Evidence map›Paper›PMID 30590757›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2019

An expandable approach for design and personalization of digital, just-in-time adaptive interventions.

Suat Gonul, Tuncay Namli, Sasja Huisman, Gokce Banu Laleci Erturkmen, Ismail Hakki Toroslu, Ahmet Cosar

Registry-linked trialAbstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07574463 (Development and Evaluation of a Just-in-Time Adaptive Digital Exercise Rehabilitation Program for Children After Congenital Heart Disease Surgery), which is not on this map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07574463 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Development and Evaluation of a Just-in-Time Adaptive Digital Exercise Rehabilitation Program for Children After Congenital Heart Disease Surgery

TypeinterventionalSponsorThe Children's Hospital of Zhejiang University School of MedicineRan2026 to 2029Enrolled130ConditionsCongenital Heart Disease (CHD), Congenital Heart Disease in ChildrenArmsJITAI-Based Digital Exercise Rehabilitation Program, Standard Exercise Rehabilitation Program
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  16. Investigating the Role of Context in the Delivery of Text Messages for Supporting Psychological Wellbeing.Proceedings of the SIGCHI conference on human factors in computing systems. CHI Conference · 2023
    Article
  17. Adaptive interventions for opioid prescription management and consumption monitoring.Journal of the American Medical Informatics Association : JAMIA · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Suat GonulDepartment of Computer Engineering, Middle East Technical University, Ankara, Turkey.
Tuncay NamliSRDC Software Research & Development and Consultancy Corp., Ankara, Turkey.
Sasja HuismanDepartment of Internal Medicine (Endocrinology), Leiden University Medical Center, Leiden, the Netherlands.
Gokce Banu Laleci ErturkmenSRDC Software Research & Development and Consultancy Corp., Ankara, Turkey.
Ismail Hakki TorosluDepartment of Computer Engineering, Middle East Technical University, Ankara, Turkey.
Ahmet CosarDepartment of Computer Engineering, Middle East Technical University, Ankara, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: We aim to deliver a framework with 2 main objectives: 1) facilitating the design of theory-driven, adaptive, digital interventions addressing chronic illnesses or health problems and 2) producing personalized intervention delivery strategies to support self-management by optimizing various intervention components tailored to people's individual needs, momentary contexts, and psychosocial variables. Materials and Methods: We propose a template-based digital intervention design mechanism enabling the configuration of evidence-based, just-in-time, adaptive intervention components. The design mechanism incorporates a rule definition language enabling experts to specify triggering conditions for interventions based on momentary and historical contextual/personal data. The framework continuously monitors and processes personal data space and evaluates intervention-triggering conditions. We benefit from reinforcement learning methods to develop personalized intervention delivery strategies with respect to timing, frequency, and type (content) of interventions. To validate the personalization algorithm, we lay out a simulation testbed with 2 personas, differing in their various simulated real-life conditions. Results: We evaluate the design mechanism by presenting example intervention definitions based on behavior change taxonomies and clinical guidelines. Furthermore, we provide intervention definitions for a real-world care program targeting diabetes patients. Finally, we validate the personalized delivery mechanism through a set of hypotheses, asserting certain ways of adaptation in the delivery strategy, according to the differences in simulation related to personal preferences, traits, and lifestyle patterns. Conclusion: While the design mechanism is sufficiently expandable to meet the theoretical and clinical intervention design requirements, the personalization algorithm is capable of adapting intervention delivery strategies for simulated real-life conditions.

Indexed as

Artificial IntelligencePrecision MedicineSelf-ManagementTelemedicineChronic DiseaseHealth BehaviorHumansSoftware

Identifiers

PMID30590757
PMCPMC6351973

What Socratic holds

Textmetadata
LicenceCC BY-NC
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.