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An Evaluation of the Effect of App-Based Exercise Prescription Using Reinforcement Learning on Satisfaction and
Cailbhe Doherty1,2, Rory Lambe1,2, Ben O'Grady1,2
1School of Public Health, Physiotherapy and Sports Science, University College Dublin, Dublin, Ireland.
JMIR Mhealth and Uhealth
|December 2, 2024
Summary
Reinforcement learning (RL) in a smartphone app significantly boosted exercise intensity and user satisfaction. Personalized, ML-driven fitness programs show promise for public health interventions.
Area of Science:
- Digital Health
- Exercise Science
- Machine Learning
Background:
- Sedentary lifestyles necessitate innovative public health interventions like smartphone apps for personalized exercise.
- Mobile technologies offer a scalable, cost-effective method for remote exercise program delivery.
- Machine learning (ML), particularly reinforcement learning (RL), can enhance user engagement and program effectiveness through personalization.
Purpose of the Study:
- To evaluate the i80 BPM app's impact on user satisfaction and exercise intensity.
- To assess the effectiveness of ML-generated exercise programs for remote prescription.
Main Methods:
- Participants completed 12 weeks of exercise, alternating between RL-individualized and non-individualized sessions.
- Exercise intensity and user satisfaction were measured using validated scales.
- Randomized crossover design with 62 participants.
Main Results:
- The RL-individualized condition led to significantly higher exercise intensity (mean 5.82 vs. 5.19).
- Participants reported greater satisfaction in the RL condition (mean 4.0 vs. 3.73).
- 62 participants completed 559 sessions over 12 weeks.
Conclusions:
- RL effectively increases exercise intensity and enjoyment, demonstrating ML's potential in remote interventions.
- Personalized exercise prescriptions improve adherence and satisfaction, crucial for long-term fitness.
- App-based, personalized exercise may outperform traditional methods, impacting public health by reducing inactivity.

