Factors Predicting Compliance to Ecological Momentary Assessment Among Adolescent Smokers

Sokolovsky, Alexander W.; Mermelstein, Robin J.; Hedeker, Donald

doi:10.1093/ntr/ntt154

Cited by 70 publications

(114 citation statements)

References 23 publications

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“…We did not find gender differences in EMA completion rates. In fact, previous findings of lower completion rates among males were primarily based on healthy samples [5][6][7], whereas, studies on chronic pain did not find this pattern [10,11]. In addition, we found no evidence that either day-to-day variations in pain intensity or differences in pain intensity levels between participants or studies were systematically associated with EMA completion.…”

Section: Discussioncontrasting

confidence: 94%

“…In addition, we found no evidence that either day-to-day variations in pain intensity or differences in pain intensity levels between participants or studies were systematically associated with EMA completion. This finding is important in view of the framework by Sokolovsky et al [5], which emphasizes the need for understanding effects of target behaviors or states under study on EMA completion rates. Specifically, if higher pain levels were associated with a lower likelihood of responding to EMA surveys, this could severely undermine the validity of EMA data collected to monitor patients' pain in everyday life.…”

Section: Discussionmentioning

confidence: 78%

“…In an effort to understand which factors are associated with completion rates in EMA studies, Sokolovsky et al [5] outlined a conceptual model with four major antecedent categories.…”

Section: Introductionmentioning

confidence: 99%

“…Prior studies utilizing EMA examined potential predictors, including gender [5][6][7], personality traits [8], temporal features (e.g., time of day) [7,8], substance use [5,6], and physical activity [9]. Evidence from these investigations suggests that being male, engaging in behaviors that draw attention away from participation (e.g., drinking alcohol, exercising), and longer participation in the protocol, are associated with lower EMA completion rates.…”

Section: Introductionmentioning

confidence: 99%

“…Based on prior related literature, we expected that participant characteristics, specifically being male and of younger age, would be associated with lower completion rates [5][6][7]12]. We also explored whether chronic pain diagnosis would relate to EMA completion rates.…”

Section: Introductionmentioning

confidence: 99%

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What Affects the Completion of Ecological Momentary Assessments in Chronic Pain Research? An Individual Patient Data Meta-Analysis (Preprint)

Ono¹,

Schneider²,

Junghaenel³

et al. 2018

Preprint

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BACKGROUND Ecological momentary assessment (EMA) involves repeated sampling of people’s current experiences in real time in their natural environments, which offers a granular perspective on patients’ experience of pain and other symptoms. However, EMA can be burdensome to patients, and its benefits depend upon patients’ engagement in the assessments. OBJECTIVE The goal of this study was to investigate factors affecting EMA-completion rates among patients with chronic pain. METHODS This individual patient data meta-analysis was based on 12 EMA datasets that examined patients with chronic noncancer-related pain (n=701). The EMA-completion rates were calculated on a daily basis for each patient. Multilevel models were used to test the following predictors of completion rates at different levels: within-patient factors (days into the study and daily pain level), between-patient factors (age, sex, pain diagnosis, and average pain level per person), and between-study EMA design factors (study duration, sampling density, and survey length). RESULTS Across datasets, an EMA-completion rate of 85% was observed. The strongest results were found for the between-patient factor age: Younger respondents reported lower completion rates than older respondents (P=.002). One within-patient factor, study day, was associated with completion rates (P<.001): over the course of the studies, the completion rates declined. The two abovementioned factors interacted with each other (P=.02) in that younger participants showed a more rapid decline in EMA completion over time. In addition, none of the other hypothesized factors including gender, chronic pain diagnoses, pain intensity levels, or measures of study burden showed any significant effects. CONCLUSION Many factors thought to influence the EMA-completion rates in chronic pain studies were not confirmed. However, future EMA research in chronic pain should note that study length and young age can impact the quality of the momentary data and devise strategies to maximize completion rates across different age groups and study days.

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Section: Discussioncontrasting

confidence: 94%

Section: Discussionmentioning

confidence: 78%

“…In an effort to understand which factors are associated with completion rates in EMA studies, Sokolovsky et al [5] outlined a conceptual model with four major antecedent categories.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

What Affects the Completion of Ecological Momentary Assessments in Chronic Pain Research? An Individual Patient Data Meta-Analysis (Preprint)

Ono¹,

Schneider²,

Junghaenel³

et al. 2018

Preprint

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Examining missingness at the momentary level in clinical research using ecological momentary assessment: Implications for suicide research

Jacobucci,

Ammerman,

McClure

2024

J Clin Psychol

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The use of intensive time sampling methods, such as ecological momentary assessment (EMA), has increased in clinical, and specifically suicide, research during the past decade. While EMA can capture dynamic intraindividual processes, repeated assessments increase participant burden, potentially resulting in low compliance. This study aimed to shed light on study‐level and psychological variables, including suicidal ideation (SI), that may predict momentary prompt (i.e., prompt‐to‐prompt) completion. We combined data from three EMA studies examining mental health difficulties (N = 103; 10,656 prompts; 7144 completed), using multilevel models and machine learning to determine how well we can predict prompt‐to‐prompt completion and which variables are most important. The two most important variables in prompt‐to‐prompt completion were hours since the last prompt and time in study. Psychological variables added little predictive validity; similarly, trait‐level SI demonstrated a small effect on prompt‐to‐prompt completion. Our study showed how study‐level characteristics can be used to explain prompt‐to‐prompt compliance rates in EMA research, highlighting the potential for developing adaptive assessment schedules to improve compliance.

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Respondent characteristics associated with adherence in a general population ecological momentary assessment study

Murray

Zhu

Speyer

et al. 2023

Int J Methods Psych Res

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ObjectivesEcological momentary assessment (EMA) has seen an explosion in popularity in recent years; however, an improved understanding of how to minimise (selective) non‐adherence is needed.MethodsWe examined a range of respondent characteristics predictors of adherence (defined as the number of EMA surveys completed) in the D2M EMA study. Participants were a sample of n = 255 individuals drawn from the longitudinal z‐proso cohort who completed up to 4 EMA surveys per day for a period of 2 weeks.ResultsIn unadjusted analyses, lower moral shame, lower self‐control, lower levels of self‐injury, and higher levels of aggression, tobacco use, psychopathy, and delinquency were associated with lower adherence. In fully adjusted analyses with predictors selected using lasso, only alcohol use was related to adherence: beer and alcopops to higher adherence and spirits to lower adherence.ConclusionsThese findings provide potential insights into some of the psychological mechanisms that may underlie adherence in EMA. They also point to respondent characteristics for which additional or tailored efforts may be needed to promote adherence.

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Factors Predicting Compliance to Ecological Momentary Assessment Among Adolescent Smokers

Cited by 70 publications

References 23 publications

What Affects the Completion of Ecological Momentary Assessments in Chronic Pain Research? An Individual Patient Data Meta-Analysis (Preprint)

What Affects the Completion of Ecological Momentary Assessments in Chronic Pain Research? An Individual Patient Data Meta-Analysis (Preprint)

Examining missingness at the momentary level in clinical research using ecological momentary assessment: Implications for suicide research

Respondent characteristics associated with adherence in a general population ecological momentary assessment study

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