Cited by 66Mobile Health and mHealth ApplicationsStatistical Methods in Clinical TrialsDigital Mental Health Interventions

Optimizing Digital Integrated Care via Micro‐Randomized Trials

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Walton, Ashley, Nahum‐Shani, Inbal, Crosby, Lori, Klasnja, Predrag, Murphy, Susan·2018·Clinical Pharmacology & Therapeutics

Abstract

Mobile health (mHealth) interventions are a promising tool in providing digitally mediated integrative care. They can extend care outside of the clinic by providing reminders to take medications, assisting in managing symptoms, and supporting healthy behaviors including physical activity, healthy eating, and stress management. mHealth interventions can adapt the delivery of care across time in order to optimize treatment effectiveness. Yet there exists limited empirical evidence useful to the development of adaptive mHealth interventions. This article describes a new randomized trial design, the Micro‐Randomized Trial (MRT), for informing the development of mHealth interventions. We provide examples of scientific questions important to the development of an mHealth intervention, and describe how these questions can be answered using an MRT.

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  1. [38]Liao P Klasnja P Tewari A Murphy SA 3 Sample size calculations for micro-randomized trials in mHealth Statistics in medicine 35 1944 1971 2016 26707831 PMC4848174

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Authors
Walton, A., Nahum‐Shani, I., Crosby, L., Klasnja, P., & Murphy, S.
Affiliations
  • Harvard University (US)
  • University of Michigan, Institute for Social Research Ann Arbor Michigan USA
  • Cincinnati Children's Hospital Medical Center (US)
  • University of Michigan (US)
Corresponding author
Walton, Ashley
Venue
Clinical Pharmacology & Therapeutics
Publisher
Wiley
Published
2018-04-19
Volume
104
Issue
1
Pages
53-58
ISSN
  • 0009-9236 (ISSN-L)
  • 1532-6535
OpenAlex
W2795233455
Cited by
66
References
46
Citations by year
2026: 5 · 2025: 10 · 2024: 9 · 2023: 11 · 2022: 11 · 2021: 7 · 2020: 7 · 2019: 3 · 2018: 2
FWCI
0.86
Type
journal article
Language
en
Open access
Locations
  • Clinical Pharmacology & Therapeutics (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • Deep Blue (University of Michigan) (acceptedVersion)
Funders
National Institutes of Health (U54EB020404, R01AA023187, P50DA039838, R01DA039901, R01HL125440)
Topics
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
  • Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Clinical Trials
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Keywords
micro-randomized trial, mobile health intervention, adaptive therapy, intervention development, medication reminders, symptom management, treatment effectiveness
MeSH terms
Self-Management, Delivery of Health Care, Humans, Social Support, Randomized Controlled Trials as Topic, Reminder Systems, Telemedicine, Medication Adherence

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