Validation of Ecological Momentary Assessment With Reference to Accelerometer Data: Repeated-Measures Panel Study With Multilevel Modeling
BackgroundThere is growing interest in the real-time assessment of physical activity (PA) and physiological variables. Acceleration, particularly those collected through wearable sensors, has been increasingly adopted as an objective measure of physical activity. However, sen...
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JMIR Publications
2025-04-01
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| Series: | Journal of Medical Internet Research |
| Online Access: | https://www.jmir.org/2025/1/e59878 |
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| author | Jung Min Noh SongHyun Im JooYong Park Jae Myung Kim Miyoung Lee Ji-Yeob Choi |
| author_facet | Jung Min Noh SongHyun Im JooYong Park Jae Myung Kim Miyoung Lee Ji-Yeob Choi |
| author_sort | Jung Min Noh |
| collection | DOAJ |
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BackgroundThere is growing interest in the real-time assessment of physical activity (PA) and physiological variables. Acceleration, particularly those collected through wearable sensors, has been increasingly adopted as an objective measure of physical activity. However, sensor-based measures often pose challenges for large-scale studies due to their associated costs, inability to capture contextual information, and restricted user populations. Smartphone-delivered ecological momentary assessment (EMA) offers an unobtrusive and undemanding means to measure PA to address these limitations.
ObjectiveThis study aimed to evaluate the usability of EMA by comparing its measurement outcomes with 2 self-report assessments of PA: Global Physical Activity Questionnaire (GPAQ) and a modified version of Bouchard Physical Activity Record (BAR).
MethodsA total of 235 participants (137 female, 98 male, and 94 repeated) participated in one or more 7-day studies. Waist-worn sensors provided by ActiGraph captured accelerometer data while participants completed 3 self-report measures of PA. The multilevel modeling method was used with EMA, GPAQ, and BAR as separate measures, with 6 subdomains of physiological activity (overall PA, overall excluding occupational, transport, exercise, occupational, and sedentary) to model accelerometer data. In addition, EMA and GPAQ were further compared with 6 domains of PA from the BAR as outcome measures.
ResultsAmong the 3 self-reporting instruments, EMA and BAR exhibited better overall performance in modeling the accelerometer data compared to GPAQ (eg EMA daily: β=.387, P<.001; BAR daily: β=.394, P<.001; GPAQ: β=.281, P<.001, based on repeated-only participants with step counts from accelerometer as dependent variables).
ConclusionsMultilevel modeling on 3 self-report assessments of PA indicates that smartphone-delivered EMA is a valid and efficient method for assessing PA. |
| format | Article |
| id | doaj-art-0562ebca2ae548e08122ee3c0f77b178 |
| institution | Kabale University |
| issn | 1438-8871 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | Journal of Medical Internet Research |
| spelling | doaj-art-0562ebca2ae548e08122ee3c0f77b1782025-08-20T03:44:33ZengJMIR PublicationsJournal of Medical Internet Research1438-88712025-04-0127e5987810.2196/59878Validation of Ecological Momentary Assessment With Reference to Accelerometer Data: Repeated-Measures Panel Study With Multilevel ModelingJung Min Nohhttps://orcid.org/0000-0002-6127-8036SongHyun Imhttps://orcid.org/0009-0001-7161-868XJooYong Parkhttps://orcid.org/0000-0002-6444-3754Jae Myung Kimhttps://orcid.org/0000-0002-3788-5856Miyoung Leehttps://orcid.org/0000-0001-9193-4340Ji-Yeob Choihttps://orcid.org/0000-0001-5365-8189 BackgroundThere is growing interest in the real-time assessment of physical activity (PA) and physiological variables. Acceleration, particularly those collected through wearable sensors, has been increasingly adopted as an objective measure of physical activity. However, sensor-based measures often pose challenges for large-scale studies due to their associated costs, inability to capture contextual information, and restricted user populations. Smartphone-delivered ecological momentary assessment (EMA) offers an unobtrusive and undemanding means to measure PA to address these limitations. ObjectiveThis study aimed to evaluate the usability of EMA by comparing its measurement outcomes with 2 self-report assessments of PA: Global Physical Activity Questionnaire (GPAQ) and a modified version of Bouchard Physical Activity Record (BAR). MethodsA total of 235 participants (137 female, 98 male, and 94 repeated) participated in one or more 7-day studies. Waist-worn sensors provided by ActiGraph captured accelerometer data while participants completed 3 self-report measures of PA. The multilevel modeling method was used with EMA, GPAQ, and BAR as separate measures, with 6 subdomains of physiological activity (overall PA, overall excluding occupational, transport, exercise, occupational, and sedentary) to model accelerometer data. In addition, EMA and GPAQ were further compared with 6 domains of PA from the BAR as outcome measures. ResultsAmong the 3 self-reporting instruments, EMA and BAR exhibited better overall performance in modeling the accelerometer data compared to GPAQ (eg EMA daily: β=.387, P<.001; BAR daily: β=.394, P<.001; GPAQ: β=.281, P<.001, based on repeated-only participants with step counts from accelerometer as dependent variables). ConclusionsMultilevel modeling on 3 self-report assessments of PA indicates that smartphone-delivered EMA is a valid and efficient method for assessing PA.https://www.jmir.org/2025/1/e59878 |
| spellingShingle | Jung Min Noh SongHyun Im JooYong Park Jae Myung Kim Miyoung Lee Ji-Yeob Choi Validation of Ecological Momentary Assessment With Reference to Accelerometer Data: Repeated-Measures Panel Study With Multilevel Modeling Journal of Medical Internet Research |
| title | Validation of Ecological Momentary Assessment With Reference to Accelerometer Data: Repeated-Measures Panel Study With Multilevel Modeling |
| title_full | Validation of Ecological Momentary Assessment With Reference to Accelerometer Data: Repeated-Measures Panel Study With Multilevel Modeling |
| title_fullStr | Validation of Ecological Momentary Assessment With Reference to Accelerometer Data: Repeated-Measures Panel Study With Multilevel Modeling |
| title_full_unstemmed | Validation of Ecological Momentary Assessment With Reference to Accelerometer Data: Repeated-Measures Panel Study With Multilevel Modeling |
| title_short | Validation of Ecological Momentary Assessment With Reference to Accelerometer Data: Repeated-Measures Panel Study With Multilevel Modeling |
| title_sort | validation of ecological momentary assessment with reference to accelerometer data repeated measures panel study with multilevel modeling |
| url | https://www.jmir.org/2025/1/e59878 |
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