Personalization in digital interventions for behavior change (Preprint)

2020 ◽  
Author(s):  
Huong Ly Tong ◽  
Juan C Quiroz ◽  
A Baki Kocaballi ◽  
Georgina Kennedy ◽  
Enrico Coiera ◽  
...  

UNSTRUCTURED Effective behavior change interventions may require ongoing personalized support for users. Rapid developments in digital technology and artificial intelligence are giving rise to more advanced types of personalized interventions that can analyze large amounts of data to provide real-time, contextualized support. Despite growing research attention, there is still a lack of consensus in the literature about what is considered a personalized system, and how to design such system. This paper provides a definition of personalization and proposes a set of building blocks to design and implement personalized behavior change interventions, drawing on concepts from control systems engineering. We also discuss existing challenges in evaluating the net effects of personalized interventions and outline future directions in this field.

2020 ◽  
Author(s):  
Michael S Amato ◽  
Sherine El-Toukhy ◽  
Lorien C Abroms ◽  
Henry Goodfellow ◽  
Alex T Ramsey ◽  
...  

BACKGROUND Digital behavior change interventions have demonstrated effectiveness for smoking cessation and reducing alcohol intake, which ultimately reduce cancer risk. Leveraging electronic health records (EHR) to identify at-risk patients and increasing the reach of digital interventions through proactive electronic outreach provide a novel approach that may increase the number of individuals who engage with evidence-based treatment. OBJECTIVE This study aims to increase the reach of digital behavior change interventions by implementing a proactive electronic message system for smoking cessation and alcohol reduction among a large, at-risk population identified through an acute hospital EHR. METHODS This protocol describes a 3-phase, mixed-methods implementation study to assess the acceptability, feasibility, and reach of a proactive electronic message system to digital interventions using a hospital’s EHR system to identify eligible patients. In Phase 1, we will conduct focus group discussions with patients and hospital staff to assess the overall acceptability of the electronic message system. In Phase 2, we will conduct a descriptive analysis of the patient population in the hospital EHR regarding target risk behaviors and other person-level characteristics to determine the project’s feasibility and potential reach. In Phase 3, we will send proactive messages to patients identified as smokers or risky drinkers. Messages will encourage and provide access to behavior change mobile apps via an embedded link; the primary outcome will be the proportion of participants who click on the link to access information about the apps. RESULTS At the time of initial protocol submission, data collection was complete, but analysis had not begun. This study was funded by Cancer Research UK from April 2019 to March 2020. Health Research Authority approval was granted in June 2019. CONCLUSIONS Increasing the reach of digital behavior change interventions can improve population health by reducing the burden of preventable death and disease. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/23669


2021 ◽  
Author(s):  
Giuliano Duarte-Anselmi ◽  
Luis E. Ortiz-Muñoz ◽  
Oriana Figueroa ◽  
Denise Laroze

This project offers a series of subprojects aimed at improving and strengthening public health through the design, implementation and evaluation of new and innovative evidence-based interventions in relation to: decision-making in health, sustainable development, planetary health, change of the behavior and digital interventions. It also includes experimental studies on decision architecture, behavior design, technological persuasion, theories of behavior change and "nudge" associated with prevention and promotion of global health.


2021 ◽  
Vol 7 ◽  
pp. 205520762110297
Author(s):  
Ulrika Müssener

Digitalization and high mobile phone ownership globally have radically changed communication in all areas of society, including health care. Previous research has shown the effectiveness of behavior change interventions delivered by mobile phones and has highlighted advantages, such as that they require fewer resources than traditional face-to-face interventions and can be delivered at any time. One of the foremost questions pertaining to unsupported digital interventions is whether they can ever be comparable to in-person interventions. Little is known about the therapeutic alliance and the specific qualities of encounters in digital interactions for behavior change. Human interactions in digital interventions and their relationship with outcomes require further investigation. This paper aims to encourage critical reflection and further consideration of mHealth behavior change interventions in a digital age, when even the professional is excluded from the intervention. Questions are raised on the feelings associated with digital therapeutic relationships and how such interactions might affect user’s capacity for behavioral change. Some technological features and human-like considerations for enhancing digital encounters in mHealth interventions are given. Finally, suggestions for future research to facilitate the digital encounter in mHealth behavior change interventions is presented.


2016 ◽  
Vol 51 (5) ◽  
pp. 814-815 ◽  
Author(s):  
Lucy Yardley ◽  
Tanzeem Choudhury ◽  
Kevin Patrick ◽  
Susan Michie

10.2196/23669 ◽  
2020 ◽  
Vol 9 (12) ◽  
pp. e23669
Author(s):  
Michael S Amato ◽  
Sherine El-Toukhy ◽  
Lorien C Abroms ◽  
Henry Goodfellow ◽  
Alex T Ramsey ◽  
...  

