scholarly journals Investigating the Relationship between Perceived Meal Colour Variety and Food Intake across Meal Types in a Smartphone-Based Ecological Momentary Assessment

Nutrients ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 755
Author(s):  
Laura M. König ◽  
Julia E. Koller ◽  
Karoline Villinger ◽  
Deborah R. Wahl ◽  
Katrin Ziesemer ◽  
...  
Keyword(s):  
Ecological Momentary Assessment ◽  
Vegetable Consumption ◽  
Multilevel Modelling ◽  
Food Groups ◽  
Dietary Recommendations ◽  
Eating Occasions ◽  
Ecological Momentary ◽  
The Relationship ◽  
Momentary Assessment ◽  
Colour Variety

Although most people are aware of the health benefits of consuming sufficient amounts of fruit and vegetables, many do not adhere to current dietary recommendations. Recent studies have suggested meal colour variety as an intuitive cue for healthy and enjoyable lunch meal choices. The present study extends this research by testing the “colourful = healthy” association across meal types. Using smartphone-based Ecological Momentary Assessment, 110 participants recorded 2818 eating occasions over a period of eight days. For each eating occasion, a picture, a short written description of the meal, the meal type (breakfast, lunch, afternoon tea, dinner, snack) and the perceived meal colour variety were recorded. Foods were classified into seven food groups based on the pictures and descriptions. Data were analysed using multilevel modelling. For all meal types except afternoon tea which did not include vegetables, perceived that meal colour variety was positively related to vegetable consumption (bs ≥ 0.001, ts ≥ 3.27, ps ≤ 0.002, quasi-R2s ≥ 0.06). Moreover, perceived meal colour variety was negatively associated with sweets consumption for breakfast, dinner and snacks (bs ≤ −0.001, ts ≤ −2.82, ps ≤ 0.006, quasi-R2s ≥ 0.01). The “colourful = healthy” association can be generalized across meal types and thus may be a promising strategy to promote a healthier diet.

scholarly journals Factors in the home environment associated with toddler diet: an ecological momentary assessment study

2018 ◽  
Vol 21 (10) ◽  
pp. 1855-1864 ◽  
Author(s):  
Katherine L Campbell ◽  
Aleksandra Babiarz ◽  
Yan Wang ◽  
Nicholas A Tilton ◽  
Maureen M Black ◽  
...  
Keyword(s):  
Home Environment ◽  
Low Income ◽  
Ecological Momentary Assessment ◽  
Vegetable Consumption ◽  
Dietary Recommendations ◽  
Sugar Sweetened Beverage ◽  
Environment Factors ◽  
Dietary Behaviours ◽  
Ecological Momentary ◽  
Momentary Assessment

AbstractObjectiveTo identify home environment factors associated with toddler dietary behaviours using ecological momentary assessment (EMA).DesignHome environment and toddler’s diet were assessed by mothers through EMA (random beeps over ≤8 d and a brief survey). Dietary outcomes were fruit/vegetable consumption, eating episode (‘snack’ v. ‘meal’) and sugar-sweetened beverage (SSB) consumption. Home environment factors included interacting with mother, eating alone/with others, eating in a high chair/chair at the table, watching television and movement/translocation. Multilevel logistic mixed-effects regression models assessed both within- (individual toddlers across time) and between- (toddlers-on-average) subject effects.SubjectsLow-income mother–toddler dyads (n 277).SettingUrban and suburban Maryland, USA.ResultsEMA captured eating/drinking episodes for 249/277 (89·9 %) toddlers (883 eating episodes, 1586 drinking episodes). Toddlers-on-average were more likely (adjusted OR, P value) to eat fruit/vegetables when not moving around (0·43, P=0·043), eat with the television off (0·33, P<0·001) and eat in a high chair/chair (3·38, P<0·001); no within-subject effects were shown. For eating episodes, both toddlers-on-average and individual toddlers were more likely to eat snacks when not in a high chair/chair (0·13, P<0·001 and 0·06, P<0·001, respectively) and when eating alone (0·30, P<0·001 and 0·31, P<0·001, respectively). Also, individual toddlers were more likely to eat snacks when moving around (3·61, P<0·001). Toddlers-on-average were more likely to consume SSB when not in a high chair/chair (0·21, P=0·001), eating alone (0·38, P=0·047) or during a snacking episode (v. a meal: 3·96, P=0·012); no within-subject effects shown.ConclusionsFactors in the home environment are associated with dietary behaviours among toddlers. Understanding the interplay between the home environment and toddler diet can inform future paediatric dietary recommendations.

scholarly journals Concordance of children’s intake of selected food groups as reported by parents via 24-h dietary recall and ecological momentary assessment

