Ecological momentary interventions: incorporating mobile technology into psychosocial and health behaviour treatments.
Kristin E. Heron,Joshua M. Smyth +1 more
TLDR
Mobile technology-based EMI can be effectively implemented as interventions for a variety of health behaviours and psychological and physical symptoms and future research should integrate the assessment and intervention capabilities of mobile technology to create dynamically and individually tailored EMI that are ecologically sensitive.Abstract:
Purpose
Psychosocial and health behaviour treatments and therapies can be extended beyond traditional research or clinical settings by using mobile technology to deliver interventions to individuals as they go about their daily lives. These ecological momentary interventions (EMIs) are treatments that are provided to people during their everyday lives (i.e. in real time) and in natural settings (i.e. real world). The goal of the present review is to synthesize and critique mobile technology-based EMI aimed at improving health behaviours and psychological and physical symptoms.
Methods
Twenty-seven interventions using palmtop computers or mobile phones to deliver ambulatory treatment for smoking cessation, weight loss, anxiety, diabetes management, eating disorders, alcohol use, and healthy eating and physical activity were identified.
Results
There is evidence that EMI can be successfully delivered, are accepted by patients, and are efficacious for treating a variety of health behaviours and physical and psychological symptoms. Limitations of the existing literature were identified and recommendations and considerations for research design, sample characteristics, measurement, statistical analyses, and clinical implementation are discussed.
Conclusions
Mobile technology-based EMI can be effectively implemented as interventions for a variety of health behaviours and psychological and physical symptoms. Future research should integrate the assessment and intervention capabilities of mobile technology to create dynamically and individually tailored EMI that are ecologically sensitive.read more
Citations
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Journal ArticleDOI
The Effectiveness of Mobile-Health Technology-Based Health Behaviour Change or Disease Management Interventions for Health Care Consumers: A Systematic Review
Caroline Free,Gemma Phillips,Leandro Galli,Louise Watson,Lambert Felix,Phil Edwards,Vikram Patel,Andy Haines +7 more
TL;DR: It is concluded that high-quality, adequately powered trials of optimized interventions are required to evaluate effects on objective outcomes.
Journal ArticleDOI
Just-in-Time Adaptive Interventions (JITAIs) in Mobile Health: Key Components and Design Principles for Ongoing Health Behavior Support
Inbal Nahum-Shani,Shawna N. Smith,Bonnie Spring,Linda M. Collins,Katie Witkiewitz,Ambuj Tewari,Susan A. Murphy +6 more
TL;DR: It is critical that researchers develop sophisticated and nuanced health behavior theories capable of guiding the construction of JITAIs and particular attention has to be given to better understanding the implications of providing timely and ecologically sound support for intervention adherence and retention.
Journal ArticleDOI
Health behavior models in the age of mobile interventions: are our theories up to the task?
William T. Riley,Daniel E. Rivera,Audie A. Atienza,Wendy Nilsen,Susannah Allison,Robin J. Mermelstein +5 more
TL;DR: Current theories appear inadequate to inform mobile intervention development as these interventions become more interactive and adaptive, and Dynamic feedback system theories of health behavior can be developed utilizing longitudinal data from mobile devices and control systems engineering models.
Journal ArticleDOI
The Common-Sense Model of Self-Regulation (CSM): a dynamic framework for understanding illness self-management.
TL;DR: Suggestions for research advances that can more fully utilize dynamic aspects of the Common-Sense Model of Self-Regulation are provided and have the potential to further advance the CSM’s contribution to medical practice and patients’ self-management of illness.
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Design of an mHealth App for the Self-management of Adolescent Type 1 Diabetes: A Pilot Study
TL;DR: This mHealth diabetes app with the use of gamification incentives showed an improvement in the frequency of blood glucose monitoring in adolescents with type 1 diabetes.
References
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Journal ArticleDOI
Ecological Momentary Assessment
TL;DR: Ecological momentary assessment holds unique promise to advance the science and practice of clinical psychology by shedding light on the dynamics of behavior in real-world settings.
Journal ArticleDOI
Validity and reliability of the Experience-Sampling Method.
TL;DR: The Experience Sampling Method (ESM) as discussed by the authors is an attempt to provide a valid instrument to describe variations in self-reports of mental processes, which can be used to obtain empirical data on the following types of variables: (a) frequency and patterning of daily activity, social interaction, and changes in location; (b) frequency, intensity, and patterns of psychological states, i.e., emotional, cognitive, and conative dimensions of experience; (c) frequency of thoughts, including quality and intensity of thought disturbance.
Journal ArticleDOI
Ecological Momentary Assessment (Ema) in Behavioral Medicine
Arthur A. Stone,Saul Shiffman +1 more
Journal ArticleDOI
Experience Sampling: Promises and Pitfalls, Strengths and Weaknesses
TL;DR: The Experience Sampling (ESM) technique as discussed by the authors is a method in which recording of feelings and activities is done on-line at the moment, either at randomly selected moments or at predetermined times.
Journal ArticleDOI
One size does not fit all: the case for tailoring print materials.
TL;DR: The purpose of this article is to distinguish between tailored print communication and other common communication-based approaches to health education and behavior change, and present a theoretical and public health rationale for tailoring health information.