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Just-in-Time but Not Too Much: Determining Treatment Timing in Mobile Health

Published: 27 December 2018 Publication History

Abstract

There is a growing scientific interest in the use and development of just-in-time adaptive interventions in mobile health. These mobile interventions typically involve treatments, such as reminders, activity suggestions and motivational messages, delivered via notifications on a smartphone or a wearable to help users make healthy decisions in the moment. To be effective in influencing health, the combination of the right treatment and right delivery time is likely critical. A variety of prediction/detection algorithms have been developed with the goal of pinpointing the best delivery times. The best delivery times might be times of greatest risk and/or times at which the user might be most receptive to the treatment notifications. In addition, to avoid over burdening users, there is of ten a constraint on the number of treatments that should be provided per time interval (e.g., day or week). Yet there may be many more times at which the user is predicted or detected to be at risk and/or receptive. The goal then is to spread treatment uniformly across all of these times. In this paper, we introduce a method that spreads the treatment uniformly across the delivery times. This method can also be used to provide data for learning whether the treatments are effective at the delivery times. This work is motivated by our work on two mobile health studies, a smoking cessation study and a physical activity study.

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      cover image Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies
      Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies  Volume 2, Issue 4
      December 2018
      1169 pages
      EISSN:2474-9567
      DOI:10.1145/3301777
      Issue’s Table of Contents
      Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than the author(s) must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected].

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      Publication History

      Published: 27 December 2018
      Accepted: 01 October 2018
      Revised: 01 August 2018
      Received: 01 May 2018
      Published in IMWUT Volume 2, Issue 4

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      Author Tags

      1. Budget Constraint
      2. Just-in-Time Adaptive Intervention
      3. Mobile Health
      4. Treatment Timing

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      • (2023)How Notifications Affect Engagement With a Behavior Change App: Results From a Micro-Randomized TrialJMIR mHealth and uHealth10.2196/3834211(e38342)Online publication date: 9-Jun-2023
      • (2023)Microrandomized Trials: Developing Just-in-Time Adaptive Interventions for Better Public HealthAmerican Journal of Public Health10.2105/AJPH.2022.307150113:1(60-69)Online publication date: Jan-2023
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