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Ecological momentary assessment versus standard assessment instruments for measuring mindfulness, depressed mood, and anxiety among older adults
Open accessAbstract
As mobile data capture tools for patient-reported outcomes proliferate in clinical research, a key dimension of measure performance is sensitivity to change. This study compared performance of patient-reported measures of mindfulness, depression, and anxiety symptoms using traditional paper-and-pencil forms versus real-time, ambulatory measurement of symptoms via ecological momentary assessment (EMA). Sixty-seven emotionally distressed older adults completed paper-and-pencil measures of mindfulness, depression, and anxiety along with two weeks of identical items reported during ambulatory monitoring via EMA before and after participation in a randomized trial of Mindfulness-Based Stress Reduction (MBSR) or a health education intervention. We calculated effect sizes for these measures across both measurement approaches and estimated the Number-Needed-to-Treat (NNT) in both measurement conditions. Study outcomes greatly differed depending on which measurement method was used. When EMA was used to measure clinical symptoms, older adults who participated in the MBSR intervention had significantly higher mindfulness and significantly lower depression and anxiety than participants in the health education intervention at post-treatment. However, these significant changes in symptoms were not found when outcomes were measured with paper-and-pencil measures. The NNT for mindfulness and depression measures administered through EMA were approximately 25-50% lower than NNTs derived from paper-and-pencil administration. Sensitivity to change in anxiety was similar across administration modes. In conclusion, EMA measures of depression and mindfulness substantially outperformed paper-and-pencil measures with the same items. The additional resources associated with EMA in clinical trials would seem to be offset by its greater sensitivity to detect change in key outcome variables.
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“(a) greater sensitivity to clinical changes (Moore et al., 2016)”
From Online ACT intervention for fibromyalgia: An exploratory study of feasibility and preliminary effectiveness with smartphone-delivered experiential sampling assessment (2022) · cites this paper as Moore et al., 2016
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“This approach has many advantages87 over “one-time, in-clinic” measures, including the generation of more stable estimates of neurobehavioural symptoms for outcomes research;88 the assessment of dynamic changes among theoretically linked constructs;89 the reduction of recall bias for patients with neurobehavioural disorders;90,91 and the ability to model causal intra-individual relationships.92”
From Precision clinical trials: a framework for getting to precision medicine for neurobehavioural disorders (2021) · cites this paper as [88]
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Citations
Cites
Mindfulness: A proposed operational definition.
Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., Segal, Z. V., Abbey, S., Speca, M., Velting, D., et al. (2004) · Clinical Psychology: Science and Practice · doi:10.1093/clipsy.bph077 · Cited by 7,234
Ecological momentary assessment
Shiffman, S., Stone, A. A., & Hufford, M. R. (2008) · Annual Review of Clinical Psychology · doi:10.1146/annurev.clinpsy.3.022806.091415 · Cited by 6,454
Cella, D., Yount, S., Rothrock, N., Gershon, R., Cook, K., Reeve, B., Ader, D., Fries, J. F., Bruce, B., & Rose, M. (2007) · Medical Care · doi:10.1097/01.mlr.0000258615.42478.55 · Cited by 3,118
Meditation Programs for Psychological Stress and Well-being: A Systematic Review and Meta-analysis
