How can digital citizen science approaches improve ethical smartphone use surveillance among youth: traditional surveys versus ecological momentary assessments

Background Ubiquitous use of smartphones among youth poses significant challenges related to non-communicable diseases, including poor mental health. Although traditional survey measures can be used to assess smartphone use among youth, they are subject to recall bias. This study aims to compare self-reported smartphone use via retrospective modified traditional recall survey and prospective Ecological Momentary Assessments (EMAs) among youth.

This study uses data from the Smart Platform, which engages with youth as citizen scientists. Youth (N=436) aged 13-21 years in two urban jurisdictions in Canada (Regina and Saskatoon) engaged with our research team using a custom-built application via their own smartphones to report on a range of behaviours and outcomes on eight consecutive days. Youth reported smartphone use utilizing a traditional validated measure, which was modified to capture retrospective smartphone use on both weekdays and weekend days. In addition, daily EMAs were also time-triggered over a period of eight days to capture prospective smartphone use. Demographic, behavioural, and contextual factors were also collected. Data analyses included t-test and linear regression using SPSS statistical software.

There was a significant difference between weekdays, weekends and overall smartphone use reported retrospectively and prospectively (p-value= <0.001), with youth reporting less smartphone use via EMAs. Overall retrospective smartphone use was significantly associated with not having a part-time job (β=0.342, 95%[CI]=0.146-1.038, p-value =0.010) and participating in a school sports team (β=0.269, 95%[CI]= 0.075-0.814, p-value=0.019). However, prospective smartphone use reported via EMAs was not associated with any behavioural and contextual factors.

The findings of this study have implications for appropriately understanding and monitoring smartphone use in the digital age among youth. EMAs can potentially minimize recall bias of smartphone use among youth, and other behaviours. More importantly, digital citizen science approaches that engage large populations of youth using their own smartphones can transform how we ethically monitor and mitigate the impact of excessive smartphone use. Author Summary Use of ubiquitous digital devices, particularly smartphones, has experienced an exponential increase among youth, a phenomenon that continues to influence youth health. Although retrospective measures have been used to understand smartphone use among youth, they are prone to measurement and compliance biases. There has been a growing interest in using ecological momentary assessments (EMAs) to assess smartphone to minimize biases associated with retrospective measures. This study uses the smart framework, which integrates citizen science, community based participatory research and systems science to ethically engage with youth citizen scientists using their own smartphones to understand smartphone use behaviours – reported by the same cohort of youth using both retrospective and prospective measures. The findings show a significant difference between smartphone use reported through retrospective and prospective EMAs, with youth reporting more smartphone use via retrospective measures. Furthermore, there were differences in contextual and behavioural factors that were associated with smartphone use reported via retrospective and prospective measures. The findings have implications for appropriately understanding and monitoring smartphone use in the digital age among youth. More importantly, digital citizen science approaches that engage large populations of youth using their own smartphones can transform how we ethically monitor and mitigate the impact of excessive smartphone use. Competing Interest Statement The authors have declared no competing interest. Funding Statement Yes Author Declarations I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained. Yes The details of the IRB/oversight body that provided approval or exemption for the research described are given below: The research ethics approval for the Smart Platform was approved by the Research Ethics Boards of the Universities of Regina and Saskatchewan (REB # 2017–029). I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals. Yes I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance). Yes I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable. Yes Data Availability The data that underpins the results of this study can be accessed through the following link: https://figshare.com/articles/dataset/RetrtoVsPro_Dataset_xlsx/24969579