ORCID Profile
0000-0003-0244-6201
Current Organisations
Aquarius Population Health
,
University College London
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Publisher: Informa UK Limited
Date: 15-09-2022
Publisher: BMJ
Date: 07-2021
DOI: 10.1136/BMJOPEN-2020-046435
Abstract: Ecological momentary assessment (EMA) involves repeated, real-time assessments of phenomena (eg, cognitions, emotions, behaviours) over a period of time in naturalistic settings. EMA is increasingly used to study both within-person and between-person processes. We will review EMA studies investigating key health behaviours and synthesise: (1) study characteristics (eg, frequency of assessments, adherence, incentives), (2) associations between psychological predictors and behaviours and (3) moderators of adherence to EMA protocols. This review will focus on EMA studies conducted across five public health behaviours in adult, non-clinical populations: movement behaviour (including physical activity and sedentary behaviour), dietary behaviour, alcohol consumption, tobacco smoking and preventive sexual health behaviours. Studies need to have assessed at least one psychological or contextual predictor of these behaviours. Studies reporting exclusively on physiological outcomes (eg, cortisol) or those not conducted under free-living conditions will be excluded. We will search OVID MEDLINE, Embase, PsycINFO and Web of Science using terms relevant to EMA and the selected health behaviours. Reference lists of existing systematic reviews of EMA studies will be hand searched. Identified articles will be screened by two reviewers. This review is expected to provide a comprehensive summary of EMA studies assessing psychological or contextual predictors of five public health behaviours. The results will be disseminated through peer-reviewed publications and presentations. Data from included studies will be made available to other researchers. No ethics are required. CRD42020168314.
Publisher: Wiley
Date: 10-03-2023
DOI: 10.1111/ADD.16173
Abstract: When attempting to stop smoking, discrete smoking events (‘lapses’) are strongly associated with a return to regular smoking (‘relapse’). No study has yet pooled the psychological and contextual antecedents of lapse incidence, captured in ecological momentary assessment (EMA) studies. This systematic review and meta‐analysis aimed to synthesize within‐person psychological and contextual predictor–lapse associations in smokers attempting to quit. We searched Ovid MEDLINE, Embase, PsycINFO and Web of Science. A narrative synthesis and multi‐level, random‐effects meta‐analyses were conducted, focusing on studies of adult, non‐clinical populations attempting to stop smoking, with no restrictions on setting. Outcomes were the association between a psychological (e.g. stress, cravings) or contextual (e.g. cigarette availability) antecedent and smoking lapse incidence definitions of ‘lapse’ and ‘relapse’ the theoretical underpinning of EMA study designs and the proportion of studies with pre‐registered study protocols/analysis plans and open data. We included 61 studies, with 19 studies contributing ≥ 1 effect size(s) to the meta‐analyses. We found positive relationships between lapse incidence and ‘environmental and social cues’ [ k = 12, odds ratio (OR) = 4.53, 95% confidence interval (CI) = 2.02, 10.16, P = 0.001] and ‘cravings’ ( k = 10, OR = 1.71, 95% CI = 1.34, 2.18, P 0.001). ‘Negative feeling states’ was not significantly associated with lapse incidence ( k = 16, OR = 1.10, 95% CI = 0.98, 1.24, P = 0.12). In the narrative synthesis, negative relationships with lapse incidence were found for ‘behavioural regulation’, ‘motivation not to smoke’ and ‘beliefs about capabilities’ positive relationships with lapse incidence were found for ‘positive feeling states’ and ‘positive outcome expectancies’. Although lapse definitions were comparable, relapse definitions varied widely across studies. Few studies explicitly drew upon psychological theory to inform EMA study designs. One of the included studies drew upon Open Science principles. In smokers attempting to stop, environmental and social cues and cravings appear to be key within‐person antecedents of smoking lapse incidence. Due to low study quality, the confidence in these estimates is reduced.
Location: United Kingdom of Great Britain and Northern Ireland
Location: United Kingdom of Great Britain and Northern Ireland
No related grants have been discovered for Verena Schneider.