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

Published online by Cambridge University Press:  10 October 2024

Amanda R. Rabinowitz Open the ORCID record for Amanda R. Rabinowitz [Opens in a new window]  and
Tessa Hart Open the ORCID record for Tessa Hart [Opens in a new window]
Amanda R. Rabinowitz*
Affiliation:
Moss Rehabilitation Research Institute, Elkins Park, PA, USA Rehabilitation Medicine, Thomas Jefferson University, Philadelphia, PA, USA
Tessa Hart
Affiliation:
Moss Rehabilitation Research Institute, Elkins Park, PA, USA
*
Corresponding author: Amanda R. Rabinowitz; Email: [email protected]
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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.

Keywords

Brain injuryexperience samplingmemorymethodspsychological testsmobile health
Type
Brief Communication
Information
Journal of the International Neuropsychological Society , Volume 30 , Issue 8 , October 2024 , pp. 794 - 798
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of International Neuropsychological Society

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