Johnson and Johnson Health and Wellness Solutions Inc., New Brunswick, NJ, USA.
Transl Behav Med. 2020 Dec 31;10(6):1538-1548. doi: 10.1093/tbm/ibz109.
The rapid expansion of technology promises to transform the behavior science field by revolutionizing the ways in which individuals can monitor and improve their health behaviors. To fully live into this promise, the behavior science field must address distinct challenges, including: building interventions that are not only scientifically sound but also engaging; using evaluation methods to precisely assess intervention components for intervention optimization; and building personalized interventions that acknowledge and adapt to the dynamic ecosystem of individual and contextual variables that impact behavior change. The purpose of this paper is to provide a framework to address these challenges by leveraging behavior science, human-centered design, and data science expertise throughout the cycle of developing and evaluating digital behavior change interventions (DBCIs). To define this framework, we reviewed current models and practices for intervention development and evaluation, as well as technology industry models for product development. The framework promotes an iterative process, aiming to maximize outcomes by incorporating faster and more frequent testing cycles into the lifecycle of a DBCI. Within the framework provided, we describe each phase, from development to evaluation, to discuss the optimal practices, necessary stakeholders, and proposed evaluation methods. The proposed framework may inform practices in both academia and industry, as well as highlight the need to offer collaborative platforms to ensure successful partnerships that can lead to more effective DBCIs that reach broad and diverse populations.
技术的快速发展有望通过改变个体监测和改善健康行为的方式,彻底改变行为科学领域。为了充分实现这一承诺,行为科学领域必须应对独特的挑战,包括:构建不仅在科学上合理而且引人入胜的干预措施;利用评估方法精确评估干预措施,以优化干预措施;构建个性化的干预措施,承认并适应影响行为改变的个体和情境变量的动态生态系统。本文旨在通过在开发和评估数字行为改变干预措施 (DBCIs) 的整个周期中利用行为科学、以人为中心的设计和数据科学专业知识,提供一个解决这些挑战的框架。为了定义这个框架,我们回顾了当前的干预措施开发和评估模型和实践,以及技术行业的产品开发模型。该框架促进了一个迭代过程,旨在通过在 DBCI 的生命周期中纳入更快、更频繁的测试周期,最大限度地提高结果。在提供的框架内,我们描述了从开发到评估的每个阶段,讨论了最佳实践、必要的利益相关者和建议的评估方法。该框架可以为学术界和工业界的实践提供信息,并强调需要提供协作平台,以确保能够达成成功的合作伙伴关系,从而开发出更有效的 DBCIs,覆盖广泛而多样的人群。