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Current Diabetes Reports

, 19:7 | Cite as

Adaptive Intervention Designs to Promote Behavioral Change in Adults: What Is the Evidence?

  • Carla K. MillerEmail author
Psychosocial Aspects (SS Jaser, Section Editor)
  • 57 Downloads
Part of the following topical collections:
  1. Topical Collection on Psychosocial Aspects

Abstract

Purpose of Review

Adaptive behavioral interventions tailor the type or dose of intervention strategies to individuals over time to improve saliency and intervention efficacy. This review describes the unique characteristics of adaptive intervention designs, summarizes recent diabetes-related prevention studies, which used adaptive designs, and offers recommendations for future research.

Recent Findings

Eight adaptive intervention studies were reported since 2013 to reduce sedentary behavior or improve weight management in overweight or obese adults. Primarily, feasibility studies were conducted. Preliminary results suggest that just-in-time adaptive interventions can reduce sedentary behavior or increase minutes of physical activity through repeated prompts. A stepped-down weight management intervention did not increase weight loss compared to a fixed intervention. Other adaptive interventions to promote weight management are underway and require further evaluation.

Summary

Additional research is needed to target a broader range of health-related behaviors, identify optimal decision points and dose for intervention, develop effective engagement strategies, and evaluate outcomes using randomized trials.

Keywords

Adaptive intervention Just-in-time adaptive intervention Sequential multiple assignment randomized trial Weight management Physical activity 

Notes

Acknowledgments

The author thanks Dr. Brian Focht for helpful comments on an earlier version of this manuscript.

Compliance with Ethical Standards

Conflict of Interest

Carla K. Miller declares that she has no conflict of interest.

Human and Animal Rights and Informed Consent

All reported studies/experiments with human or animal subjects performed by the authors have been previously published and complied with all applicable ethical standards (including the Helsinki Declaration and its amendments, institutional/national research committee standards, and international/national/institutional guidelines).

References

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Human Sciences/Human NutritionOhio State UniversityColumbusUSA

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