Goyal, M., Singh, S., Sibinga, E. M. S., Gould, N. F., Rowland-Seymour, A., Sharma, R., Berger, Z., Sleicher, D., Maron, D. D., Shihab, H. M., et al. (2014) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2013.13018 · Cited by 2,380
Validation of a short Orientation-Memory-Concentration Test of cognitive impairment
Katzman, R., Brown, T., Fuld, P. A., Peck, A., Schechter, R., & Schimmel, H. (1983) · American Journal of Psychiatry · doi:10.1176/ajp.140.6.734 · Cited by 2,119
Feldman, G., Hayes, A., Kumar, S., Greeson, J., & Laurenceau, J.-P. (2007) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-006-9035-8 · Cited by 1,630
Psychometric Evaluation and Calibration of Health-Related Quality of Life Item Banks
Reeve, B. B., Hays, R. D., Bjørner, J. B., Cook, K. F., Crane, P. K., Teresi, J. A., Thissen, D., Revicki, D. A., Weiss, D. J., Hambleton, R. K., et al. (2007) · Medical Care · doi:10.1097/01.mlr.0000250483.85507.04 · Cited by 1,491
The Toronto Mindfulness Scale: Development and validation
Lau, M. A., Bishop, S. R., Segal, Z. V., Buis, T., Anderson, N. D., Carlson, L., Shapiro, S., Carmody, J., Abbey, S., & Devins, G. (2006) · Journal of Clinical Psychology · doi:10.1002/jclp.20326 · Cited by 1,456
Feingold, A. (2009) · Psychological Methods · doi:10.1037/a0014699 · Cited by 851
Gwaltney, C. J., Shields, A. L., & Shiffman, S. (2008) · Value in Health · doi:10.1111/j.1524-4733.2007.00231.x · Cited by 623
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Mintz, E. H., Toner, E. R., Skolnik, A. M., Pan, A., Frumkin, M. R., Baker, A. W., Simon, N. M., & Robinaugh, D. J. (2023) · doi:10.31234/osf.io/hw7jm · Cited by 2
Luangapichart, P., Saisavoey, N., & Viravan, N. (2022) · doi:10.1101/2022.08.09.22278601 · Cited by 14
Bidargaddi, N. P., Leibbrandt, R. E., Paget, T. L., Verjans, J. W. H., Looi, J. C., & Lipschitz, J. M. (2024) · Digital Health · doi:10.1177/20552076241260414 · Cited by 3
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Reis, H. T., Sels, L., & Gable, S. L. (2024) · Cambridge University Press eBooks · doi:10.1017/9781009170123.013 · Cited by 1
Bublitz, M. H., Anderson, M. R., Bourjeily, G. R., & Salmoirago‐Blotcher, E. (2025) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2025.112183 · Cited by 3
Tamm, J., Takano, K., Just, L., Ehring, T. W., Rosenkranz, T., & Kopf‐Beck, J. (2025) · Behavior Therapy · doi:10.1016/j.beth.2025.08.002 · Cited by 1
Ballentine, E., Feler, B., Narine, K., & Brown, L. A. (2025) · Journal of the Association of Nurses in AIDS Care · doi:10.1097/jnc.0000000000000586 · Cited by 1
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Hoogerwerf, E., Riese, H., Spinhoven, P., Lamers, F., & Goekoop, R. (2025) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2025.101001
Zhao, D., Yang, Y., Sedikides, C., Han, Y., Hou, X., Yang, L., & Wang, L. (2025) · Journal of Environmental Psychology · doi:10.1016/j.jenvp.2025.102786 · Cited by 1
Miller‐Chagnon, R. L., Prince, M. A., Haddock, S. A., & Zimmerman, T. S. (2026) · Journal of Research on Adolescence · doi:10.1111/jora.70114 · Cited by 2
Lim, K. O., Kummerfeld, E., Anderson, L. M., Wonderlich, S. A., Engel, S. G., Crosby, R. D., & Peterson, C. B. (2026) · Journal of Eating Disorders · doi:10.1186/s40337-026-01524-x · Cited by 1
Verhaeghen, P., Aikman, S. N., & Ram, N. (2026) · Mindfulness · doi:10.1007/s12671-026-02820-y · Cited by 1
de Vaal, M. T., Fogliano, V., Verkerk, R., & Steenbekkers, B. L. P. A. (2026) · JMIR mhealth and uhealth · doi:10.2196/71858 · Cited by 1
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Čolić, J., Bassett, T. R., Latysheva, A., Imboden, C., Bader, K., Hatzinger, M., Mikoteit, T., Meyer, A. H., Lieb, R., Gloster, A. T., et al. (2022) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.2022.41.2.105 · Cited by 1
Schmid, F., SCHMITT, A. J., Hermanns, N., Kulzer, B., & Ehrmann, D. (2022) · Frontiers in Clinical Diabetes and Healthcare · doi:10.3389/fcdhc.2022.834643 · Cited by 1