2020 ◽  
Vol 24 (1) ◽  
pp. 22-33
Author(s):  
Katie A Loth ◽  
Angela Fertig ◽  
Amanda Trofholz ◽  
Lisa Harnack ◽  
Ross Crosby ◽  
...  
Keyword(s):  
Dietary Intake ◽  
Ecological Momentary Assessment ◽  
Population Based ◽  
Food Groups ◽  
Dietary Recall ◽  
Sweetened Beverages ◽  
Total Food ◽  
Eating Occasions ◽  
Ecological Momentary ◽  
Momentary Assessment

AbstractObjective:To understand how dietary intake data collected via a brief ecological momentary assessment (EMA) measure compares to that of data collected via interviewer-administered 24-h dietary recalls, and explore differences in level of concordance between these two assessment types by individual- and meal-level characteristics.Design:Parents completed three 24-h dietary recalls and 8 d of brief EMA surveys on behalf of their child; in total, there were 185 d where dietary intake data from both EMA and 24-h recall were available. The EMA measure asked parents to indicate whether (yes/no) their child had consumed any of the nine total food items (e.g. fruit, vegetable, etc.) at eating occasions where both the child and parent were present.Setting:Twenty-four-hour dietary recalls were completed in person in the study participant’s home; participants completed EMA surveys using a study provided in iPad or their personal cell phone.Participants:A diverse, population-based sample of parent–child dyads (n 150).Results:Among meals reported in both the EMA and dietary recalls, concordance of reporting of specific types of food ranged from moderate agreement for meat (kappa = 0·55); fair agreement for sweets (kappa = 0·38), beans/nuts (kappa = 0·37), dairy (kappa = 0·31), fruit (kappa = 0·31) and vegetables (kappa = 0·27); and little to no agreement for refined grains, whole grains and sweetened beverages (73 % overall agreement; kappa = 0·14). Concordance of reporting was highest for breakfast and snacks, as compared with other eating occasions. Higher concordance was observed between the two measures if the meal occurred at home.Conclusions:Data suggest that among meals reported in both the EMA and dietary recalls, concordance in reporting was reasonably good for some types of food but only fair or poor for others.

SWAY: Sleep disturbance as an early warning sign of suicidality in psychiatric inpatients transitioning to the community: an ecological momentary assessment study protocol (Preprint)

2021 ◽  
Author(s):  
Lindsay Dewa ◽  
Sofia Pappa ◽  
Talya Greene ◽  
James Cooke ◽  
Lizzie Mitchell ◽  
...  
Keyword(s):  
Hospital Discharge ◽  
Psychiatric Hospital ◽  
Ecological Momentary Assessment ◽  
Psychiatric Inpatients ◽  
Poor Sleep ◽  
Inpatient Setting ◽  
Initial Hospital ◽  
Ecological Momentary ◽  
The Relationship ◽  
Momentary Assessment

BACKGROUND Patients are at high risk of suicidal behaviour and death by suicide immediately following discharge from an inpatient psychiatric hospital. Furthermore, there is a high prevalence of sleep problems in inpatient settings which is associated with worse outcomes following hospitalisation. However, it is unknown whether poor sleep is associated with suicidality following initial hospital discharge. Our study aim is to examine the relationship between sleep and suicidality in discharged patients using ecological momentary assessment (EMA). OBJECTIVE To examine the relationship between subjective and objective sleep parameters and suicidality in young psychiatric inpatients transitioning to the community, and to explore the underlying mechanisms of this relationship using an adapted Integrated Motivational-Volitional (IMV) model. METHODS Our study will be the first co-produced prospective EMA using a wearable device to examine the sleep-suicide relationship during the transition from acute inpatient care to the community. Prospectively discharged inpatients aged 18-35 with a mental disorder (n>50) will be assessed for eligibility and recruited across two sites. Data on suicidal ideation, behaviour and imagery, non-suicidal self-harm and imagery, defeat, entrapment, and hopelessness, affect and sleep will be collected on the Pro-Diary V wrist-worn electronic watch for up to 14 days. Objective sleep and daytime activity will be measured using the inbuilt MotionWare software. Questionnaires will be administered face-to-face at baseline and follow-up while data will also be collected on the acceptability and feasibility of using the Pro-Diary V watch to monitor the transition following discharge. The study has been, and will continue to be, co-produced with young people with experience of being in an inpatient setting and suicidality. RESULTS South Birmingham Research Ethics Committee (Ref: 21/WM/0128) approved the study on June 28th 2021. We expect to see a relationship between poor sleep and post-discharge suicidality. Results will be available in 2022. CONCLUSIONS This will be the first EMA study to examine the relationship between sleep and suicidality, and to apply the IMV model in young patients transitioning from psychiatric hospital to community. We expect findings will directly influence policy and clinical practice, including the introduction of digital monitoring of suicidality and/or sleep before and after initial hospital discharge.

