Evidence map›Paper›PMID 26851494›Full record

Trial reportJournal of psychiatric research2016

Ecological momentary assessment versus standard assessment instruments for measuring mindfulness, depressed mood, and anxiety among older adults.

Raeanne C Moore, Colin A Depp, Julie Loebach Wetherell, Eric J Lenze

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of psychiatric research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03294148 (Mind-body Treatments for Chronic Back Pain), which is not on this map. Cited by 145 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
145citing papers in PubMed, 3 pooled it
21.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03294148 nacompletednot on this mapstarted 2017, after this paper: background citation

Mind-body Treatments for Chronic Back Pain

TypeinterventionalSponsorUniversity of Colorado, BoulderRan2017 to 2019Enrolled151ConditionsChronic Pain, Back Pain Lower Back Chronic, Back Pain, LowArmsOpen-Label Placebo Treatment for Chronic Back Pain, Psychotherapy Treatment for Chronic Back Pain
3 · Its place in the literature

Who cites it

145 citing papers in PubMed, 3 syntheses or guidelines pooled it, 273 citations in OpenAlex.

  1. Pooled it
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  6. Momentary effects of life stressors on mindfulness and emotion regulation difficulties among adolescents exposed to chronic stressors.Stress and health : journal of the International Society for the Investigation of Stress · 2024
    Trial
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  10. Associations of Momentary Mindfulness With Affect and Cannabis Desire in a Trial of Cannabis Use Interventions With and Without Momentary Assessment.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2023
    Trial
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  14. Disrupting the path to craving: Acting without awareness mediates the link between negative affect and craving.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2020
    Trial
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  16. Psychological mechanisms driving stress resilience in mindfulness training: A randomized controlled trial.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2019
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  18. Review
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85 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Raeanne C MooreDepartment of Psychiatry, University of California San Diego, 9500 Gilman Drive 0993, La Jolla, CA 92093-0993, USA; The Sam and Rose Stein Institute for Research on Aging, University of California San Diego, 9500 Gilman Drive 0664, La Jolla, CA 92093-0664, USA; VA San Diego Healthcare System, 3550 La Jolla Village Drive, San Diego, CA 92161, USA. Electronic address: r6moore@ucsd.edu.
Colin A DeppDepartment of Psychiatry, University of California San Diego, 9500 Gilman Drive 0993, La Jolla, CA 92093-0993, USA; The Sam and Rose Stein Institute for Research on Aging, University of California San Diego, 9500 Gilman Drive 0664, La Jolla, CA 92093-0664, USA; VA San Diego Healthcare System, 3550 La Jolla Village Drive, San Diego, CA 92161, USA. Electronic address: cdepp@ucsd.edu.
Julie Loebach WetherellVA San Diego Healthcare System, 3550 La Jolla Village Drive, San Diego, CA 92161, USA; Department of Psychiatry, University of California San Diego, 9500 Gilman Drive 0993, La Jolla, CA 92093-0993, USA. Electronic address: jwetherell@ucsd.edu.
Eric J LenzeWashington University School of Medicine, Department of Psychiatry, 660 So. Euclid Ave, Campus Box 8134, St. Louis, MO 63110, USA. Electronic address: lenzee@psychiatry.wustl.edu.
University of California, San Diego · USInstitute on Aging · USWashington University in St. Louis · US

Funding

Remediating Age Related-Cognitive Decline: Mindfulness-Based Stress Reduction and ExerciseR01AG049369 · NIA · WASHINGTON UNIVERSITY · PI LENZE, ERIC J · 2014 to 2019
$15.6M
Real-Time Mobile Cognitive Behavioral Intervention for Serious Mental IllnessR01MH100417 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DEPP, COLIN A. · 2013 to 2016
$2.1M
Real-Time Mobile Assessment of Daily Functioning Among Older HIV-Infected AdultsK23MH107260 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MOORE, RAEANNE CRISTINE · 2015 to 2018
$927k
2/2 MINDFULNESS-BASED STRESS REDUCTION AND COGNITIVE FUNCTION IN STRESS AND AGINGR34AT007070 · NCCIH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI WETHERELL, JULIE L · 2011 to 2013
$736k
MINDFULNESS- BASED STRESS REDUCTION AND COGNITIVE FUNCTION IN STRESS AND AGINGR34AT007064 · NCCIH · WASHINGTON UNIVERSITY · PI LENZE, ERIC J · 2011 to 2013
$636k
NCCIH NIH HHS R34 AT007064NCCIH NIH HHS R34AT007064NCCIH NIH HHS R34 AT007070NCCIH NIH HHS R34AT007070NIA NIH HHS AG049369NIA NIH HHS R01 AG049369NIMH NIH HHS K23 MH107260NIMH NIH HHS K23MH107260NIMH NIH HHS L30 MH104725NIMH NIH HHS MH100417NIMH NIH HHS R01 MH100417
6 · The paper itself

Abstract

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.

Indexed as

Ecological Momentary AssessmentMindfulnessOutcome Assessment, Health CareAgedAnxiety DisordersDepressionExecutive FunctionFemaleHumansMaleStatistics as TopicEcological momentary assessmentMindfulness-based stress reductionMobile assessmentPatient reported outcomesPsychometricsRandomized clinical trial

Identifiers

PMID26851494
PMCPMC4769895
OpenAlexW2263248765

What OpenQuestion holds

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Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.