The relationship between conventional clinical assessments and momentary assessments of symptoms and functioning in schizophrenia spectrum disorders: A systematic review

Wright, Abigail; Browne, Julia; Skiest, Hannah; Bhiku, Kamila; Baker, Justin T.; Cather, Corinne

doi:10.1016/j.schres.2021.04.010

Cited by 14 publications

(9 citation statements)

References 89 publications

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“… Granholm et al (2019) , Harvey et al (2021) ). Choosing the right momentary assessment is key for high ecological validity and convergence with conventional measures, as highlighted by a recent systematic review ( Wright et al, 2021 ). Brief daily patient and/or informant assessments using targeted stand-alone questions or selected items from e.g., the SCoRS, can quantify the functional impact of cognitive dysfunction in real-time.…”

Section: Emerging Technologies For Real-time Remote Assessment Of Fun...mentioning

confidence: 99%

“…Whilst technology can enable decentralized trials, increasing accessibility for many, new factors, e.g. smartphone ownership (ranging from 10 to 83% among those with schizophrenia ( Wright et al, 2021 )) might emerge as new potential barriers. These can be mitigated by providing well-designed and easy to use study devices, providing technical support and keeping patient burden low (short assessments, integration of technology for easy use, appropriate timing of assessments, customization to each participant and provision of targeted reminders to facilitate compliance).…”

Section: Emerging Technologies For Real-time Remote Assessment Of Fun...mentioning

confidence: 99%

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Measuring functional outcomes in schizophrenia in an increasingly digital world

Searle

Allen

Lowther

et al. 2022

Schizophrenia Research: Cognition

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Section: Emerging Technologies For Real-time Remote Assessment Of Fun...mentioning

confidence: 99%

Section: Emerging Technologies For Real-time Remote Assessment Of Fun...mentioning

confidence: 99%

Measuring functional outcomes in schizophrenia in an increasingly digital world

Searle

Allen

Lowther

et al. 2022

Schizophrenia Research: Cognition

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“…EMA has been effectively used with individuals with SSDs to measure clinical and functional outcomes such as positive and negative symptom severity and interpersonal interactions [10][11][12][13]. Additional EMA research has demonstrated that persons with SSDs spend greater amounts of time at home, engage in fewer reciprocal social interactions, and complete more nonproductive activities (e.g., watching television) than those without SSDs [14].…”

Section: Introductionmentioning

confidence: 99%

A Longitudinal Examination of Real-World Sedentary Behavior in Adults with Schizophrenia-Spectrum Disorders in a Clinical Trial of Combined Oxytocin and Cognitive Behavioral Social Skills Training

Browne

Harvey

Boyer

et al. 2022

Behavioral Sciences

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Sedentary behavior contributes to a shortened life expectancy in individuals with schizophrenia-spectrum disorders (SSDs), highlighting the need for effective interventions to improve health. This study examined whether reduced ecological momentary assessment (EMA) measures of sedentary activities were observed in individuals with SSDs who participated in a 24-week randomized trial of cognitive behavioral social skills training (CBSST) and either intranasal oxytocin or placebo (NCT01752712). Participants (n = 57) were prompted with EMA surveys seven times per day for seven days during the baseline, 12-week, and 24-week timepoints to sample sedentary behavior ratings, positive and negative affect, interpersonal interactions, and interpersonal interaction appraisals. Results revealed that sedentary behavior and social interactions did not significantly change over the 24-week clinical trial; however, positive and negative affect and defeatist interaction appraisals improved with treatment, and oxytocin produced modest additional improvements in these EMA outcomes. Greater momentary positive affect was significantly associated with greater activity and greater frequency of interactions. Overall, CBSST was effective at improving functioning, momentary affect, and defeatist interaction appraisals, although it did not reduce sedentary behavior; therefore, targeting these factors is not sufficient to reduce sedentary behavior, and adjunct interventions are needed.

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“…EMA has higher ecological validity, avoids potential rater bias, and permits aggregation of information over time without relying on retrospective recall (P. D. Harvey et al, 2021; Wright et al, 2021). EMA studies of daily functioning typically ask participants to report (via a smartphone) what they are doing, where they are, and whom they are with multiple times a day over an extended period.…”

mentioning

confidence: 99%

“…Ecological momentary assessment (EMA), which repeatedly collects real-time data from individuals during their daily lives, has some advantages over conventional measures of daily functioning. EMA has higher ecological validity, avoids potential rater bias, and permits aggregation of information over time without relying on retrospective recall (P. D. Harvey et al, 2021;Wright et al, 2021). EMA studies of daily functioning typically ask participants to report (via a smartphone) what they are doing, where they are, and whom they are with multiple times a day over an extended period.…”

mentioning

confidence: 99%

Do Symptom Severity, Individual Socioeconomic Status, and Neighborhood Socioeconomic Status Explain Differences in Daily Functioning in Non-Latinx Black, Non-Latinx White, and Latinx People With Serious Mental Illnesses?

Nagendra

Liu

Mueser

et al. 2023

Clinical Psychological Science

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In this study, we examined ethno-racial differences in daily functioning in 66 non-Latinx White participants, 83 non-Latinx Black participants, and 60 Latinx participants ( N = 209) diagnosed with serious mental illnesses, and the extent to which individual socioeconomic status (SES), neighborhood SES, and symptom severity accounted for observed differences. Participants completed ecological momentary assessments of what they were doing, who they were with, and where they were three times daily for 30 days. Black participants more frequently reported being alone or engaged in passive leisure (e.g., watching TV) than White participants and Latinx participants, less frequently reported vocational activity than Latinx participants, and less frequently reported home-based active leisure than White participants. Although some findings were accounted for by neighborhood SES, individual SES, or symptoms, there is also a need to explore sociocultural and racism-related explanatory factors. Clinical implications (e.g., providing vocational services to Black clients) and future research directions are discussed.

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The relationship between conventional clinical assessments and momentary assessments of symptoms and functioning in schizophrenia spectrum disorders: A systematic review

Cited by 14 publications

References 89 publications

Measuring functional outcomes in schizophrenia in an increasingly digital world

Measuring functional outcomes in schizophrenia in an increasingly digital world

A Longitudinal Examination of Real-World Sedentary Behavior in Adults with Schizophrenia-Spectrum Disorders in a Clinical Trial of Combined Oxytocin and Cognitive Behavioral Social Skills Training

Do Symptom Severity, Individual Socioeconomic Status, and Neighborhood Socioeconomic Status Explain Differences in Daily Functioning in Non-Latinx Black, Non-Latinx White, and Latinx People With Serious Mental Illnesses?

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