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Optimizing Digital Integrated Care via Micro‐Randomized Trials
Author(s) -
Walton Ashley,
NahumShani Inbal,
Crosby Lori,
Klasnja Predrag,
Murphy Susan
Publication year - 2018
Publication title -
clinical pharmacology and therapeutics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.941
H-Index - 188
eISSN - 1532-6535
pISSN - 0009-9236
DOI - 10.1002/cpt.1079
Subject(s) - mhealth , psychological intervention , randomized controlled trial , intervention (counseling) , digital health , health care , telemedicine , medicine , psychology , applied psychology , computer science , nursing , surgery , economics , economic growth
Mobile health (mHealth) interventions are a promising tool in providing digitally mediated integrative care. They can extend care outside of the clinic by providing reminders to take medications, assisting in managing symptoms, and supporting healthy behaviors including physical activity, healthy eating, and stress management. mHealth interventions can adapt the delivery of care across time in order to optimize treatment effectiveness. Yet there exists limited empirical evidence useful to the development of adaptive mHealth interventions. This article describes a new randomized trial design, the Micro‐Randomized Trial (MRT), for informing the development of mHealth interventions. We provide examples of scientific questions important to the development of an mHealth intervention, and describe how these questions can be answered using an MRT.