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Multidomain Behavioral Change Digital Coaching for Chronic Disease Management in Patients With Type 2 Diabetes:
Konstantina Kostopoulou1, Danae Lekka1, Aristodemos Pnevmatikakis1
1Innovation Sprint Srl, Brussels, Belgium.
JMIR Formative Research
|July 9, 2025
Summary
A new multiagent system offers personalized digital coaching for healthier lifestyles, showing significant improvements in type 2 diabetes patients. This approach enhances health outcomes through data-driven strategies and tailored interventions.
Area of Science:
- Digital Health
- Behavioral Science
- Artificial Intelligence in Healthcare
Background:
- Unhealthy lifestyles drive global health issues, necessitating effective behavior change strategies.
- Cost-effective digital coaching for sustained health behavior change is currently limited.
Purpose of the Study:
- To present a holistic framework for designing and executing behavior change strategies using a multiagent reasoning system.
- To optimize digital coaching techniques based on individual assessments and data-driven decision-making.
Main Methods:
- A multiagent system was designed based on behavioral change theories to promote sustainable lifestyle changes.
- Healthentia, a certified medical device software, integrated evidence-based practices for personalized digital coaching in chronic disease management.
- The system enabled remote monitoring, data-driven content selection, and adaptive coaching based on patient progress.
Main Results:
- Application in type 2 diabetes patients showed significant reductions in fasting glucose (average -17.3 mg/dL) and weight (-2.89 kg).
- These improvements demonstrated large effect sizes (Cohen d ≈ 1.05) and statistical significance (P=.01).
- Personalized content delivery was highly accepted, with 71.66% of content being well-received by patients.
Conclusions:
- The multiagent system shows promise for improving health outcomes via personalized digital coaching in type 2 diabetes.
- Future work includes optimizing the system, further evaluating its efficacy (e.g., with HbA1c), and expanding to other chronic conditions.
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