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Feasibility of ecological momentary assessment during cognitive behavioural therapy in athletes: a single-case study
Umeå University, Faculty of Social Sciences, Department of Psychology. Umeå University, Faculty of Social Sciences, Umeå School of Sport Sciences.ORCID iD: 0009-0005-8246-1445
Umeå University, Faculty of Social Sciences, Department of Psychology. Umeå University, Faculty of Social Sciences, Umeå School of Sport Sciences.ORCID iD: 0000-0002-7574-9679
Umeå University, Faculty of Social Sciences, Department of Psychology. Umeå University, Faculty of Social Sciences, Umeå School of Sport Sciences. Department of Sport Science and Physical Education, University of Agder, Kristiansand, Norway.ORCID iD: 0000-0002-0834-1040
2025 (English)In: International Journal of Sport and Exercise Psychology, ISSN 1612-197X, E-ISSN 1557-251XArticle in journal (Refereed) Epub ahead of print
Abstract [en]

Athletes undergoing psychotherapy, such as cognitive behavioural therapy (CBT), is an understudied group. Therefore, the aim of this study was to examine the feasibility of combining a single-case design (SCD) with ecological momentary assessment (EMA) throughout a CBT intervention with athletes. We conducted an SCD with multiple-baselines with three athletes seeking treatment at a university sports psychology clinic. EMA was employed with six daily questionnaires measuring positive and negative affect, and momentary context and activity for 105 days. A feasibility questionnaire and semi-structured interviews were conducted post-intervention to investigate the overall experience of participation and specific features of the design. Feasibility was determined by descriptively investigating the assessment frequency, questionnaire length, compliance, potential response patterns, and perceived burden of the sampling protocol. The three participants completed an average of 455 questionnaires with response rates of 48%, 73%, and 77%, respectively. Compliance varied more over weeks than within week or day. The main reason for compliance was the quickness of completing the questionnaire. The number of daily questionnaires was perceived as more burdensome than the number of items in each questionnaire and the length of the study. The current study is the first to demonstrate the feasibility of combining SCD and EMA during CBT with athletes in a real-world clinical setting. This study contributes to evidence-based care for athletes' mental health by demonstrating a design that enables the analysis of individual processes throughout a CBT intervention. This approach can be adopted to further investigate the effectiveness and mechanisms of psychotherapeutic interventions.

Place, publisher, year, edition, pages
Routledge, 2025.
Keywords [en]
Experience sampling method, intervention, mental health, psychotherapy, sports
National Category
Applied Psychology
Identifiers
URN: urn:nbn:se:umu:diva-245714DOI: 10.1080/1612197X.2025.2563323ISI: 001584290000001Scopus ID: 2-s2.0-105017999053OAI: oai:DiVA.org:umu-245714DiVA, id: diva2:2008736
Funder
Swedish National Centre for Research in Sports, P2024-0154Available from: 2025-10-23 Created: 2025-10-23 Last updated: 2025-10-23

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Ekelund, RebeckaHolmström, StefanStenling, Andreas

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CiteExportLink to record
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