A - 19 Reliability of Mobile Ecologic Momentary Assessment Platform ReCoUPS to Monitor Concussion Symptoms and Psychological HRQoL

IF 4.7 Q2 MATERIALS SCIENCE, BIOMATERIALS ACS Applied Bio Materials Pub Date : 2024-07-06 DOI:10.1093/arclin/acae052.19

A. J. Tracey, A. C. Bretzin, A. Rettmann, D. J. Wiebe, T. Covassin

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Abstract

The purpose of this study was to determine the psychometric properties of a concussion symptom checklist and psychological health-related quality of life (PHRQoL) inventories administered by novel, mobile ecological momentary assessment (EMA) platform, Recovering Concussion Update on Progression of Symptoms (ReCoUPS) in healthy individuals. We enrolled 53 healthy individuals (female = 34; Μ age = 20.79 years, SD = 2.68) into our test–retest reliability study using the ReCoUPS platform on participants’smartphones. Thirty survey questions from the Sport Concussion Assessment Tool6 (SCAT-6) and the PROMIS Emotional Distress Shorts Forms Anxiety and Depression (PROMISAnx and PROMISDepress), were administered at random times, daily, for 7 days via ReCoUPS text messages. Eight days after enrollment, participants completed recalled PHRQoL (rPHRQoL) inventories (i.e., “within the past 7 days”). Cronbach’s alpha (Α) determined the internal consistency of momentary PHRQoL (mPHRQoL). Intraclass correlation coefficients (ICC), 2-way mixed effects model (95% confidence intervals,[CI]) measured agreement between rHRQoL and mPHRQoL. Spearman’s rho (rs) correlation coefficients determined linear relationships between mPHRQoL and SCAT-6 symptom clusters. There was strong internal consistency among all mPHRQoL items (PROMISAnx Α = 0.83; PROMISDepress Α = 0.95). rPHRQoL demonstrated excellent agreement with mPHRQoL (PROMISAnx ICC = 0.92, 95% CI: 0.57–0.99; PROMISDepress ICC = 0.79, 95% CI: −0.09-0.99). mPROMISAnx was significantly correlated with all clusters (affective rs = 0.81, p < 0.001; cognitive-fatigue rs = 0.66, p < 0.001; migraine rs = 0.34; p < 0.001). mPROMISDepress was significantly correlated with affective (rs = 0.69, p < 0.001) and cognitive-fatigue (rs = 0.58, p < 0.001) clusters. These findings ensure the robustness and generalizability of administering the SCAT-6 symptom checklist, PROMISAnx, and PROMISDepress via ReCoUPS for monitoring concussion symptoms and PHRQoL in healthy participants.

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A - 19 移动生态瞬间评估平台 ReCoUPS 监测脑震荡症状和心理 HRQoL 的可靠性

本研究旨在确定通过新型移动生态即时评估（EMA）平台 "脑震荡症状进展更新"（ReCoUPS）对健康人进行的脑震荡症状清单和心理健康相关生活质量（PHRQoL）清单的心理测量特性。我们招募了 53 名健康人（女性 = 34；Μ 年龄 = 20.79 岁，SD = 2.68），使用智能手机上的 ReCoUPS 平台进行测试-再测可靠性研究。在为期 7 天的时间里，我们每天随机通过 ReCoUPS 短信向参与者发送来自运动脑震荡评估工具6（SCAT-6）和 PROMIS 焦虑与抑郁情绪困扰短表（PROMISAnx 和 PROMISDepress）的 30 个调查问题。入组 8 天后，参与者完成 PHRQoL（rPHRQoL）回忆清单（即 "过去 7 天内"）。Cronbach's alpha（Α）确定了瞬间 PHRQoL（mPHRQoL）的内部一致性。类内相关系数（ICC）、双向混合效应模型（95% 置信区间，[CI]）测量了 rHRQoL 和 mPHRQoL 之间的一致性。Spearman's rho (rs) 相关系数确定了 mPHRQoL 与 SCAT-6 症状群之间的线性关系。 rPHRQoL 与 mPHRQoL 具有很好的一致性（PROMISAnx ICC = 0.92，95% CI：0.57-0.99；PROMISDepress ICC = 0.79，95% CI：-0.09-0.99）。mPROMISAnx 与所有群组均有显著相关性（情感 rs = 0.81，p < 0.001；认知疲劳 rs = 0.66，p < 0.001；偏头痛 rs = 0.34；p < 0.001）。这些发现确保了通过 ReCoUPS 对健康参与者进行 SCAT-6 症状检查表、PROMISAnx 和 PROMISDepress 监测脑震荡症状和 PHRQoL 的稳健性和通用性。

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来源期刊

ACS Applied Bio Materials Chemistry-Chemistry (all)

CiteScore

9.40

自引率

2.10%

发文量

464

期刊介绍： ACS Applied Bio Materials is an interdisciplinary journal publishing original research covering all aspects of biomaterials and biointerfaces including and beyond the traditional biosensing, biomedical and therapeutic applications. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrates knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important bio applications. The journal is specifically interested in work that addresses the relationship between structure and function and assesses the stability and degradation of materials under relevant environmental and biological conditions.