scholarly journals Ecological Momentary Assessment of Adolescent Problems, Coping Efficacy, and Mood States Using a Mobile Phone App: An Exploratory Study

2016 ◽  
Vol 3 (4) ◽  
pp. e51 ◽  
Author(s):  
Rachel Kenny ◽  
Barbara Dooley ◽  
Amanda Fitzgerald
Keyword(s):  
Mobile Phone ◽  
Emotional Distress ◽  
Help Seeking ◽  
Well Being ◽  
Mood States ◽  
Coping Efficacy ◽  
Standardized Measures ◽  
And Coping ◽  
Ecological Momentary ◽  
Ema Data

Background Mobile technologies have the potential to be used as innovative tools for conducting research on the mental health and well-being of young people. In particular, they have utility for carrying out ecological momentary assessment (EMA) research by capturing data from participants in real time as they go about their daily lives. Objective The aim of this study was to explore the utility of a mobile phone app as a means of collecting EMA data pertaining to mood, problems, and coping efficacy in a school-based sample of Irish young people. Methods The study included a total of 208 participants who were aged 15-18 years, 64% female (113/208), recruited from second-level schools in Ireland, and who downloaded the CopeSmart mobile phone app as part of a randomized controlled trial. On the app, participants initially responded to 5 single-item measures of key protective factors in youth mental health (formal help-seeking, informal help-seeking, sleep, exercise, and sense of belonging). They were then encouraged to use the app daily to input data relating to mood states (happiness, sadness, anger, stress, and worry), daily problems, and coping self-efficacy. The app automatically collected data pertaining to user engagement over the course of the 28-day intervention period. Students also completed pen and paper questionnaires containing standardized measures of emotional distress (Depression, Anxiety, and Stress Scale; DASS-21), well-being (World Health Organization Well-Being Index; WHO-5), and coping (Coping Strategies Inventory; CSI). Results On average the participants completed 18% (5/28) of daily ratings, and engagement levels did not differ across gender, age, school, socioeconomic status, ethnicity, or nationality. On a scale of 1 to 10, happiness was consistently the highest rated mood state (overall mean 6.56), and anger was consistently the lowest (overall mean 2.11). Pearson correlations revealed that average daily ratings of emotional states were associated with standardized measures of emotional distress (rhappiness=–.45, rsadness=.51, ranger=.32, rstress=.41, rworry=.48) and well-being (rhappiness=.39, rsadness =–.43, ranger=–.27, rstress=–.35, rworry=–.33). Inferential statistics indicated that single-item indicators of key protective factors were related to emotional distress, well-being, and average daily mood states, as measured by EMA ratings. Hierarchical regressions revealed that greater daily problems were associated with more negative daily mood ratings (all at the P<.001 level); however, when coping efficacy was taken into account, the relationship between problems and happiness, sadness, and anger became negligible. Conclusions While engagement with the app was low, overall the EMA data collected in this exploratory study appeared valid and provided useful insights into the relationships between daily problems, coping efficacy, and mood states. Future research should explore ways to increase engagement with EMA mobile phone apps in adolescent populations to maximize the amount of data captured by these tools. Trial Registration Clinicaltrials.gov NCT02265978; http://clinicaltrials.gov/ct2/show/NCT02265978 (Archived by WebCite at http://www.webcitation.org/6mMeYqseA).

scholarly journals 204 - Psychological distress and support needs of community residing older adults in urban India – An exploratory study

2021 ◽  
Vol 33 (S1) ◽  
pp. 8-9
Author(s):  
Jayashree Dasgupta ◽  
Meenakshi Chopra
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Psychological Distress ◽  
Coping Strategies ◽  
Help Seeking ◽  
Public Awareness ◽  
Well Being ◽  
Support Needs ◽  
Urban India ◽  
And Coping

Background:COVID pandemic in India, lockdowns and an unprepared health system has affected wellbeing of older adults. Low public awareness about mental health issues and stigma also contribute to low help seeking. Exploring impact of COVID on mental health of older adults and understanding support needs is essential.Research Objective:To examine mental wellbeing and coping strategies used by urban community residing older adults during the pandemic in India.Method:As part of an ongoing community engagement initiative with older adults and their families, an online survey was conducted during the first wave of the pandemic in April/May 2020. Sociodemographic details and information on coping strategies were gathered. The five-item General Health Questionnaire (GHQ) was used to screen for psychological distress and data were analyzed using descriptive statistics. Respondents were contacted again in May 2021 during the second COVID wave for a telephonic interview to understand current levels of distress and coping strategies. Consent was taken for audio recording and interviews were conducted using a semi-structured interview guide. Interviews were transcribed and analyzed using thematic analysis.Preliminary results of the ongoing study:Respondents (N=54) aged between 40-86 years (Mn = 60; SD = 18.9). Majority were male (61%), retired or homemakers (57%) and widowed/unmarried (52%). Of the sample 70% had one or more pre-existing medical conditions. A score of ≥ 2 on GHQ in 66% respondents indicates psychological distress. Stressors included health and well-being of family (62%), difficulty managing household work (42%) and increase in family conflicts (17%). Although 72% discussed their worries with family/friends, only 25% considered speaking with a mental health professional indicating low help seeking. Of respondents contacted again, 40% citied ill health or being busy as reasons for refusal to participate. Of those who agreed, 33% reported psychological distress. In-depth interviews, showed use of online mental wellness sessions and yoga/meditation to be beneficial coping strategies. Need for more online support groups was also highlighted.Conclusion:Psychological distress is present amongst community residing older adults in urban India. A change in attitude towards tele mental health must be leveraged to provide support for adults experiencing psychological distress.

scholarly journals Heterogeneity Matters: Predicting Self-Esteem in Online Interventions Based on Ecological Momentary Assessment Data

2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Vincent Bremer ◽  
Burkhardt Funk ◽  
Heleen Riper
Keyword(s):  
Social Contact ◽  
Well Being ◽  
Self Esteem ◽  
The Self ◽  
Ordinal Scale ◽  
Individual Level ◽  
Patient Heterogeneity ◽  
Ecological Momentary ◽  
Ema Data ◽  
The Relationship

Self-esteem is a crucial factor for an individual’s well-being and mental health. Low self-esteem is associated with depression and anxiety. Data about self-esteem is oftentimes collected in Internet-based interventions through Ecological Momentary Assessments and is usually provided on an ordinal scale. We applied models for ordinal outcomes in order to predict the self-esteem of 130 patients based on diary data of an online depression treatment and thereby illustrated a path of how to analyze EMA data in Internet-based interventions. Specifically, we analyzed the relationship between mood, worries, sleep, enjoyed activities, social contact, and the self-esteem of patients. We explored several ordinal models with varying degrees of heterogeneity and estimated them using Bayesian statistics. Thereby, we demonstrated how accounting for patient-heterogeneity influences the prediction performance of self-esteem. Our results show that models that allow for more heterogeneity performed better regarding various performance measures. We also found that higher mood levels and enjoyed activities are associated with higher self-esteem. Sleep, social contact, and worries were significant predictors for only some individuals. Patient-individual parameters enable us to better understand the relationships between the variables on a patient-individual level. The analysis of relationships between self-esteem and other psychological factors on an individual level can therefore lead to valuable information for therapists and practitioners.

scholarly journals Mobile Ecological Momentary Assessment and Intervention and Health Behavior Change among Adults in Rakai, Uganda: a Pilot Randomized Controlled Trial. (Preprint)

2020 ◽  
Author(s):  
Laura Kristen Beres ◽  
Ismail Mbabali ◽  
Aggrey Anok ◽  
Charles Katabalwa ◽  
Jeremiah Mulamba ◽  
...  
Keyword(s):  
Behavior Change ◽  
Health Behaviors ◽  
Mobile Phone ◽  
Ecological Momentary Assessment ◽  
Vegetable Consumption ◽  
The Mean ◽  
Ecological Momentary ◽  
Ema Data ◽  
Momentary Assessment ◽  
Health Messaging

