Feasibility and psychometric quality of smartphone administered cognitive ecological momentary assessments in women with metastatic breast cancer
Objective Metastatic breast cancer (MBC) is associated with burdensome side effects, including cognitive changes that require ongoing monitoring. Cognitive ecological momentary assessments (EMAs) allow for assessment of individual cognitive functioning in natural environments and can be administered...
Saved in:
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2025-01-01
|
| Series: | Digital Health |
| Online Access: | https://doi.org/10.1177/20552076241310474 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841560908182061056 |
|---|---|
| author | Ashley M Henneghan Emily W Paolillo Kathleen M Van Dyk Oscar Y Franco-Rocha Soyeong Bang Rebecca Tasker Tara Kaufmann Darren Haywood Nicolas H Hart Raeanne C Moore |
| author_facet | Ashley M Henneghan Emily W Paolillo Kathleen M Van Dyk Oscar Y Franco-Rocha Soyeong Bang Rebecca Tasker Tara Kaufmann Darren Haywood Nicolas H Hart Raeanne C Moore |
| author_sort | Ashley M Henneghan |
| collection | DOAJ |
| description | Objective Metastatic breast cancer (MBC) is associated with burdensome side effects, including cognitive changes that require ongoing monitoring. Cognitive ecological momentary assessments (EMAs) allow for assessment of individual cognitive functioning in natural environments and can be administered via smartphones. Accordingly, we sought to establish the feasibility, reliability, and validity of a commercially available cognitive EMA platform. Methods Using a prospective design, clinical cognitive and psychosocial assessments (cognitive batteries; patient reported outcomes) were collected at baseline, followed by a 28-day daily EMA protocol that included self-ratings for symptoms and mobile cognitive tests (memory, executive functioning, working memory, processing speed). Satisfaction and feedback questions were included in follow-up data collection. Feasibility data were analyzed using mixed descriptive methods. Test-retest reliability was examined using intraclass correlation coefficients (ICCs) for each EMA, and Pearson's correlation were used to evaluate convergent validity between cognitive EMAs and baseline clinical cognitive and psychosocial variables. Results Fifty-one women with MBC ( n = 51) completed this EMA study. High satisfaction (median 90%), low burden (median 19%), high adherence rates (mean 94%), and 100% retention rate were observed. ICCs for cognitive tests of working memory, executive function, and processing speed were robust (>0.90) and ICC for memory tests acceptable (>0.66). Other correlational findings indicated strong convergent validity for all cognitive and psychosocial EMAs. Conclusion Cognitive EMA monitoring for 28 days is feasible and acceptable in women with MBC, with specific cognitive EMAs (mobile cognitive tests; cognitive function self-ratings) demonstrating strong reliability and validity. |
| format | Article |
| id | doaj-art-987f580b68304d32a5a7dbcc7f32cff3 |
| institution | Kabale University |
| issn | 2055-2076 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Digital Health |
| spelling | doaj-art-987f580b68304d32a5a7dbcc7f32cff32025-01-03T10:03:29ZengSAGE PublishingDigital Health2055-20762025-01-011110.1177/20552076241310474Feasibility and psychometric quality of smartphone administered cognitive ecological momentary assessments in women with metastatic breast cancerAshley M Henneghan0Emily W Paolillo1Kathleen M Van Dyk2Oscar Y Franco-Rocha3Soyeong Bang4Rebecca Tasker5Tara Kaufmann6Darren Haywood7Nicolas H Hart8Raeanne C Moore9 Dell Medical School, Department of Oncology, University of Texas at Austin, Austin, TX, USA Department of Neurology, Memory and Aging Center, , Weill Institute for Neurosciences, San Francisco, CA, USA Jonsson Comprehensive Cancer Center, University of California Los Angeles, Los Angeles, CA, USA School of Nursing, University of Texas at Austin, Austin, TX, USA School of Nursing, , New York, NY, USA School of Nursing, University of Texas at Austin, Austin, TX, USA Dell Medical School, Department of Oncology, University of Texas at Austin, Austin, TX, USA Faculty of Health Sciences, School of Population Health, Curtin University, Bentley, WA, Australia Institute for Health Research, University of Notre Dame Australia, Perth, WA, Australia UC San Diego Health Sciences, , San Diego, CA, USAObjective Metastatic breast cancer (MBC) is associated with burdensome side effects, including cognitive changes that require ongoing monitoring. Cognitive ecological