College of Nursing, Medical University of South Carolina, Charleston, South Carolina, SC, USA.
College of Medicine, Medical University of South Carolina, Charleston, South Carolina, SC, USA.
Int J Chron Obstruct Pulmon Dis. 2024 Mar 28;19:841-849. doi: 10.2147/COPD.S447660. eCollection 2024.
Dyspnea is an unpredictable and distressing symptom of chronic obstructive pulmonary disease (COPD). Dyspnea is challenging to measure due to the heterogeneity of COPD and recall bias associated with retrospective reports. Ecological Momentary Assessment (EMA) is a technique used to collect symptoms in real-time within a natural environment, useful for monitoring symptom trends and risks of exacerbation in COPD. EMA can be integrated into mobile health (mHealth) platforms for repeated data collection and used alongside physiological measures and behavioral activity monitors. The purpose of this paper is to discuss the use of mHealth and EMA for dyspnea measurement, consider clinical implications of EMA in COPD management, and identify needs for future research in this area.
呼吸困难是慢性阻塞性肺疾病（COPD）的一种不可预测且令人痛苦的症状。由于 COPD 的异质性和回顾性报告中存在的回忆偏差，呼吸困难的测量具有挑战性。生态瞬时评估（EMA）是一种在自然环境中实时收集症状的技术，可用于监测 COPD 中症状趋势和加重风险。EMA 可以集成到移动健康（mHealth）平台中进行重复数据收集，并与生理测量和行为活动监测器一起使用。本文旨在讨论 mHealth 和 EMA 在呼吸困难测量中的应用，考虑 EMA 在 COPD 管理中的临床意义，并确定该领域未来研究的需求。