BACKGROUND An extraordinary increase in mobile phone ownership has revolutionized opportunities to employ mHealth approaches in lower- and middle-income countries (LMICs). Ecological Momentary Assessment (EMA) and Intervention (EMAI) uses mobile technology to gather data and deliver timely, personalized behavior change interventions in an individual’s natural setting. To our knowledge, there have been no previous trials of EMAI in sub-Saharan Africa. OBJECTIVE To advance the evidence base for mHealth interventions in LMICs, we conducted a pilot randomized trial to assess the feasibility of EMAI and to establish estimates of the potential effect of EMAI on a range of health-related behaviors in Rakai, Uganda. METHODS This prospective, parallel group, randomized pilot trial compared health behaviors between adult participants submitting EMA data and receiving behaviorally-responsive interventional health messaging (EMAI) to those submitting EMA data, alone. Using a fully-automated mobile phone application, participants submitted daily reports on five different health behaviors during a 30-day period prior to randomization (P1). Participants were then block randomized to control arm, continuing EMA reporting through exit, or intervention arm, EMA reporting plus behavioral health messaging receipt. Participants exited after 90 days of follow-up, divided into study Periods 2 (P2: randomization+29 days) and 3 (P3: 30 days post-randomization to exit). We used descriptive statistics to assess EMAI feasibility through completeness of data, and differences in reported behaviors between time periods and study arms. RESULTS The study included 24 participants per arm (48% female, median age 31 years). EMA data collection was feasible, with 85.5% of the combined 4,418 days reporting some behavioral data. There was a decrease in the mean proportion of days when alcohol was consumed in both arms over time (control: P1, 9.6% of days to P2, 4.3% of days, P=.03; intervention P1, 7.2% of days to P3, 2.4% of days, P=.01). Decreases in sex with a non-long-term partner without a condom were also reported in both arms (P1 to P3 control: 1.9% of days to 1.0% of days, P=.02, intervention: 6.6% of days to 1.3% of days P=.03). An increase in fruit and vegetable consumption was found in the intervention (P1 to P3 fruit: 78.6% of days to 87.0% of days, P=<.001; vegetable: 65.6% of days to 76.6% of days, P =.03 ) but not the control arm. Between arms, there was a significant difference in the change in reported vegetable consumption between P1 and P3 (control: 7.99% decrease in the mean proportion of days vegetables consumed, intervention: 11.05% increase, P=.01). CONCLUSIONS Preliminary estimates suggest that EMAI may be a promising strategy to promote behavior change across a range of behaviors. Larger trials examining the effectiveness of EMAI in LMICs are warranted. CLINICALTRIAL ClinicalTrials.gov NCT04375423; https://www.clinicaltrials.gov/ct2/show/NCT04375423.

scholarly journals Educational and Psychological Support Combined with Minimally Invasive Surgery Reduces Perioperative Depression and Anxiety in Patients with Bladder Cancer Treated with Radical Cystectomy.

2021 ◽  
Author(s):  
Artur Lemiński ◽  
Krystian Kaczmarek ◽  
Marcin Słojewski
Keyword(s):  
Bladder Cancer ◽  
Minimally Invasive ◽  
Emotional Distress ◽  
Well Being ◽  
Depression Score ◽  
Anxiety And Depression ◽  
Invasive Approach ◽  
Muscle Invasive ◽  
Supportive Program ◽  
And Coping

Abstract PurposeRadical cystectomy (RC) for muscle-invasive bladder cancer (MIBC) is an extensive and morbid operation, often associated with a permanent alteration of body image. Combined with aggressive malignant potential of MIBC and considerable risk of complications, it may pose a serious threat to psychological well-being of patients. Educational deficiencies not infrequently encountered in everyday hospital practice, may lead to confusion and further aggravate procedure-related emotional distress. We conceived a preoperative informational and supportive program named “Cystocare”, with monthly meetings held by a team of urologists, stoma therapist, psychologists and cancer survivors to facilitate patients’ adaptation and coping. We aimed to evaluate whether participation in Cystocare meetings would alleviate emotional distress in patients undergoing RC.MethodsWe included 95 consecutive patients who agreed to participate and returned Hospital Anxiety and Depression Score (HADS) questionnaires before RC and on discharge. The intervention arm (A) comprised 32 patients who participated in meetings, the remaining 63 constituted controls (B). Patients from arm A were significantly younger than controls (mean age arm A: 64.7 SD 8.25; arm B: 68.8 SD 7.87), there were no further differences between study arms.ResultsWe found no differences between groups in median anxiety and depression scores preoperatively. In postoperative measurement, the intervention arm showed significantly lower median depression score than controls: 3 vs 8 points, p=0.015, while the anxiety score remained comparable. On multivariate analysis we found lower odds of preoperative anxiety in patients planned for laparoscopic RC OR=0.351 (95%CI: 0.139-0.884), p=0.026, lower risk of postoperative depression in patients from arm A OR=0.253 (95% CI: 0.087-0.732) p=0.011 and higher risk of postoperative anxiety in patients whose length of stay exceeded 7 days OR=9.48 (95%CI: 1,146-78,428) p=0.037. ConclusionsPreoperative educational and supportive intervention combined with minimally invasive approach to RC seem effective in alleviation of surgery-related anxiety and depression.

