Abstract

BackgroundEcological momentary assessment (EMA) has utility for measuring psychological properties in daily life. EMA has also allowed researchers to collect data on diverse experiences and symptoms from various subjects.ObjectiveThe aim of this study was to review methodological strategies and useful related information for EMA using mobile phones to capture changes of mood and stress in adult patients seeking health care.MethodsWe searched PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, the Cochrane Library, PsycINFO, and Web of Science. This review included studies published in peer-reviewed journals in English between January 2008 and November 2017 that used basic- or advanced-feature mobile phones to measure momentary mood or stress in adult patients seeking health care in outpatient departments. We excluded studies of smoking and substance addictions and studies of mental disorder patients who had been diagnosed by physicians.ResultsWe reviewed 12 selected articles that used EMA via mobile phones to measure momentary mood and stress and other related variables from various patients with chronic fatigue syndrome, breast cancer, migraine, HIV, tinnitus, temporomandibular disorder, end-stage kidney disease, and traumatic brain injury. Most of the selected studies (11/12, 92%) used signal contingency and in 8 of the 12 studies (67%) alarms were sent at random or semirandom intervals to prompt the momentary measurement. Out of 12 studies, 7 (58%) used specific apps directly installed on mobile phones, 3 (25%) used mobile phones to link to Web-based survey programs, and 2 (17%) used an interactive voice-response system.ConclusionsThis study provides researchers with useful information regarding methodological details for utilizing EMA to measure mood and stress in adult patients. This review shows that EMA methods could be effective and reasonable for measuring momentary mood and stress, given that basic- and advanced-feature mobile phones are ubiquitous, familiar, and easy to approach. Therefore, researchers could adopt and utilize EMA methods using mobile phones to measure psychological health outcomes, such as mood and stress, in adult patients.

Highlights

  • Momentary assessment techniques, such as ecological momentary assessment (EMA), have a long tradition as a prospective and repeated-measures longitudinal research methodology [1]

  • This review shows that Ecological momentary assessment (EMA) methods could be effective and reasonable for measuring momentary mood and stress, given that basic- and advanced-feature mobile phones are ubiquitous, familiar, and easy to approach

  • The search included studies that used mobile apps to measure momentary mood or stress in adults; the studies were published in peer-reviewed journals in English between January 2008 and November 2017

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Summary

Introduction

Momentary assessment techniques, such as ecological momentary assessment (EMA), have a long tradition as a prospective and repeated-measures longitudinal research methodology [1]. These repeated measures over time can reduce assessment error and improve the validity, reliability, and transparency of individual pattern assessments [3] These aspects of increasing accuracy [8] and sensitivity to changes [9] in various properties have made EMA advantageous to study psychological state, quality of life, mobility, social networks, and more [3]. EMA methods might provide health care providers with more accurate data than retrospective and global self-reporting methods This may increase access to effective treatments by enabling enhanced understanding of the daily mood and stress of subjects, which are closely related to environmental factors. EMA has allowed researchers to collect data on diverse experiences and symptoms from various subjects

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