University of Twente Student Theses
The Role of Context Factors in Ecological Momentary Interventions for Mental Health Promotion : A Micro-Randomised Trial
Berndt, Lukas (2024) The Role of Context Factors in Ecological Momentary Interventions for Mental Health Promotion : A Micro-Randomised Trial.
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| Abstract: | Background: Mental health problems are widespread, imposing a significant burden on both individuals and society. At the same time, Ecological Momentary Interventions (EMIs), facilitated through mobile devices, offer scalable and low-threshold treatment options for individuals within their daily lives. While previous studies have acknowledged the importance of context factors (e.g., social company, current location, activity) for EMIs, no studies to date have investigated their influence on EMI effectiveness and adherence in promoting mental health. Methods: In this smartphone-based micro-randomised trial, 72 distressed participants followed a transdiagnostic set of EMIs for 16 days and filled in brief Ecological Momentary Assessments (EMAs) evaluating their context, positive and negative affect, and adherence to EMIs. (Generalised) linear-mixed effects models were used to analyse the multilevel data. Results: On average, participants filled in 71.80% of EMAs and adhered to 61.20% of EMIs. Context did not significantly moderate the effects of EMIs on positive and negative affect. However, adherence to EMIs was significantly predicted by being in a home environment or following passive activities. EMI adherence did not significantly differ between being alone or with others but was high in both contexts and comparable to being in a home environment or following passive activities. Conclusion: Despite the non-significant results on EMI effectiveness, it cannot be concluded that tailoring EMIs to context is ineffective. Instead, a more nuanced assessment of context is needed. While home environments and passive activities are feasible contexts for EMI delivery, co-occurrence of receptivity, vulnerability and opportunity is vital to enhance EMI effectiveness. Further research on passive activities and engagement with EMIs is required. |
| Item Type: | Essay (Master) |
| Faculty: | BMS: Behavioural, Management and Social Sciences |
| Subject: | 77 psychology |
| Programme: | Psychology MSc (66604) |
| Link to this item: | https://purl.utwente.nl/essays/101150 |
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