Ecological Momentary Assessment Using a Mobile Phone

2012 ◽  
pp. 398-407
Author(s):  
David Habsara Hareva ◽  
Hiroki Okada ◽  
Hisao Oka
Keyword(s):  
Mobile Phone ◽  
Real Time ◽  
Ecological Momentary Assessment ◽  
Health Conditions ◽  
Time Data ◽  
Physical Disorders ◽  
Ecological Momentary ◽  
Ema Data ◽  
Momentary Assessment ◽  
Supportive Intervention

The mobile phone has become a popular tool for providing information and capturing responses from different groups of people because of its technological features and portability. EMA (Ecological Momentary Assessment) is commonly used by health researchers to contemporaneously capture information regarding human experience. The authors proposed the use of a mobile EMA system as a supportive intervention to collect real-time patient data and to give back real-time advice. In this study, a mobile EMA system has been utilized by patients with a variety of conditions, including mood disorders, behavior disorders, and physical disorders. The real-time data collection included one or more pieces of information at each moment to improve understanding the causal mechanisms of disease. The effectiveness of real-time advice has been examined by comparing a mobile EMA system with and without this function. Patient compliance was high on average, at approximately 89%, and was higher, at approximately 93%, when advice was given. In several cases, the supportive intervention was shown to help patients improve their health conditions. However, the results were dependent on the patients’ motivation, environment, and relationship with their doctor. The EMA data regarding advice given showed that symptoms tended to improve in most cases.

scholarly journals Individual Hearing Aid Benefit in Real Life Evaluated Using Ecological Momentary Assessment

2021 ◽  
Vol 25 ◽  
pp. 233121652199028
Author(s):  
Petra von Gablenz ◽  
Ulrik Kowalk ◽  
Jörg Bitzer ◽  
Markus Meis ◽  
Inga Holube
Keyword(s):  
Hearing Loss ◽  
Ecological Momentary Assessment ◽  
Hearing Aid ◽  
Full Range ◽  
Real Life ◽  
Well Being ◽  
Ecological Momentary ◽  
Ema Data ◽  
First Time ◽  
Momentary Assessment

Ecological momentary assessment (EMA) was used in 24 adults with mild-to-moderate hearing loss who were seeking first hearing-aid (HA) fitting or HA renewal. At two stages in the aural rehabilitation process, just before HA fitting and after an average 3-month HA adjustment period, the participants used a smartphone-based EMA system for 3 to 4 days. A questionnaire app allowed for the description of the environmental context as well as assessments of various hearing-related dimensions and of well-being. In total, 2,042 surveys were collected. The main objectives of the analysis were threefold: First, describing the “auditory reality” of future and experienced HA users; second, examining the effects of HA fitting for individual participants, as well as for the subgroup of first-time HA-users; and third, reviewing whether the EMA data collected in the unaided condition predicted who ultimately decided for or against permanent HA use. The participants reported hearing-related disabilities across the full range of daily listening tasks, but communication events took the largest share. The effect of the HA intervention was small in experienced HA users. Generally, much larger changes and larger interindividual differences were observed in first-time compared with experienced HA users in all hearing-related dimensions. Changes were not correlated with hearing loss or with the duration of the HA adjustment period. EMA data collected in the unaided condition did not predict the cancelation of HA fitting. The study showed that EMA is feasible in a general population of HA candidates for establishing individual and multidimensional profiles of real-life hearing experiences.

scholarly journals Global Versus Momentary Osteoarthritis Pain and Emotional Distress: Emotional Intelligence as Moderator

