Utilizing Ecological Momentary Assessment in pediatric obesity to quantify behavior, emotion, and sleep

Obesity (Silver Spring). 2010 Jun;18(6):1270-2. doi: 10.1038/oby.2009.483. Epub 2009 Dec 17.

Abstract

This study examined the feasibility of using Ecological Momentary Assessment (EMA) to examine important domains relevant to interregulatory health processes in overweight adolescent females in their natural environments. Participants were 20 overweight adolescent females engaged in a cognitive-behavioral and motivational interviewing intervention aimed at weight loss and improving mood (11-19 years old, 80% white, 15% African American, mean BMI = 39). During this EMA protocol, participants were asked to report their physical activity (PA), nutrition, mood, and sleep during 14 cellular phone calls over three extended weekends (Thursday to Monday). Simultaneously, participants wore an actigraph (armband and watch communicator) that provided instantaneous PA feedback (steps taken and kilocalories) and sleep parameters (duration and efficiency). EMA compliance rates for the armband and phone calls were 74.7 +/- 0.3% and 64.2 +/- 0.3%, respectively. Data from the armband and phone calls are presented to illustrate the depth of information acquired by utilizing this innovative methodology.

Publication types

  • Clinical Trial
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adolescent Behavior / physiology
  • Child
  • Cognitive Behavioral Therapy
  • Diagnostic Techniques, Endocrine / instrumentation
  • Emotions* / physiology
  • Feasibility Studies
  • Female
  • Humans
  • Mental Disorders / complications
  • Mental Disorders / diagnosis*
  • Obesity / complications
  • Obesity / diagnosis*
  • Obesity / psychology
  • Obesity / therapy
  • Pediatrics / instrumentation
  • Pediatrics / methods*
  • Psychological Techniques* / instrumentation
  • Psychology, Adolescent
  • Sleep / physiology
  • Sleep Wake Disorders / complications
  • Sleep Wake Disorders / diagnosis*
  • Weight Loss / physiology
  • Young Adult