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运用生态瞬时评估(EMA)从体验自我的角度理解职业:1型糖尿病患者的一个实例

Using Ecological Momentary Assessment (EMA) to understand occupation from the perspective of the experiencing self: An illustrative example in workers with type 1 diabetes.

作者信息

Hernandez Raymond, Aldrich Rebecca, Schneider Stefan, Stone Arthur A, Roll Shawn C, Pyatak Elizabeth A

机构信息

Dornsife Center for Economic & Social Research, University of Southern California, Los Angeles, California, USA.

Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, California, USA.

出版信息

J Occup Sci. 2024 Dec 3. doi: 10.1080/14427591.2024.2431138.

DOI:10.1080/14427591.2024.2431138
PMID:40857511
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12323776/
Abstract

In people, the experiencing, remembering, and believing selves are distinct modes of being that co-exist, though at any particular moment one mode can be dominant. While qualitative methods are effective for querying the remembering and believing selves, Ecological Momentary Assessment (EMA) methods may be better suited to capture the perspective of the experiencing self. Using EMA to investigate occupation allows participants to engage in their regular occupations in their natural environments, pausing to record information about experiences that occurred seconds or minutes prior. To demonstrate the use of EMA to capture the experiencing self (the 'I' in the present moment not occupied with memories or beliefs), we examined associations between working, recovering, and various aspects of being (e.g., mood) in secondary analyses using EMA data from workers with type one diabetes (T1D, =92). Densely repeated sampling of workers' experiences through EMA allowed for a correspondingly comprehensive representation of how both working and recovering were associated with various aspects of being, yielding insights relevant to the clinical needs of workers with T1D and to understanding their experiencing self's view of work and recovery generally. The potential benefits of EMA for occupational science include allowing a more comprehensive understanding of the immediate experience of occupation, enabling investigation of the experiencing self at different timescales (e.g., experience of work in the moment, versus average experience of work over a day), and providing additional means through which to inform occupation centered interventions in populations with chronic conditions.

摘要

在人类中,体验自我、记忆自我和信念自我是共存的不同存在模式,尽管在任何特定时刻,一种模式可能占主导地位。虽然定性方法在询问记忆自我和信念自我方面很有效,但生态瞬时评估(EMA)方法可能更适合捕捉体验自我的视角。使用EMA来研究职业,能让参与者在自然环境中从事日常职业活动,然后停下来记录几秒或几分钟前发生的体验信息。为了展示使用EMA来捕捉体验自我(当下那个不被记忆或信念占据的“我”),我们在二次分析中,使用来自92名1型糖尿病(T1D)患者的EMA数据,研究了工作、恢复与存在的各个方面(如情绪)之间的关联。通过EMA对患者的体验进行密集重复抽样,能够相应全面地呈现工作和恢复与存在的各个方面是如何关联的,从而得出与T1D患者的临床需求相关的见解,并有助于总体上理解他们体验自我对工作和恢复的看法。EMA对职业科学的潜在益处包括,能更全面地理解职业的即时体验,能在不同时间尺度上(如当下的工作体验与一天中工作的平均体验)对体验自我进行调查,以及为针对慢性病患者群体的以职业为中心的干预措施提供更多依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdbf/12323776/f5e7f7e4645f/nihms-2039802-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdbf/12323776/f5e7f7e4645f/nihms-2039802-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bdbf/12323776/f5e7f7e4645f/nihms-2039802-f0001.jpg

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本文引用的文献

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Impact of Fatigue and Its Influencing Factors on Diabetes Self-Management in Adults With Type 2 Diabetes: A Structural Equation Modeling Analysis.疲劳及其影响因素对 2 型糖尿病成人糖尿病自我管理的影响:结构方程模型分析。
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