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Just-in-Time Adaptive Interventions (JITAIs) in Mobile Health: Key Components and Design Principles for Ongoing Health Behavior Support.
Nahum-Shani, Inbal; Smith, Shawna N; Spring, Bonnie J; Collins, Linda M; Witkiewitz, Katie; Tewari, Ambuj; Murphy, Susan A.
Afiliação
  • Nahum-Shani I; Institute for Social Research, University of Michigan, Ann Arbor, MI, USA.
  • Smith SN; Division of General Medicine, Department of Internal Medicine and Institute for Social Research, University of Michigan, Ann Arbor, MI, USA.
  • Spring BJ; Feinberg School of Medicine, Northwestern University, Evanston, IL, USA.
  • Collins LM; TheMethodology Center andDepartment ofHuman Development & Family Studies, Penn State, State College, PA, USA.
  • Witkiewitz K; Department of Psychology, University of New Mexico, Albuquerque, NM, USA.
  • Tewari A; Department of Statistics and Department of EECS, University of Michigan, Ann Arbor, MI, USA.
  • Murphy SA; Department of Statistics, and Institute for Social Research,University of Michigan, Ann Arbor, MI, USA.
Ann Behav Med ; 52(6): 446-462, 2018 05 18.
Article em En | MEDLINE | ID: mdl-27663578
ABSTRACT

Background:

The just-in-time adaptive intervention (JITAI) is an intervention design aiming to provide the right type/amount of support, at the right time, by adapting to an individual's changing internal and contextual state. The availability of increasingly powerful mobile and sensing technologies underpins the use of JITAIs to support health behavior, as in such a setting an individual's state can change rapidly, unexpectedly, and in his/her natural environment.

Purpose:

Despite the increasing use and appeal of JITAIs, a major gap exists between the growing technological capabilities for delivering JITAIs and research on the development and evaluation of these interventions. Many JITAIs have been developed with minimal use of empirical evidence, theory, or accepted treatment guidelines. Here, we take an essential first step towards bridging this gap.

Methods:

Building on health behavior theories and the extant literature on JITAIs, we clarify the scientific motivation for JITAIs, define their fundamental components, and highlight design principles related to these components. Examples of JITAIs from various domains of health behavior research are used for illustration.

Conclusions:

As we enter a new era of technological capacity for delivering JITAIs, it is critical that researchers develop sophisticated and nuanced health behavior theories capable of guiding the construction of such interventions. Particular attention has to be given to better understanding the implications of providing timely and ecologically sound support for intervention adherence and retention.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Projetos de Pesquisa / Medicina do Comportamento / Comportamentos Relacionados com a Saúde / Cooperação do Paciente / Telemedicina Tipo de estudo: Guideline Limite: Humans Idioma: En Ano de publicação: 2018 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Projetos de Pesquisa / Medicina do Comportamento / Comportamentos Relacionados com a Saúde / Cooperação do Paciente / Telemedicina Tipo de estudo: Guideline Limite: Humans Idioma: En Ano de publicação: 2018 Tipo de documento: Article