scholarly journals Ecological momentary assessment using patient smartphones: a pilot study in depression (Preprint)

2019 ◽  
Author(s):  
Guillaume Delval ◽  
Redwan Maatoug ◽  
Terence Brochu ◽  
Benjamin Pitrat ◽  
Bruno Millet
Keyword(s):  
Real Time ◽  
Ecological Momentary Assessment ◽  
Large Scale ◽  
Smartphone Application ◽  
Or Efficiency ◽  
Patient’S Satisfaction ◽  
Ecological Momentary ◽  
Momentary Assessment ◽  
Graphic Rendering

UNSTRUCTURED Background: Ecological Momentary Assessment (EMA) is a promising tool in the management of psychiatric disorders and particularly depression; it allows for a real-time evaluation of symptoms and an earlier detection of relapse or efficiency of the treatment associated. The generalization of the smartphone in modern societies also offers a new large-scale support for EMA. Objective: The present study aims to evaluate the feasibility in terms of compliance as well as graphic rendering and user experience of an EMA with patients suffering from unipolar depression. Method: Eleven patients at La Pitié-Salpêtrière Hospital were followed during 28 days with the help of a smartphone application installed on the patient’s personal smartphones. The results of the real-time collected data were reviewed during three follow-up consultations, by a psychiatrist interacting with the patient, on a “dashboard” aggregating all the patient’s data in a user-friendly manner. Results: Seven patients out of eleven have followed the protocol for its total length of time. Two patients continue to fill in the questionnaires without showing for the consultation which suggests that EMA is easy to use with a good compliance. The global response rate to the questionnaires was 58% with an average follow-up duration of 21 days out of 28 days in total. In light of the results in terms of graphic rendering and patient’s satisfaction, we strongly believe that EMA should be the focus on follow-up and early intervention studies.

scholarly journals Ecological Momentary Assessment Using Smartphones in Patients With Depression: Feasibility Study

10.2196/14179 ◽  
2021 ◽  
Vol 5 (2) ◽  
pp. e14179
Author(s):  
Redwan Maatoug ◽  
Nathan Peiffer-Smadja ◽  
Guillaume Delval ◽  
Térence Brochu ◽  
Benjamin Pitrat ◽  
...  
Keyword(s):  
Real Time ◽  
Ecological Momentary Assessment ◽  
Self Esteem ◽  
Smartphone App ◽  
Spearman Correlation ◽  
Time Data ◽  
Real Time Data ◽  
Ecological Momentary ◽  
Momentary Assessment

Background Ecological momentary assessment (EMA) is a promising tool in the management of psychiatric disorders and particularly depression. It allows for a real-time evaluation of symptoms and an earlier detection of relapse or treatment efficacy. The generalization of the smartphone in the modern world offers a new, large-scale support for EMA. Objective The main objective of this study was twofold: (1) to assess patients’ compliance with an EMA smartphone app defined by the number of EMAs completed, and (2) to estimate the external validity of the EMA using a correlation between self-esteem/guilt/mood variables and Hamilton Depression Rating Scale (HDRS) score. Methods Eleven patients at the Pitié-Salpêtrière Hospital, Paris, France, were monitored for 28 days by means of a smartphone app. Every patient enrolled in the study had two types of assessment: (1) three outpatient consultations with a psychiatrist at three different time points (days 1, 15, and 28), and (2) real-time data collection using an EMA smartphone app with a single, fixed notification per day at 3 pm for 28 days. The results of the real-time data collected were reviewed during the three outpatient consultations by a psychiatrist using a dashboard that aggregated all of the patients’ data into a user-friendly format. Results Of the 11 patients in the study, 6 patients attended the 3 outpatient consultations with the psychiatrist and completed the HDRS at each consultation. We found a positive correlation between the HDRS score and the variables of self-esteem, guilt, and mood (Spearman correlation coefficient 0.57). Seven patients completed the daily EMAs for 28 days or longer, with an average response rate to the EMAs of 62.5% (175/280). Furthermore, we observed a positive correlation between the number of responses to EMAs and the duration of follow-up (Spearman correlation coefficient 0.63). Conclusions This preliminary study with a prolonged follow-up demonstrates significant patient compliance with the smartphone app. In addition, the self-assessments performed by patients seemed faithful to the standardized measurements performed by the psychiatrist. The results also suggest that for some patients it is more convenient to use the smartphone app than to attend outpatient consultations.

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 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.

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