The Use of Ecological Momentary Assessments to Measure Perceived Stress in People With Aphasia: A Feasibility Study.

Purpose: People with aphasia (PWAs) report higher levels of stress than people without aphasia. Stress can have adverse effects on physical and mental health and may lead to harmful changes in the body's neurological functioning. Moreover, the perception of stress is a dynamic construct, and conside...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 68; no. 9; pp. 4391 - 4403
Autores principales: Jewell, Courtney C., Krok-Schoen, Jessica L., Harnish, Stacy M.
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Sep2025
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2025
      vid: 68
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      pub: American Speech-Language-Hearing Association
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        10.1044/2025_JSLHR-24-00914
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        atl: The Use of Ecological Momentary Assessments to Measure Perceived Stress in People With Aphasia: A Feasibility Study.
      aug:
        au:
          Jewell, Courtney C.
          Krok-Schoen, Jessica L.
          Harnish, Stacy M.
        affil:
          Department of Speech and Hearing Science, College of Arts and Sciences, The Ohio State University, Columbus
          School of Rehabilitation and Health Sciences, College of Medicine, The Ohio State University, Columbus
      su:
        Mental depression risk factors
        Patient compliance
        World Wide Web
        Retrospective studies
        Anxiety
        Research funding
        Data analysis
        Subjective stress
        Pilot projects
        Questionnaires
        Aphasia
        Severity of illness index
        Descriptive statistics
        Mann Whitney U Test
        Chi-squared test
        Surveys
        Content mining
        One-way analysis of variance
        Videoconferencing
        Statistics
        Report writing
        Health outcome assessment
        Application software
        Data analysis software
        Evaluation
        Disease complications
      sug:
        subj:
          Mental depression risk factors
          Patient compliance
          World Wide Web
          Retrospective studies
          Anxiety
          Software Publishers
          Software publishers (except video game publishers)
          Custom Computer Programming Services
          All Other Business Support Services
          Internet Publishing and Broadcasting and Web Search Portals
          Research funding
          Data analysis
          Subjective stress
          Pilot projects
          Questionnaires
          Aphasia
          Severity of illness index
          Descriptive statistics
          Mann Whitney U Test
          Chi-squared test
          Surveys
          Content mining
          One-way analysis of variance
          Videoconferencing
          Statistics
          Report writing
          Health outcome assessment
          Application software
          Data analysis software
          Evaluation
          Disease complications
      ab: Purpose: People with aphasia (PWAs) report higher levels of stress than people without aphasia. Stress can have adverse effects on physical and mental health and may lead to harmful changes in the body's neurological functioning. Moreover, the perception of stress is a dynamic construct, and considerable fluctuations in symptom severity occur. Ecological momentary assessments (EMAs), or data sampling in an individual's real environment, have been increasingly used in health care research, but their application to PWAs has yet to be explored. This study aimed to assess the feasibility and compliance of interval-contingent EMAs to measure perceived stress in the real world for PWAs. Method: Twenty-five participants from a larger parent study participated in the EMA protocol. Participants were sent text messages with a link to answer five prompts regarding stress severity once a day for 10 consecutive days. Results: Out of the 29 participants screened, 25 were successfully enrolled in the EMA portion of the study, achieving a feasibility rate of 86%. Compliance was 93.2%, which exceeded the compliance goal of ≥ 80%. The mean baseline stress score was 16.56 (range: 2.00--37.00), and the mean general stress score from EMA reports was 1.98 (range: 1.00--3.25). Mean general stress ratings from the EMA reports showed a moderate, positive relationship with baseline stress, r = .56, S = 1131.5, p = .003. Discussion: This study found evidence to support the feasibility and compliance of interval-contingent EMAs for PWAs. Current research examining chronic stress and the development of therapeutic interventions can be expanded upon using EMAs. Supplemental Material: https://doi.org/10.23641/asha.29885360
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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