A mixed-methods investigation of an ecological momentary assessment protocol for cigarette-smoking youth: Psychometric properties and participant experiences

Introduction: Ecological momentary assessment (EMA) is popular in smoking research to study time-varying processes and design just-in-time personalised cessation interventions. Yet, research examining the psychometric properties of EMA and user experiences with EMA protocols is lacking. We conducted...

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Main Authors: Suhaavi Kochhar, Hanneke Scholten, Dominique F Maciejewski, Michelle A Pingel, Maartje Luijten
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Drug and Alcohol Dependence Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772724624000982
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author Suhaavi Kochhar
Hanneke Scholten
Dominique F Maciejewski
Michelle A Pingel
Maartje Luijten
author_facet Suhaavi Kochhar
Hanneke Scholten
Dominique F Maciejewski
Michelle A Pingel
Maartje Luijten
author_sort Suhaavi Kochhar
collection DOAJ
description Introduction: Ecological momentary assessment (EMA) is popular in smoking research to study time-varying processes and design just-in-time personalised cessation interventions. Yet, research examining the psychometric properties of EMA and user experiences with EMA protocols is lacking. We conducted a mixed-methods study to test the EMA component of a mobile intervention for middle to late-aged adolescents (16–20 years) who smoke cigarettes at least weekly. Method: Participants (N = 84) filled out global self-report measures at pre- and post-test, and reported their craving, mood, and smoking behaviour five times daily for seven days via their phones. We tested intra-class correlations, convergent validity, test-retest reliability, and multilevel internal consistency of the EMA items. Further, participants answered qualitative questions about their experiences with the EMA including the timing and frequency of assessments, clarity of individual items, and how it impacted their daily lives. Results: The EMA questionnaires showed good convergent validity and reliability. The average compliance rate was 77 %, and generally, participants evaluated the experience positively. While most participants rated the timing and frequency of EMA positively, some participants did not like that assessments expired after 1.5 h. Forty percent of participants also reported that they liked monitoring their smoking and mood. Conclusions: The use of EMA in our target group is feasible and had good compliance. The items used are suitable for researchers to use in future studies. We urge researchers to test the psychometric quality and feasibility of new EMA protocols before using them in confirmatory research.
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spelling doaj-art-d1ed22475f7b4cc89aa9d88b22c675392025-01-07T04:17:38ZengElsevierDrug and Alcohol Dependence Reports2772-72462025-03-0114100314A mixed-methods investigation of an ecological momentary assessment protocol for cigarette-smoking youth: Psychometric properties and participant experiencesSuhaavi Kochhar0Hanneke Scholten1Dominique F Maciejewski2Michelle A Pingel3Maartje Luijten4Radboud University, Postbus 9102, Nijmegen 6500 HC, the Netherlands; Corresponding author.Erasmus Medical Centre, PO Box 2040, Rotterdam 3000 CA, the NetherlandsTilburg University, PO Box 90153, Tilburg 5000 LE, the NetherlandsRadboud University, Postbus 9102, Nijmegen 6500 HC, the NetherlandsRadboud University, Postbus 9102, Nijmegen 6500 HC, the NetherlandsIntroduction: Ecological momentary assessment (EMA) is popular in smoking research to study time-varying processes and design just-in-time personalised cessation interventions. Yet, research examining the psychometric properties of EMA and user experiences with EMA protocols is lacking. We conducted a mixed-methods study to test the EMA component of a mobile intervention for middle to late-aged adolescents (16–20 years) who smoke cigarettes at least weekly. Method: Participants (N = 84) filled out global self-report measures at pre- and post-test, and reported their craving, mood, and smoking behaviour five times daily for seven days via their phones. We tested intra-class correlations, convergent validity, test-retest reliability, and multilevel internal consistency of the EMA items. Further, participants answered qualitative questions about their experiences with the EMA including the timing and frequency of assessments, clarity of individual items, and how it impacted their daily lives. Results: The EMA questionnaires showed good convergent validity and reliability. The average compliance rate was 77 %, and generally, participants evaluated the experience positively. While most participants rated the timing and frequency of EMA positively, some participants did not like that assessments expired after 1.5 h. Forty percent of participants also reported that they liked monitoring their smoking and mood. Conclusions: The use of EMA in our target group is feasible and had good compliance. The items used are suitable for researchers to use in future studies. We urge researchers to test the psychometric quality and feasibility of new EMA protocols before using them in confirmatory research.http://www.sciencedirect.com/science/article/pii/S2772724624000982Ecological momentary assessmentMiddle adolescenceLate adolescenceCigaretteSmokingPsychometric properties
spellingShingle Suhaavi Kochhar
Hanneke Scholten
Dominique F Maciejewski
Michelle A Pingel
Maartje Luijten
A mixed-methods investigation of an ecological momentary assessment protocol for cigarette-smoking youth: Psychometric properties and participant experiences
Drug and Alcohol Dependence Reports
Ecological momentary assessment
Middle adolescence
Late adolescence
Cigarette
Smoking
Psychometric properties
title A mixed-methods investigation of an ecological momentary assessment protocol for cigarette-smoking youth: Psychometric properties and participant experiences
title_full A mixed-methods investigation of an ecological momentary assessment protocol for cigarette-smoking youth: Psychometric properties and participant experiences
title_fullStr A mixed-methods investigation of an ecological momentary assessment protocol for cigarette-smoking youth: Psychometric properties and participant experiences
title_full_unstemmed A mixed-methods investigation of an ecological momentary assessment protocol for cigarette-smoking youth: Psychometric properties and participant experiences
title_short A mixed-methods investigation of an ecological momentary assessment protocol for cigarette-smoking youth: Psychometric properties and participant experiences
title_sort mixed methods investigation of an ecological momentary assessment protocol for cigarette smoking youth psychometric properties and participant experiences
topic Ecological momentary assessment
Middle adolescence
Late adolescence
Cigarette
Smoking
Psychometric properties
url http://www.sciencedirect.com/science/article/pii/S2772724624000982
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