Healthcare Informatics Research

Korean Society of Medical Infomatics (대한의료정보학회)
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Ecological Momentary Assessment Using Smartphone-Based Mobile Application for Affect and Stress Assessment

  • Yang, Yong Sook (College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University) ;
  • Ryu, Gi Wook (College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University) ;
  • Han, Insu (Mazelone Inc.) ;
  • Oh, Seojin (Mazelone Inc.) ;
  • Choi, Mona (College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University)
  • Received : 2018.09.27
  • Accepted : 2018.10.23
  • Published : 2018.10.31
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Abstract

Objectives: This study aimed to describe the process of utilizing a mobile application for ecological momentary assessment (EMA) to collect data on stress and mood in daily life setting. Methods: A mobile application for the Android operating system was developed and installed with a set of questions regarding momentary mood and stress into a smartphone of a participant. The application sets alarms at semi-random intervals in 60-minute blocks, four times a day for 7 days. After obtaining all momentary affect and stress, the questions to assess the usability of the mobile EMA application were also administered. Results: The data were collected from 97 police officers working in Gyeonggi Province of South Korea. The mean completion rate was 60.0% ranging from 3.5% to 100%. The means of positive and negative affect were 18.34 of 28 and 19.09 of 63. The mean stress was 17.92 of 40. Participants responded that the mobile application correctly measured their affect ($4.34{\pm}0.83$) and stress ($4.48{\pm}0.62$) of 5-point Likert scale. Conclusions: Our study investigated the process of utilizing a mobile application to assess momentary affect and stress at repeated times. We found challenges regarding adherence to the research protocol, such as completion and delay of answering after alarm notification. Despite this inherent issue of adherence to the research protocol, the EMA still has advantages of reducing recall bias and assessing the actual moment of interest at multiple time points that improves ecological validity.

Keywords

Acknowledgement

Supported by : National Foundation of Korea (NRF)

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