Skip to main content
Top
Published in: Current HIV/AIDS Reports 4/2020

01-08-2020 | Human Immunodeficiency Virus | eHealth and HIV (J Simoni and B Guthrie, Section Editors)

A Systematic Review of Recent Methodological Approaches for Using Ecological Momentary Assessment to Examine Outcomes in U.S. Based HIV Research

Authors: Sabrina L. Smiley, Norweeta G. Milburn, Kate Nyhan, Tamara Taggart

Published in: Current HIV/AIDS Reports | Issue 4/2020

Login to get access

Abstract

Purpose of Review

In recent years, researchers have been adopting and using ecological momentary assessment (EMA) methods via technology devices for real-time measurement of exposures and outcomes in HIV research. To assess and critically evaluate how EMA methods are currently being used in HIV research, we systematically reviewed recent published literature (October 2017–October 2019) and searched select conference databases for 2018 and 2019.

Recent Findings

Our searches identified 8 published articles that used EMA via smartphone app, a handheld Personal Digital Assistant, and web-based survey programs for real-time measurement of HIV-related exposures and outcomes in behavioral research. Overall trends include use of EMA and technology devices to address substance use, HIV primary prevention (e.g., condom use and preexposure prophylaxis), and HIV treatment (medication adherence).

Summary

This review supports the use of EMA methods in HIV research and recommends that researchers use EMA methods to measure psychosocial factors and social contexts and with Black and Latinx samples of gay and bisexual men, transgender women, and cisgendered women to reflect current HIV disparities in the U.S.A.
Literature
1.
go back to reference U.S. Centers for Disease Control and Prevention. Estimated HIV incidence and prevalence in the United States, 2010–2016. HIV Surveillance Supplemental Report 2019;24(No. 1). Atlanta, GA. Available at: http://www.cdc.gov/hiv/pdf/ policies_NationalProgressReport.pdf. [Accessed 31 Oct 19]. U.S. Centers for Disease Control and Prevention. Estimated HIV incidence and prevalence in the United States, 2010–2016. HIV Surveillance Supplemental Report 2019;24(No. 1). Atlanta, GA. Available at: http://​www.​cdc.​gov/​hiv/​pdf/​ policies_NationalProgressReport.pdf. [Accessed 31 Oct 19].
2.
go back to reference Kapadia F, Landers S. Ending the HIV epidemic: getting to zero AND staying at zero. Am J Public Health. 2020;110(1):15–6.CrossRef Kapadia F, Landers S. Ending the HIV epidemic: getting to zero AND staying at zero. Am J Public Health. 2020;110(1):15–6.CrossRef
5.
go back to reference Mustanski B. The influence of state and trait affect on HIV risk behaviors: a daily diary study of MSM. Health Psychol. 2007;26(5):618–26.CrossRef Mustanski B. The influence of state and trait affect on HIV risk behaviors: a daily diary study of MSM. Health Psychol. 2007;26(5):618–26.CrossRef
6.
go back to reference Paolillo EW, Obermeit LC, Tang B, Depp CA, Vaida F, Moore DJ, et al. Smartphone-based ecological momentary assessment (EMA) of alcohol and cannabis use in older adults with and without HIV infection. Addict Behav. 2018;83:102–8.CrossRef Paolillo EW, Obermeit LC, Tang B, Depp CA, Vaida F, Moore DJ, et al. Smartphone-based ecological momentary assessment (EMA) of alcohol and cannabis use in older adults with and without HIV infection. Addict Behav. 2018;83:102–8.CrossRef
7.
go back to reference Smiley SL, Elmasry H, Webb Hooper M, Niaura RS, Hamilton AB, Milburn NG. Feasibility of ecological momentary assessment of daily sexting and substance use among young adult African American gay and bisexual men: a pilot study. JMIR Res Protoc. 2017;6(2):e9.CrossRef Smiley SL, Elmasry H, Webb Hooper M, Niaura RS, Hamilton AB, Milburn NG. Feasibility of ecological momentary assessment of daily sexting and substance use among young adult African American gay and bisexual men: a pilot study. JMIR Res Protoc. 2017;6(2):e9.CrossRef
