{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T10:57:19Z","timestamp":1793876239772,"version":"4.7.0"},"reference-count":50,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2022,6,13]],"date-time":"2022-06-13T00:00:00Z","timestamp":1655078400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and objective<\/jats:title><jats:p>Recall of breathlessness is important for clinical care but might differ from the experienced (momentary) symptoms. This study aimed to characterize the relationship between momentary breathlessness ratings and the recall of the experience. It is hypothesized that recall is influenced by the <jats:italic>peak<\/jats:italic> (worst) and <jats:italic>end<\/jats:italic> (most recent) ratings of momentary breathlessness (peak\u2010end rule).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study used mobile ecological momentary assessment (mEMA) for assessing breathlessness in daily life through an application installed on participants' mobile phones. Breathlessness ratings (0\u201310 numerical rating scale) were recorded throughout the day and recalled each night and at the end of the week. Analyses were performed using regular and mixed linear regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Eighty\u2010four people participated. Their mean age was 64.4\u2009years, 60% were female and 98% had modified Medical Research Council (mMRC)\u2009\u2265\u20091. The mean number of momentary ratings of breathlessness provided was 7.7 ratings\/participant\/day. Recalled breathlessness was associated with the <jats:italic>mean<\/jats:italic>, <jats:italic>peak<\/jats:italic> and <jats:italic>end<\/jats:italic> values of the day. The <jats:italic>mean<\/jats:italic> was most closely associated with the daily recall. Associations were strong for weekly values: <jats:italic>peak breathlessness<\/jats:italic> (beta\u00a0=\u00a00.95, <jats:italic>r<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u20090.57); <jats:italic>mean<\/jats:italic> (beta\u00a0=\u00a00.91, <jats:italic>r<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u20090.53); and <jats:italic>end<\/jats:italic> (beta\u00a0=\u00a00.67, <jats:italic>r<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u20090.48); <jats:italic>p<\/jats:italic>\u00a0&lt;\u20090.001 for all. Multivariate analysis showed that <jats:italic>peak breathlessness<\/jats:italic> had the strongest influence on the breathlessness recalled at the end of the week.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Over 1\u2009week, recalled breathlessness is most strongly influenced by the <jats:italic>peak breathlessness<\/jats:italic>; over 1\u2009day, it is <jats:italic>mean breathlessness<\/jats:italic> that participants most readily recalled.<\/jats:p><\/jats:sec>","DOI":"10.1111\/resp.14313","type":"journal-article","created":{"date-parts":[[2022,6,14]],"date-time":"2022-06-14T00:03:39Z","timestamp":1655165019000},"page":"874-881","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Comparing recalled versus experienced symptoms of breathlessness ratings: An ecological assessment study using mobile phone technology"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1863-2033","authenticated-orcid":false,"given":"Jacob","family":"Sandberg","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences, Division of Respiratory Medicine &amp; Allergology Lund University  Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josefin","family":"Sundh","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine, School of Medical Sciences \u00d6rebro University  \u00d6rebro Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9870-8477","authenticated-orcid":false,"given":"Peter","family":"Anderberg","sequence":"additional","affiliation":[{"name":"Department of Health Blekinge Institute of Technology  Karlskrona Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1988-1250","authenticated-orcid":false,"given":"David C.","family":"Currow","sequence":"additional","affiliation":[{"name":"Wolfson Palliative Care Research Centre, Hull York Medical School University of Hull  Hull UK"},{"name":"IMPACCT, Faculty of Science, Medicine and Health University of Wollongong  Wollongong New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6204-9158","authenticated-orcid":false,"given":"Miriam","family":"Johnson","sequence":"additional","affiliation":[{"name":"Wolfson Palliative Care Research Centre, Hull York Medical School University of Hull  Hull UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Lansing","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Arizona  Tucson Arizona 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