ArticlePloS one2022
Addressing people's current and future states in a reinforcement learning algorithm for persuading to quit smoking and to be physically active.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness of Communication Competence in AI Conversational Agents for Health: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2025Pooled it
- Reinforcement learning for proposing smoking cessation activities that build competencies: Combining two worldviews in a virtual coach.BMC medical informatics and decision making · 2025Trial
- Text Messages to Promote Physical Activity in Patients With Cardiovascular Disease: A Micro-Randomized Trial of a Just-In-Time Adaptive Intervention.Circulation. Cardiovascular quality and outcomes · 2024Trial
- Acceptability of a Text Message-Based Mobile Health Intervention to Promote Physical Activity in Cardiac Rehabilitation Enrollees: A Qualitative Substudy of Participant Perspectives.Journal of the American Heart Association · 2024Trial
- Effective monitoring of online AI decision-making algorithms in just-in-time adaptive interventions.NPJ digital medicine · 2026Article
- The Development and Use of AI Chatbots for Health Behavior Change: Scoping Review.Journal of medical Internet research · 2026Article
- Digital twin framework for personalized behavioral health optimization with Q-learning and graph-based planning.Frontiers in artificial intelligence · 2026Article
- AI-Enabled Personalized Smoking Cessation Intervention With the Aipaca Chatbot: Mixed Methods Feasibility Study.JMIR formative research · 2025Observational
- Replicable Bandits for Digital Health Interventions.Statistical science : a review journal of the Institute of Mathematical Statistics · 2025Article
- User Experiences With Digital Future-Self Interventions in the Contexts of Smoking and Physical Inactivity: Mixed Methods Multistudy Exploration.JMIR formative research · 2025Article
- Psychological, economic, and ethical factors in human feedback for a chatbot-based smoking cessation intervention.NPJ digital medicine · 2025Article
- Testing a Machine Learning-Based Adaptive Motivational System for Socioeconomically Disadvantaged Smokers (Adapt2Quit): Protocol for a Randomized Controlled Trial.JMIR research protocols · 2025Article
- A Deployed Online Reinforcement Learning Algorithm In An Oral Health Clinical Trial.Proceedings of the ... AAAI Conference on Artificial Intelligence. AAAI Conference on Artificial Intelligence · 2025Article
- Review
- Did we personalize? Assessing personalization by an online reinforcement learning algorithm using resampling.Machine learning · 2024Article
- Feasibility of generating structured motivational messages for tailored physical activity coaching.Frontiers in digital health · 2023Article
- Article
Corrections and comments
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Behavior change applications often assign their users activities such as tracking the number of smoked cigarettes or planning a running route. To help a user complete these activities, an application can persuade them in many ways. For example, it may help the user create a plan or mention the experience of peers. Intuitively, the application should thereby pick the message that is most likely to be motivating. In the simplest case, this could be the message that has been most effective in the past. However, one could consider several other elements in an algorithm to choose a message. Possible elements include the user's current state (e.g., self-efficacy), the user's future state after reading a message, and the user's similarity to the users on which data has been gathered. To test the added value of subsequently incorporating these elements into an algorithm that selects persuasive messages, we conducted an experiment in which more than 500 people in four conditions interacted with a text-based virtual coach. The experiment consisted of five sessions, in each of which participants were suggested a preparatory activity for quitting smoking or increasing physical activity together with a persuasive message. Our findings suggest that adding more elements to the algorithm is effective, especially in later sessions and for people who thought the activities were useful. Moreover, while we found some support for transferring knowledge between the two activity types, there was rather low agreement between the optimal policies computed separately for the two activity types. This suggests limited policy generalizability between activities for quitting smoking and those for increasing physical activity. We see our results as supporting the idea of constructing more complex persuasion algorithms. Our dataset on 2,366 persuasive messages sent to 671 people is published together with this article for researchers to build on our algorithm.
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Registered trials
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.