8.
go back to reference Wray TB, Kahler CW, Monti PM. Using ecological momentary assessment (EMA) to study sex events among very high-risk men who have sex with men (MSM). AIDS Behav. 2016;20(10):2231–42.CrossRef Wray TB, Kahler CW, Monti PM. Using ecological momentary assessment (EMA) to study sex events among very high-risk men who have sex with men (MSM). AIDS Behav. 2016;20(10):2231–42.CrossRef
9.
go back to reference Cherenack EM, Wilson PA, Kreuzman AM, Price GN. Adolescent medicine trials network for HIV/AIDS interventions the feasibility and acceptability of using technology-based daily diaries with HIV-infected young men who have sex with men: a comparison of internet and voice modalities. AIDS Behav. 2016 Dec;20(8):1744–53.CrossRef Cherenack EM, Wilson PA, Kreuzman AM, Price GN. Adolescent medicine trials network for HIV/AIDS interventions the feasibility and acceptability of using technology-based daily diaries with HIV-infected young men who have sex with men: a comparison of internet and voice modalities. AIDS Behav. 2016 Dec;20(8):1744–53.CrossRef
10.
go back to reference Shiffman S, Stone AA, Hufford MR. Ecological momentary assessment. Annu Rev Clin Psychol. 2008;4:1–32.CrossRef Shiffman S, Stone AA, Hufford MR. Ecological momentary assessment. Annu Rev Clin Psychol. 2008;4:1–32.CrossRef
11.
go back to reference Shiffman S. Designing protocols for ecological momentary assessment. In: Stone AA, Shiffman S, Atienza A, Nebeling L, editors. The science of real-time data capture: self-reports in health research. New York: Oxford University Press; 2007. p. 27–53. Shiffman S. Designing protocols for ecological momentary assessment. In: Stone AA, Shiffman S, Atienza A, Nebeling L, editors. The science of real-time data capture: self-reports in health research. New York: Oxford University Press; 2007. p. 27–53.
12.
go back to reference Csikszentmihalyi M, Larson R. Validity and reliability of the experience-sampling method. J Nerv Ment Dis. 1987;175:526–37.CrossRef Csikszentmihalyi M, Larson R. Validity and reliability of the experience-sampling method. J Nerv Ment Dis. 1987;175:526–37.CrossRef
13.
go back to reference Serre F, Fatseas M, Swendsen J, Auriacombe M. How psychiatric comorbidity and mood states influence craving and substance use in daily life? An ecological momentary assessment study in patients with alcohol, tobacco, cannabis and heroin use disorders. Drug Alcohol Depend. 2017;171:e187.CrossRef Serre F, Fatseas M, Swendsen J, Auriacombe M. How psychiatric comorbidity and mood states influence craving and substance use in daily life? An ecological momentary assessment study in patients with alcohol, tobacco, cannabis and heroin use disorders. Drug Alcohol Depend. 2017;171:e187.CrossRef
14.
go back to reference Shiffman S. Ecological momentary assessment (EMA) in studies of substance use. Psychol Assess. 2009;21(4):486–97.CrossRef Shiffman S. Ecological momentary assessment (EMA) in studies of substance use. Psychol Assess. 2009;21(4):486–97.CrossRef
15.
go back to reference Mitchell JW. The use of technology to advance HIV prevention for couples. Curr HIV/AIDS Rep. 2015;12(4):516–22.CrossRef Mitchell JW. The use of technology to advance HIV prevention for couples. Curr HIV/AIDS Rep. 2015;12(4):516–22.CrossRef
16.
go back to reference Simons JS, Simons RM, Maisto SA, Hahn AM, Walters KJ. Daily associations between alcohol and sexual behavior in young adults. Exp Clin Psychopharmacol. 2018;26(1):36–48.CrossRef Simons JS, Simons RM, Maisto SA, Hahn AM, Walters KJ. Daily associations between alcohol and sexual behavior in young adults. Exp Clin Psychopharmacol. 2018;26(1):36–48.CrossRef
