Department of Medical Oncology, Cancer Center Amsterdam (CCA), Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Department of Otolaryngology-Head and Neck Surgery, Cancer Center Amsterdam (CCA), Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Eur J Cancer Care (Engl). 2019 May;28(3):e13095. doi: 10.1111/ecc.13095. Epub 2019 May 14.
Ecological momentary assessment (EMA) is an emerging method to assess an individual's current thoughts, affect, behaviour, physical states and contextual factors as they occur in real-time and in their natural environment. Whereas EMA is frequently used in mental health, little is known about the added value of EMA in oncology research. This review aimed to synthesise methodological information and results of studies that applied EMA among patients with cancer to inform future researchers about the opportunities and challenges.
We included full-text articles on studies that: (a) were conducted among adult cancer patients; and (b) examined cancer and treatment-related experiences by EMA. Information from selected studies was synthesised: study designs, EMA data collection methods, response-related results and main findings.
Twelve studies were included, which all applied an observational design. The EMA data collection methods varied considerably and the reporting of response-related results were poor. Nevertheless, EMA was found feasible as no systematic patterns of problems were reported and reported response-related results were acceptable. Furthermore, EMA was found useful as it facilitated examination of real-time experiences and behaviour.
Ecological momentary assessment is useful and feasible in oncology research. Future studies would benefit from guidelines for designing and reporting EMA studies.
生态瞬时评估(EMA)是一种新兴的方法,可实时在自然环境中评估个体的当前思想、情感、行为、身体状态和环境因素。虽然 EMA 在心理健康领域经常使用,但在肿瘤学研究中,EMA 的附加价值知之甚少。本综述旨在综合应用于癌症患者的研究的方法学信息和结果,为未来的研究人员提供机会和挑战。
我们纳入了全文研究,这些研究:(a)在成年癌症患者中进行;(b)通过 EMA 检查癌症和治疗相关的经历。从选定的研究中综合信息:研究设计、EMA 数据收集方法、与反应相关的结果和主要发现。
纳入了 12 项研究,均采用观察性设计。EMA 数据收集方法差异很大,与反应相关的结果报告也很差。然而,EMA 被认为是可行的,因为没有报告系统性的问题模式,并且报告的与反应相关的结果是可以接受的。此外,EMA 被认为是有用的,因为它有助于检查实时体验和行为。
EMA 在肿瘤学研究中是有用且可行的。未来的研究将受益于设计和报告 EMA 研究的指南。