (SD 1.12) and 4.70 (SD 1.31) out of 7, respectively. The momentary stress value was 2.03 (SD 0.98) out of 5. Momentary NA, PA, and stress were correlated (P<.001) and varied over time in relation to momentary variables. Common momentary variables associated with momentary mood and stress at both the within-person (level 1) and between-person (level 2) levels were identified. Momentary NA increased when being alone and being at the hospital at both levels, whereas momentary PA increased when eating or drinking, resting, being at a café, restaurant or a public place but decreased when being alone at both levels. Momentary stress increased when being at the office, at a public place, or as the time of the day went by but decreased when resting or during the weekend. Different factors affecting mood and stress at different levels were identified. Fluctuations in individual momentary mood over time at the within-person level were captured. Conclusions The EMA method using a mobile phone app demonstrated its ability to capture changes in mood and stress in various environmental contexts in patients with MMD. The results could provide baseline information for developing interventions to manage negative mood and stress of patients with MMD based on the identified predictors affecting mood and stress at two different levels.

Application of an Ecological Momentary Assessment Protocol in a Workplace Intervention: Assessing Compliance, Criterion Validity, and Reactivity

2019 ◽  
Vol 16 (11) ◽  
pp. 985-992
Author(s):  
Katie Weatherson ◽  
Lira Yun ◽  
Kelly Wunderlich ◽  
Eli Puterman ◽  
Guy Faulkner
Keyword(s):  
Ecological Momentary Assessment ◽  
Repeated Measures ◽  
Criterion Validity ◽  
Workplace Intervention ◽  
Assessment Protocol ◽  
Before And After ◽  
Measured Position ◽  
Objectively Measured ◽  
Ecological Momentary ◽  
Momentary Assessment

Background: Ecological momentary assessment (EMA) is a method of collecting behavioral data in real time. The purpose of this study was to examine EMA compliance, identify factors predicting compliance, assess criterion validity of, and reactivity to, using EMA in a workplace intervention study. Methods: Forty-five adults (91.1% female, 39.7 [9.6] y) were recruited for a workplace standing desk intervention. Participants received 5 surveys each day for 5 workdays via smartphone application. EMA items assessed current position (sitting/standing/stepping). EMA responses were time matched to objectively measured time in each position before and after each prompt. Multilevel logistic regression models estimated factors influencing EMA response. Cohen kappa measured interrater agreement between EMA-reported and device-measured position. Reactivity was assessed by comparing objectively measured sitting/standing/stepping in the 15 minutes before and after each EMA prompt using multilevel repeated-measures models. Results: Participants answered 81.4% of EMA prompts. Differences in compliance differed by position. There was substantial agreement between EMA-reported and device-measured position (κ = .713; P < .001). Following the EMA prompt, participants sat 0.87 minutes more than before the prompt (P < .01). Conclusion: The use of EMA is a valid assessment of position when used in an intervention to reduce occupational sitting and did not appear to disrupt sitting in favor of the targeted outcome.

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