Ecological Momentary Assessment

Shiffman, Saul; Stone, Arthur A.; Hufford, Michael R.

doi:10.1146/annurev.clinpsy.3.022806.091415

Cited by 4,721 publications

(4,272 citation statements)

References 125 publications

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“…Combining rigorous trial designs where app-usage data is continuously collected (logins, duration of usage, duration at certain elements, etc.) with, for example, ecological momentary assessment (Shiffman, Stone, & Hufford, 2008), in which data on symptoms/distress are collected with high frequency, could yield more detailed information about the potential mechanisms of change related to app usage.…”

Section: Discussionmentioning

confidence: 99%

A pilot study of user satisfaction and perceived helpfulness of the Swedish version of the mobile app PTSD Coach

Cernvall

Sveen

Johannesson

et al. 2018

European Journal of Psychotraumatology

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Background: There is a need for accessible interventions in the aftermath of traumatic events with documented efficacy for preventing or reducing negative mental health consequences. The PTSD Coach is a mobile app that has shown to be effective in reducing symptoms of posttraumatic stress (PTSS). Objective: The purpose of the current study was to evaluate the user satisfaction, perceived helpfulness and potential reductions of PTSS and symptoms of depression among participants using the Swedish version of the PTSD Coach. Method: This was an uncontrolled pre-test post-test open trial including participants recruited from the community via advertisement and from an ongoing observational study who had experienced a potentially traumatic event in the last five years. Participants had access to the Swedish PTSD Coach app for four weeks. Results: Eleven participants (mean age = 38.6, female = 8) completed the study. Nine of the participants met criteria for full or partial PTSD. Results from the PTSD Coach Survey indicated that participants found the app slightly to moderately helpful and were slightly to moderately satisfied with the app. Nominal but not statistically significant reductions of medium effect sizes in PTSS (PCL-5) and depression (PHQ-9) from pre- to post-assessment were found. In interviews, participants indicated that they found elements such as learning about PTSD, breathing exercises and monitoring symptoms helpful in managing symptoms. However, several participants indicated that they had not used the app as much as they had intended to. Participants also had suggestions for improvements such as enhanced app structure and better guidance regarding how to use the app. Conclusions: The perceived helpfulness and user satisfaction were slightly lower compared to research on the original version of the app. Experiences from the study are discussed and a future controlled study of the Swedish version of the PTSD Coach is suggested.

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Section: Discussionmentioning

confidence: 99%

A pilot study of user satisfaction and perceived helpfulness of the Swedish version of the mobile app PTSD Coach

Cernvall

Sveen

Johannesson

et al. 2018

European Journal of Psychotraumatology

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“…Finally, there are reciprocal relationships between impaired daily function from mTBI, mood changes, chronic pain, and disrupted sleep at night. Experience sampling or ecological momentary assessments are likely to provide unique insights into the temporal nature of these relationships [135]. Further, each of these conditions amplifies sympathetic activation and exacerbates the other disorders.…”

Section: Measurement Issuesmentioning

confidence: 99%

Sleep, Sleep Disorders, and Mild Traumatic Brain Injury. What We Know and What We Need to Know: Findings from a National Working Group

et al. 2016

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Disturbed sleep is one of the most common complaints following traumatic brain injury (TBI) and worsens morbidity and long-term sequelae. Further, sleep and TBI share neurophysiologic underpinnings with direct relevance to recovery from TBI. As such, disturbed sleep and clinical sleep disorders represent modifiable treatment targets to improve outcomes in TBI. This paper presents key findings from a national working group on sleep and TBI, with a specific focus on the testing and development of sleep-related therapeutic interventions for mild TBI (mTBI). First, mTBI and sleep physiology are briefly reviewed. Next, essential empirical and clinical questions and knowledge gaps are addressed. Finally, actionable recommendations are offered to guide active and efficient collaboration between academic, industry, and governmental stakeholders.

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“…First, we address a call for further investigation of HCC with more elaborate stress assessment strategies, such as ecological momentary assessment . Ecological momentary assessment (EMA) is not a single research method, but encompasses a range of methods and methodological traditions (Moskowitz and Young, 2006;Shiffman et al, 2008;Smyth et al, 2009). Shiffman et al (2008) summarised features common to EMA approaches, which help to outline the main advantages: 1) Data are gathered as participants go about their lives (i.e., ecologically valid);…”

Section: Introductionmentioning

confidence: 99%

Hair cortisol and self-reported stress in healthy, working adults

Gidlow

Randall²,

Gillman

et al. 2016

Psychoneuroendocrinology

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Chronic stress can be important in the pathology of chronic disease. Hair cortisol concentrations (HCC) are proposed to reflect long term cortisol secretion from exposure to stress. To date, inconsistencies in the relationship between HCC and self-reported stress have been attributed to variation and limitations of perceived stress measurement. We report data from employees of two large public sector worksites (n=132). Socio-demographic, health, lifestyle, Perceived Stress Scale (PSS), and work-related Effort Reward Imbalance (ERI) were collected at baseline. Participants were asked to respond to mobile text messages every two days, asking them to report current stress levels (Ecological Momentary Assessment, EMA), and mean stress was determined overall, during work hours, and out of work hours. At 12 weeks, the Appraisal of Stressful Life Events Scale (ALES) was completed and 3cm scalp hair samples were taken, from which HCC was determined (to reflect cortisol secretion over the past 12 weeks). Mean response rate to EMA was 81.9±14.9%. Associations between HCC and the various self-reported stress measures (adjusted for use of hair dye) were weak (all <.3). We observed significant associations with HCC for EMA measured stress responses received out of work hours (ρ=.196, p=.013) and ALES Loss subscale (ρ=.241, p=.003), and two individual items from ERI (relating to future work situation). In regression analysis adjusting for other possible confounders, only the HCC-ALES Loss association remained significant (p=.011). Overall, our study confirms that EMA provides a useful measurement tool that can gather perceived stress measures in real-time. But, there was no relationship between self-reported stress collected in this way, and HCC. The modest association between HCC and stress appraisal does however, provide some evidence for the role of cognitive processes in chronic stress.

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Ecological Momentary Assessment

Cited by 4,721 publications

References 125 publications

A pilot study of user satisfaction and perceived helpfulness of the Swedish version of the mobile app PTSD Coach

A pilot study of user satisfaction and perceived helpfulness of the Swedish version of the mobile app PTSD Coach

Sleep, Sleep Disorders, and Mild Traumatic Brain Injury. What We Know and What We Need to Know: Findings from a National Working Group

Hair cortisol and self-reported stress in healthy, working adults

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