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Published on: April 19, 2019
Advancing Behavioral Intervention and Theory Development for Mobile Health: The HeartSteps II Protocol
Donna Spruijt-Metz1, Benjamin M Marlin2, Misha Pavel3,4
1Center for Economic and Social Research, Department of Psychology, University of Southern California, Los Angeles, CA 90089, USA.
This study introduces Just-in-Time Adaptive Interventions (JITAI) using mobile technology to tailor health behavior support. It models intensive longitudinal data (ILD) for real-time, individualized interventions, advancing health behavior theory.
Area of Science:
- Digital Health
- Behavioral Science
- Mobile Health Interventions
Background:
- Mobile and wearable technologies enable new Just-in-Time Adaptive Interventions (JITAI).
- JITAIs provide timely, tailored support based on continuously acquired Intensive Longitudinal Data (ILD).
- Modeling ILD is crucial for understanding and intervening in health behaviors.
Purpose of the Study:
- Develop modeling approaches for dynamic health behavior theories.
- Create a testbed for JITAI learning algorithms.
- Individualize intervention delivery in real-time.
Main Methods:
- A year-long deployment of the HeartSteps JITAI.
- Study involves 96 sedentary, overweight adults.
- Micro-Randomized Trial (MRT) design.
Main Results:
- An innovative modeling paradigm was developed.
- The paradigm models and utilizes ILD for real-time tailoring.
- Demonstrated feasibility of individualized JITAI.
Conclusions:
- Advanced modeling approaches for JITAI are presented.
- ILD can be effectively used for real-time, individualized health behavior interventions.
- The study supports the development of dynamic, data-driven health interventions.
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