Using ecological momentary assessment for patients with psychosis posthospitalization: Opportunities for mobilizing measurement-based care.

Using ecological momentary assessment for patients with psychosis posthospitalization: Opportunities for mobilizing measurement-based care.
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DOI:
10.1037/prj0000417
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发表时间:
2021-03
影响因子:
1.9
通讯作者:
Gaudiano BA
Gaudiano BA
中科院分区:
医学3区
文献类型:
--
作者:
Moitra E;Park HS;Ben-Zeev D;Gaudiano BA

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Ecological momentary assessment (EMA) via mobile devices offers a promising approach for collecting real-time data from psychiatric patients, potentially as an augment to traditional measurement-based care strategies. This study examined if EMA had “added value” in collecting clinically important data from recently hospitalized adults with psychosis, relative to traditional assessments. In a sample of 24 adults with psychosis, EMA data regarding psychotic symptoms, affect, alcohol and drug use, functioning, quality of life, and social support were collected starting immediately post-hospital discharge and extending for up to one month during their transition to outpatient care. EMA data were compared to traditional retrospective assessments of the same constructs, administered at a 1-month follow-up assessment. Data from EMA and traditional retrospective assessments were correlated with each other in most cases. However, in some cases, participants were more likely to report drug use, medication nonadherence, and psychotic symptoms via EMA compared to traditional retrospective assessments. Results suggest that the additional information obtained via frequent in-the-moment self-reports collected using smartphones can provide an expanded picture of individuals’ symptomatic and functional experiences. Thus, monitoring patients’ progress post-hospitalization could be improved through the use of EMA.
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