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Noh, J. M., Im, S. H., Park, J., Kim, J., Lee, M., & Choi, J. (2025) · Journal of Medical Internet Research · doi:10.2196/59878 · Cited by 1
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Mani, M. (2017) · Queensland University of Technology · doi:10.5204/thesis.eprints.102651 · Cited by 2
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Enkema, M. C. (2020) · ResearchWorks at the University of Washington (University of Washington) · Cited by 1
El IVA como tributo compartido
Segura, J. V. S. (1997) · Noticias de la Unión Europea · Cited by 1
Schuster, R., Schreyer, M. L., Kaiser, T., Berger, T., Klein, J. P., Moritz, S., Laireiter, A., & Trutschnig, W. (2019) · PsyArXiv (OSF Preprints) · doi:10.31234/osf.io/chjur · Cited by 1
Cognitive and Affective Mindfulness Scale-Revised (CAMS-R)
Feldman, G. C., Westine, M., Edelman, A., Higgs, M., Renna, M. E., & Greeson, J. M. (2025) · Springer eBooks · doi:10.1007/978-3-031-47219-0_19 · Cited by 1
Les applications pour smartphones (apps) : une opportunité pour la santé mentale
Khazaal, Y. (2018) · Elsevier eBooks · doi:10.1016/b978-2-294-75915-4.00027-x
Mindfulness Training for Pre-Service Teachers Using Ecological Momentary Assessment
Hattouni, E. A. (2019) · The Mathematics Enthusiast
Monitoring everyday life in aging & dementia
Bartels, S. L. (2020) · Research Publications (Maastricht University) · doi:10.26481/dis.20200917sb
Stress & anxiety improvements with Ashwagandha and B-vitamins
Li, I. (2025) · Library, Museums and Press - UDSpace (University of Delaware) · doi:10.58088/v97s-ky41
Validation of Smartphone-Based Cognitive Assessments for Individuals with Major Depressive Disorder
Thérond, A. (2021) · Carleton University's Institutional Repository (MacOdrum Library, Carleton University) · doi:10.22215/etd/2021-14740
Myin‐Germeys, I., de Thurah, L., Weermeijer, J. D. M., Bonnier, R., van Aubel, E., & Kiekens, G. (2022) · Tijdschrift voor Geneeskunde · doi:10.47671/tvg.77.21.188
Wang, L., Lai, C., Xu, T., Song, J.-F., Wen, S.-Q., Zeng, Y., Zeng, D.-N., Zhang, S., & Lai, X.-H. (2023) · Research Square · doi:10.21203/rs.3.rs-3207059/v1
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Mueen Ahmed, K. K. (2023) · International Journal of Medicine and Public Health · doi:10.5530/ijmedph.2023.2.14
Appel, J. E., Vanhollebeke, J., Dezutter, J., & Dewitte, L. (2023) · doi:10.31219/osf.io/p7ect
Park, S., & Lee, H.-H. (2024) · Psychiatric Annals · doi:10.3928/00485713-20240122-01
Ozyazgan, L. S., Fierro, L.-A. M., Mankatala, S., Mendoza, S. L. M., & Cummins, K. M. (2024) · Journal of Technology in Behavioral Science · doi:10.1007/s41347-024-00406-w
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Martin, E. C., Joode, L. E. G. H. D., Lucieer, F., Sitters, D., Delespaul, P., Leue, C., van de Weijer, S. C. F., Erdkamp, A., Grill, E., Zwergal, A., et al. (2024) · Frontiers in Audiology and Otology · doi:10.3389/fauot.2024.1378569 · Cited by 1
Sirven, B., Baussard, L., Charbonnier, É., & Vigouroux, S. L. (2024) · Pratiques Psychologiques · doi:10.1016/j.prps.2024.03.002 · Cited by 1
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Gould, C. E., Alfaro, A. J., Yenko, I., & Hitching, R. (2024) · Springer eBooks · doi:10.1007/978-3-031-53976-3_16
Thomas, E. D., Yang, M., Contractor, A. A., & Weiss, N. H. (2024) · Mental Health Religion & Culture · doi:10.1080/13674676.2024.2357795 · Cited by 1
Rodríguez, A. D., Herdoiza-Arroyo, P. E., Sanz‐Gómez, S., Albán-Terán, M. G., Ramos, E. G. N., Calderón, E. N. V., Leiva, A. N. C., la Rosa-Gómez, A. D., & Arenas-Landgrave, P. (2024) · Death Studies · doi:10.1080/07481187.2024.2421629
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LaMonica, H. M., Davenport, T. A., Ottavio, A., Rowe, S. C., Cross, S. P., Iorfino, F., Jackson, T. A., Easton, M. A., Melsness, J., & Hickie, I. B. (2021) · Figshare · doi:10.6084/m9.figshare.13585332
