Pilot feasibility of an mHealth system for conducting ecological momentary assessment of mood-related symptoms following traumatic brain injury

Juengst, Shannon B.; Graham, Kristin M.; Pulantara, I Wayan; McCue, Michael; Whyte, Ellen M.; Dicianno, Brad E.; Parmanto, Bambang; Arenth, Patricia M.; Skidmore, Elizabeth R.; Wagner, Amy K.

doi:10.3109/02699052.2015.1045031

Cited by 70 publications

(73 citation statements)

References 49 publications

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“…We are aware of this fact that is why we gave a major importance to make the study the less interfering and disturbing considering each participant schedule and daily life by using a quick smartphone electronic interview. Previous studies (Juengst et al, 2015; Maes et al, 2015) have shown that EMA participants well accept and are satisfied with this method.…”

Section: Discussionmentioning

confidence: 84%

Combining Standard Conventional Measures and Ecological Momentary Assessment of Depression, Anxiety and Coping Using Smartphone Application in Minor Stroke Population: A Longitudinal Study Protocol

et al. 2017

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Context: Stroke has several consequences on survivors’ daily life even for those who experience short-lasting neurological symptoms with no functional disability. Depression and anxiety are common psychological disorders occurring after a stroke. They affect long-term outcomes and quality of life but they are difficult to diagnose because of the neurobiological consequences of brain lesions. Current research priority is given to the improvement of the detection and prevention of those post-stroke psychological disorders. Although previous studies have brought promising perspectives, their designs based on retrospective tools involve some limits regarding their ecological validity. Ecological Momentary Assessment (EMA) is an alternative to conventional instruments that could be a key in research for understanding processes that underlined post-stroke depression and anxiety onset. We aim to evaluate the feasibility and validity of anxiety, depression and coping EMA for minor stroke patients.Methods: Patients hospitalized in an Intensive Neuro-vascular Care Unit between April 2016 and January 2017 for a minor stroke is involved in a study based on an EMA methodology. We use a smartphone application in order to assess anxiety and depression symptoms and coping strategies four times a day during 1 week at three different times after stroke (hospital discharge, 2 and 4 months). Participants’ self-reports and clinician-rates of anxiety, depression and coping are collected simultaneously using conventional and standard instruments. Feasibility of the EMA method will be assessed considering the participation and compliance rate. Validity will be the assessed by comparing EMA and conventional self-report and clinician-rated measures.Discussion: We expect this study to contribute to the development of EMA using smartphone in minor stroke population. EMA method offers promising research perspective in the assessment and understanding of post-stroke psychological disorders. The development of EMA in stroke population could lead to clinical implications such as remotely psychological follow-ups during early supported discharge.Trial registration: European Clinical Trials Database Number 2014-A01937-40

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Section: Discussionmentioning

confidence: 84%

Combining Standard Conventional Measures and Ecological Momentary Assessment of Depression, Anxiety and Coping Using Smartphone Application in Minor Stroke Population: A Longitudinal Study Protocol

et al. 2017

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“…For example, Jones et al [55] reported high acceptability scores from the vast majority (95%) of the participants being either very satisfied or satisfied from using a remotely delivered selfmanagement program for increasing physical activity among community-dwelling adults with ABI. Similarly, Juengst et al [56] tested the initial feasibility of a mobile health system for tracking mood-related symptoms after traumatic brain injury (TBI), reporting high compliance (completion of 73.4% of the assessments scheduled in the app) and high satisfaction (6.3 on a 7 items scale).…”

Section: Discussionmentioning

confidence: 99%

Motion-based virtual reality cognitive training targeting executive functions in acquired brain injury community-dwelling individuals: A feasibility and initial efficacy pilot