17.
go back to reference Santa Maria D, Padhye N, Yang Y, Gallardo K, Businelle M. Predicting sexual behaviors among homeless young adults: ecological momentary assessment study. JMIR Public Health & Surveill. 2018;4(2):e39.CrossRef Santa Maria D, Padhye N, Yang Y, Gallardo K, Businelle M. Predicting sexual behaviors among homeless young adults: ecological momentary assessment study. JMIR Public Health & Surveill. 2018;4(2):e39.CrossRef
18.
go back to reference Reback CJ, Runger D, Fletcher JB, Swendeman D. Ecological momentary assessments for self-monitoring and counseling to optimize methamphetamine treatment and sexual risk reduction outcomes among gay and bisexual men. J Subst Abus Treat. 2018;92:17–26.CrossRef Reback CJ, Runger D, Fletcher JB, Swendeman D. Ecological momentary assessments for self-monitoring and counseling to optimize methamphetamine treatment and sexual risk reduction outcomes among gay and bisexual men. J Subst Abus Treat. 2018;92:17–26.CrossRef
19.
go back to reference Wray TB, Luo X, Ke J, Perez AE, Carr DJ, Monti PM. Using smartphone survey data and machine learning to identify situational and contextual risk factors for HIV risk behavior among men who have sex with men who are not on PrEP. Prev Sci. 2019;20:904–13.CrossRef Wray TB, Luo X, Ke J, Perez AE, Carr DJ, Monti PM. Using smartphone survey data and machine learning to identify situational and contextual risk factors for HIV risk behavior among men who have sex with men who are not on PrEP. Prev Sci. 2019;20:904–13.CrossRef
20.
go back to reference Simons JS, Maisto SA, Palfai TP. Using the experience sampling method to study sexual risk behavior among men who have sex with men (MSM). J Sex Res. 2019;56(9):1147–54.CrossRef Simons JS, Maisto SA, Palfai TP. Using the experience sampling method to study sexual risk behavior among men who have sex with men (MSM). J Sex Res. 2019;56(9):1147–54.CrossRef
21.
go back to reference Cook PF, Schmiege SJ, Bradley-Springer L, Starr W, Carrington JM. Motivation as a mechanism for daily experiences’ effects on HIV medication adherence. JANAC. 2018;29(3):383–93.PubMed Cook PF, Schmiege SJ, Bradley-Springer L, Starr W, Carrington JM. Motivation as a mechanism for daily experiences’ effects on HIV medication adherence. JANAC. 2018;29(3):383–93.PubMed
22.
go back to reference Shacham E, Lew D, Xiao T, Lopez J, Trull T, Schootman M, et al. Testing the feasibility of using ecological momentary assessment to collect real-time behavior and mood to predict technology-measured HIV medication adherence. AIDS Behav. 2019;23:2176–84.CrossRef Shacham E, Lew D, Xiao T, Lopez J, Trull T, Schootman M, et al. Testing the feasibility of using ecological momentary assessment to collect real-time behavior and mood to predict technology-measured HIV medication adherence. AIDS Behav. 2019;23:2176–84.CrossRef
24.
go back to reference Moskowitz DS, Young SN. Ecological momentary assessment: what it is and why it is a method of the future in clinical psychopharmacology. J Psychiatry Neurosci. 2006;31(1):13.PubMedPubMedCentral Moskowitz DS, Young SN. Ecological momentary assessment: what it is and why it is a method of the future in clinical psychopharmacology. J Psychiatry Neurosci. 2006;31(1):13.PubMedPubMedCentral
25.
go back to reference Roth AM, Felsher M, Reed M, Goldshear JL, Truong Q, Garfein RS, et al. Potential benefits of using ecological momentary assessment to study high-risk polydrug use. Mhealth. 2017;3:46.CrossRef Roth AM, Felsher M, Reed M, Goldshear JL, Truong Q, Garfein RS, et al. Potential benefits of using ecological momentary assessment to study high-risk polydrug use. Mhealth. 2017;3:46.CrossRef
26.
