Utility of Smartphone‐based real‐time report (Ecological Momentary Assessment) in the assessment and monitoring of awake bruxism. A multiple‐week interval study in a Portuguese population of university students

2021 ◽  
Author(s):  
Ricardo Dias ◽  
Rui Vaz ◽  
Maria João Rodrigues ◽  
Junia Maria Serra‐Negra ◽  
Alessandro Bracci ◽  
...  
Keyword(s):  
University Students ◽  
Real Time ◽  
Ecological Momentary Assessment ◽  
Portuguese Population ◽  
Assessment And Monitoring ◽  
Ecological Momentary ◽  
Awake Bruxism ◽  
Momentary Assessment

scholarly journals Awake Bruxism – Definition Through Self-report and Through Ecological Momentary Assessment

2021 ◽  
Author(s):  
Alona Emodi-Perlman ◽  
Daniele Manfrendini ◽  
Tamar Shalev-Antsel ◽  
Ilanit Yevdayev ◽  
Pessia Frideman-Rubin ◽  
...  
Keyword(s):  
Ecological Momentary Assessment ◽  
Single Point ◽  
Smartphone Application ◽  
Self Report ◽  
Teeth Grinding ◽  
Teeth Clenching ◽  
The Status ◽  
Ecological Momentary ◽  
Awake Bruxism ◽  
Momentary Assessment

Diagnosis of Awake Bruxism (AB) is problematic due to the inability to use continuous recordings during daytime activities. Recently, a new semi-instrumental approach was suggested, viz., an Ecological Momentary Assessment (EMA), with the use of a smartphone application. With the application subjects are requested to report, at least 12 times per day, the status of their masticatory muscle activity (relaxed muscles, jaw bracing without tooth contact, teeth contact, teeth clenching or teeth grinding). The aim of the present study was to compare the EMA to the assessment of AB as defined by a single point self-report. The most frequent condition recorded by the EMA was relaxed muscles (ca. 60%) and the least frequent one - Teeth grinding (0.6 %). The relaxed muscle condition also showed the lowest coefficient of variance over a 7day period of report. Additionally, only the relaxed muscles and the Jaw bracing conditions presented an acceptable ability to discriminate between AB positive and AB negative subjects, as defined by single point self-report questions. The combination between self-report and EMA may have a potential to promote our ability to diagnose AB. We suggest to re-consider the conditions of Teeth contact and Teeth grinding while using EMA to evaluate AB.

scholarly journals Possible Application of Ecological Momentary Assessment to Older Adults’ Daily Depressive Mood: Integrative Literature Review

10.2196/13247 ◽  
2020 ◽  
Vol 7 (6) ◽  
pp. e13247
Author(s):  
Heejung Kim ◽  
Sunah Kim ◽  
Seong Sook Kong ◽  
Yi-Rang Jeong ◽  
Hyein Kim ◽  
...  
Keyword(s):  
Older Adults ◽  
Literature Review ◽  
Real Time ◽  
Ecological Momentary Assessment ◽  
Compliance Rate ◽  
Depressive Mood ◽  
Age Difference ◽  
Technical Problems ◽  
Ecological Momentary ◽  
Momentary Assessment

Background Ecological momentary assessment is a method of investigating individuals’ real-time experiences, behaviors, and moods in their natural environment over time. Despite its general usability and clinical value for evaluating daily depressive mood, there are several methodological challenges when applying ecological momentary assessment to older adults. Objective The aims of this integrative literature review were to examine possible uses of the ecological momentary assessment methodology with older adults and to suggest strategies to increase the feasibility of its application in geriatric depression research and practice. Methods We searched 4 electronic databases (MEDLINE, CINAHL, PsycINFO, and EMBASE) and gray literature; we also hand searched the retrieved articles’ references. We limited all database searches to articles published in peer-reviewed journals from 2009 to 2019. Search terms were “ecological momentary assessment,” “smartphone assessment,” “real time assessment,” “electronic daily diary,” “mHealth momentary assessment,” “mobile-based app,” and “experience sampling method,” combined with the relevant terms of depression. We included any studies that enrolled older adults even as a subgroup and that reported depressive mood at least once a day for more than 2 days. Results Of the 38 studies that met the inclusion criteria, only 1 study enrolled adults aged 65 years or older as the entire sample; the remainder of the reviewed studies used mixed samples of both younger and older adults. Most of the analyzed studies (18/38, 47%) were quantitative, exploratory (descriptive, correlational, and predictive), and cohort in design. Ecological momentary assessment was used to describe the fluctuating pattern of participants’ depressive moods primarily and to examine the correlation between mood patterns and other health outcomes as a concurrent symptom. We found 3 key methodological issues: (1) heterogeneity in study design and protocol, (2) issues with definitions of dropout and adherence, and (3) variation in how depressive symptoms were measured with ecological momentary assessment. Some studies (8/38, 21%) examined the age difference of participants with respect to dropout or poor compliance rate. Detailed participant burden was reported, such as technical problems, aging-related health problems, or discomfort while using the device. Conclusions Ecological momentary assessment has been used for comprehensive assessment of multiple mental health indicators in relation to depressive mood. Our findings provide methodological considerations for further studies that may be implemented using ecological momentary assessment to assess daily depressive mood in older adults. Conducting more feasibility studies focusing on older adults with standardized data collection protocols and mixed-methods research is required to reflect users’ experiences. Further telepsychiatric evaluation and diagnosis based on ecological momentary assessment data should involve standardized and sophisticated strategies to maximize the potential of ecological momentary assessment for older adults with depression in the community setting.

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