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Ecological momentary assessment versus standard assessment instruments for measuring mindfulness, depressed mood, and anxiety among older adults

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  • Source:
    Journal of psychiatric research 2016 75, 116 (116-123)
  • Additional Information
    • Author(s):
      Moore RC, Depp CA, Wetherell JL, Lenze EJ
    • Language:
      English
    • Cochrane Study Design:
      RCT
    • Publication Type:
      Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
    • Record Status:
      This record is updated this issue.
    • Abstract:
      As mobile data capture tools for patient-reported outcomes proliferate in clinical research, a key dimension of measure performance is sensitivity to change. This study compared performance of patient-reported measures of mindfulness, depression, and anxiety symptoms using traditional paper-and-pencil forms versus real-time, ambulatory measurement of symptoms via ecological momentary assessment (EMA). Sixty-seven emotionally distressed older adults completed paper-and-pencil measures of mindfulness, depression, and anxiety along with two weeks of identical items reported during ambulatory monitoring via EMA before and after participation in a randomized trial of Mindfulness-Based Stress Reduction (MBSR) or a health education intervention. We calculated effect sizes for these measures across both measurement approaches and estimated the Number-Needed-to-Treat (NNT) in both measurement conditions. Study outcomes greatly differed depending on which measurement method was used. When EMA was used to measure clinical symptoms, older adults who participated in the MBSR intervention had significantly higher mindfulness and significantly lower depression and anxiety than participants in the health education intervention at post-treatment. However, these significant changes in symptoms were not found when outcomes were measured with paper-and-pencil measures. The NNT for mindfulness and depression measures administered through EMA were approximately 25-50% lower than NNTs derived from paper-and-pencil administration. Sensitivity to change in anxiety was similar across administration modes. In conclusion, EMA measures of depression and mindfulness substantially outperformed paper-and-pencil measures with the same items. The additional resources associated with EMA in clinical trials would seem to be offset by its greater sensitivity to detect change in key outcome variables.
    • Medical Subject Headings (MeSH):
      Aged
      Female
      Humans
      Male
      Anxiety Disorders/psychology
      Depression/psychology
      Ecological Momentary Assessment
      Executive Function/physiology
      Mindfulness
      Outcome Assessment (Health Care)
      Statistics as Topic
      Anxiety Disorders/*rehabilitation
      Depression/*rehabilitation
    • Source:
      This document should be cited as: Moore RC Depp CA Wetherell JL Lenze EJ. Ecological momentary assessment versus standard assessment instruments for measuring mindfulness, depressed mood, and anxiety among older adults 2016 (The Cochrane Controlled Trials Register (CCTR/CENTRAL). DOI: 10.1016/j.jpsychires.2016.01.011. Oxford: Update Software. Updated quarterly.
    • Accession Number:
      CN-01259780
  • Citations
    • ABNT:
      MOORE RC et al. Ecological momentary assessment versus standard assessment instruments for measuring mindfulness, depressed mood, and anxiety among older adults. Journal of psychiatric research, [s. l.], v. 75, p. 116–123, 2016. DOI 10.1016/j.jpsychires.2016.01.011. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cgh&AN=CN-01259780. Acesso em: 20 set. 2020.
    • AMA:
      Moore RC, Depp CA, Wetherell JL, Lenze EJ. Ecological momentary assessment versus standard assessment instruments for measuring mindfulness, depressed mood, and anxiety among older adults. Journal of psychiatric research. 2016;75:116-123. doi:10.1016/j.jpsychires.2016.01.011
    • APA:
      Moore RC, Depp CA, Wetherell JL, & Lenze EJ. (2016). Ecological momentary assessment versus standard assessment instruments for measuring mindfulness, depressed mood, and anxiety among older adults. Journal of Psychiatric Research, 75, 116–123. https://doi.org/10.1016/j.jpsychires.2016.01.011
    • Chicago/Turabian: Author-Date:
      Moore RC, Depp CA, Wetherell JL, and Lenze EJ. 2016. “Ecological Momentary Assessment versus Standard Assessment Instruments for Measuring Mindfulness, Depressed Mood, and Anxiety among Older Adults.” Journal of Psychiatric Research 75 (January): 116–23. doi:10.1016/j.jpsychires.2016.01.011.
    • Harvard:
      Moore RC et al. (2016) ‘Ecological momentary assessment versus standard assessment instruments for measuring mindfulness, depressed mood, and anxiety among older adults’, Journal of psychiatric research, 75, pp. 116–123. doi: 10.1016/j.jpsychires.2016.01.011.
    • Harvard: Australian:
      Moore RC, Depp CA, Wetherell JL & Lenze EJ 2016, ‘Ecological momentary assessment versus standard assessment instruments for measuring mindfulness, depressed mood, and anxiety among older adults’, Journal of psychiatric research, vol. 75, pp. 116–123, viewed 20 September 2020, .
    • MLA:
      Moore RC, et al. “Ecological Momentary Assessment versus Standard Assessment Instruments for Measuring Mindfulness, Depressed Mood, and Anxiety among Older Adults.” Journal of Psychiatric Research, vol. 75, Jan. 2016, pp. 116–123. EBSCOhost, doi:10.1016/j.jpsychires.2016.01.011.
    • Chicago/Turabian: Humanities:
      Moore RC, Depp CA, Wetherell JL, and Lenze EJ. “Ecological Momentary Assessment versus Standard Assessment Instruments for Measuring Mindfulness, Depressed Mood, and Anxiety among Older Adults.” Journal of Psychiatric Research 75 (January 1, 2016): 116–23. doi:10.1016/j.jpsychires.2016.01.011.
    • Vancouver/ICMJE:
      Moore RC, Depp CA, Wetherell JL, Lenze EJ. Ecological momentary assessment versus standard assessment instruments for measuring mindfulness, depressed mood, and anxiety among older adults. Journal of psychiatric research [Internet]. 2016 Jan 1 [cited 2020 Sep 20];75:116–23. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cgh&AN=CN-01259780