TY - JOUR
T1 - Feasibility and Acceptability of Smartphone Assessment in Older Adults with Cognitive and Emotional Difficulties
AU - Ramsey, Alex T.
AU - Wetherell, Julie Loebach
AU - Depp, Colin
AU - Dixon, David
AU - Lenze, Eric
N1 - Publisher Copyright:
© 2016, Copyright © Taylor & Francis Group, LLC.
PY - 2016/4/2
Y1 - 2016/4/2
N2 - This feasibility study assessed perceived acceptability, adherence rates, and reasons for nonadherence to smartphone-based ecological momentary assessment (EMA). At two sites, participants (n = 103) ages 65 years or older with diagnosed anxiety or depressive disorder and cognitive concerns responded three times daily to smartphone-based EMA questions assessing clinical outcomes for two 10-day periods. Quantitative and qualitative measures followed both 10-day EMA periods. Overall, 76% of participants completed surveys on ≥ 10 of the 20 assessment days, and 70% of participants completed at least 30% of the total surveys. Reasons for nonadherence included technical, logistical, physiological, and cognitive issues. Smartphone-based EMA is feasible in older adults with cognitive and emotional difficulties. EMA tools should be responsive to the needs and preferences of participants to ensure adequate acceptability and adherence in this population. Our findings can inform the design, development, and implementation of mobile technologies in older adults in research and clinical contexts.
AB - This feasibility study assessed perceived acceptability, adherence rates, and reasons for nonadherence to smartphone-based ecological momentary assessment (EMA). At two sites, participants (n = 103) ages 65 years or older with diagnosed anxiety or depressive disorder and cognitive concerns responded three times daily to smartphone-based EMA questions assessing clinical outcomes for two 10-day periods. Quantitative and qualitative measures followed both 10-day EMA periods. Overall, 76% of participants completed surveys on ≥ 10 of the 20 assessment days, and 70% of participants completed at least 30% of the total surveys. Reasons for nonadherence included technical, logistical, physiological, and cognitive issues. Smartphone-based EMA is feasible in older adults with cognitive and emotional difficulties. EMA tools should be responsive to the needs and preferences of participants to ensure adequate acceptability and adherence in this population. Our findings can inform the design, development, and implementation of mobile technologies in older adults in research and clinical contexts.
KW - Cognitive dysfunction
KW - ecological momentary assessment
KW - mobile technology
KW - mood disorder
KW - older adults
UR - http://www.scopus.com/inward/record.url?scp=84975318733&partnerID=8YFLogxK
U2 - 10.1080/15228835.2016.1170649
DO - 10.1080/15228835.2016.1170649
M3 - Article
C2 - 27683018
AN - SCOPUS:84975318733
VL - 34
SP - 209
EP - 223
JO - Journal of Technology in Human Services
JF - Journal of Technology in Human Services
SN - 1522-8835
IS - 2
ER -