Adaptive Interventions with User-Defined Goals for Health Behavior Change

TL;DR

This paper introduces a personalized adaptive algorithm for mobile health interventions that tailors recommendations to individual goals and preferences, improving effectiveness and adherence in promoting healthy behaviors.

Contribution

We develop a Thompson sampling algorithm capable of handling personalized reward functions and data sharing, with proven theoretical guarantees and demonstrated empirical improvements.

Findings

Significant performance gains over non-sharing baselines

Effective personalization of health recommendations

Maintains low regret with data sharing

Abstract

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.