Computerized ambulatory monitoring in psychiatry: a multi-site collaborative study of acceptability, compliance, and reactivity
Open accessAbstract
Computerized ambulatory monitoring overcomes a number of methodological and conceptual challenges to studying mental disorders, however concerns persist regarding the feasibility of this approach with severe psychiatric samples and the potential of intensive monitoring to influence data quality. This multi-site investigation evaluates these issues in four independent samples. Patients with schizophrenia (n = 56), substance dependence (n = 85), anxiety disorders (n = 45), and a non-clinical sample (n = 280) were contacted to participate in investigations using computerized ambulatory monitoring. Micro-computers were used to administer electronic interviews several times per day for a one-week period. Ninety-five percent of contacted individuals agreed to participate in the study, and minimum compliance was achieved by 96% of these participants. Seventy-eight percent of all programmed assessments were completed overall, and only 1% of micro-computers were not returned to investigators. There was no evidence that missing data or response time increased over the duration of the study, suggesting that fatigue effects were negligible. The majority of variables investigated did not change in frequency as a function of study duration, however some evidence was found that socially sensitive behaviors changed in a manner consistent with reactivity.
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Some behaviors, like alcohol use among substance dependent patients, may be more subject to reactive effects than cognitive or affective symptoms.
“Some behaviors, like alcohol use among substance dependent patients, may be more subject to reactive effects than cognitive or affective symptoms (103).”
From Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research (2022) · cites this paper as [103]
Compliance was good and not substantially lower than in other clinical or non-clinical populations.
“Meanwhile, compliance was good and not substantially lower than in other clinical (103) or non-clinical populations [see e.g., (104)].”
From Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research (2022) · cites this paper as [103]
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References 52 · Cited by 122
Research works printed but not linked: 3
- First M.B., Spitzer R.L., Gibbon M., Williams J.B.W. (1995) Structured Clinical Interview for DSM-IV Axis I Disorder Patient Edition (SCID I/P), Patient Edition, Biometrics Research Department, New York State Psychiatric Institute.
- Loewenstein R.J., Hamilton J., Alagna S., Reid N., deVries M. (1987) Experience sampling in the study of multiple per- sonality disorder. American Journal of Psychiatry, 144, 19-24.
- Nelson R.O. (1977) Assessment and therapeutic functions of self-monitoring. In: Progress in Behavioral Modifi cation (eds Hersen M., Eisler R.M., Miller P.), pp. 3-41, Academic Press.
- Authors
- Johnson, E. I., Grondin, O., Barrault, M., Faytout, M., Helbig, S., Husky, M., Granholm, E. L., Loh, C., Nadeau, L., Wittchen, H., & Swendsen, J.
- Affiliations
- Université de Bordeaux (FR)
- Technische Universität Dresden (DE)
- Yale University (US)
- University of California San Diego (US)
- Université de Montréal (CA)
- Centre National de la Recherche Scientifique (FR)
- Corresponding author
- Swendsen, Joel
- ORCID
- Venue
- International Journal of Methods in Psychiatric Research
- Publisher
- Wiley
- Published
- 2009-02-04
- Volume
- 18
- Issue
- 1
- Pages
- 48-57
- ISSN
- 1049-8931 (ISSN-L)
- 1557-0657
- PMC
- PMC6878313
- OpenAlex
- W1988168171
- Cited by
- 122
- References
- 52
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 3 · 2023: 2 · 2022: 6 · 2021: 11 · 2020: 11 · 2019: 10 · 2018: 13 · 2017: 6 · 2016: 10 · 2015: 4 · 2014: 7 · 2013: 6 · 2012: 8
- FWCI
- 11.83
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- International Journal of Methods in Psychiatric Research (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Veterans Affairs
- University of California, San Diego
- National Institute of Mental Health (R01MH071410, P30MH66248, P30MH066248)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Sociology and Political Science › Survey Methodology and Nonresponse
- Keywords
- participant compliance, reactivity, acceptability, fatigue effects, missing data, schizophrenia, substance dependence, anxiety disorders, intensive monitoring
- MeSH terms
- Adult, Mental Disorders, Cooperative Behavior, Electronics, Medical, Environment, Female, Humans, Male, Medical Records, Microcomputers, Middle Aged, Patient Compliance, Psychiatric Status Rating Scales, Surveys and Questionnaires, Social Behavior, Outcome Assessment, Health Care, Monitoring, Ambulatory, Young Adult
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