go back to reference Liao Y, Skelton K, Dunton G, Bruening M. A systematic review of methods and procedures used in ecological momentary assessments of diet and physical activity research in youth: an adapted STROBE checklist for reporting EMA studies (CREMAS). JMIR. 2016;18(6):e151.PubMed Liao Y, Skelton K, Dunton G, Bruening M. A systematic review of methods and procedures used in ecological momentary assessments of diet and physical activity research in youth: an adapted STROBE checklist for reporting EMA studies (CREMAS). JMIR. 2016;18(6):e151.PubMed
27.
go back to reference Ferguson SG, Shiffman S. Using the methods of ecological momentary assessment in substance dependence research—smoking cessation as a case study. Subst Use Misuse. 2011;46(1):87–95.CrossRef Ferguson SG, Shiffman S. Using the methods of ecological momentary assessment in substance dependence research—smoking cessation as a case study. Subst Use Misuse. 2011;46(1):87–95.CrossRef
28.
go back to reference Stennett A, Krebs NM, Liao J, Richie JP Jr, Muscat JE. Ecological momentary assessment of smoking behaviors in native and converted intermittent smokers. Am J Addict. 2018;27(2):131–8.CrossRef Stennett A, Krebs NM, Liao J, Richie JP Jr, Muscat JE. Ecological momentary assessment of smoking behaviors in native and converted intermittent smokers. Am J Addict. 2018;27(2):131–8.CrossRef
29.
go back to reference Catalani C, Philbrick W, Fraser H, Mechael P, Israelski DM. mHealth for HIV treatment & prevention: a systematic review of the literature. TOAIDJ. 2013;7:17–41.CrossRef Catalani C, Philbrick W, Fraser H, Mechael P, Israelski DM. mHealth for HIV treatment & prevention: a systematic review of the literature. TOAIDJ. 2013;7:17–41.CrossRef
30.
go back to reference Lyles CM, Kay LS, Crepaz N, Herbst JH, Passin WF, Kim AS, et al. Best-evidence interventions: findings from a systematic review of HIV behavioral interventions for US populations at high risk, 2000–2004. Am J Public Health. 2007;97(1):133–43.CrossRef Lyles CM, Kay LS, Crepaz N, Herbst JH, Passin WF, Kim AS, et al. Best-evidence interventions: findings from a systematic review of HIV behavioral interventions for US populations at high risk, 2000–2004. Am J Public Health. 2007;97(1):133–43.CrossRef
31.
go back to reference • Moore RC, Kaufmann CN, Rooney AS, Moore DJ, Eyler LT, Granholm E, et al. Feasibility and acceptability of ecological momentary assessment of daily functioning among older adults with HIV. The Am J Geriatr Psychiatry. 2017;25(8):829–40. Moore and colleagues used EMA to assess daily functioning among older PLWH. Their findings showed that this group had excellent adherence to the EMA protocol, positive experiences with smartphone-based EMA methods, and that EMA data on mood and cognitions were associated with data from laboratory-based assessments. • Moore RC, Kaufmann CN, Rooney AS, Moore DJ, Eyler LT, Granholm E, et al. Feasibility and acceptability of ecological momentary assessment of daily functioning among older adults with HIV. The Am J Geriatr Psychiatry. 2017;25(8):829–40. Moore and colleagues used EMA to assess daily functioning among older PLWH. Their findings showed that this group had excellent adherence to the EMA protocol, positive experiences with smartphone-based EMA methods, and that EMA data on mood and cognitions were associated with data from laboratory-based assessments.
32.
go back to reference Duncan DT, Park SH, Goedel WC, Sheehan DM, Regan SD, Chaix B. Acceptability of smartphone applications for global positioning system (GPS) and ecological momentary assessment (EMA) research among sexual minority men. PLoS One. 2019;14:e0210240.CrossRef Duncan DT, Park SH, Goedel WC, Sheehan DM, Regan SD, Chaix B. Acceptability of smartphone applications for global positioning system (GPS) and ecological momentary assessment (EMA) research among sexual minority men. PLoS One. 2019;14:e0210240.CrossRef
