TY  - JOUR
AU  - Bartels, Sara Laureen
AU  - van Knippenberg, Rosalia J M
AU  - Malinowsky, Camilla
AU  - Verhey, Frans R J
AU  - de Vugt, Marjolein E
PY  - 2020
DA  - 2020/10/16
TI  - Smartphone-Based Experience Sampling in People With Mild Cognitive Impairment: Feasibility and Usability Study
JO  - JMIR Aging
SP  - e19852
VL  - 3
IS  - 2
KW  - experience sampling method
KW  - mild cognitive impairment
KW  - cognition
KW  - feasibility
KW  - smartphones
AB  - Background: Daily functioning of people with cognitive disorders such as mild cognitive impairment (MCI) is usually depicted by retrospective questionnaires, which can be memory-biased and neglect fluctuations over time or contexts. Objective: This study examines the feasibility and usability of applying the experience sampling method (ESM) in people with MCI to provide a detailed and dynamic picture of behavioral, emotional, and cognitive patterns in everyday life. Methods: For 6 consecutive days, 21 people with MCI used an ESM app on their smartphones. At 8 semi-random timepoints per day, participants filled in momentary questionnaires on mood, activities, social context, and subjective cognitive complaints. Feasibility was determined through self-reports and observable human-technology interactions. Usability was demonstrated on an individual and group level. Results: Of the 21 participants, 3 dropped out due to forgetting to carry their smartphones or forgetting the study instructions. In the remaining 18 individuals, the compliance rate was high, at 78.7%. Participants reported that momentary questions reflected their daily experiences well. Of the 18 participants, 13 (72%) experienced the increase in awareness of their own memory functions as pleasant or neutral. Conclusions: Support was found for the general feasibility of smartphone-based experience sampling in people with MCI. However, many older adults with MCI are currently not in possession of smartphones, and study adherence seems challenging for a minority of individuals. Momentary data can increase the insights into daily patterns and may guide the person-tailored development of self-management strategies in clinical settings. 
SN  - 2561-7605
UR  - http://aging.jmir.org/2020/2/e19852/
UR  - https://doi.org/10.2196/19852
UR  - http://www.ncbi.nlm.nih.gov/pubmed/33064084
DO  - 10.2196/19852
ID  - info:doi/10.2196/19852
ER  -