Table 1.

EMA alert follow-up actions for staff

EMA response/ alert	UCSUR staff action	Research team member action
Score of 4 or more on either subscale for 3 consecutive days. (Anxiety subscale: items 2 &3) (Depression subscale: items 5 &6)	Contact within one business day (during business hours): a. Study main office or, if not available: b. Study project office or, if not available: c. Study staff mobile number	Contact the participant directly within 24 hours to determine if further action is necessary.
Two consecutive days of having made no verbal contact with the participant
A response of yes on item 7	Notify the Principal Investigator (PI) a. If the PI is out of town, her voicemail will specify the name and number of a co-I designee.	If deemed necessary, a clinically-licensed research team member will follow up to perform an individualized clinical assessment.