33.
go back to reference Kirchner TR, Shiffman S. Spatio-temporal determinants of mental health and well-being: advances in geographically-explicit ecological momentary assessment (GEMA). Soc Psychiatry Psychiatr Epidemiol. 2016;51(9):1211–23.CrossRef Kirchner TR, Shiffman S. Spatio-temporal determinants of mental health and well-being: advances in geographically-explicit ecological momentary assessment (GEMA). Soc Psychiatry Psychiatr Epidemiol. 2016;51(9):1211–23.CrossRef
34.
go back to reference Gustafson DH, McTavish FM, Chih MY, Atwood AK, Johnson RA, Boyle MG, et al. A smartphone application to support recovery from alcoholism: a randomized clinical trial. JAMA Psychiatry. 2014;71(5):566–72.CrossRef Gustafson DH, McTavish FM, Chih MY, Atwood AK, Johnson RA, Boyle MG, et al. A smartphone application to support recovery from alcoholism: a randomized clinical trial. JAMA Psychiatry. 2014;71(5):566–72.CrossRef
35.
go back to reference Suffoletto B, Callaway CW, Kristan J, Monti P, Clark DB. Mobile phone text message intervention to reduce binge drinking among young adults: study protocol for a randomized controlled trial. Trials. 2013;14:93–93.CrossRef Suffoletto B, Callaway CW, Kristan J, Monti P, Clark DB. Mobile phone text message intervention to reduce binge drinking among young adults: study protocol for a randomized controlled trial. Trials. 2013;14:93–93.CrossRef
36.
go back to reference Witkiewitz K, Desai SA, Bowen S, Leigh BC, Kirouac M, Larimer ME. Development and evaluation of a mobile intervention for heavy drinking and smoking among college students. Psychol Addict Behav. 2014;28(3):639–50.CrossRef Witkiewitz K, Desai SA, Bowen S, Leigh BC, Kirouac M, Larimer ME. Development and evaluation of a mobile intervention for heavy drinking and smoking among college students. Psychol Addict Behav. 2014;28(3):639–50.CrossRef
37.
go back to reference Riley WT, Obermayer J, Jean-Mary J. Internet and mobile phone text messaging intervention for college smokers. J Am Coll Heal. 2008;57(2):245–8.CrossRef Riley WT, Obermayer J, Jean-Mary J. Internet and mobile phone text messaging intervention for college smokers. J Am Coll Heal. 2008;57(2):245–8.CrossRef
38.
go back to reference Wenze SJ, Miller IW. Use of ecological momentary assessment in mood disorders research. Clin Psychol Rev. 2010;30(6):794–804.CrossRef Wenze SJ, Miller IW. Use of ecological momentary assessment in mood disorders research. Clin Psychol Rev. 2010;30(6):794–804.CrossRef
39.
go back to reference Trull TJ. Ethical issues in researching daily life. Monit Psychol. 2015;46:70. Trull TJ. Ethical issues in researching daily life. Monit Psychol. 2015;46:70.
Metadata
Title
A Systematic Review of Recent Methodological Approaches for Using Ecological Momentary Assessment to Examine Outcomes in U.S. Based HIV Research
Authors
Sabrina L. Smiley
Norweeta G. Milburn
Kate Nyhan
Tamara Taggart
Publication date
01-08-2020
Publisher
Springer US
Published in
Current HIV/AIDS Reports / Issue 4/2020
Print ISSN: 1548-3568
Electronic ISSN: 1548-3576
DOI
https://doi.org/10.1007/s11904-020-00507-0

Other articles of this Issue 4/2020

Current HIV/AIDS Reports 4/2020 Go to the issue

Behavioral-Bio-Medical Interface (RJ DiClemente and JL Brown, Section Editors)

A Systematic Review of Technology-Assisted HIV Testing Interventions

HIV Pathogenesis and Treatment (AL Landay and NS Utay, Section Editors)

Sex Differences in the Treatment of HIV

Behavioral-Bio-Medical Interface (RJ DiClemente and JL Brown, Section Editors)

The Evidence for HIV Self-Testing to Increase HIV Testing Rates and the Implementation Challenges that Remain

HIV Pathogenesis and Treatment (AL Landay and NS Utay, Section Editors)

Contribution of Behavioral Health Factors to Non-AIDS-Related Comorbidities: an Updated Review