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首页> 外文期刊>Frontiers in Neurology >Ecological Momentary Assessment in Patients With an Acquired Brain Injury: A Pilot Study on Compliance and Fluctuations
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Ecological Momentary Assessment in Patients With an Acquired Brain Injury: A Pilot Study on Compliance and Fluctuations

机译：获得脑损伤患者的生态瞬间评估：遵守和波动的试验研究

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Ecological Momentary Assessment (EMA) promises to be a suitable method for capturing the dynamics in self-assessments through repeated measurements in naturalistic environments using common mobile devices. Therefore, EMA could increase the power of neuropsychological assessment by obtaining a more fine-grained picture of symptoms, limitations, and strengths in patients with an acquired brain injury (ABI) in real-life situations. The present study examined 15 patients with an ABI with cognitive and motor impairments. Following a semirandomized high-frequency sampling plan to assess EMA's feasibility and applicability, data were collected across 7 days. At eight prompts per day, patients were asked about their current activities, the social context they were in, their current mood, performance judgments of their own functional status, and the frequency of self-reflections. The average compliance rate was 71.6%. The fluctuations in patients' responses were measured in terms of variance distributions within simple (intercept only) three-level models and root mean square of successive difference values. They were sufficient, as shown, for example, by the mean within-person variability of 44.9% across all of the items studied. There were no significant correlations between patients' age, severity of depressive symptoms, or their level of functioning and their compliance with study participation or the variability of their responses. The results support the feasibility and applicability of EMA as an assessment technique in patients with an ABI. There are, however, limitations that should be considered when planning an assessment of brain-injured patients using EMA.
机译：生态瞬时评估（EMA）是通过使用公共移动设备的自然环境中的重复测量来成为捕获自我评估中动态的合适方法。因此，EMA可以通过在现实生活中获得更细粒度的症状，局限性和强度的症状，限制和强度的图像来增加神经心理学评估的力量。本研究检测了15名具有认知和电机损伤的ABI患者。在Semirandomized高频采样计划中评估EMA的可行性和适用性，数据在7天内收集。每天八次提示，患者被问及他们目前的活动，他们所在的社会背景，他们目前的情绪，对自己功能状况的绩效判断以及自我反思的频率。平均合规率为71.6％。患者反应的波动在简单（截距仅）三级模型和连续差值的根均线的方差分布方面测量。如图所示，它们足够了，例如，在研究所有项目的人内部变异性44.9％。患者年龄，抑郁症状严重程度之间没有显着的相关性，或他们的运作水平及其遵守学习参与或反应的可变性。结果支持EMA作为ABI患者评估技术的可行性和适用性。然而，在计划使用EMA的评估时应该考虑的限制。

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