Evidence map›Paper›PMID 33085767›Full record

SynthesisTranslational behavioral medicine2021

Systematic review of context-aware digital behavior change interventions to improve health.

Kelly J Thomas Craig, Laura C Morgan, Ching-Hua Chen, Susan Michie, Nicole Fusco, Jane L Snowdon, Elisabeth Scheufele, Thomas Gagliardi, Stewart Sill

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Translational behavioral medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 7 pooled it
11.3field-weighted citation impact, top 1% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 7 syntheses or guidelines pooled it, 89 citations in OpenAlex.

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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

9 authors at 3 institutions in 2 countries.

Kelly J Thomas CraigCenter for AI, Research, and Evaluation, IBM Watson Health, Cambridge, MA, USA.ORCID 0000-0002-9954-2795
Laura C MorganOncology, Imaging, and Life Sciences, IBM Watson Health, Cambridge, MA, USA.
Ching-Hua ChenComputational Health Behavior and Decision Sciences, IBM Research, Yorktown Heights, NY, USA.
Susan MichieCentre for Behavior Change, University College London, London, UK.ORCID 0000-0003-0063-6378
Nicole FuscoOncology, Imaging, and Life Sciences, IBM Watson Health, Cambridge, MA, USA.
Jane L SnowdonCenter for AI, Research, and Evaluation, IBM Watson Health, Cambridge, MA, USA.
Elisabeth ScheufeleCenter for AI, Research, and Evaluation, IBM Watson Health, Cambridge, MA, USA.
Thomas GagliardiCenter for AI, Research, and Evaluation, IBM Watson Health, Cambridge, MA, USA.
Stewart SillOncology, Imaging, and Life Sciences, IBM Watson Health, Cambridge, MA, USA.
IBM (United States) · USDecision Sciences (United States) · USUniversity College London · GB

Funding

Medical Research Council G0901474
6 · The paper itself

Abstract

Health risk behaviors are leading contributors to morbidity, premature mortality associated with chronic diseases, and escalating health costs. However, traditional interventions to change health behaviors often have modest effects, and limited applicability and scale. To better support health improvement goals across the care continuum, new approaches incorporating various smart technologies are being utilized to create more individualized digital behavior change interventions (DBCIs). The purpose of this study is to identify context-aware DBCIs that provide individualized interventions to improve health. A systematic review of published literature (2013-2020) was conducted from multiple databases and manual searches. All included DBCIs were context-aware, automated digital health technologies, whereby user input, activity, or location influenced the intervention. Included studies addressed explicit health behaviors and reported data of behavior change outcomes. Data extracted from studies included study design, type of intervention, including its functions and technologies used, behavior change techniques, and target health behavior and outcomes data. Thirty-three articles were included, comprising mobile health (mHealth) applications, Internet of Things wearables/sensors, and internet-based web applications. The most frequently adopted behavior change techniques were in the groupings of feedback and monitoring, shaping knowledge, associations, and goals and planning. Technologies used to apply these in a context-aware, automated fashion included analytic and artificial intelligence (e.g., machine learning and symbolic reasoning) methods requiring various degrees of access to data. Studies demonstrated improvements in physical activity, dietary behaviors, medication adherence, and sun protection practices. Context-aware DBCIs effectively supported behavior change to improve users' health behaviors.

Indexed as

Mobile ApplicationsTelemedicineArtificial IntelligenceBehavior TherapyHealth BehaviorHumansArtificial intelligenceDigital behavior change interventionsInternet of ThingsMachine learningmHealth

Identifiers

PMID33085767
PMCPMC8158169
OpenAlexW3093518649

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.