Evidence map›Paper›PMID 37347538›Full record

Trial reportJournal of medical Internet research2023

Evaluating Declines in Compliance With Ecological Momentary Assessment in Longitudinal Health Behavior Research: Analyses From a Clinical Trial.

Sarah Tonkin, Julie Gass, Jennifer Wray, Eugene Maguin, Martin Mahoney, Craig Colder, Stephen Tiffany, Larry W Hawk

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03262662 (EVarQuit), which is not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
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.

NCT03262662 phase3completednot on this map

EVarQuit: Extended Pre-quit Varenicline to Assist in Quitting Smoking

TypeinterventionalSponsorState University of New York at BuffaloRan2017 to 2021Enrolled320ConditionsTobacco SmokingArmsVarenicline, Brief smoking cessation counseling
3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Sex-Specific Mediation of Pre-Quit Smoking Reduction: Secondary Analysis of a Randomized Controlled Trial Extending Varenicline Preloading.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
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  20. Modeling the dynamics of addiction relapse via the double-well potential system.Journal of psychopathology and clinical science · 2025
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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.

Sarah TonkinStephenson Cancer Center, Tobacco Settlement Endowment Trust Health Promotion Research Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States.ORCID 0000-0001-5638-4363
Julie GassDepartment of Veterans Affairs Center for Integrated Healthcare, VA Western NY Healthcare System at Buffalo, Buffalo, NY, United States.ORCID 0000-0001-5822-5972
Jennifer WrayDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, United States.ORCID 0009-0000-9333-6563
Eugene MaguinDepartment of Psychology, The State University of New York: University at Buffalo, Buffalo, NY, United States.ORCID 0000-0001-8617-6389
Martin MahoneyDepartments of Internal Medicine and Health Behavior, Roswell Park Cancer Comprehensive Cancer Center, Buffalo, NY, United States.ORCID 0000-0002-5069-1140
Craig ColderDepartment of Psychology, The State University of New York: University at Buffalo, Buffalo, NY, United States.ORCID 0000-0002-6863-673X
Stephen TiffanyDepartment of Psychology, The State University of New York: University at Buffalo, Buffalo, NY, United States.ORCID 0000-0002-0735-1968
Larry W HawkDepartment of Psychology, The State University of New York: University at Buffalo, Buffalo, NY, United States.ORCID 0000-0001-6593-9746

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEcological momentary assessment (EMA) is increasingly used to evaluate behavioral health processes over extended time periods. The validity of EMA for providing representative, real-world data with high temporal precision is threatened to the extent that EMA compliance drops over time.

objectiveThis research builds on prior short-term studies by evaluating the time course of EMA compliance over 9 weeks and examines predictors of weekly compliance rates among cigarette-using adults.

methodsA total of 257 daily cigarette-using adults participating in a randomized controlled trial for smoking cessation completed daily smartphone EMA assessments, including 1 scheduled morning assessment and 4 random assessments per day. Weekly EMA compliance was calculated and multilevel modeling assessed the rate of change in compliance over the 9-week assessment period. Participant and study characteristics were examined as predictors of overall compliance and changes in compliance rates over time.

resultsCompliance was higher for scheduled morning assessments (86%) than for random assessments (58%) at the beginning of the EMA period (P<.001). EMA compliance declined linearly across weeks, and the rate of decline was greater for morning assessments (2% per week) than for random assessments (1% per week; P<.001). Declines in compliance were stronger for younger participants (P<.001), participants who were employed full-time (P=.03), and participants who subsequently dropped out of the study (P<.001). Overall compliance was higher among White participants compared to Black or African American participants (P=.001).

conclusionsThis study suggests that EMA compliance declines linearly but modestly across lengthy EMA protocols. In general, these data support the validity of EMA for tracking health behavior and hypothesized treatment mechanisms over the course of several months. Future work should target improving compliance among subgroups of participants and investigate the extent to which rapid declines in EMA compliance might prove useful for triggering interventions to prevent study dropout.

trial registrationClinicalTrials.gov NCT03262662; https://clinicaltrials.gov/ct2/show/NCT03262662.

Indexed as

Ecological Momentary AssessmentHealth BehaviorSmoking CessationAdultBlack or African AmericanHumansSmartphoneUnited StatesWhiteadherencecessationcigarcompliancedropoutecological momentary assessmenthealth behaviorlongitudinalmethodologyquitRCTretentionsmokersmoking

Identifiers

PMID37347538
PMCPMC10337346

What OpenQuestion holds

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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.