Adherence to high-frequency ecological momentary assessment in persons with moderate-to-severe traumatic brain injury.

IF 2.6 4区 心理学 Q2 CLINICAL NEUROLOGY
Amanda R Rabinowitz, Tessa Hart
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引用次数: 0

Abstract

Objective: Ecological momentary assessment (EMA) involves repeated collection of real-time self-report data, often multiple times per day, nearly always delivered electronically by smartphone. While EMA has shown promise for researching internal states, behaviors, and experiences in multiple populations, concerns remain regarding its feasibility in samples with cognitive impairments, like those associated with chronic moderate-to-severe traumatic brain injury (TBI).

Methods: This study examines adherence to a 7-week high-frequency (5x daily) EMA protocol in individuals with moderate-to-severe TBI, considering changes in response rate over time, as well as individual participant characteristics (memory function, education, injury severity, and age).

Results: In the sample of 39 participants, the average overall response rate was 65% (range: 5%-100%). Linear mixed-effects modeling revealed a small but statistically significant linear decay in response rate over 7 weeks of participation. Individual trajectories were variable, as evidenced by the significant effect of random slope. A better response rate was positively associated with greater educational attainment and better episodic memory function (statistical trend), whereas the effects of age and injury severity were not significant.

Conclusions: These findings shed light on the potential of EMA in TBI studies but underscore the need for tailored strategies to address individual barriers to adherence.

中重度脑外伤患者坚持进行高频生态瞬间评估。
目的:生态瞬间评估(EMA)涉及重复收集实时自我报告数据,通常每天收集多次,几乎总是通过智能手机进行电子传输。虽然 EMA 在研究多种人群的内部状态、行为和经历方面显示出了良好的前景,但其在认知障碍样本(如与慢性中重度创伤性脑损伤(TBI)相关的样本)中的可行性仍令人担忧:本研究考察了中重度 TBI 患者对为期 7 周的高频率(每天 5 次)EMA 方案的依从性,同时考虑了随时间推移的响应率变化以及参与者的个体特征(记忆功能、教育程度、受伤严重程度和年龄):在 39 名参与者的样本中,平均总体应答率为 65%(范围:5%-100%)。线性混合效应模型显示,在 7 周的参与过程中,应答率呈线性下降趋势,下降幅度较小,但具有统计学意义。随机斜率的显著影响表明,个体轨迹是可变的。较高的反应率与较高的教育程度和较好的记忆功能呈正相关(统计趋势),而年龄和受伤严重程度的影响并不明显:这些发现揭示了 EMA 在创伤性脑损伤研究中的潜力,但也强调了有必要采取量身定制的策略来解决个人在坚持治疗方面的障碍。
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来源期刊
CiteScore
5.40
自引率
3.80%
发文量
185
审稿时长
4-8 weeks
期刊介绍: The Journal of the International Neuropsychological Society is the official journal of the International Neuropsychological Society, an organization of over 4,500 international members from a variety of disciplines. The Journal of the International Neuropsychological Society welcomes original, creative, high quality research papers covering all areas of neuropsychology. The focus of articles may be primarily experimental, applied, or clinical. Contributions will broadly reflect the interest of all areas of neuropsychology, including but not limited to: development of cognitive processes, brain-behavior relationships, adult and pediatric neuropsychology, neurobehavioral syndromes (such as aphasia or apraxia), and the interfaces of neuropsychology with related areas such as behavioral neurology, neuropsychiatry, genetics, and cognitive neuroscience. Papers that utilize behavioral, neuroimaging, and electrophysiological measures are appropriate. To assure maximum flexibility and to promote diverse mechanisms of scholarly communication, the following formats are available in addition to a Regular Research Article: Brief Communication is a shorter research article; Rapid Communication is intended for "fast breaking" new work that does not yet justify a full length article and is placed on a fast review track; Case Report is a theoretically important and unique case study; Critical Review and Short Review are thoughtful considerations of topics of importance to neuropsychology and include meta-analyses; Dialogue provides a forum for publishing two distinct positions on controversial issues in a point-counterpoint format; Special Issue and Special Section consist of several articles linked thematically; Letter to the Editor responds to recent articles published in the Journal of the International Neuropsychological Society; and Book Review, which is considered but is no longer solicited.
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