Motivational Text Message Intervention for Eating Disorders: A Single-Case Alternating Treatment Design Using Ecological Momentary Assessment

2016 ◽  
Vol 47 (3) ◽  
pp. 325-338 ◽  
Author(s):  
Rebecca M. Shingleton ◽  
Elizabeth M. Pratt ◽  
Bernard Gorman ◽  
David H. Barlow ◽  
Tibor P. Palfai ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Ecological Momentary Assessment ◽  
Single Case ◽  
Text Message ◽  
Ecological Momentary ◽  
Text Message Intervention ◽  
Alternating Treatment Design ◽  
Momentary Assessment ◽  
Treatment Design

scholarly journals Brief Acceptance and Commitment Therapy for Fibromyalgia: Feasibility and Effectiveness of a Replicated Single-Case Design

2020 ◽  
Vol 2020 ◽  
pp. 1-11
Author(s):  
María Camino Gómez-Pérez ◽  
Azucena García-Palacios ◽  
Diana Castilla ◽  
Irene Zaragozá ◽  
Carlos Suso-Ribera
Keyword(s):  
Ecological Momentary Assessment ◽  
Large Scale ◽  
Psychological Treatment ◽  
Single Case ◽  
Routine Care ◽  
Single Case Design ◽  
The Individual ◽  
Ecological Momentary ◽  
Momentary Assessment ◽  
Case Design

Objective. Overall, the literature on the effectiveness of psychological treatments in general and those for fibromyalgia in particular has been dominated by research designs that focus on large groups and explore changes on average, so the treatment impact at the individual level remains unclear. In this quasi-experimental, replicated single-case design, we will test the feasibility and effectiveness of a brief acceptance and committed therapy intervention using ecological momentary assessment supported by technology. Methods. The sample comprised 7 patients (3 in the individual condition and 4 in the group condition) who received a brief, 5-week psychological treatment. Patient evolution was assessed one week prior to treatment onset and during the whole study with a smartphone app. Because ecological momentary assessment and the use of an app are not frequent practices in routine care, we also evaluated the feasibility of this assessment methodology (i.e., compliance with the app). Change was investigated with a nonoverlap of all pairs index. Outcomes were pain interference with sleep and social activities, fatigue, sadness, and pain intensity. Results. Patient change was not uniform across outcomes. Four patients (two in each condition) showed relatively moderate levels of change (approximately 60% nonoverlap in several outcomes). The remaining patients showed more modest improvements which affected a reduced number of outcomes. Based on nonoverlapping indices, there was no clear evidence in favor of any treatment format. Conclusions. An alternative design to large-scale trials, one that focuses on the individual change, exists and it can be implemented in pain research. The use of technology (e.g., smartphones) simplifies such designs by facilitating ecological momentary assessment. Based on our findings showing that changes were not homogeneous across patients or outcomes, more single-case designs and patient-centered analyses (e.g., responder and moderation analyses) are required.

A Novel Inexpensive Use of Smartphone Technology for Ecological Momentary Assessment in Middle-Aged Women

2016 ◽  
Vol 13 (3) ◽  
pp. 262-268 ◽  
Author(s):  
Diane K. Ehlers ◽  
Jennifer Huberty ◽  
Matthew Buman ◽  
Steven Hooker ◽  
Michael Todd ◽  
...  
Keyword(s):  
Ecological Momentary Assessment ◽  
Text Messaging ◽  
Text Message ◽  
Mobile Internet ◽  
Middle Aged ◽  
Activity Data ◽  
Average Completion Time ◽  
Available Technology ◽  
Ecological Momentary ◽  
Momentary Assessment

Background:Commercially available mobile and Internet technologies present a promising opportunity to feasibly conduct ecological momentary assessment (EMA). The purpose of this study was to describe a novel EMA protocol administered on middle-aged women’s smartphones via text messaging and mobile Internet.Methods:Women (N = 9; mean age = 46.2 ± 8.2 y) received 35 text message prompts to a mobile survey assessing activity, self-worth, and self-efficacy over 14 days. Prompts were scheduled and surveys were administered using commercial, Internet-based programs. Prompting was tailored to each woman’s daily wake/sleep schedule. Women concurrently wore a wrist-worn accelerometer. Feasibility was assessed via survey completion, accelerometer wear, participant feedback, and researcher notes.Results:Of 315 prompted surveys, 287 responses were valid (91.1%). Average completion time was 1.52 ± 1.03 minutes. One participant’s activity data were excluded due to accelerometer malfunction, resulting in complete data from 8 participants (n = 252 [80.0%] valid observations). Women reported the survey was easily and quickly read/completed. However, most thought the accelerometer was inconvenient.Conclusions:High completion rates and perceived usability suggest capitalizing on widely available technology and tailoring prompting schedules may optimize EMA in middle-aged women. However, researchers may need to carefully select objective monitors to maintain data validity while limiting participant burden.

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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