scholarly journals Mobile Ecological Momentary Assessment and Intervention and Health Behavior Change among Adults in Rakai, Uganda: a Pilot Randomized Controlled Trial. (Preprint)

2020 ◽  
Author(s):  
Laura Kristen Beres ◽  
Ismail Mbabali ◽  
Aggrey Anok ◽  
Charles Katabalwa ◽  
Jeremiah Mulamba ◽  
...  
Keyword(s):  
Behavior Change ◽  
Health Behaviors ◽  
Mobile Phone ◽  
Ecological Momentary Assessment ◽  
Vegetable Consumption ◽  
The Mean ◽  
Ecological Momentary ◽  
Ema Data ◽  
Momentary Assessment ◽  
Health Messaging

BACKGROUND An extraordinary increase in mobile phone ownership has revolutionized opportunities to employ mHealth approaches in lower- and middle-income countries (LMICs). Ecological Momentary Assessment (EMA) and Intervention (EMAI) uses mobile technology to gather data and deliver timely, personalized behavior change interventions in an individual’s natural setting. To our knowledge, there have been no previous trials of EMAI in sub-Saharan Africa. OBJECTIVE To advance the evidence base for mHealth interventions in LMICs, we conducted a pilot randomized trial to assess the feasibility of EMAI and to establish estimates of the potential effect of EMAI on a range of health-related behaviors in Rakai, Uganda. METHODS This prospective, parallel group, randomized pilot trial compared health behaviors between adult participants submitting EMA data and receiving behaviorally-responsive interventional health messaging (EMAI) to those submitting EMA data, alone. Using a fully-automated mobile phone application, participants submitted daily reports on five different health behaviors during a 30-day period prior to randomization (P1). Participants were then block randomized to control arm, continuing EMA reporting through exit, or intervention arm, EMA reporting plus behavioral health messaging receipt. Participants exited after 90 days of follow-up, divided into study Periods 2 (P2: randomization+29 days) and 3 (P3: 30 days post-randomization to exit). We used descriptive statistics to assess EMAI feasibility through completeness of data, and differences in reported behaviors between time periods and study arms. RESULTS The study included 24 participants per arm (48% female, median age 31 years). EMA data collection was feasible, with 85.5% of the combined 4,418 days reporting some behavioral data. There was a decrease in the mean proportion of days when alcohol was consumed in both arms over time (control: P1, 9.6% of days to P2, 4.3% of days, P=.03; intervention P1, 7.2% of days to P3, 2.4% of days, P=.01). Decreases in sex with a non-long-term partner without a condom were also reported in both arms (P1 to P3 control: 1.9% of days to 1.0% of days, P=.02, intervention: 6.6% of days to 1.3% of days P=.03). An increase in fruit and vegetable consumption was found in the intervention (P1 to P3 fruit: 78.6% of days to 87.0% of days, P=<.001; vegetable: 65.6% of days to 76.6% of days, P =.03 ) but not the control arm. Between arms, there was a significant difference in the change in reported vegetable consumption between P1 and P3 (control: 7.99% decrease in the mean proportion of days vegetables consumed, intervention: 11.05% increase, P=.01). CONCLUSIONS Preliminary estimates suggest that EMAI may be a promising strategy to promote behavior change across a range of behaviors. Larger trials examining the effectiveness of EMAI in LMICs are warranted. CLINICALTRIAL ClinicalTrials.gov NCT04375423; https://www.clinicaltrials.gov/ct2/show/NCT04375423.

Social Contact Frequency and Pain among Older Adults with HIV: An Ecological Momentary Assessment Study

2021 ◽  
Author(s):  
Matthew S Herbert ◽  
Jennalee S Wooldridge ◽  
Emily W Paolillo ◽  
Colin A Depp ◽  
Raeanne C Moore
Keyword(s):  
Older Adults ◽  
Negative Affect ◽  
Positive Affect ◽  
Ecological Momentary Assessment ◽  
Social Contact ◽  
Contact Frequency ◽  
Ecological Momentary ◽  
The Impact ◽  
The Relationship ◽  
Momentary Assessment

