Evidence map›Paper›PMID 41099314›Full record

ArticleThe American journal of hospice & palliative care2025

Ecological Momentary Assessment in Palliative Care: A Qualitative Study of Patient and Clinician Perspectives.

Daniel Shalev, Emily Bivona-Maldonado, Maureen Ekwebelem, Daphne Buitron, Catherine H Samaniego, Simona Lysakova, Zilong Yu, Samprit Banerjee, M Carrington Reid, Craig D Blinderman and 1 more

Abstract read
In one paragraph

Article in The American journal of hospice & palliative care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Daniel ShalevDivision of Geriatrics and Palliative Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY, USA.ORCID 0000-0002-8168-2255
Emily Bivona-MaldonadoDivision of Geriatrics and Palliative Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY, USA.
Maureen EkwebelemDivision of Geriatrics and Palliative Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY, USA.
Daphne BuitronDivision of Geriatrics and Palliative Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY, USA.
Catherine H SamaniegoDivision of Geriatrics and Palliative Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY, USA.
Simona LysakovaUniversity of New England College of Osteopathic Medicine, Biddeford, ME, USA.ORCID 0009-0007-9488-1505
Zilong YuDivision of Biostatistics, Department of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.ORCID 0000-0003-2525-0375
Samprit BanerjeeDivision of Biostatistics, Department of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.
M Carrington ReidDivision of Geriatrics and Palliative Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY, USA.
Craig D BlindermanDivision of Supportive Care and Acute Care Services, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Irina MindlisDivision of Geriatrics and Palliative Medicine, Department of Medicine, Weill Cornell Medicine, New York, NY, USA.ORCID 0000-0002-4686-1397

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Clinical and Translational Science AwardUL1TR001873 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI REILLY, MUREDACH P · 2016 to 2025
$99.0M
Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
The Weill Cornell Medicine Research Training Program in Behavioral GeriatricsT32AG049666 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI SARA J CZAJA, Manney Carrington Reid · 2016 to 2026
$3.2M
CoCM-PAL: Adapting Collaborative Care for Older Adults with Serious Illness and Comorbid Depression or Anxiety Receiving Ambulatory Palliative CareK76AG083287 · NIA · WEILL MEDICAL COLL OF CORNELL UNIV · PI Daniel Shalev · 2024 to 2026
$729k
NCATS NIH HHS UL1 TR001873NCATS NIH HHS UL1 TR002384NCI NIH HHS P30 CA008748NIA NIH HHS K76 AG083287NIA NIH HHS T32 AG049666
6 · The paper itself

Abstract

IntroductionSymptom management tools based on ecological momentary assessment (EMA) may improve symptom tracking and enhance patient-provider communication in ambulatory palliative care (PC), but their design and implementation must align with the needs of patients and clinicians. This study aimed to explore patient and clinician perspectives on the potential role, design considerations, and implementation challenges of implementing EMA-based tools in ambulatory PC settings.MethodWe conducted an exploratory-descriptive qualitative study using semi-structured interviews with 10 patients and 9 clinicians recruited from the ambulatory palliative care clinic of an academic medical center. Interviews were transcribed and analyzed using a hybrid inductive-deductive thematic analysis approach. Coding was conducted by a multidisciplinary team, and themes were developed through iterative team discussions.ResultsFour themes emerged: (1) EMA-based tools can enhance symptom tracking and communication; (2) equity and access must be prioritized to avoid digital exclusion; (3) balancing simplicity and personalization is essential to minimize burden and optimize engagement; and (4) integration into clinical workflows is critical for uptake. Participants emphasized the need for tools that are easy to use, customizable, and embedded in existing systems, with clear protocols for triage and support.ConclusionEMA-based tools have the potential to improve symptom management and communication in ambulatory PC, but must be designed with attention to usability, equity, and workflow integration. Our study findings can inform the co-design of EMA-based tools that are responsive to the needs of patients receiving (and clinicians providing) serious illness care.

Indexed as

digital healthecological momentary assessmentpalliative carequalitativeremote symptom assessmentsymptom science

Identifiers

PMID41099314
PMCPMC12933201

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.