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Ecological Momentary Assessment Using Smartphones in Patients With Depression: Feasibility Study

Title: Ecological Momentary Assessment Using Smartphones in Patients With Depression: Feasibility Study
Authors: Maatoug, Redwan; Peiffer-Smadja, Nathan; Delval, Guillaume; Brochu, Térence; Pitrat, Benjamin; Millet, Bruno
Contributors: CHU Pitié-Salpêtrière AP-HP; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU); Institut du Cerveau = Paris Brain Institute (ICM); Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-CHU Pitié-Salpêtrière AP-HP; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Sorbonne Université (SU)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS); Imperial College London; Infection, Anti-microbiens, Modélisation, Evolution (IAME (UMR_S_1137 / U1137)); Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité)-Université Sorbonne Paris Nord
Source: ISSN: 2561-326X ; JMIR Formative Research ; https://hal.sorbonne-universite.fr/hal-03152342 ; JMIR Formative Research, 2021, 5 (2), pp.e14179. ⟨10.2196/14179⟩.
Publisher Information: CCSD; JMIR Publications
Publication Year: 2021
Collection: Université Paris 13: HAL
Subject Terms: user experience; smartphone; feasibility study; ecological momentary assessment; depression; [SDV]Life Sciences [q-bio]
Description: International audience ; Background: Ecological momentary assessment (EMA) is a promising tool in the management of psychiatric disorders and particularly depression. It allows for a real-time evaluation of symptoms and an earlier detection of relapse or treatment efficacy. The generalization of the smartphone in the modern world offers a new, large-scale support for EMA.Objective: The main objective of this study was twofold: (1) to assess patients' compliance with an EMA smartphone app defined by the number of EMAs completed, and (2) to estimate the external validity of the EMA using a correlation between self-esteem/guilt/mood variables and Hamilton Depression Rating Scale (HDRS) score.Methods: Eleven patients at the Pitié-Salpêtrière Hospital, Paris, France, were monitored for 28 days by means of a smartphone app. Every patient enrolled in the study had two types of assessment: (1) three outpatient consultations with a psychiatrist at three different time points (days 1, 15, and 28), and (2) real-time data collection using an EMA smartphone app with a single, fixed notification per day at 3 pm for 28 days. The results of the real-time data collected were reviewed during the three outpatient consultations by a psychiatrist using a dashboard that aggregated all of the patients' data into a user-friendly format.Results: Of the 11 patients in the study, 6 patients attended the 3 outpatient consultations with the psychiatrist and completed the HDRS at each consultation. We found a positive correlation between the HDRS score and the variables of self-esteem, guilt, and mood (Spearman correlation coefficient 0.57). Seven patients completed the daily EMAs for 28 days or longer, with an average response rate to the EMAs of 62.5% (175/280). Furthermore, we observed a positive correlation between the number of responses to EMAs and the duration of follow-up (Spearman correlation coefficient 0.63).Conclusions: This preliminary study with a prolonged follow-up demonstrates significant patient compliance with the ...
Document Type: article in journal/newspaper
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/33625367; PUBMED: 33625367
DOI: 10.2196/14179
Availability: https://hal.sorbonne-universite.fr/hal-03152342; https://hal.sorbonne-universite.fr/hal-03152342v1/document; https://hal.sorbonne-universite.fr/hal-03152342v1/file/document.pdf; https://doi.org/10.2196/14179
Rights: info:eu-repo/semantics/OpenAccess
Accession Number: edsbas.E0E011ED
Database: BASE