Patoz, M.-C., Hidalgo-Mazzei, D., Pereira, B., Blanc, O., de Chazeron, I., Murru, A., Verdolini, N., Pacchiarotti, I., Vieta, E., Llorca, P., et al. (2021) · Figshare · doi:10.6084/m9.figshare.14728634
Patoz, M.-C., Hidalgo-Mazzei, D., Pereira, B., Blanc, O., de Chazeron, I., Murru, A., Verdolini, N., Pacchiarotti, I., Vieta, E., Llorca, P., et al. (2021) · Figshare · doi:10.6084/m9.figshare.14728637
Courtney, J., & Dunton, G. F. (2025) · doi:10.2196/preprints.81290
CIAN, Y.-S., Chi, N., & Huang, P.-H. (2026) · Current Psychology · doi:10.1007/s12144-025-08705-y
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Palmen, B., Vaes, A. W., Deng, Q., Herck, M. V., Ebadi, Z., Thong, M. S. Y., Burtin, C., Peters, J. B., Sprooten, R. T. M., Bischoff, E. W. M. A., et al. (2026) · doi:10.2196/preprints.95926
Metts, A. V., Harris, E., Martinez, N. M., Pearson, R., & Creech, S. K. (2026) · Stress and Health · doi:10.1002/smi.70175 · Cited by 2
Weseman, C., Siegle, E., Boxrud, B., Shankman, S. A., Reddy, M., Griffith, J. W., & Ashaie, S. A. (2026) · Journal of Affective Disorders · doi:10.1016/j.jad.2026.121783
Centola, H. J., Plegue, M. A., Albright, D., Mizokami‐Stout, K., Ang, L. P., Iyengar, J., Hirschfeld, E., Kratz, A., Reynolds, E. L., Callaghan, B. C., et al. (2026) · Canadian Journal of Diabetes · doi:10.1016/j.jcjd.2026.04.005
Wallace, O., Najmi, S., & Amir, N. (2026) · Journal of Behavioral and Cognitive Therapy · doi:10.1016/j.jbct.2026.100600
Han, C. Z., Zhao, K. C., Wang, L., Zhu, H., Li, Y., Kolibius, L. D., Velazquez, A. G., Song, Y. L., Cami, A., Carmona, J. C., et al. (2026) · Research Square · doi:10.64898/2026.05.15.725563
Luna, C. M., Chilton, R., Cook, D. J., & Schmitter‐Edgecombe, M. (2026) · Archives of Clinical Neuropsychology · doi:10.1093/arclin/acag033
Jones, L., Higgins, B. E., Devraj, K., Crabb, D. P., Thomas, P. B. M., & Moosajee, M. (2026) · npj Digital Medicine · doi:10.1038/s41746-026-02817-w
Ma, K. K. Y., Chan, S. S., Wong, E. W. Y., Choi, O., Mo, F. Y. M., Shea, C. K., Ho, C., Leung, P. W. L., So, S. F., Bögels, S. M., et al. (2026) · JMIR Pediatrics and Parenting · doi:10.2196/84224 · Cited by 1
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Kornacka, M., Barnes, S., Skorupski, J., Skorupski, M. S., Jaskulska, A., Para, M., & Szastok, M. (2026) · Psychiatria i Psychologia Kliniczna · doi:10.15557/pipk.2026.0018
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Metadata
- Authors
- Moore, R. C., Depp, C. A., Wetherell, J. L., & Lenze, E. J.
- Affiliations
- University of California San Diego (US)
- Washington University in St. Louis (US)
- Corresponding author
- Moore, Raeanne C.
- Venue
- Journal of Psychiatric Research
- Publisher
- Elsevier BV
- Published
- 2016-04
- Volume
- 75
- Pages
- 116-123
- ISSN
- 0022-3956 (ISSN-L)
- PMC
- PMC4769895
- OpenAlex
- W2263248765
- Cited by
- 274
- References
- 34
- Citations by year
- 2026: 29 · 2025: 26 · 2024: 38 · 2023: 26 · 2022: 31 · 2021: 30 · 2020: 31 · 2019: 20 · 2018: 18 · 2017: 17 · 2016: 7
- FWCI
- 29.34
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Psychiatric Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institute on Aging (AG049369, R01AG049369)
- National Institute of Mental Health (K23MH107260, L30 MH104725, R01MH100417, MH100417)
- National Center for Complementary and Integrative Health (R34AT007070, R34AT007064)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- ecological momentary assessment, mindfulness, depression, anxiety, older adults, mindfulness-based stress reduction, patient-reported outcomes, ambulatory monitoring, number needed to treat, sensitivity to change, health education intervention, emotional distress
- MeSH terms
- Ecological Momentary Assessment, Aged, Anxiety Disorders, Depression, Female, Humans, Male, Statistics as Topic, Outcome Assessment, Health Care, Executive Function, Mindfulness
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