Testing an mHealth momentary assessment Routine Outcome Monitoring application: a focus on restoration of daily life positive mood states.

Routine Outcome Monitoring (ROM) is used as a means to enrich the process of treatment with feedback on patient outcomes, facilitating patient involvement and shared decision making. While traditional ROM measures focus on retrospective accounts of symptoms, novel mHealth technology makes it possibl...

Full description

Bibliographic Details
Main Authors: Jim van Os, Philippe Delespaul, Daniela Barge, Roberto P Bakker
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC4267819?pdf=render
_version_ 1828412921336561664
author Jim van Os
Philippe Delespaul
Daniela Barge
Roberto P Bakker
author_facet Jim van Os
Philippe Delespaul
Daniela Barge
Roberto P Bakker
author_sort Jim van Os
collection DOAJ
description Routine Outcome Monitoring (ROM) is used as a means to enrich the process of treatment with feedback on patient outcomes, facilitating patient involvement and shared decision making. While traditional ROM measures focus on retrospective accounts of symptoms, novel mHealth technology makes it possible to collect real life, in-the-moment ambulatory data that allow for an ecologically valid assessment of personalized and contextualized emotional and behavioural adjustment in the flow daily life (mROM).In a sample of 34 patients with major depressive disorder, treated with antidepressants, the combined effect of treatment and natural course was examined over a period of 18 weeks with Ecological Momentary Assessment (EMA). EMA consisted of repeated, within-subject, mini-measurements of experience (eg positive affect, negative affect, medication side effects) and context (eg stressors, situations, activities) at 10 unselected semi-random moments per day, for a period of six days, repeated three times over the 18-week period (baseline, week 6 and week 18).EMA measures of emotional and behavioural adjustment were sensitive to the effects of treatment and natural course over the 18-week period, particularly EMA measures focussing on positive mood states and the ability to use natural rewards (impact of positive events on positive mood states), with standardized effect sizes of 0.4-0.5. EMA measures of activities, social interaction, stress-sensitivity and negative mood states were also sensitive to change over time.This study supports the use of mROM as a means to involve the patient in the process of needs assessment and treatment. EMA data are meaningful to the patient, as they reflect daily life circumstances. Assessment of treatment response with mROM data allows for an interpretation of the effect of treatment at the level of daily life emotional and social adjustment--as an index of health, obviating the need for an exclusive focus on traditional measures of 'sickness'.
first_indexed 2024-12-10T12:58:01Z
format Article
id doaj.art-17a8568058f943cdbbf3c2b9547526b7
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-10T12:58:01Z
publishDate 2014-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-17a8568058f943cdbbf3c2b9547526b72022-12-22T01:48:01ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-01912e11525410.1371/journal.pone.0115254Testing an mHealth momentary assessment Routine Outcome Monitoring application: a focus on restoration of daily life positive mood states.Jim van OsPhilippe DelespaulDaniela BargeRoberto P BakkerRoutine Outcome Monitoring (ROM) is used as a means to enrich the process of treatment with feedback on patient outcomes, facilitating patient involvement and shared decision making. While traditional ROM measures focus on retrospective accounts of symptoms, novel mHealth technology makes it possible to collect real life, in-the-moment ambulatory data that allow for an ecologically valid assessment of personalized and contextualized emotional and behavioural adjustment in the flow daily life (mROM).In a sample of 34 patients with major depressive disorder, treated with antidepressants, the combined effect of treatment and natural course was examined over a period of 18 weeks with Ecological Momentary Assessment (EMA). EMA consisted of repeated, within-subject, mini-measurements of experience (eg positive affect, negative affect, medication side effects) and context (eg stressors, situations, activities) at 10 unselected semi-random moments per day, for a period of six days, repeated three times over the 18-week period (baseline, week 6 and week 18).EMA measures of emotional and behavioural adjustment were sensitive to the effects of treatment and natural course over the 18-week period, particularly EMA measures focussing on positive mood states and the ability to use natural rewards (impact of positive events on positive mood states), with standardized effect sizes of 0.4-0.5. EMA measures of activities, social interaction, stress-sensitivity and negative mood states were also sensitive to change over time.This study supports the use of mROM as a means to involve the patient in the process of needs assessment and treatment. EMA data are meaningful to the patient, as they reflect daily life circumstances. Assessment of treatment response with mROM data allows for an interpretation of the effect of treatment at the level of daily life emotional and social adjustment--as an index of health, obviating the need for an exclusive focus on traditional measures of 'sickness'.http://europepmc.org/articles/PMC4267819?pdf=render
spellingShingle Jim van Os
Philippe Delespaul
Daniela Barge
Roberto P Bakker
Testing an mHealth momentary assessment Routine Outcome Monitoring application: a focus on restoration of daily life positive mood states.
PLoS ONE
title Testing an mHealth momentary assessment Routine Outcome Monitoring application: a focus on restoration of daily life positive mood states.
title_full Testing an mHealth momentary assessment Routine Outcome Monitoring application: a focus on restoration of daily life positive mood states.
title_fullStr Testing an mHealth momentary assessment Routine Outcome Monitoring application: a focus on restoration of daily life positive mood states.
title_full_unstemmed Testing an mHealth momentary assessment Routine Outcome Monitoring application: a focus on restoration of daily life positive mood states.
title_short Testing an mHealth momentary assessment Routine Outcome Monitoring application: a focus on restoration of daily life positive mood states.
title_sort testing an mhealth momentary assessment routine outcome monitoring application a focus on restoration of daily life positive mood states
url http://europepmc.org/articles/PMC4267819?pdf=render
work_keys_str_mv AT jimvanos testinganmhealthmomentaryassessmentroutineoutcomemonitoringapplicationafocusonrestorationofdailylifepositivemoodstates
AT philippedelespaul testinganmhealthmomentaryassessmentroutineoutcomemonitoringapplicationafocusonrestorationofdailylifepositivemoodstates
AT danielabarge testinganmhealthmomentaryassessmentroutineoutcomemonitoringapplicationafocusonrestorationofdailylifepositivemoodstates
AT robertopbakker testinganmhealthmomentaryassessmentroutineoutcomemonitoringapplicationafocusonrestorationofdailylifepositivemoodstates