Development of an ecological momentary assessment of fatigue after ABI using sequential exploratory design
type: CreativeWork
description: Background: It is estimated that between 21 -77% people with acquired brain injury (ABI) experience problematic and persistent fatigue. Many struggle to resume their previous levels of activity and participation. Yet the relationship between fatigue and participation is unclear. Current approaches to assessing the impact of fatigue on participation fail to capture the variability of fatigue experiences or to evaluate the efficacy of fatigue interventions. Aim: to develop and evaluate a smartphone ecological momentary assessment (smart EMA) of the impact of fatigue on participation in the context of daily situational factors. Methods: A user- centred design approach guided the development of the smart EMA app and was underpinned by the biopsychosocial approach to disability. The concepts underpinning the app were generated through a systematic review of participation after stroke and narrative reviews of participation after ABI, together with a qualitative descriptive study of fatigue experiences after ABI. Interviews were conducted with people with ABI and the transcripts were analysed using the Frameworks method. Initial prototypes of the smart EMA were developed collaboratively with app developers, and people with ABI. The EMA consisted of self -reports of activity, energy and a psychomotor vigilance test. The app was evaluated using an iterative user-centred approach with Occupational Therapists and people with ABI, through talk aloud interviews, field testing, qualitative interviews and the system usability scale. Results: The systematic review of 82 studies investigating participation outcomes after stroke revealed multiple associations between biopsychosocial factors and participation but fatigue was infrequently investigated. The narrative reviews revealed conflicting evidence of the interplay between fatigue and participation and the need for ecological momentary assessments (EMA) of fatigue was established. 16 people with ABI were recruited to the qualitati…
abstract: Background: It is estimated that between 21 -77% people with acquired brain injury (ABI) experience problematic and persistent fatigue. Many struggle to resume their previous levels of activity and participation. Yet the relationship between fatigue and participation is unclear. Current approaches to assessing the impact of fatigue on participation fail to capture the variability of fatigue experiences or to evaluate the efficacy of fatigue interventions. Aim: to develop and evaluate a smartphone ecological momentary assessment (smart EMA) of the impact of fatigue on participation in the context of daily situational factors. Methods: A user- centred design approach guided the development of the smart EMA app and was underpinned by the biopsychosocial approach to disability. The concepts underpinning the app were generated through a systematic review of participation after stroke and narrative reviews of participation after ABI, together with a qualitative descriptive study of fatigue experiences after ABI. Interviews were conducted with people with ABI and the transcripts were analysed using the Frameworks method. Initial prototypes of the smart EMA were developed collaboratively with app developers, and people with ABI. The EMA consisted of self -reports of activity, energy and a psychomotor vigilance test. The app was evaluated using an iterative user-centred approach with Occupational Therapists and people with ABI, through talk aloud interviews, field testing, qualitative interviews and the system usability scale. Results: The systematic review of 82 studies investigating participation outcomes after stroke revealed multiple associations between biopsychosocial factors and participation but fatigue was infrequently investigated. The narrative reviews revealed conflicting evidence of the interplay between fatigue and participation and the need for ecological momentary assessments (EMA) of fatigue was established. 16 people with ABI were recruited to the qualitati…
author: Ezekiel, Leisle
language: en
date published: 2020
date modified: 2026-07-24T03:43:13Z
provider: Oxford Brookes University
publisher: Networked Digital Library of Theses and Dissertations
type: WebPage
source organization: Oxford Brookes University

PropertyValue
property ID: DOI
value: 10.24384/2zdw-pz12