Ecological Momentary Assessment: Feasibility, Construct Validity, and Future Applications

Timmer, Barbra H B; Hickson, Louise; Launer, Stefan

doi:10.1044/2017_aja-16-0126

Cited by 49 publications

(62 citation statements)

References 23 publications

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“…An alternative to using self-report outcome measures that require individuals to reflect on and generalize past experiences are techniques that capture data about real-world experiences as they are lived, such as ecological momentary assessment (EMA) or experiential sampling ( Shiffman, Stone, & Hufford, 2008 ). This approach was utilized by the authors in a previous study to investigate the hearing difficulties encountered in real-world situations by adults with mild HI ( Timmer, Hickson, & Launer, 2017a ). The participants were 29 adults with a mean age of 69 years and mild HI, defined as average hearing loss at .5, 1, 2, and 4 kHz between 20 and 40 dB HL in both ears (this definition of mild HI is also utilized for this study).…”

Section: Introductionmentioning

confidence: 99%

“…Although EMA can yield valuable aggregate or group data, the technique lends itself to gaining in-depth information regarding individual differences and in detecting intervention effects ( Moskowitz & Young, 2006 ). While EMA has been shown to be feasible with older adults with mild HI ( Timmer et al., 2017a ), to the authors’ knowledge, it has not been utilized to measure HA benefit following the provision of amplification. As yet, it is unknown if the approach is sufficiently sensitive to detect these changes, particularly for adults with mild HI.…”

Section: Introductionmentioning

confidence: 99%

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Do Hearing Aids Address Real-World Hearing Difficulties for Adults With Mild Hearing Impairment? Results From a Pilot Study Using Ecological Momentary Assessment

et al. 2018

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Current approaches to the measurement of hearing aid benefit typically use clinical or laboratory-based speech perception tests or retrospective self-report surveys. However, when assessing hearing aid outcomes in adults with mild hearing impairment, the traditional outcome measures may not be sufficiently sensitive. An alternative to these techniques are approaches that capture data about real-world experiences as they are experienced, such as ecological momentary assessment. This single-subject experimental design pilot study investigated the feasibility of using ecological momentary assessment in assessing whether hearing aids make a difference to the real-world listening experiences of adults with mild hearing impairment. Ten participants with an average age of 70 years and no previous amplification experience answered survey questions on their listening experiences over a 4-week period (1 week without hearing aids, 2 weeks with hearing aids, and 1 week without hearing aids). A total of 860 surveys were collected. Participants reported significantly better speech understanding and less listening effort during the 2-week trial with hearing aids compared to baseline conditions. In addition, they reported that they were significantly less hampered by their hearing difficulties and had greater enjoyment of listening events with wearing hearing aids. Individual variation in hearing aid benefit was evident. This pilot study showed that ecological momentary assessment has potential to quantify self-reported aided benefit for individuals with mild hearing impairment fitted with hearing aids. This research also highlighted that a real-world approach is needed to explore individualized outcomes and provide different insights to standardized questionnaires.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Do Hearing Aids Address Real-World Hearing Difficulties for Adults With Mild Hearing Impairment? Results From a Pilot Study Using Ecological Momentary Assessment

et al. 2018

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“…A commonality in the findings of Hasan et al (2014), Wu et al (2015) and Timmer et al (2017) was that the participants' most common listening situations were in the home, either in conversation with three or fewer familiar speakers or listening to TV or radio. These could be deemed as simple, or non-complex listening situations, in which many individuals with mild to moderate HI could understand speech well.…”

Section: The Use Of Ecological Momentary Assessment In Hearing Researchmentioning

confidence: 92%

“…More recent studies involving the use of EMA in hearing research have investigated the experiences of individuals with tinnitus (Henry et al, 2012), the communication difficulties of HA users (Galvez et al, 2012), differences in HA performance (Hasan et al, 2014) and individual hearing difficulty in various listening situations (Timmer et al, 2017;Wu et al, 2015). All these studies adhered to the EMA guidelines outlined in Table 1 and the majority (Wu et al (2015) being the exception) used electronic devices to house the surveys and prompt participants.…”

