Sy B, Wassil M, Hassan A, Chen J. Personalizing self-management via behavioral predictive analytics with health education for improved self-efficacy.
PATTERNS 2022;
3:100510. [PMID:
35755867 PMCID:
PMC9214334 DOI:
10.1016/j.patter.2022.100510]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Revised: 02/10/2022] [Accepted: 04/22/2022] [Indexed: 11/25/2022]
Abstract
The objective of this research is to investigate the feasibility of applying behavioral predictive analytics to optimize diabetes self-management. This research also presents a use case on the application of the anaytics technology platform to deliver an online diabetes prevention program developed by the CDC. The goal of personalized self-management is to affect individuals on behavior change toward actionable health activities on glucose self-monitoring, diet management, and exercise. In conjunction with personalizing self-management, the content of the CDC diabetes prevention program was delivered online directly to a mobile device. The proposed behavioral predictive analytics relies on manifold clustering to identify subpopulations by behavior readiness characteristics exhibiting non-linear properties. Utilizing behavior readiness data of 148 subjects, subpopulations are created using manifold clustering to target personalized actionable health activities. This paper reports the preliminary result of personalizing self-management for 22 subjects under different scenarios and the outcome on improving diabetes self-efficacy of 34 subjects.
Assess behavior readiness via a proven psychology model: theory of planned behavior
Segment patients into groups by behavior readiness via advanced manifold clustering
Enable a closed loop via mobile app to support prediction for dynamic personalization
Deliver asynchronous health education with demonstrated self-efficacy improvement
Type 2 and pre-diabetes is a chronic disease that affects over 115 million Americans and over 440 million people worldwide. Active patient self-management improves health outcome and lowers healthcare cost. Yet, less than 25% of patients are engaged in active self-health management. Behavioral predictive analytics was developed to improve patient engagement. It applies an advanced clustering technique in machine learning to segment patients into subpopulations by behavior readiness. It dynamically personalizes actionable health activities such as self-monitoring of glucose as well as health education based on one’s behavior readiness. This paper reports (1) the practical feasibility of an engagement channel through an individual’s mobile device to deliver health education for improving diabetes self-efficacy and (2) the validated outcomes of the behavioral predictive analytics to improve engagement in self-health management.
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