Evidence map›Paper›PMID 42428009›Full record

ArticleFrontiers in artificial intelligence2026

A digital twin-based comparative reinforcement learning framework for personalized behavioral recommendation.

Ayan Chatterjee, Nurilla Avazov

Abstract read
In one paragraph

Article in Frontiers in artificial intelligence, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

2 authors.

Ayan ChatterjeeDepartment of Digital Technology, Norwegian Institute for Air Research, Kjeller, Norway.
Nurilla AvazovInland School of Business and Social Sciences, University of Inland Norway, Lillehammer, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Promoting healthy lifestyle behaviors such as physical activity, sleep, diet quality, stress management, hydration, and healthy habits requires adaptive systems capable of responding dynamically to changing behavioral and environmental conditions. However, the development and evaluation of personalized recommendation systems are challenged by fragmented observational data, privacy constraints, delayed feedback, and ethical limitations associated with long-term human experimentation. To address these challenges, this study proposes a digital twin-driven reinforcement learning framework for generating personalized behavioral recommendations in a fully simulated and statistically validated environment. The proposed framework formulates personalized behavioral recommendation as a stochastic Markov Decision Process (MDP) incorporating adherence uncertainty, behavioral drift, environmental modulation, and engagement dynamics. Synthetic longitudinal behavioral trajectories are generated through a digital twin simulator that models demographic heterogeneity, lifestyle behaviors, contextual variables, and variability in policy adherence over time. The optimization objective is defined through an effective reward formulation that balances behavioral compliance gains against penalties associated with health and environmental constraint violations. This study implements several reinforcement learning (RL) paradigms under simulated conditions, such as multi-armed bandits, table-based Q-learning, State-Action-Reward-State-Action (SARSA), function approximation-based temporal difference (TD) learning, and deep Q-learning network (DQN). The results demonstrate that richer state representations and context-dependent action dynamics are necessary for higher-capacity reinforcement learning models to consistently outperform simpler baselines. Furthermore, this study provides a reproducible method for comparing learning dynamics, performance, and computational cost in digital twin-based recommender systems. The framework additionally supports privacy-preserving experimentation through the exclusive use of synthetic behavioral data and locally controlled simulation environments.

Indexed as

behavioral and contextual datadigital twinDQNrecommendation generationreinforcement learningsimulation

Identifiers

PMID42428009
PMCPMC13346249

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.