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Refining an algorithm-powered just-in-time adaptive weight control intervention: A randomized controlled trial evaluating model performance and behavioral outcomes
Journal article   Open access   Peer reviewed

Refining an algorithm-powered just-in-time adaptive weight control intervention: A randomized controlled trial evaluating model performance and behavioral outcomes

Stephanie P Goldstein, J Graham Thomas, Gary D Foster, Gabrielle Turner-McGrievy, Meghan L Butryn, James D Herbert, Gerald J Martin and Evan M Forman
Health informatics journal, v 26(4), pp 2315-2331
Dec 2020
PMID: 32026745
url
https://doi.org/10.1177/1460458220902330View
Published, Version of Record (VoR)CC BY-NC V4.0 Open

Abstract

Humans Obesity - therapy Overweight - therapy Weight Loss Weight Reduction Programs Algorithms
Suboptimal weight losses are partially attributable to lapses from a prescribed diet. We developed an app (OnTrack) that uses ecological momentary assessment to measure dietary lapses and relevant lapse triggers and provides personalized intervention using machine learning. Initially, tension between user burden and complete data was resolved by presenting a subset of lapse trigger questions per ecological momentary assessment survey. However, this produced substantial missing data, which could reduce algorithm performance. We examined the effect of more questions per ecological momentary assessment survey on algorithm performance, app utilization, and behavioral outcomes. Participants with overweight/obesity (  = 121) used a 10-week mobile weight loss program and were randomized to OnTrack-short (i.e. 8 questions/survey) or OnTrack-long (i.e. 17 questions/survey). Additional questions reduced ecological momentary assessment adherence; however, increased data completeness improved algorithm performance. There were no differences in perceived effectiveness, app utilization, or behavioral outcomes. Minimal differences in utilization and perceived effectiveness likely contributed to similar behavioral outcomes across various conditions.

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25 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Health Care Sciences & Services
Medical Informatics
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