Maintenance Notice

Due to necessary scheduled maintenance, the JMIR Publications website will be unavailable from Wednesday, July 01, 2020 at 8:00 PM to 10:00 PM EST. We apologize in advance for any inconvenience this may cause you.

Who will be affected?

Accepted for/Published in: JMIR Formative Research

Date Submitted: May 28, 2025
Date Accepted: Oct 28, 2025

The final, peer-reviewed published version of this preprint can be found here:

Exploration of Factors That Affect Engagement With the Experience Sampling Method and Service Users’ Experience of This Within the AVATAR2 Trial: Mixed Methods Study

Dennard S, Garety P, Edwards C, Gumley A, Owrid O, Miller L, Allan S, Duerden A, Yanga F, Burns C, Fletcher H, Grant A

Exploration of Factors That Affect Engagement With the Experience Sampling Method and Service Users’ Experience of This Within the AVATAR2 Trial: Mixed Methods Study

JMIR Form Res 2025;9:e78204

DOI: 10.2196/78204

PMID: 41385734

PMCID: 12700335

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

Examining factors that affect engagement with the Experience Sampling Method (ESM) within the AVATAR2 trial. Exploring service users’ experience of using this method.

  • Sophie Dennard; 
  • Philippa Garety; 
  • Clementine Edwards; 
  • Andrew Gumley; 
  • Oliver Owrid; 
  • Lucy Miller; 
  • Stephanie Allan; 
  • Alison Duerden; 
  • Francis Yanga; 
  • Chloe Burns; 
  • Helena Fletcher; 
  • Amy Grant

ABSTRACT

Experience sampling methodology (ESM) is an assessment method ultilised in psychosis research. Symptom severity and gender may be associated with ESM engagement. Exploring qualitative experiences of using ESM amongst people with psychosis should aid developing more accurate, accessible digital assessments. Data from 207 AVATAR2 trial (ISRCTN55682735) participants were used to evaluate associations between demographic variables, symptom severity and ESM completion rates. Trial participants were purposively sampled to participate in an interview to discuss their experiences of using ESM or to discuss reasons why they chose not to use it. Age, gender, ethnicity and clinical severity were not associated with ESM completion rates. A thematic analysis of 17 participant interviews found three overarching themes. ESM has multiple benefits for people with psychosis including increasing knowledge and awareness of mental health. ESM was straightforward and easy to use, however engaging in other activities, experiencing positive symptoms, little experience using technology and trial involvement impacted engagement. Decisions to use ESM were influenced by concerns about security and privacy. Recommendations are made on how engagement with ESM can be improved, making it easier to use this method with this population.


 Citation

Please cite as:

Dennard S, Garety P, Edwards C, Gumley A, Owrid O, Miller L, Allan S, Duerden A, Yanga F, Burns C, Fletcher H, Grant A

Exploration of Factors That Affect Engagement With the Experience Sampling Method and Service Users’ Experience of This Within the AVATAR2 Trial: Mixed Methods Study

JMIR Form Res 2025;9:e78204

DOI: 10.2196/78204

PMID: 41385734

PMCID: 12700335

Download PDF


Request queued. Please wait while the file is being generated. It may take some time.

© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.