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Comparing recalled versus experienced symptoms of breathlessness ratings: An ecological assessment study using mobile phone technology
Lund University.
Örebro University.
Blekinge Institute of Technology, Faculty of Engineering, Department of Health.ORCID iD: 0000-0001-9870-8477
University of Hull, GBR.
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2022 (English)In: Respirology (Carlton South. Print), ISSN 1323-7799, E-ISSN 1440-1843, Vol. 27, no 10, p. 874-881Article in journal (Refereed) Published
Abstract [en]

Background and objective: Recall of breathlessness is important for clinical care but might differ from the experienced (momentary) symptoms. This study aimed to characterize the relationship between momentary breathlessness ratings and the recall of the experience. It is hypothesized that recall is influenced by the peak (worst) and end (most recent) ratings of momentary breathlessness (peak-end rule). Methods: This study used mobile ecological momentary assessment (mEMA) for assessing breathlessness in daily life through an application installed on participants' mobile phones. Breathlessness ratings (0–10 numerical rating scale) were recorded throughout the day and recalled each night and at the end of the week. Analyses were performed using regular and mixed linear regression. Results: Eighty-four people participated. Their mean age was 64.4 years, 60% were female and 98% had modified Medical Research Council (mMRC) ≥ 1. The mean number of momentary ratings of breathlessness provided was 7.7 ratings/participant/day. Recalled breathlessness was associated with the mean, peak and end values of the day. The mean was most closely associated with the daily recall. Associations were strong for weekly values: peak breathlessness (beta = 0.95, r2 = 0.57); mean (beta = 0.91, r2 = 0.53); and end (beta = 0.67, r2 = 0.48); p < 0.001 for all. Multivariate analysis showed that peak breathlessness had the strongest influence on the breathlessness recalled at the end of the week. Conclusion: Over 1 week, recalled breathlessness is most strongly influenced by the peak breathlessness; over 1 day, it is mean breathlessness that participants most readily recalled. © 2022 The Authors. Respirology published by John Wiley & Sons Australia, Ltd on behalf of Asian Pacific Society of Respirology.

Place, publisher, year, edition, pages
John Wiley & Sons, 2022. Vol. 27, no 10, p. 874-881
Keywords [en]
Cell Phone, Dyspnea, Female, Humans, Male, Mental Recall, Middle Aged, Technology, adult, Article, asthma, chronic obstructive lung disease, clinical effectiveness, clinical feature, disease severity, ecological momentary assessment, human, major clinical study, numeric rating scale, risk factor, mobile phone, recall, breathlessness, dyspnoea symptoms, mEMA, mobile ecological momentary assessment, peak-end rule, recall of symptoms
National Category
Respiratory Medicine and Allergy
Identifiers
URN: urn:nbn:se:bth-24146DOI: 10.1111/resp.14313ISI: 000810159200001Scopus ID: 2-s2.0-85131755059OAI: oai:DiVA.org:bth-24146DiVA, id: diva2:1722721
Funder
Region BlekingeSwedish Society for Medical Research (SSMF)Swedish Heart Lung FoundationSwedish Research Council, 2019‐02081
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Available from: 2022-12-30 Created: 2022-12-30 Last updated: 2022-12-30Bibliographically approved

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Anderberg, Peter

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