The purpose of the proposed observational study is to explore the relations between data-driven personalization and equitable health outcomes in a digital health intervention (DHI) for hypertension management. In the current intervention, behavioral reinforcement learning is applied to personalize intervention content to maximize the behavioral outcomes of three target behaviors critical for effective hypertension management: clinical encounters, medication adherence, and self-monitoring of blood pressure (SMBP).
Study Type
OBSERVATIONAL
Enrollment
12,000
The hypertension digital health intervention under study combines behavioral science theory with a type of machine learning called reinforcement learning to enable precision nudging: the selection, assembly, and delivery of behavioral science-based messages created to address barriers to, and promote, management of hypertension. The behavioral design process used for the hypertension DHI intentionally includes research on traditionally underserved populations, such as racial and ethnic minorities and people with lower incomes or educational attainment. By including the right ingredients to meet a diverse set of needs and by effectively personalizing the content each individual sees based on their own reactions, the intervention aims to improve health equity by matching each individual to the right behavioral approach.
Cone Health clinics
Greensboro, North Carolina, United States
RECRUITINGClinical encounter behavioral outcome
Adherence with recommended clinical encounters given eligibility based on blood pressure readings and medication
Time frame: 0-18 months
Blood pressure reading clinical outcome
Blood pressure reading
Time frame: 0-18 months
Engagement
Digital engagement (opens, clicks, responses, etc.)
Time frame: 0-18 months
Medication adherence behavioral outcome
Self-reported medication adherence
Time frame: 0-18 months
Self-monitoring of blood pressure behavioral outcome
Self-reported self-monitoring of blood pressure
Time frame: 0-18 months
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