Evidence map›Paper›PMID 29854160›Full record

Observational studyAMIA ... Annual Symposium proceedings. AMIA Symposium2017

A First Step Towards Behavioral Coaching for Managing Stress: A Case Study on Optimal Policy Estimation with Multi-stage Threshold Q-learning.

Xinyu Hu, Pei-Yun S Hsueh, Ching-Hua Chen, Keith M Diaz, Ying-Kuen K Cheung, Min Qian

Abstract readObservational Study
In one paragraph

Observational study in AMIA ... Annual Symposium proceedings. AMIA Symposium, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Observational
  3. Article
  4. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Xinyu HuDepartment of Biostatistics, Columbia University, New York, NY, USA.
Pei-Yun S HsuehIBM T.J. Watson Research Center, Yorktown Heights, NY, USA.
Ching-Hua ChenIBM T.J. Watson Research Center, Yorktown Heights, NY, USA.
Keith M DiazCenter for Behavioral Cardiovascular Health, Columbia University, New York, NY, USA.
Ying-Kuen K CheungDepartment of Biostatistics, Columbia University, New York, NY, USA.
Min QianDepartment of Biostatistics, Columbia University, New York, NY, USA.

Funding

Novel Methods for Intensive Longitudinal Data in SMART Studies of Drug Abuse and HIVR01DA039901 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ALMIRALL, DANIEL, NAHUM-SHANI, INBAL BILLIE · 2015 to 2024
$5.4M
Novel Methods for Evaluation and Implementation of Behavioral Intervention Technologies for DepressionR01MH109496 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CHEUNG, KEN, MOHR, DAVID CURTIS · 2016 to 2019
$1.6M
Physical Activity Patterns via New Dimension-Informative Cluster Models.R01HL111195 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CHEUNG, KEN, ELKIND, MITCHELL S · 2012 to 2015
$1.4M
Developing Optimal Dynamic Behavioral Intervention in Community-Based Studies.R01NS072127 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CHEUNG, KEN · 2011 to 2013
$835k
Building Multistage Treatment Regimens for Depression after Acute Coronary SyndromeSyndromeR21MH108999 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI QIAN, MIN · 2016 to 2017
$440k
NHLBI NIH HHS R01 HL111195NIDA NIH HHS R01 DA039901NIMH NIH HHS R01 MH109496NIMH NIH HHS R21 MH108999NINDS NIH HHS R01 NS072127
6 · The paper itself

Abstract

Psychological stress is a major contributor to the adoption of unhealthy behaviors, which in turn accounts for 41% of global cardiovascular disease burden. While the proliferation of mobile health apps has offered promise to stress management, these apps do not provide micro-level feedback with regard to how to adjust one's behaviors to achieve a desired health outcome. In this paper, we formulate the task of multi-stage stress management as a sequential decision-making problem and explore the application of reinforcement learning to provide micro-level feedback for stress reduction. Specifically, we incorporate a multi-stage threshold selection into Q-learning to derive an interpretable form of a recommendation policy for behavioral coaching. We apply this method on an observational dataset that contains Fitbit ActiGraph measurements and self-reported stress levels. The estimated policy is then used to understand how exercise patterns may affect users' psychological stress levels and to perform coaching more effectively.

Indexed as

AlgorithmsBehavior TherapyFitness TrackersActigraphyDatasets as TopicExerciseFeedbackHumansLearningLongitudinal StudiesMobile ApplicationsSelf ReportStress, Psychological

Identifiers

PMID29854160
PMCPMC5977571

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.