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But theres no good basis to say that this is the best thing to do, Wiebe said. The study aimed to fill this gap by gathering real-time data on the physical and cognitive activity of concussion patients, and in doing so, determine how feasible and reliable such a method of gathering information, called ecological momentary assessment, truly is. To gather the real-time data, Wiebe and his co-authors developed a protocol, the key to which is an app given on an iPod touch to participants in the study. The app will chime three times a day at random, and will prompt the the patient to report how theyre feeling on a long list of symptoms, including headache, sensitivity to light and nausea. RELATED: Penn Medicine study offers hope for future organ transplants If we just asked kids to go to SurveyMonkey at the end of the day and report how they feel, it wouldnt be as effective. Concussion symptoms can be really fleeting and can change over the course of the day. If we just ask once for recall, recall may not be good, and also it may be hard to answer because sometimes they felt good and sometimes they didnt, said Wiebe. The app pings people in real time and captures them in real life, thus providing more reliable and accurate data. The app also gathers data on physical and cognitive activity throughout the day. Patients wear an accelerometer that measures their step count and their sleep, and at the end of each day the app prompts them to answer questions about their cognitive activity, such as whether they went to school that day, how much time did they spend reading, how many texts they sent and so on. The goal of the study was achieved: Researchers managed to accurately test the feasibility of ecologic momentary assessment.
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