Abstract Background Social relationships are important for pain management among individuals with HIV, but the impact of daily social contact on pain responses in real-time, real-world settings has never been specifically examined. Purpose The purpose of the present study was to examine the relationship between social contact frequency and pain, and the role of negative and positive affect in this relationship among older adults with HIV using ecological momentary assessment (EMA). Methods A total of 66 (Mage = 59.3, SD = 6.3, range: 50–74) older adults with HIV completed EMA surveys that included social contact frequency, pain level, and negative and positive affect four times per day for 2 weeks. Mixed-effects regression models were used to examine concurrent and lagged associations between social contact frequency, pain, and negative and positive affect. Results Greater recent social contact frequency was associated with less severe current pain (unstandardized B = −0.04, 95% CI: −0.08, −0.01, p = .014), while greater current pain was associated with lower subsequent social contact frequency (unstandardized B = −0.07, 95% CI: −0.11, −0.03, p &lt; .001). Further, higher current negative affect was related to greater current pain, and this relationship was dampened by increased recent social contact frequency (unstandardized B = −0.17, 95% CI: −0.26, −0.08, p &lt; .001). Neither negative nor positive affect was significantly associated with the relationship between current pain and subsequent social contact frequency. Conclusions Social contact frequency and pain are bidirectionally and inversely associated among older adults with HIV. Further, recent social contact influences current pain by attenuating negative affect. Together, these results highlight the need to address social engagement in interventions for pain among older adults with HIV.

scholarly journals Emotion Regulation Style and Daily Rumination: Potential Mediators between Affect and Both Depression and Anxiety during Adolescence

2020 ◽  
Vol 17 (18) ◽  
pp. 6614
Author(s):  
Neus Zuzama ◽  
Aina Fiol-Veny ◽  
Josep Roman-Juan ◽  
Maria Balle
Keyword(s):  
Emotion Regulation ◽  
Ecological Momentary Assessment ◽  
Internalizing Problems ◽  
Self Report ◽  
Depression And Anxiety ◽  
Symptom Development ◽  
Ecological Momentary ◽  
The Relationship ◽  
Momentary Assessment ◽  
Significant Direct Effect

Adolescence is a vulnerable period for depressive and anxious symptom development, and emotion regulation (ER) may be one mechanism linking temperament—i.e., positive affect (PA) and negative affect (NA)—with such symptomatology. Rumination is a common ER strategy that is traditionally assessed using self-reported questionnaires, but it would also be interesting to examine it with an Ecological Momentary Assessment (EMA) approach. Sixty-five adolescents (Mage = 14.69; SDage = 0.82; range = 14–17 years old; 53.80% girls) completed self-report measures of temperament, ER style, depression and anxiety, and underwent an EMA to investigate rumination use. Results revealed that negative ER style and rumination use mediated the relationship between NA and depression, while only rumination use mediated the relationship between PA and depression. Moreover, NA contributed to increase anxiety, but negative ER style did not significantly mediate this relationship. Rumination use also had no effect on anxiety. This study provides further support for the relationship between temperament, ER, and internalizing problems. It seems that both a negative ER style and rumination use mediate the relationship between NA and depression whereas only NA had a significant direct effect on anxiety. Furthermore, PA buffered the effect of rumination use on depression in this study.

scholarly journals Health behaviours of Australian fly-in, fly-out workers and partners during on-shift and off-shift days: an ecological momentary assessment study

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e023631 ◽  
Author(s):  
Amanda L Rebar ◽  
Kristie-Lee Alfrey ◽  
Benjamin Gardner ◽  
Corneel Vandelanotte
Keyword(s):  
Ecological Momentary Assessment ◽  
Health Behaviours ◽  
Multilevel Modelling ◽  
Unique Type ◽  
Nutrition Quality ◽  
Quality Sleep ◽  
Cigarette Cessation ◽  
Ecological Momentary ◽  
Time Frames ◽  
Momentary Assessment

ObjectivesFly-in, fly-out (FIFO) work involves long commutes, living on-site for consecutive days and returning home between shifts. This unique type of work requires constant transitioning between the roles and routines of on-shift versus off-shift days. This study aims to examine health behaviour patterns of FIFO workers and FIFO partners during on-shift and off-shift time frames.DesignThis study used ecological momentary assessment and multilevel modelling to examine daily health behaviours.SettingFIFO workers and FIFO partners from across Australia responded to daily online surveys for up to 7 days of on-shift and up to 7 days of off-shift time frames.ParticipantsParticipants included 64 FIFO workers and 42 FIFO worker partners.ResultsWorkers and partners reported poorer sleep and nutrition quality for on-shift compared with off-shift days. Both workers and partners exercised less, smoked more cigarettes, took more physical health medication and drank less alcohol during on-shift compared with off-shift days.ConclusionsFIFO organisations should consider infrastructure changes and support services to enhance opportunities for quality sleep and nutrition, sufficient exercise, moderate alcohol consumption and cigarette cessation for workers on-site and their partners at home.

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