Adaptive data collection for intra-individual studies affected by adherence

Recently the use of mobile technologies in Ecological Momentary Assessments (EMA) and Interventions (EMI) has made it easier to collect data suitable for intra-individual variability studies in the medical field. Nevertheless, especially when self-reports are used during the data collection process, there are difficulties in balancing data quality and the burden placed on the subjects. In this paper, we address this problem for a specific EMA setting which aims to submit a demanding task to subjects at high/low values of a self-reported variable. We adopt a dynamic approach inspired by control chart methods and design optimization techniques to obtain an EMA triggering mechanism for data collection which takes into account both the individual variability of the self-reported variable and of the adherence rate. We test the algorithm in both a simulation setting and with real, large-scale data from a tinnitus longitudinal study. A Wilcoxon-Mann-Whitney Rank Sum Test shows that the algorithm tends to have both a higher F1 score and utility than a random schedule and a rule-based algorithm with static thresholds, which are the current state-of-the-art approaches. In conclusion, the algorithm is proven effective in balancing data quality and the burden placed on the participants, especially, as the analysis performed suggest, in studies where data collection is impacted by adherence.
Comment: 12 pages, 4 figures