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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. All of the kids were engaged, they all wanted to provide us with good data, they all returned the iPod touches at the end of the study, Wiebe said. Now that its been tested, the researchers will now move on to use such protocol in larger studies. Some of the study results even differ from existing wisdom. The studys pilot data indicates that more physical activity on one day corresponded with lower symptoms on the next day, which is different from the impression in the field. That viewpoint was never really based on data, Wiebe said.medical interview write up
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