Shochat¹,

Maoz²,

Stark‐Inbar³

et al. 2017

2017 International Conference on Virtual Rehabilitation (ICVR)

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Acquired brain injury (ABI) is a leading cause of long-term cognitive disability, often involving deficits in executive functions (EF). ABI patients usually stop receiving cognitive treatment when leaving the rehabilitation facility or shortly thereafter, due to the high cost of therapy sessions and the mobility requirement to access therapy. Software solutions offer a promising tool for accessible and affordable cognitive rehabilitation in the home environment. However, research provides limited evidence for effective transfer of benefits from computerized cognitive training to real-life functions. Virtual reality (VR) exergames using motion-interaction offer a more realistic and natural training environment, and are therefore expected to facilitate a more effective transfer. Although commercial exergames may bring about some cognitive gains, they usually do not target cognitive functions directly. Here we describe a novel exergames platform, the Active Brain Trainer (ABT), designed to directly target EF, using games in multiple realistic contexts. The software adapts in real-time to the patient's behavior, providing feedback and rewards, and hence may enhance usability and compliance. The primary goal of the current study is to assess the feasibly and acceptability of this platform for community-dwelling ABI patients during the chronic phase. A secondary goal is to assess the initial efficacy on EF and functional benefits from program training. Participants were instructed to use the games for 15-20 sessions. Neuropsychological assessments of EF and daily life functions were performed before and after training. Participants also filled a satisfaction questionnaire following training. All training and assessments were conducted in the participants' homes. Game performance was recorded throughout training sessions. Preliminary results from the six ABI patients who successfully completed the program so far show no adverse effects. Participants reported enjoyment and satisfaction from training. Participants performed increasingly more challenging EF tasks within game environments. Initial results show improvements in functional tasks and most executive neuropsychological assessments following training. Additional participants are currently being trained to increase the power of the results. These preliminary findings support the feasibility and potential efficacy of the motion-based cognitive training of EF for community-dwelling individuals with ABI.

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“…Technical malfunctions were by far the most widely reported barriers, with 11 studies reporting ways in which these factors affected usability of the RMT systems [6,10,17,[20][21][22][23][24][25][26][27]. This included not receiving notifications, or receiving them at the wrong time, disappearance of the app, the system freezing, losing power or restarting without warning, and difficulties connecting remote (wearable and other 'smart' technology) devices with applications.…”

Section: Usabilitymentioning

confidence: 99%

“…This included not receiving notifications, or receiving them at the wrong time, disappearance of the app, the system freezing, losing power or restarting without warning, and difficulties connecting remote (wearable and other 'smart' technology) devices with applications. Studies reported that this leads to participant withdrawal [6], data loss [17,23,24] or significantly fewer data entries (e.g. by 35%) [10].…”

Section: Usabilitymentioning

confidence: 99%

“…For instance, the study by Ben-Zeev achieved 62.5% adherence to data collected on mood, sleep, medication use and psychosis symptoms [8]. But notifications can also be a barrier when they are not received at the right time, [20,23] and other studies have reported that participants requested the ability to postpone responses to notifications so they might answer them at a convenient time [33] but there is no evidence that when this was done there was an improvement in engagement.…”

Section: Convenience and Accessibilitymentioning

confidence: 99%

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Barriers to and Facilitators of Engagement With Remote Measurement Technology for Managing Health: Systematic Review and Content Analysis of Findings (Preprint)

Simblett¹,

Greer²,

Matcham³

et al. 2018

Preprint

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Pilot feasibility of an mHealth system for conducting ecological momentary assessment of mood-related symptoms following traumatic brain injury

Abstract: EMA conducted via smartphone demonstrates initial feasibility among adults with TBI and presents numerous opportunities for long-term monitoring of mood-related symptoms in real-world settings.

Cited by 70 publications

References 49 publications

Combining Standard Conventional Measures and Ecological Momentary Assessment of Depression, Anxiety and Coping Using Smartphone Application in Minor Stroke Population: A Longitudinal Study Protocol

Combining Standard Conventional Measures and Ecological Momentary Assessment of Depression, Anxiety and Coping Using Smartphone Application in Minor Stroke Population: A Longitudinal Study Protocol

Motion-based virtual reality cognitive training targeting executive functions in acquired brain injury community-dwelling individuals: A feasibility and initial efficacy pilot

Barriers to and Facilitators of Engagement With Remote Measurement Technology for Managing Health: Systematic Review and Content Analysis of Findings (Preprint)

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