momentary assessments (EMAs) allow for assessment of individual cognitive functioning in natural environments and can be administered via smartphones. Accordingly, we sought to establish the feasibility, reliability, and validity of a commercially available cognitive EMA platform. Methods Using a prospective design, clinical cognitive and psychosocial assessments (cognitive batteries; patient reported outcomes) were collected at baseline, followed by a 28-day daily EMA protocol that included self-ratings for symptoms and mobile cognitive tests (memory, executive functioning, working memory, processing speed). Satisfaction and feedback questions were included in follow-up data collection. Feasibility data were analyzed using mixed descriptive methods. Test-retest reliability was examined using intraclass correlation coefficients (ICCs) for each EMA, and Pearson's correlation were used to evaluate convergent validity between cognitive EMAs and baseline clinical cognitive and psychosocial variables. Results Fifty-one women with MBC ( n = 51) completed this EMA study. High satisfaction (median 90%), low burden (median 19%), high adherence rates (mean 94%), and 100% retention rate were observed. ICCs for cognitive tests of working memory, executive function, and processing speed were robust (>0.90) and ICC for memory tests acceptable (>0.66). Other correlational findings indicated strong convergent validity for all cognitive and psychosocial EMAs. Conclusion Cognitive EMA monitoring for 28 days is feasible and acceptable in women with MBC, with specific cognitive EMAs (mobile cognitive tests; cognitive function self-ratings) demonstrating strong reliability and validity.https://doi.org/10.1177/20552076241310474 |
| spellingShingle | Ashley M Henneghan Emily W Paolillo Kathleen M Van Dyk Oscar Y Franco-Rocha Soyeong Bang Rebecca Tasker Tara Kaufmann Darren Haywood Nicolas H Hart Raeanne C Moore Feasibility and psychometric quality of smartphone administered cognitive ecological momentary assessments in women with metastatic breast cancer Digital Health |
| title | Feasibility and psychometric quality of smartphone administered cognitive ecological momentary assessments in women with metastatic breast cancer |
| title_full | Feasibility and psychometric quality of smartphone administered cognitive ecological momentary assessments in women with metastatic breast cancer |
| title_fullStr | Feasibility and psychometric quality of smartphone administered cognitive ecological momentary assessments in women with metastatic breast cancer |
| title_full_unstemmed | Feasibility and psychometric quality of smartphone administered cognitive ecological momentary assessments in women with metastatic breast cancer |
| title_short | Feasibility and psychometric quality of smartphone administered cognitive ecological momentary assessments in women with metastatic breast cancer |
| title_sort | feasibility and psychometric quality of smartphone administered cognitive ecological momentary assessments in women with metastatic breast cancer |
| url | https://doi.org/10.1177/20552076241310474 |
| work_keys_str_mv | AT ashleymhenneghan feasibilityandpsychometricqualityofsmartphoneadministeredcognitiveecologicalmomentaryassessmentsinwomenwithmetastaticbreastcancer AT emilywpaolillo feasibilityandpsychometricqualityofsmartphoneadministeredcognitiveecologicalmomentaryassessmentsinwomenwithmetastaticbreastcancer AT kathleenmvandyk feasibilityandpsychometricqualityofsmartphoneadministeredcognitiveecologicalmomentaryassessmentsinwomenwithmetastaticbreastcancer AT oscaryfrancorocha feasibilityandpsychometricqualityofsmartphoneadministeredcognitiveecologicalmomentaryassessmentsinwomenwithmetastaticbreastcancer AT soyeongbang feasibilityandpsychometricqualityofsmartphoneadministeredcognitiveecologicalmomentaryassessmentsinwomenwithmetastaticbreastcancer AT rebeccatasker feasibilityandpsychometricqualityofsmartphoneadministeredcognitiveecologicalmomentaryassessmentsinwomenwithmetastaticbreastcancer AT tarakaufmann feasibilityandpsychometricqualityofsmartphoneadministeredcognitiveecologicalmomentaryassessmentsinwomenwithmetastaticbreastcancer AT darrenhaywood feasibilityandpsychometricqualityofsmartphoneadministeredcognitiveecologicalmomentaryassessmentsinwomenwithmetastaticbreastcancer AT nicolashhart feasibilityandpsychometricqualityofsmartphoneadministeredcognitiveecologicalmomentaryassessmentsinwomenwithmetastaticbreastcancer AT raeannecmoore feasibilityandpsychometricqualityofsmartphoneadministeredcognitiveecologicalmomentaryassessmentsinwomenwithmetastaticbreastcancer |