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

2019 ◽  
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 (<i>P</i>&lt;.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. CLINICALTRIAL

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.

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 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 Are Retrospective Assessments Means of People’s Experiences? Accounting for Interpersonal and Intrapersonal Variability when Comparing Retrospective Assessment Data to Ecological Momentary Assessment Data

2021 ◽  
Author(s):  
IJsbrand Leertouwer ◽  
Noémi Katalin Schuurman ◽  
Jeroen Vermunt
Keyword(s):  
Ecological Momentary Assessment ◽  
Assessment Data ◽  
Interindividual Differences ◽  
Retrospective Assessment ◽  
The Mean ◽  
The Difference ◽  
Ecological Momentary ◽  
Ema Data ◽  
Momentary Assessment ◽  
Intrapersonal Variability

Retrospective Assessment (RA) scores are often found to be higher than the mean of Ecological Momentary Assessment (EMA) scores about a concurrent period. This difference is generally interpreted as bias towards salient experiences in RA. During RA, participants are often asked to summarize their experiences in unspecific terms, which may indeed facilitate bias. At least in this unspecific form, the summary that participants apply to their remembered experiences can take many different forms. In this study, we reanalyzed an existing dataset (N = 92) using a repeated N = 1 approach. We reported on interindividual differences between EMA data and RA score, and assessed for each participant whether it was likely that their RA score was an approximation of the mean of their experiences as captured by their EMA data. We found considerable interpersonal differences in the difference between EMA scores and RA scores, as well as some extreme cases. Furthermore, for a considerable part of the sample (n = 46 for positive affect, n = 60 for negative affect), we did not reject the null hypothesis that their RA score represented the mean of their experiences as captured by their EMA data. We conclude that in its current unspecific form, RA may facilitate bias, although not for everyone. Future studies may determine whether more specific forms of RA reduce bias, while acknowledging interindividual differences.

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.

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.

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.

scholarly journals Using Smartphone-Based Ecological Momentary Assessment in Audiology Research: The Participants' Perspective

2020 ◽  
Vol 29 (4) ◽  
pp. 935-943
Author(s):  
Jingjing Xu ◽  
Yu-Hsiang Wu ◽  
Elizabeth Stangl ◽  
Jeff Crukley ◽  
Shareka Pentony ◽  
...  
Keyword(s):  
Data Quality ◽  
Ecological Momentary Assessment ◽  
Completion Time ◽  
Compliance Rate ◽  
Log Files ◽  
Social Events ◽  
The Mean ◽  
Ecological Momentary ◽  
Momentary Assessment ◽  
Trial Participants

Purpose The article's purpose was to examine participants' impressions and experiences with smartphone-based ecological momentary assessment (EMA) to inform future EMA study design. Method Adults with hearing impairment (HI, n = 9) and with normal hearing (NH, n = 10) participated in a study using a smartphone-based EMA system to measure their auditory lifestyles. A 14-item survey was scheduled to deliver every 45 min by an EMA app. After a 1-week trial, participants were interviewed regarding their study experiences. The app log files were analyzed to understand how the participants interacted with the app. Results Across the two groups, 1,295 surveys were completed (compliance rate 74.4%). On average, HI participants completed 10.0 and NH participants completed 9.1 surveys per day. The mean survey completion time for HI and NH groups were 72 s and 51 s, respectively. For both groups, about 90% of the participants reported the app as easy to use; about 60% of the participants reported that repetitive surveys interrupted or somewhat interrupted their activities. Participants reported surveys disrupting situations, for example, working, driving, and social events, and that they were more likely to skip surveys in these situations. Additionally, 50% of NH and 30% of HI participants indicated that the survey was not delivered too frequently and none indicated that the survey was too long. Conclusion Overall, the app and EMA design seem to be appropriate. Insights from this study can help researchers design their studies to adequately assess listeners' experience in the field with optimal compliance and data quality.

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