Background Digital behavior change interventions have demonstrated effectiveness for smoking cessation and reducing alcohol intake, which ultimately reduce cancer risk. Leveraging electronic health records (EHR) to identify at-risk patients and increasing the reach of digital interventions through proactive electronic outreach provide a novel approach that may increase the number of individuals who engage with evidence-based treatment. Objective This study aims to increase the reach of digital behavior change interventions by implementing a proactive electronic message system for smoking cessation and alcohol reduction among a large, at-risk population identified through an acute hospital EHR. Methods This protocol describes a 3-phase, mixed-methods implementation study to assess the acceptability, feasibility, and reach of a proactive electronic message system to digital interventions using a hospital’s EHR system to identify eligible patients. In Phase 1, we will conduct focus group discussions with patients and hospital staff to assess the overall acceptability of the electronic message system. In Phase 2, we will conduct a descriptive analysis of the patient population in the hospital EHR regarding target risk behaviors and other person-level characteristics to determine the project’s feasibility and potential reach. In Phase 3, we will send proactive messages to patients identified as smokers or risky drinkers. Messages will encourage and provide access to behavior change mobile apps via an embedded link; the primary outcome will be the proportion of participants who click on the link to access information about the apps. Results At the time of initial protocol submission, data collection was complete, but analysis had not begun. This study was funded by Cancer Research UK from April 2019 to March 2020. Health Research Authority approval was granted in June 2019. Conclusions Increasing the reach of digital behavior change interventions can improve population health by reducing the burden of preventable death and disease. International Registered Report Identifier (IRRID) DERR1-10.2196/23669


Author(s):  
Robert D. Enright ◽  
Jacqueline Y. Song

The psychology of forgiveness originated from the creative and important work on the development of justice initiated by Piaget in 1932 and extended by Kohlberg in 1969. The scientific study of forgiveness is quite new, having emerged in print in 1989, with an examination of the developmental progression in children’s, adolescents’, and adults’ thinking about the necessary conditions for them to offer forgiveness to another person. In this chapter, the authors first review the definition of forgiveness, followed by this early cognitive work. They then turn to a discussion of the measurement of forgiveness correlates of forgiveness. The practical application of this construct is seen in the development of forgiveness therapy and forgiveness education, which the authors discuss in light of the empirical findings. Future directions for forgiveness studies are considered.


2020 ◽  
Vol 54 (12) ◽  
pp. 942-947
Author(s):  
Pol Mac Aonghusa ◽  
Susan Michie

Abstract Background Artificial Intelligence (AI) is transforming the process of scientific research. AI, coupled with availability of large datasets and increasing computational power, is accelerating progress in areas such as genetics, climate change and astronomy [NeurIPS 2019 Workshop Tackling Climate Change with Machine Learning, Vancouver, Canada; Hausen R, Robertson BE. Morpheus: A deep learning framework for the pixel-level analysis of astronomical image data. Astrophys J Suppl Ser. 2020;248:20; Dias R, Torkamani A. AI in clinical and genomic diagnostics. Genome Med. 2019;11:70.]. The application of AI in behavioral science is still in its infancy and realizing the promise of AI requires adapting current practices. Purposes By using AI to synthesize and interpret behavior change intervention evaluation report findings at a scale beyond human capability, the HBCP seeks to improve the efficiency and effectiveness of research activities. We explore challenges facing AI adoption in behavioral science through the lens of lessons learned during the Human Behaviour-Change Project (HBCP). Methods The project used an iterative cycle of development and testing of AI algorithms. Using a corpus of published research reports of randomized controlled trials of behavioral interventions, behavioral science experts annotated occurrences of interventions and outcomes. AI algorithms were trained to recognize natural language patterns associated with interventions and outcomes from the expert human annotations. Once trained, the AI algorithms were used to predict outcomes for interventions that were checked by behavioral scientists. Results Intervention reports contain many items of information needing to be extracted and these are expressed in hugely variable and idiosyncratic language used in research reports to convey information makes developing algorithms to extract all the information with near perfect accuracy impractical. However, statistical matching algorithms combined with advanced machine learning approaches created reasonably accurate outcome predictions from incomplete data. Conclusions AI holds promise for achieving the goal of predicting outcomes of behavior change interventions, based on information that is automatically extracted from intervention evaluation reports. This information can be used to train knowledge systems using machine learning and reasoning algorithms.


Author(s):  
Ana Paula Delgado Bomtempo Batalha ◽  
Isabela Coelho Ponciano ◽  
Gabriela Chaves ◽  
Diogo Carvalho Felício ◽  
Raquel Rodrigues Britto ◽  
...  

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