Cognitive and Motor Predictors of Daily Life Monitoring for Stroke Survivors Using Mobile Health Technology

2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512500045p1-7512500045p1
Author(s):  
Shijia Li ◽  
Stephen C. L. Lau ◽  
Joanne N. Chin ◽  
Alex Wong

Abstract Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. We examined cognitive and motor factors predicting adherence to smartphone-based ecological momentary assessment (EMA) for monitoring daily life participation in stroke survivors. Cognitive flexibility and dexterity were significant predictors of EMA adherence. We derived cutoff values to differentiate survivors with high and low adherence. OTs may use them to guide the selection of survivors who can use mobile health technology to monitor poststroke functioning. Primary Author and Speaker: Shijia Li Additional Authors and Speakers: Stephen C. L. Lau, Joanne N. Chin Contributing Authors: Alex Wong

2021 ◽  
Author(s):  
Saeideh Heshmati ◽  
Zita Oravecz

Most assessments of well-being have relied on retrospective accounts, measured by global evaluative well-being scales. Following the recent debates focused on the assessment of hedonic and eudaimonic well-being based on the elements of the PERMA theory, the current study aimed to shed further light onto the measurement of PERMA elements in daily life and their temporal dynamics. Through an Ecological Momentary Assessment (EMA) design (N=160), we examined the dynamics of change (e.g., baselines and intra-individual variability) in the PERMA elements using the mPERMA measure, which is an EMA-adapted version of the PERMA Profiler. Findings revealed that momentary experiences of well-being, quantified via PERMA elements, map onto their corresponding hedonic or eudaimonic well-being components, and its dynamical features provide novel insights into predicting global well-being. This work offers avenues for future research to assess well-being in real-time and real-world contexts in ecologically valid ways, while eliminating recall bias.


Assessment ◽  
2018 ◽  
Vol 27 (8) ◽  
pp. 1683-1698 ◽  
Author(s):  
Stacey B. Scott ◽  
Martin J. Sliwinski ◽  
Matthew Zawadzki ◽  
Robert S. Stawski ◽  
Jinhyuk Kim ◽  
...  

Despite widespread interest in variance in affect, basic questions remain pertaining to the relative proportions of between-person and within-person variance, the contribution of days and moments, and the reliability of these estimates. We addressed these questions by decomposing negative affect and positive affect variance across three levels (person, day, moment), and calculating reliability using a coordinated analysis of seven daily diary, ecological momentary assessment (EMA), and diary-EMA hybrid studies (across studies age = 18-84 years, total Npersons = 2,103, total Nobservations = 45,065). Across studies, within-person variance was sizeable (negative affect: 45% to 66%, positive affect: 25% to 74%); in EMA more within-person variance was attributable to momentary rather than daily level. Reliability was adequate to high at all levels of analysis (within-person: .73-.91; between-person: .96-1.00) despite different items and designs. We discuss the implications of these results for the design of future intensive studies of affect variance.


2019 ◽  
Vol 32 (6) ◽  
pp. 765-774 ◽  
Author(s):  
A. Roefs ◽  
B. Boh ◽  
G. Spanakis ◽  
C. Nederkoorn ◽  
L. H. J. M. Lemmens ◽  
...  

2019 ◽  
Author(s):  
Rüdiger Pryss ◽  
Winfried Schlee ◽  
Burkhard Hoppenstedt ◽  
Manfred Reichert ◽  
Myra Spiliopoulou ◽  
...  