Section: The Use Of Ecological Momentary Assessment In Hearing Researchmentioning

confidence: 99%

“…Thus, previous research indicated the feasibility and construct validity of EMA for studies of adults with tinnitus and with mild to moderate HI. We further investigated feasibility and construct validity of EMA but with adults with bilateral mild HI (Timmer et al, 2017). We defined mild HI to be a four-frequency average (4FAHL) between 20 and 40 dB HL, averaged across 500, 1000, 2000 and 4000 Hz.…”

Section: The Use Of Ecological Momentary Assessment In Hearing Researchmentioning

confidence: 99%

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The use of ecological momentary assessment in hearing research and future clinical applications

2018

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To obtain real-world insights into the hearing difficulties of individuals, the field of hearing research has recently started to adopt ecological momentary assessment. Using this approach, study participants describe their experiences in real time, in their own natural environment. This paper describes the use of ecological momentary assessment in hearing research to date. Several studies have shown the approach is feasible and has good construct validity for use with adults with hearing impairment and/or tinnitus. Two recent studies conducted by the authors are described. The first study investigated the listening experiences of older adults with mild hearing impairment and concluded that ecological momentary assessment provided group and individual data which highlighted the between-subject variability in this clinical population. The second study investigated the difference that the provision of hearing aids could make for older adults with mild hearing impairment. The pilot study indicated that ecological momentary assessment could be successfully used in intervention studies to measure, for example, individual hearing aid benefit, which may extend beyond improved speech understanding. The study also revealed the potential for ecological momentary assessment as a tool for clinical practice and decision-making. Ecological momentary assessment can result in a rich array of research data if specific study design guidelines, presented in this paper, are followed. The development of a clinical ecological momentary assessment tool would provide clinicians an individualized outcome measure and facilitate the adoption of a greater degree of client- and family-centeredness, thereby improving rehabilitation outcomes.

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Usability, Acceptability, and Feasibility of Two Technology-Based Devices for Mental Health Screening in Perinatal Care: A Comparison of Web Versus App

Martínez-Borba

Suso‐Ribera

Osma

2019

Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering

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The use of Information and Communication Technologies (web pages and apps) in mental health has boosted. However, it is unknown which of these two devices can be better in terms of feasibility and acceptability. Our aim is to compare the feasibility, usability, and user satisfaction of two devices (web vs mobile application) of an online program for perinatal depression screening called HappyMom. In total, 348 and 175 perinatal women registered into HappyMom web and app version, respectively. The assessment protocol included different biopsychosocial evaluations (twice during pregnancy and thrice in the postpartum) and a satisfaction questionnaire. Results showed that a higher percentage of women in the web sample (27.3-51.1%) responded to each assessment compared to the app sample (9.1-53.1%). A smaller proportion of women in web sample never responded to any assessments. By contrast, the percentage of women who responded to all assessments was higher in app sample (longitudinal retention sample was 4.6% of web users and 9.1% of app users). In general, high satisfaction was found in both web and app users. Our result showed that online assessment methods are feasible and acceptable by perinatal women. However, dropout rates are a real problem that urge a solution that will be discussed further in the paper. Web and App devices present different advantages and limitations. The choice of one of them must be made taking into account the study's objective, the sample characteristics, and the dissemination possibilities.

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Ecological Momentary Assessment: Feasibility, Construct Validity, and Future Applications

Abstract: Ecological momentary assessment is a feasible and valid research methodology for older adults with mild hearing impairment. The methodology has potential as a clinical counseling and outcome tool.

Cited by 49 publications

References 23 publications

Do Hearing Aids Address Real-World Hearing Difficulties for Adults With Mild Hearing Impairment? Results From a Pilot Study Using Ecological Momentary Assessment

Do Hearing Aids Address Real-World Hearing Difficulties for Adults With Mild Hearing Impairment? Results From a Pilot Study Using Ecological Momentary Assessment

The use of ecological momentary assessment in hearing research and future clinical applications

Usability, Acceptability, and Feasibility of Two Technology-Based Devices for Mental Health Screening in Perinatal Care: A Comparison of Web Versus App

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