scholarly journals Use of Ecological Momentary Assessment to Guide Curricular Change in Graduate Medical Education

2011 ◽  
Vol 3 (2) ◽  
pp. 162-167 ◽  
Author(s):  
Lisa L. Willett ◽  
Carlos A. Estrada ◽  
Terry C. Wall ◽  
Heather L. Coley ◽  
Julius Ngu ◽  
...  
Keyword(s):  
Ecological Momentary Assessment ◽  
Assessment Tool ◽  
Curricular Change ◽  
Morning Report ◽  
Evaluation Tool ◽  
Cognitive Content ◽  
Educational Value ◽  
Before And After ◽  
Ecological Momentary ◽  
Momentary Assessment

Abstract Purpose To assess whether a novel evaluation tool could guide curricular change in an internal medicine residency program. Method The authors developed an 8-item Ecological Momentary Assessment tool and collected daily evaluations from residents of the relative educational value of 3 differing ambulatory morning report formats (scale: 8  =  best, 0  =  worst). From the evaluations, they made a targeted curricular change and used the tool to assess its impact. Results Residents completed 1388 evaluation cards for 223 sessions over 32 months, with a response rate of 75.3%. At baseline, there was a decline in perceived educational value with advancing postgraduate (PGY) year for the overall mean score (PGY-1, 7.4; PGY-2, 7.2; PGY-3, 7.0; P < .01) and for percentage reporting greater than 2 new things learned (PGY-1, 77%; PGY-2, 66%; PGY-3, 50%; P < .001). The authors replaced the format of a lower scoring session with one of higher cognitive content to target upper-level residents. The new session's mean score improved (7.1 to 7.4; P  =  .03); the adjusted odds ratios before and after the change for percentage answering, “Yes, definitely” to “Area I need to improve” was 2.53 (95% confidence interval [CI], 1.45–4.42; P  =  .001) and to “Would recommend to others,” it was 2.08 (95% CI, 1.12–3.89; P  =  .05). Conclusions The Ecological Momentary Assessment tool successfully guided ambulatory morning report curricular changes and confirmed successful curricular impact. Ecological Momentary Assessment concepts of multiple, frequent, timely evaluations can be successfully applied in residency curriculum redesign.

scholarly journals Study protocol: One plus one can be greater than two—Ecological momentary assessment for Black prostate cancer survivors and partners

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255614
Author(s):  
Dalnim Cho ◽  
Kathrin Milbury ◽  
Yue Liao ◽  
Curtis A. Pettaway ◽  
Justin R. Gregg ◽  
...  
Keyword(s):  
Physical Activity ◽  
Prostate Cancer ◽  
Ecological Momentary Assessment ◽  
Eating Behaviors ◽  
Assessment Tool ◽  
Romantic Partners ◽  
Lifestyle Behaviors ◽  
Retrospective Survey ◽  
Ecological Momentary ◽  
Momentary Assessment

Given that romantic partners play a pivotal role in patients’ survivorship period, integrating partners into survivorship care and broadening the focus of behavioral interventions from the individual (survivor) to the survivor-partner dyad may make healthy lifestyle behaviors more easily adopted and potentially maintained. Understanding the role of dyadic processes in Black survivors is particularly important because their lifestyle behaviors are poor and they have higher cancer-specific and all-cause mortality. To develop an effective dyadic lifestyle behavior intervention for Black survivors, micro-level investigations of interactions between Black survivors and their partners are necessary to pinpoint how survivors and partners facilitate or hinder each other’s lifestyle behaviors in their natural, everyday lives. Accordingly, the objective of the present study is to fill these gaps using ecological momentary assessment to eventually develop more effective lifestyle interventions for Black prostate cancer (PCa) survivors and partners. A total of 120 dyads (i.e., 240 individuals) who are Black adult survivors diagnosed with non-metastatic PCa and their romantic partners will be asked to complete four assessments per day for 14 consecutive days on a smartphone after an initial retrospective survey. Over the 14 days, participants will be asked to complete a brief survey regarding their lifestyle behaviors (physical activity, sedentariness and eating behaviors), contexts of lifestyle behaviors, stress, and coping. Physical activity and sedentary behavior will be assessed via accelerometer; eating behaviors will be assessed with the Automated Self-Administered 24-hour Dietary Assessment Tool. After completing the 14-day assessment, participants will be asked to complete a final retrospective survey. Results of the proposed study will inform the rigorous development of a theory-based dyadic lifestyle intervention in this vulnerable survivorship population with the ultimate goal to improve overall survival and reduce morbidities (for survivors) and reduce cancer incidence (for partners).

scholarly journals DESIGN AND EVALUATION OF AN ECOLOGICAL MOMENTARY ASSESSMENT TOOL FOR ASSESSING DEPRESSION IN DEMENTIA

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S462-S463
Author(s):  
Iulia Niculescu ◽  
Andrea Iaboni
Keyword(s):  
Ecological Momentary Assessment ◽  
Assessment Tool ◽  
Performance Outcomes ◽  
Self Report ◽  
People With Dementia ◽  
Novel Approach ◽  
Related Group ◽  
Common Items ◽  
Ecological Momentary ◽  
Momentary Assessment

Abstract Background. Assessing depression in people with dementia is challenging due to limitations of retrospectivity. Mobile Ecological Momentary Assessment (EMA) provides a novel approach in assessing depressive symptoms by collecting informant measures in intervals throughout the day, decreasing recall bias and increasing representativeness. Objective. The objective of this study is to design an EMA application for assessing depression in individuals with dementia. Methods. A literature review was conducted to determine commonly used and validated assessments for depression in dementia. Assessments were analyzed for common items, where items less commonly used (<50% of assessments sharing the item) or not relevant to be collected using EMA were excluded. Wording of items were also analyzed to develop the specific structure of questions for the EMA assessment. Results: Six assessments were found and demonstrated adequate performance outcomes. Items fell into either mood-related, dementia-related, vegetative, psychotic or positive mood symptom groups. The mood-related group was analyzed separately for prominent items, which were sadness, anxiety, pessimism, loss of interest and irritability. Wording of items were modified to be consistent with being collected throughout the day, rather than retrospectively. These items were incorporated as core observational domains in the application to be tested. Sadness and anxiety were additionally included as self-report items as studies have shown these to be most discordant between individuals with dementia and informants. Conclusions: This research is a first step towards an innovative approach to assessing depression in dementia. Next steps involve evaluation of the application’s feasibility and reliability for assessing depression in dementia.

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.

scholarly journals Use of Ecological Momentary Assessment to Determine Which Structural Factors Impact Perceived Teaching Quality of Attending Rounds

2012 ◽  
Vol 4 (3) ◽  
pp. 322-328 ◽  
Author(s):  
Lisa Willett ◽  
Thomas K. Houston ◽  
Gustavo R. Heudebert ◽  
Carlos Estrada
Keyword(s):  
Ecological Momentary Assessment ◽  
Teaching Methods ◽  
Teaching Style ◽  
Teaching Quality ◽  
Structural Factors ◽  
Evaluation Tool ◽  
Attending Rounds ◽  
Ecological Momentary ◽  
Momentary Assessment

Abstract Introduction Providing high-quality teaching to residents during attending rounds is challenging. Reasons include structural factors that affect rounds, which are beyond the attending's teaching style and control. Objective To develop a new evaluation tool to identify the structural components of ward rounds that most affect teaching quality in an internal medicine (IM) residency program. Methods The authors developed a 10-item Ecological Momentary Assessment (EMA) tool and collected daily evaluations for 18 months from IM residents rotating on inpatient services. Residents ranked the quality of teaching on rounds that day, and questions related to their service (general medicine, medical intensive care unit, and subspecialty services), patient census, absenteeism of team members, call status, and number of teaching methods used by the attending. Results Residents completed 488 evaluation cards over 18 months. This found no association between perceived teaching quality and training level, team absenteeism, and call status. We observed differences by service (P &lt; .001) and patient census (P  =  .009). After adjusting for type of service, census was no longer significant. Use of a larger variety of teaching methods was associated with higher perceived teaching quality, regardless of service or census (P for trend &lt; .001). Conclusions The EMA tool successfully identified that higher patient census was associated with lower perceived teaching quality, but the results were also influenced by the type of teaching service. We found that, regardless of census or teaching service, attendings can improve their teaching by diversifying the number of methods used in daily rounds.

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.

Using Personal Cell Phones for Ecological Momentary Assessment

2013 ◽  
Vol 18 (1) ◽  
pp. 3-11 ◽  
Author(s):  
Emmanuel Kuntsche ◽  
Florian Labhart
Keyword(s):  
Data Collection ◽  
Ecological Momentary Assessment ◽  
Communication Systems ◽  
Cell Phones ◽  
Personal Digital Assistants ◽  
Natural Environments ◽  
Mobility Patterns ◽  
Standard Data ◽  
Ecological Momentary ◽  
Momentary Assessment

Ecological Momentary Assessment (EMA) is a way of collecting data in people’s natural environments in real time and has become very popular in social and health sciences. The emergence of personal digital assistants has led to more complex and sophisticated EMA protocols but has also highlighted some important drawbacks. Modern cell phones combine the functionalities of advanced communication systems with those of a handheld computer and offer various additional features to capture and record sound, pictures, locations, and movements. Moreover, most people own a cell phone, are familiar with the different functions, and always carry it with them. This paper describes ways in which cell phones have been used for data collection purposes in the field of social sciences. This includes automated data capture techniques, for example, geolocation for the study of mobility patterns and the use of external sensors for remote health-monitoring research. The paper also describes cell phones as efficient and user-friendly tools for prompt manual data collection, that is, by asking participants to produce or to provide data. This can either be done by means of dedicated applications or by simply using the web browser. We conclude that cell phones offer a variety of advantages and have a great deal of potential for innovative research designs, suggesting they will be among the standard data collection devices for EMA in the coming years.

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