van 't Klooster Jan-Willem J R, Rabago Mayer Lucia M, Klaassen Bart, Kelders Saskia M
Faculty of Behavioural, Management and Social Sciences, University of Twente, Enschede, Netherlands.
Front Digit Health. 2024 Jan 30;5:1304089. doi: 10.3389/fdgth.2023.1304089. eCollection 2023.
Mobile e-health technologies have proven to provide tailored assessment, intervention, and coaching capabilities for various usage scenarios. Thanks to their spread and adoption, smartphones are one of the most important carriers for such applications.
However, the process of design, realization, evaluation, and implementation of these e-health solutions is wicked and challenging, requiring multiple stakeholders and expertise.
Here, we present a tailorable intervention and interaction e-health solution that allows rapid prototyping, development, and evaluation of e-health interventions at scale. This platform allows researchers and clinicians to develop ecological momentary assessment, just-in-time adaptive interventions, ecological momentary intervention, cohort studies, and e-coaching and personalized interventions quickly, with no-code, and in a scalable way.
The Twente Intervention and Interaction Instrument (TIIM) has been used by over 320 researchers in the last decade. We present the ecosystem and synthesize the main scientific output from clinical and research studies in different fields.
The importance of mobile e-coaching for prediction, management, and prevention of adverse health outcomes is increasing. A profound e-health development strategyand strategic, technical, and operational investments are needed to prototype, develop, implement, and evaluate e-health solutions. TIIM ecosystem has proven to support these processes. This paper ends with the main research opportunities in mobile coaching, including intervention mechanisms, fine-grained monitoring, and inclusion of objective biomarker data.
移动电子健康技术已被证明能为各种使用场景提供量身定制的评估、干预和指导能力。由于其广泛传播和应用，智能手机是此类应用最重要的载体之一。
然而，这些电子健康解决方案的设计、实现、评估和实施过程复杂且具有挑战性，需要多个利益相关者和专业知识。
在此，我们提出一种可定制的干预和交互电子健康解决方案，该方案允许大规模快速原型制作、开发和评估电子健康干预措施。这个平台使研究人员和临床医生能够快速、无代码且可扩展地开发生态瞬时评估、即时自适应干预、生态瞬时干预、队列研究以及电子指导和个性化干预。
在过去十年中，超过320名研究人员使用了特温特干预与交互工具（TIIM）。我们展示了该生态系统，并综合了不同领域临床和研究的主要科学成果。
移动电子指导对预测、管理和预防不良健康结果的重要性日益增加。需要一个深入的电子健康发展战略以及战略、技术和运营投资，以对电子健康解决方案进行原型制作、开发、实施和评估。TIIM生态系统已被证明能够支持这些过程。本文最后阐述了移动指导的主要研究机会，包括干预机制、细粒度监测以及纳入客观生物标志物数据。
