e.g. mhealth
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It includes mood monitoring, remote measurement technologies (eg, wearables that passively collect data), and ecological momentary assessment (EMA; a more intensive form of data collection involving multiple reports per day [2]). Some studies of mood monitoring also fall under EMA, remote measurement, or ambulatory assessment, and there is definitional overlap among these approaches.
JMIR Ment Health 2025;12:e79500
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Ambulatory assessment includes remote measuring technology (eg, data collected in the background by wearables, or passively), mood monitoring, and ecological momentary assessment (EMA—frequent and more intensive collection of data at random times, eg, many times per day in the participant’s environment.
J Med Internet Res 2025;27:e71525
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To accomplish the PHIAT project aims, we chose an ecological momentary assessment (EMA) approach. The EMA protocol was conducted over a 14-day measurement burst (6 assessments/d).
JMIR Res Protoc 2025;14:e66290
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An EMA [25] is used to build a comprehensive understanding of individuals [26,27]. It collects real-time self-reports of individuals’ behaviors, thoughts, and emotions in their daily lives [28]. EMAs examine the present moment and so are conducted repeatedly over an extended period. With advancements in technology, EMAs are often implemented through digital platforms, such as smartphones and wearable devices [25].
JMIR Hum Factors 2025;12:e66536
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The scientific understanding of risk assessment in a real-world context has been advanced by ecological momentary assessment (EMA) research methods [9,10]. EMA is a data collection technique requiring frequent self-monitoring of symptoms, thoughts, and social interactions, enabling the identification of unfolding patterns of mental states and behavior [11].
JMIR Form Res 2025;9:e67401
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Ecological momentary assessment (EMA) offers a powerful solution to this limitation by tracking real-time experiences within natural environments using smartphone-based assessments [44-47]. EMA studies have demonstrated that social and physical activities protect against depression [48] and that individuals with depression experience fewer positive daily events and social interactions, predicting lower well-being even a decade later [49].
JMIR Ment Health 2025;12:e74427
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Example of an ecological momentary assessment with Caring Contacts (“EMA with CC”) month (ie, months 1, 3, 4, 7, and 12) wherein a CC message is delivered within the EMA period.
Example of an ecological momentary assessment without Caring Contacts (“EMA without CC”) month (ie, months 2, 6, 9, and 11) wherein a CC message is delivered outside the EMA period.
Depending on whether they are assigned to a study group that includes EMAs throughout the year, participants may earn up to either US $180 or US $290.
JMIR Res Protoc 2025;14:e72140
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Knowing the importance of EMA engagement on cessation outcomes can help inform whether EMA participation should be incentivized when current and future smartphone cessation apps are disseminated to the public. Consideration about how or to what extent EMA participation has been encouraged in previous studies can help estimate the potential resources necessary if there is a need for continued incentivization of EMA engagement when apps with EMA are made available to the public.
J Med Internet Res 2025;27:e67630
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EMA initially used handwritten logs but has since evolved with technology to use automated logs in mobile devices leading to an increased use of EMA in the study of diseases affected by environmental exposures [17,18]. Our prior study, however, showed that its adoption in rhinology studies remains limited [19]. Furthermore, the advent of commercial air monitoring devices, such as the Awair system, presents an opportunity to supplement the EMA symptoms data with continuous home IAQ data [20].
JMIR Form Res 2025;9:e73215
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EMA has been implemented with adolescents as young as 9 years by using smartphone apps and SMS text messaging [8-10]. The advantages of EMA over retrospective assessments include a higher level of temporal detail that captures changes in real time, ecological validity, and reliability [7].
JMIR Form Res 2025;9:e60073
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