Adaptive Interventions with User-Defined Goals for Health Behavior Change
arxiv(2023)
摘要
Promoting healthy lifestyle behaviors remains a major public health concern,
particularly due to their crucial role in preventing chronic conditions such as
cancer, heart disease, and type 2 diabetes. Mobile health applications present
a promising avenue for low-cost, scalable health behavior change promotion.
Researchers are increasingly exploring adaptive algorithms that personalize
interventions to each person's unique context. However, in empirical studies,
mobile health applications often suffer from small effect sizes and low
adherence rates, particularly in comparison to human coaching. Tailoring advice
to a person's unique goals, preferences, and life circumstances is a critical
component of health coaching that has been underutilized in adaptive algorithms
for mobile health interventions. To address this, we introduce a new Thompson
sampling algorithm that can accommodate personalized reward functions (i.e.,
goals, preferences, and constraints), while also leveraging data sharing across
individuals to more quickly be able to provide effective recommendations. We
prove that our modification incurs only a constant penalty on cumulative regret
while preserving the sample complexity benefits of data sharing. We present
empirical results on synthetic and semi-synthetic physical activity simulators,
where in the latter we conducted an online survey to solicit preference data
relating to physical activity, which we use to construct realistic reward
models that leverages historical data from another study. Our algorithm
achieves substantial performance improvements compared to baselines that do not
share data or do not optimize for individualized rewards.
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