title: Supportive intervention using a mobile phone in behavior modification.
abstract: The authors previously developed a mobile ecological momentary assessment (EMA) system as a real-time data collection device using a mobile phone. In this study, a real-time advice function and real-time reporting function were added to the previous system as a supportive intervention. The improved system was found to work effectively and was applied to several clinical cases, including patients with depressive disorder, dizziness, smoking habit, and bronchial asthma. The average patient compliance rate was high (89%) without the real-time advice and higher (93%) with the advice. The trends in clinical data for patients using a mobile EMA with/without the new function were analyzed for up to several months. In the case of dizziness, an improving trend in its clinical data was observed after applying the real-time advice, and in the case of depressive disorder, a stabilizing trend was observed. The mobile EMA system with the real-time advice function could be useful as a supportive intervention in behavior modification and for motivating patients in self-management of their disease.
authors.affiliation: Department of Medical Technology, Graduate School of Health Sciences, Okayama University, and Integrated Support Center for Patients and Self-Learning, Okayama University Hospital, Okayama 700-8558, Japan.
authors.forename: David H
authors.initials: DH
authors.lastname: Hareva
authors.forename: Hiroki
authors.initials: H
authors.lastname: Okada
authors.forename: Tomoki
authors.initials: T
authors.lastname: Kitawaki
authors.forename: Hisao
authors.initials: H
authors.lastname: Oka
mesh_terms: D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D040421:Cell Phone / Q000706:statistics & numerical data*; D003625:Data Collection / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care / Q000379:methods; D010349:Patient Compliance; D010358:Patient Participation / Q000379:methods*; D013997:Time Factors