《Bonnie Spring》.pdf

Novel Designs for mHealth Linda Collins, Ph.D. Penn State University Susan Murphy, Ph.D. University of Michigan Bonnie Spring, Ph.D. Northwestern University Intervention versus Experimental Design  INTERVENTION DESIGN  Refers to the content and approach of the behavioral intervention based on a conceptual/theoretical model.  E.g., Should coach view participant’s diet records, or will that feel intrusive?  Should the app open automatically on smartphone or should participant choose to initiate?  Should treatment be offered individually or in groups?  EXPERIMENTAL DESIGN  Refers to the approach to collecting information that will inform the choice of intervention design  E.g., RCT, factorial experimental design (MOST), SMART design Randomized Controlled Trial (RCT)  Advantages  Internal validity-protection against Type 1 error  Treatment Fidelity Integrity (delivered as intended)  Differentiation (no “bleeding”)  Potential Disadvantages  Bundled intervention components (treatment package)  No iteration once RCT begins Can’t tell if components optimized Future of Behavioral Intervention Science  The RCT will continue to play an important confirmatory role  Need a change in the development of interventions  Multiphase Optimization Strategy (MOST; Collins, Baker, Mermelstein et al., 2010)  Sequential Multiple Assignment Randomized Trial (SMART; Murphy, 2005) Engineering-Based Perspective: MOST  Engineering-based A behavioral intervention is a device or process intended to accomplish something  It can be built, improved, optimized much like other devices or processes  Objective of MOST To achieve the most scientific