Evidence map›Paper›PMID 31504955›Full record

ArticleSchizophrenia bulletin2020

What Do People With Schizophrenia Do All Day? Ecological Momentary Assessment of Real-World Functioning in Schizophrenia.

Eric Granholm, Jason L Holden, Tanya Mikhael, Peter C Link, Joel Swendsen, Colin Depp, Raeanne C Moore, Philip D Harvey

Open access · hybridAbstract read
In one paragraph

Article in Schizophrenia bulletin, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 2 pooled it
10.8field-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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

77 citing papers in PubMed, 2 syntheses or guidelines pooled it, 110 citations in OpenAlex.

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17 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

8 authors at 4 institutions in 2 countries.

Eric GranholmUniversity of California, San Diego.
Jason L HoldenUniversity of California, San Diego.
Tanya MikhaelUniversity of California, San Diego.
Peter C LinkUniversity of California, San Diego.
Joel SwendsenUniversity of Bordeaux, CNRS, EPHE PSL Research University.
Colin DeppUniversity of California, San Diego.
Raeanne C MooreUniversity of California, San Diego.
Philip D HarveyUniversity of Miami Miller School of Medicine.
University of California, San Diego · USVA San Diego Healthcare System · USBruce W. Carter VA Medical Center · USUniversité Paris Sciences et Lettres · FR

Funding

Ecological Momentary Assessment of Functioning in SchizophreniaI01CX000810 · VA · VA SAN DIEGO HEALTHCARE SYSTEM · PI GRANHOLM, ERIC L · 2013 to 2015
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CSRD VA I01 CX000810
6 · The paper itself

Abstract

Schizophrenia is a major cause of disability worldwide. As new treatments for functioning are tested, the need grows to demonstrate real-world functioning gains. Ecological momentary assessment (EMA) may provide a more ecologically valid measure of functioning. In this study, smartphone-based EMA was used to signal participants with schizophrenia (N = 100) and controls (N = 71) 7 times a day for 7 days to respond to brief questionnaires about social interactions and functioning behaviors. Excellent adherence was found, with both groups completing an average of 85% of surveys and only 3% of participants with schizophrenia excluded for poor adherence. Four-week test-retest reliability was high (r = .83 for total productive behaviors). Relative to controls, participants with schizophrenia reported significantly less total productive activity (d = 1.2), fewer social interactions (d = 0.3), more nonproductive behaviors (d = 1.0; watching TV, resting), and more time at home (d = 0.8). Within the schizophrenia group, participants living independently showed better functioning on EMA relative to participants in supported housing (d = 0.8) and participants engaged in vocational activities showed better functioning than individuals not engaged in vocational activities (d = 0.55). Modest correlations were found between EMA and an in-lab self-report measure of functioning activities performed in the community, but not between EMA and measures of functional capacity or potential. This study demonstrated the feasibility, sensitivity reliability, and validity of EMA methods to assess functioning in schizophrenia. EMA provides a much-needed measure of what individuals with schizophrenia are actually doing in real-world contexts. These results also suggest that there may be important disjunctions between indices of abilities and actual real-world functioning.

Indexed as

Activities of Daily LivingEcological Momentary AssessmentMonitoring, AmbulatoryProcess Assessment, Health CarePsychosocial FunctioningSocial InteractionAdultFeasibility StudiesFemaleHumansMaleMiddle AgedMobile ApplicationsReproducibility of ResultsSchizophreniaambulatory monitoringdaily activitiesexperience sampling methodmobile assessmentserious mental illnesssocial functioning

Identifiers

PMID31504955
PMCPMC7442321
OpenAlexW2969382362

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.