2018 ◽  
Vol 52 (8) ◽  
pp. 713-723 ◽  
Author(s):  
Patricia A Parmelee ◽  
Monica A Scicolone ◽  
Brian S Cox ◽  
Jason A DeCaro ◽  
Francis J Keefe ◽  
...  
Keyword(s):  
Emotional Intelligence ◽  
Emotional Distress ◽  
Positive Mood ◽  
Well Being ◽  
Mood States ◽  
Negative Effects ◽  
Osteoarthritis Pain ◽  
Long Run

Attention to mood states exacerbates the experience of osteoarthritis pain both momentarily and in the long run. However, clarity of moods and the ability to maintain a positive mood help buffer the negative effects of pain on emotional well-being

scholarly journals Suicide and coping: specific coping behaviours associated with suicidal ideation and differences between predicted and actual coping among help-seeking individuals

2022 ◽  
Author(s):  
David John Hallford ◽  
Emily J . Wallman ◽  
Ryan A. Kaplan ◽  
Glenn A. Melvin
Keyword(s):  
Suicidal Ideation ◽  
Coping Strategies ◽  
Emotional Distress ◽  
Help Seeking ◽  
Online Survey ◽  
Coping Styles ◽  
Future Research ◽  
Brief Cope ◽  
Actual Use ◽  
And Coping

Suicide is a substantial contributor to global mortality, with suicidal ideation (SI) a significant predictor of suicide. Research has demonstrated relationships between dispositional coping styles and SI. This study aimed to advance this research by moving from the disposition coping level to examining the specific coping strategies people use when experiencing SI. Further, it aimed to examine whether prediction of the coping strategies individuals would use if they experienced SI differs from the actual coping strategies employed by people that have experienced SI. Seventy-seven help-seeking adults (Mage = 31.6, SD = 10.4) with (n = 49) or without (n = 28) history of SI completed measures of SI-related coping (modified Brief COPE) and current emotional distress (DASS-21) via online survey. ANCOVA revealed a significant association between SI history status and endorsement of Problem-Focused coping strategies, while controlling for current emotional distress levels. Participants without SI history reported greater predicted Problem-Focused coping use than actual use reported by participants with SI history. Subsequent facet-level ANCOVAs demonstrated that participants without SI history predicted they would use Active Coping, Use of Informational Support, and Planning strategies to a greater extent than was reported by people who did experience SI. The findings suggest individuals without SI history may overestimate their ability to use such adaptive coping strategies, and may represent an overestimation of overall ability to cope with potential SI. Future research may build on these preliminary findings and examine the factors explaining these differences to help inform programs related to SI and coping.

The Self-Efficacy in Multiple Sclerosis (SEMS) Scale

2018 ◽  
Vol 34 (5) ◽  
pp. 352-360 ◽  
Author(s):  
Silvia Bonino ◽  
Federica Graziano ◽  
Martina Borghi ◽  
Davide Marengo ◽  
Giorgia Molinengo ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Coping Strategies ◽  
Measurement Invariance ◽  
Sense Of Coherence ◽  
Self Efficacy ◽  
Concurrent Validity ◽  
Rasch Analysis ◽  
Well Being ◽  
Psychological Well Being ◽  
And Coping

Abstract. This research developed a new scale to evaluate Self-Efficacy in Multiple Sclerosis (SEMS). The aim of this study was to investigate dimensionality, item functioning, measurement invariance, and concurrent validity of the SEMS scale. Data were collected from 203 multiple sclerosis (MS) patients (mean age, 39.5 years; 66% women; 95% having a relapsing remitting form of MS). Fifteen items of the SEMS scale were submitted to patients along with measures of psychological well-being, sense of coherence, depression, and coping strategies. Data underwent Rasch analysis and correlation analysis. Rasch analysis indicates the SEMS as a multidimensional construct characterized by two correlated dimensions: goal setting and symptom management, with satisfactory reliability coefficients. Overall, the 15 items reported acceptable fit statistics; the scale demonstrated measurement invariance (with respect to gender and disease duration) and good concurrent validity (positive correlations with psychological well-being, sense of coherence, and coping strategies and negative correlations with depression). Preliminary evidence suggests that SEMS is a psychometrically sound measure to evaluate perceived self-efficacy of MS patients with moderate disability, and it would be a valuable instrument for both research and clinical applications.

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