Symposia
Technology/Digital Health
Lauren M. Henry, Ph.D. (she/her/hers)
Postdoctoral Fellow
National Institute of Mental Health
Bethesda, Maryland, United States
Eleanor Hansen, B.A.
Post-baccalaureate Fellow, Neuroscience and Novel Therapeutics Unit
National Institute of Mental Health
Bethesda MD, Minnesota, United States
Justin Chimoff, BS
Research Coordinator
Boston Children's Hospital
Boston, Massachusetts, United States
Kimberly Pokstis, BS
Research Assistant
Boston Children's Hospital
Boston, Massachusetts, United States
Miryam Kiderman, PsyD
Clinical Psychologist
NIMH
Bethesda, Maryland, United States
Reut Naim, PhD
Assistant Professor
Tel Aviv University
Tel Aviv, Tel Aviv, Israel
Joe Kossowsky, MMSc, PhD
Assistant Professor of Anesthesia
Boston Children's Hospital
Boston, Massachusetts, United States
Meghan E. Byrne, Ph.D.
Postdoctoral Fellow
National Institute of Mental Health
Bethesda, Maryland, United States
Silvia Lopez-Guzman, MD, PhD
Chief, Unit on Computational Decision Neuroscience
NIMH
Bethesda, Maryland, United States
Katharina Kircanski, PhD
Staff Scientist
NIMH
Bethesda, Maryland, United States
Daniel Pine, M.D.
Senior Investigator
National Institute of Mental Health
Bethesda, Maryland, United States
Melissa Brotman, PhD
Principal Investigator
Emotion and Development Branch, NIMH
Bethesda, Maryland, United States
Background: Ecological momentary assessment (EMA) is a tool used for the repeated collection of naturalistic data in real time. EMA has numerous benefits when applied to clinical research and practice, including opportunities for measuring dynamic clinical phenomena that are otherwise difficult to track with high levels of ecological validity. EMA has been applied in psychological research for decades. Critically, with recent technological advances, integrating of EMA into clinical research and practice has become increasingly feasible. However, researchers and clinicians new to EMA may face challenges getting started with this digital tool. The current presentation provides guidance for clinicians and researchers to integrate EMA in their laboratories (“labs”) and practices.
Methods: In qualitative research, we tested several EMA platforms in our labs at BLIND and BLIND; we study children and families with irritability, anxiety, and depression and youth with chronic and acute pain, mental health, and substance use disorders. In the current presentation, we share our five-step process for identifying EMA platforms with the best fit to our research, including (1) creating a list of extant EMA platforms, (2) conducting a web-based review, (3) considering institutional security, privacy, and data management requirements, (4) meeting with platform developers, and (5) testing each of our candidate EMA platforms for one week. We also consider the EMA platform selection process in the context of clinical practice.
Results: Our five-step process resulted in the selection of two different EMA platforms for our labs, underscoring the importance of determining individualized priorities toward a best-fitting platform. We share 11 considerations for researchers and clinicians in selecting an EMA platform (e.g., location, developer involvement, sample characteristics, and security, privacy, and data management). We share resources, including a suggested timeline for the EMA platform selection process; a template for determining individual, prioritized needs; sample questions to ask EMA developers; and a framework for comparing candidate EMA platforms. Further, we discuss strategies for promoting equitable access to EMA in clinical communities, including vulnerable and historically marginalized populations.
Conclusion: EMA is a technology-based tool with tremendous promise for clinical assessment in research and practice settings. The current presentation will guide researchers and clinicians interested in initiating EMA.