ArticleJMIR mHealth and uHealth2020
Ecological Momentary Assessment Within a Digital Health Intervention for Reminiscence in Persons With Dementia and Caregivers: User Engagement Study.
Article in JMIR mHealth and uHealth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Barriers and facilitators to participation in electronic health interventions in older adults with cognitive impairment: an umbrella review.BMC geriatrics · 2024Pooled it
- Compliance with ecological momentary assessment programmes in the elderly: a systematic review and meta-analysis.BMJ open · 2023Pooled it
- Effects of a Mobile Storytelling App (Huiyou) on Social Participation Among People With Mild Cognitive Impairment: Pilot Randomized Controlled Trial.JMIR human factors · 2025Trial
- A Mobile App-Based Intervention Program for Nonprofessional Caregivers to Promote Positive Mental Health: Randomized Controlled Trial.JMIR mHealth and uHealth · 2021Trial
- Examining the daily experiences of parents caring for children with rare neurogenetic conditions using over 18,000 ecological momentary assessments.Scientific reports · 2026Article
- Implementation of Telemedicine for Patients With Dementia and Their Caregivers: Scoping Review.Journal of medical Internet research · 2025Article
- Effects of an intergenerational Kindermusik class on stress and affect in older adults with dementia and their caregivers: a pilot study using ecological momentary assessment.Frontiers in aging · 2025Article
- Reminiscence Therapy and Music With Older Adults: A Descriptive Study Investigating the Current Views and Practices of Australian Aged Care Providers and Volunteers.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024Article
- Measuring Engagement in Provider-Guided Digital Health Interventions With a Conceptual and Analytical Framework Using Nurse WRITE as an Exemplar: Exploratory Study With an Iterative Approach.JMIR formative research · 2024Article
- The use of ecological momentary assessment for family caregivers of adults with chronic conditions: A systematic review.Health psychology research · 2024Article
- Digital transformation of mental health services.Npj mental health research · 2023Review
- A scoping review of intensive longitudinal methods in informal caregivers of people with dementia.BMC geriatrics · 2023Article
- A Mental Health and Well-Being Chatbot: User Event Log Analysis.JMIR mHealth and uHealth · 2023Article
- Systematization of a cognitive-communicative intervention based on reminiscence for older adults.CoDAS · 2023Article
- FindMyApps eHealth intervention improves quality, not quantity, of home tablet use by people with dementia.Frontiers in medicine · 2023Article
- Diet and Physical Activity as Determinants of Continuously Measured Glucose Levels in Persons at High Risk of Type 2 Diabetes.Nutrients · 2022Article
- Dynamics of Loneliness Among Older Adults During the COVID-19 Pandemic: Pilot Study of Ecological Momentary Assessment With Network Analysis.Frontiers in digital health · 2022Article
- Copyright as a Barrier to Music Therapy Telehealth Interventions: Qualitative Interview Study.JMIR formative research · 2021Article
- Fatigue characteristics on dialysis and non-dialysis days in patients with chronic kidney failure on maintenance hemodialysis.BMC nephrology · 2021Article
- Design requirements for a digital storytelling application for people with mild cognitive impairment (MCI).Digital healthArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUser-interaction event logs provide rich and large data sets that can provide valuable insights into how people engage with technology. Approaches such as ecological momentary assessment (EMA) can be used to gather accurate real-time data in an individual's natural environment by asking questions at any given instant.
objectiveThe purpose of this study was to evaluate user engagement and responses to EMA questions using InspireD, an app used for reminiscence by persons with dementia and their caregivers. Research findings can be used to inform EMA use within digital health interventions.
methodsA feasibility trial was conducted in which participants (n=56) used the InspireD app over a 12-week period. Participants were a mean age of 73 (SD 13) and were either persons with dementia (n=28) or their caregivers (n=28). Questions, which they could either answer or choose to dismiss, were presented to participants at various instants after reminiscence with personal or generic photos, videos, and music. Presentation and dismissal rates for questions were compared by hour of the day and by trial week to investigate user engagement.
resultsOverall engagement was high, with 69.1% of questions answered when presented. Questions that were presented in the evening had the lowest dismissal rate; the dismissal rate for questions presented at 9 PM was significantly lower than the dismissal rate for questions presented at 11 AM (9 PM: 10%; 11 AM: 50%; χ
conclusionsThe main limitation of our study was the lack of generalizability of results to a larger population given the quasi-experimental design and older demographic where half of participants were persons with dementia; however, this study shows that older people are willing to participate and engage in EMA. Based on this study, we propose a series of recommendations for app design to increase user engagement with EMA. These include presenting questions no more than once per day, after 8 PM in the evening, and only if the user is not trying to complete a task within the app.
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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.