Just-in-time adaptive ecological momentary assessment and ecological momentary interventions for posttraumatic psychopathology in the modern age of technology.

Abstract

Objective: One technique for tailoring interventions and matching evidence-based procedures to idiographic problems is just-in-time adaptive approaches, also referred to as ecological momentary intervention. These technology-based approaches involve real-time delivery of evidence-based skills when most needed, which can be tailored to individual data inputs. The current article reviews just-in-time adaptive ecological momentary assessment (JITA-EMA; Schneider et al., 2023) and ecological momentary interventions (EMIs; Heron & Smyth, 2010) with respect to the field of trauma-related psychopathology in the modern age of technology.

Method: We provide a broad, narrative overview. Heterogeneity in posttraumatic psychopathology, posttraumatic psychopathology diagnostic classification models, and applicability of technology are reviewed. Next, we discuss JITA-EMA and EMI frameworks, EMA of posttraumatic psychopathology, EMI outcomes, and JITA-EMA and EMI outcomes. We conclude by discussing clinical application and considering dilemmas, ethical issues, and limitations. Future research directions and potential treatment adaptations and innovations are given.

Results: JITA-EMA/Is have the potential to reinforce skill acquisition and uptake in evidence-based treatments if implemented as standalones or in conjunction with established, evidence-based interventions.

Conclusions: JITA-EMA and EMIs may eventually inform clinical and research efforts by affording an understanding of how idiographic variability in biopsychosocial factors relates to changes in etiology, course, and treatment outcomes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).