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首页> 外文期刊>International journal of behavioral medicine >Return of the JITAI: Applying a Just-in-Time Adaptive Intervention Framework to the Development of m-Health Solutions for Addictive Behaviors
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Return of the JITAI: Applying a Just-in-Time Adaptive Intervention Framework to the Development of m-Health Solutions for Addictive Behaviors

机译：返回JITAI：对令人上瘾行为的M-Health解决方案的开发应用正常的自适应干预框架

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Abstract Purpose Lapses are strong indicators of later relapse among individuals with addictive disorders, and thus are an important intervention target. However, lapse behavior has proven resistant to change due to the complex interplay of lapse triggers that are present in everyday life. It could be possible to prevent lapses before they occur by using m-Health solutions to deliver interventions in real-time. Method Just-in-time adaptive intervention (JITAI) is an intervention design framework that could be delivered via mobile app to facilitate in-the-moment monitoring of triggers for lapsing, and deliver personalized coping strategies to the user to prevent lapses from occurring. An organized framework is key for successful development of a JITAI. Results Nahum-Shani and colleagues (2014) set forth six core elements of a JITAI and guidelines for designing each: distal outcomes, proximal outcomes, tailoring variables, decision points, decision rules, and intervention options. The primary aim of this paper is to illustrate the use of this framework as it pertains to developing a JITAI that targets lapse behavior among individuals following a weight control diet. Conclusion We will detail our approach to various decision points during the development phases, report on preliminary findings where applicable, identify problems that arose during development, and provide recommendations for researchers who are currently undertaking their own JITAI development efforts. Issues such as missing data, the rarity of lapses, advantages/disadvantages of machine learning, and user engagement are discussed. ]]>
机译：摘要目的失误是随后患有成瘾障碍的个体后来复发的强烈指标，因此是一个重要的干预目标。然而，由于日常生活中存在的失效触发的复杂相互作用，失效行为已被证明是由于变化的变化。可以使用M-Health解决方案在实时提供干预措施之前防止失效。方法即时自适应干预（JITAI）是一种干预设计框架，可以通过移动应用程序传递，以促进对失效的触发器的目前监控，并向用户提供个性化的应对策略，以防止失效。有组织的框架是成功发展jitai的关键。结果Nahum-Shani及其同事（2014）拟议了Jitai的六个核心要素和指导下的指南：远端成果，近端成果，定制变量，决策点，决策规则和干预选择。本文的主要目的是说明本框架的使用，因为它涉及在体重控制饮食后靶向患者之间的延时行为的jitai。结论我们将详细介绍我们在发展阶段的各种决策点的方法，有关在适用的初步调查结果的报告，确定在开发期间出现的问题，并为目前正在进行自己的JITAI开发工作的研究人员提供建议。讨论了缺失数据，失误的罕见，机器学习的优点/缺点等问题。 ]]>

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