BACKGROUND Tinnitus is often described as the phantom perception of a sound and is experienced by 5.1% to 42.7% of the population worldwide, at least once during their lifetime. The symptoms often reduce the patient’s quality of life. The TrackYourTinnitus (TYT) mobile health (mHealth) crowdsensing platform was developed for two operating systems (OS)—Android and iOS—to help patients demystify the daily moment-to-moment variations of their tinnitus symptoms. In all platforms developed for more than one OS, it is important to investigate whether the crowdsensed data predicts the OS that was used in order to understand the degree to which the OS is a confounder that is necessary to consider. OBJECTIVE In this study, we explored whether the mobile OS—Android and iOS—used during user assessments can be predicted by the dynamic daily-life TYT data. METHODS TYT mainly applies the paradigms ecological momentary assessment (EMA) and mobile crowdsensing to collect dynamic EMA (EMA-D) daily-life data. The dynamic daily-life TYT data that were analyzed included eight questions as part of the EMA-D questionnaire. In this study, 518 TYT users were analyzed, who each completed at least 11 EMA-D questionnaires. Out of these, 221 were iOS users and 297 were Android users. The iOS users completed, in total, 14,708 EMA-D questionnaires; the number of EMA-D questionnaires completed by the Android users was randomly reduced to the same number to properly address the research question of the study. Machine learning methods—a feedforward neural network, a decision tree, a random forest classifier, and a support vector machine—were applied to address the research question. RESULTS Machine learning was able to predict the mobile OS used with an accuracy up to 78.94% based on the provided EMA-D questionnaires on the assessment level. In this context, the daily measurements regarding how users concentrate on the actual activity were particularly suitable for the prediction of the mobile OS used. CONCLUSIONS In the work at hand, two particular aspects have been revealed. First, machine learning can contribute to EMA-D data in the medical context. Second, based on the EMA-D data of TYT, we found that the accuracy in predicting the mobile OS used has several implications. Particularly, in clinical studies using mobile devices, the OS should be assessed as a covariate, as it might be a confounder.


PLoS ONE ◽  
2020 ◽  
Vol 15 (4) ◽  
pp. e0231783
Author(s):  
Tabea Rosenkranz ◽  
Keisuke Takano ◽  
Edward R. Watkins ◽  
Thomas Ehring

Stroke ◽  
2022 ◽  
Vol 53 (Suppl_1) ◽  
Author(s):  
Jane Anderson ◽  
Barbara Kimmel ◽  
Shubhada Sansgiry ◽  
Gina Evans-Hudnall ◽  
Anette Ovalle ◽  
...  

Background and Purpose: Self-management Support (SMS) helps stroke survivors control risk factors to prevent second stroke. Little is known about feasibility and effectiveness of using mobile health technology (MHT) for SMS among underserved stroke survivors. The investigators studied feasibility and effectiveness of using a video teleconference mobile application to deliver a SMS program to underserved, hard to reach stroke survivors. Methods: The Video teleconference Self-management TO Prevent stroke (V-STOP) program was evaluated using longitudinal design with measurements at baseline, immediately post intervention (6 weeks), intermediate (12 weeks), and at study end (18 weeks). Medically underserved stroke survivors with uncontrolled stroke risk factors were included. Feasibility was assessed as time in intervention, telehealth satisfaction, stroke knowledge and SMS effectiveness were measured as psychological (depression, PHQ-8; anxiety, GAD-7), social (community integration questionnaire), and stroke self-management (goal attainment) outcomes. Generalized estimating equations were used with site and time in intervention as covariates. Results: V-STOP was successfully delivered to 106 participants using MHT over 2 years. Mean age was 59.3 (±10.9), majority were white (82.1%), males (54.3%), not living alone (85.9%), married (52.8%), with low annual income (<$25,000) ( 58.5%), and health insurance (59.4%). Program feasibility indicated mean number of V-STOP sessions were 4.6 (±1.8), with 4.4 (±2.0) hours of total time for the intervention. Overall satisfaction at 6 weeks with V-STOP (4.8(±0.5)) and telehealth (4.7(±0.5)) was high. Stroke knowledge was high at 12 weeks (9.6(±0.7)). SMS effectiveness indicated improvement in psychological outcomes at 6, 12, and 18 weeks from baseline; depression (18 weeks - β = 0.64 (CI 0.49-0.84)) and anxiety (18 weeks - β = 0.66 (CI 0.51-0.85)). Community integration improved by 18 weeks - β = 1.08 (CI 1.01-1.16) and stroke self-management also improved long term at 12 and 18 weeks (β = 0.92 (CI 0.84-0.99). Conclusion: MHT is feasible to deliver SMS to underserved stroke survivors. It improves psycho-social and self-management goal setting and goal attainment outcomes.


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