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
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.
Refining an algorithm-powered just-in-time adaptive weight control intervention: A randomized controlled trial evaluating model performance and behavioral outcomes
Creators
Stephanie P Goldstein (Corresponding Author) - Brown University
J Graham Thomas - Brown University
Gary D Foster - University of Pennsylvania
Gabrielle Turner-McGrievy - University of South Carolina System
Meghan L Butryn - Drexel University
James D Herbert - University of New England
Gerald J Martin
Evan M Forman - Drexel University
Publication Details
Health informatics journal, v 26(4), pp 2315-2331
Publisher
Sage
Number of pages
17
Grant note
F32 HL143954 / NHLBI NIH HHS
Resource Type
Journal article
Language
English
Academic Unit
Center for Weight, Eating and Lifestyle Science (WELL) [Historical]
Web of Science ID
WOS:000512244000001
Scopus ID
2-s2.0-85079175136
Other Identifier
991019168255704721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool: