A framework for modeling health behavior protocols and their linkage to behavioral theory
Open accessAbstract
With the rise in chronic, behavior-related disease, computerized behavioral protocols (CBPs) that help individuals improve behaviors have the potential to play an increasing role in the future health of society. To be effective and widely used CBPs should be based on accepted behavioral theory. However, designing CBPs while at the same time specifying their linkages to behavioral theory and developing reusable CBP components (interventions) are challenges to developers of CBPs. Having an ontology with which to describe CBPs could help with these issues. As a first step towards creating such an ontology, we modeled PACE-Adolescent, a theory-based behavioral protocol that uses the Stages of Change Model and Social Cognitive Theory, using PROTEGE-2000, an ontology editor and knowledge acquisition system. We created a three-part knowledge model. Two sub-ontologies described behavioral interventions and psychological theories. The third component, implemented using Guideline Interchange Format (GLIF3), provided a way to describe the structure of a protocol and to link intervention resources and groups of actions to elements of psychological theory. Using this framework, we formally described the PACE-Adolescent protocol. Creating knowledge models such as this may lead to improvements in the design and evaluation of computerized health behavior protocols.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Preliminary work to address linking BCTs to mechanisms of action has been conducted in both primary research and in evidence syntheses.
“Preliminary work to address this has been conducted in both primary research and in evidence syntheses [9, 21, 26, 60, 74, 75].”
Cites
(1985) · Medical Entomology and Zoology · Cited by 19,180 · see citing works
Health Behavior and Health Education: Theory, Research, and Practice
(1992) · Annals of Internal Medicine · doi:10.7326/0003-4819-116-4-350_1 · Cited by 13,211 · see citing works
Stages and processes of self-change of smoking: Toward an integrative model of change.
Prochaska, J. O., & DiClemente, C. C. (1983) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.51.3.390 · Cited by 9,098 · see citing works
In search of how people change: Applications to addictive behaviors.
Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992) · American Psychologist · doi:10.1037/0003-066x.47.9.1102 · Cited by 8,596 · see citing works
Health Behavior and Health Education
Glanz, K., Lewis, F. M., & Rimer, B. K. (1991) · Medicine & Science in Sports & Exercise · doi:10.1249/00005768-199112000-00016 · Cited by 1,127 · see citing works
The development of self-efficacy scales for healthrelated diet and exercise behaviors
Sallis, J. F., Pinski, R. B., Grossman, R. M., Patterson, T. L., & Nader, P. R. (1988) · Health Education Research · doi:10.1093/her/3.3.283 · Cited by 826 · see citing works
Comparing Computer-interpretable Guideline Models: A Case-study Approach
Mor Peleg, B., Tu, S. W., Bury, J. P., Ciccarese, P., Fox, J., Greenes, R. A., Hall, R., Johnson, P. D., Jones, N., Kumar, A., et al. (2003) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m1135 · Cited by 551 · see citing works
Health Implications of Obesity
OBESITY, N. I. O. H. C. D. P. O. T. H. I. O. (1985) · Annals of Internal Medicine · doi:10.7326/0003-4819-103-6-1073 · Cited by 471 · see citing works
Protégé-2000: an open-source ontology-development and knowledge-acquisition environment.
Noy, N. F., Crubézy, M., Fergerson, R. W., Knublauch, H., Tu, S. W., Vendetti, J., & Musen, M. A. (2003) · PubMed · Cited by 235 · see citing works
Type 2 Diabetes Mellitus in Children and Youth: A New Epidemic
KAUFMAN, F. R. (2002) · Journal of Pediatric Endocrinology and Metabolism · doi:10.1515/jpem.2002.15.s2.737 · Cited by 226 · see citing works
Velicer, W. F., Prochaska, J. O., Fava, J. L., Laforge, R. G., & Rossi, J. S. (1999) · Health Psychology · doi:10.1037/0278-6133.18.1.21 · Cited by 208 · see citing works
Revere, D., & Dunbar, P. J. (2001) · Journal of the American Medical Informatics Association · doi:10.1136/jamia.2001.0080062 · Cited by 208 · see citing works
A Multicomponent Program for Nutrition and Physical Activity Change in Primary Care
Patrick, K., Sallis, J. F., Prochaska, J. J., Lydston, D., Calfas, K. J., Zabinski, M. F., Wilfley, D. E., Saelens, B. E., & Brown, D. R. (2001) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.155.8.940 · Cited by 170 · see citing works
Self-citationEvaluation of physical activity web sites for use of behavior change theories
Doshi, A., Patrick, K., Sallis, J. F., & Calfas, K. (2003) · Annals of Behavioral Medicine · doi:10.1207/s15324796abm2502_06 · Cited by 96 · see citing works
Self-citationNoell, J. W., & Glasgow, R. E. (1999) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(99)00093-8 · Cited by 77 · see citing works
Modern architectures for intelligent systems: reusable ontologies and problem-solving methods.
Musen, M. A. (1998) · PubMed · Cited by 71 · see citing works
Cluster subtypes within stage of change in a representative sample of smokers
Norman, G. J., Velicer, W. F., Fava, J. L., & Prochaska, J. O. (2000) · Addictive Behaviors · doi:10.1016/s0306-4603(99)00054-4 · Cited by 69 · see citing works
Self-citationThe InterMed Approach to Sharable Computer-interpretable Guidelines: A Review
Mor Peleg, B., Boxwala, A. A., Tu, S. W., Zeng, Q. T., Ogunyemi, O. I., Wang, D., Patel, V. L., Greenes, R. A., & Shortliffe, E. H. (2003) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m1399 · Cited by 69 · see citing works
Scalable Software Architectures for Decision Support
Musen, M. A. (1999) · Methods of Information in Medicine · doi:10.1055/s-0038-1634422 · Cited by 46 · see citing works
iMPACT3: Internet-Based Development and Administration of Utility Elicitation Protocols
Lenert, L. A., Sturley, A., & Watson, M. E. (2002) · Medical Decision Making · doi:10.1177/0272989x02238296 · Cited by 39 · see citing works
Self-citation
Flagged first, then by citations
3 of the 23 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Michie, S., Carey, R. N., Johnston, M., Rothman, A. J., de Bruin, M., Kelly, M. P., & Connell, L. E. (2018) · Annals of Behavioral Medicine · doi:10.1007/s12160-016-9816-6 · Cited by 475 · see citing works
Spruijt‐Metz, D., Hekler, E. B., Saranummi, N., Intille, S. S., Korhonen, I., Nilsen, W., Rivera, D. E., Spring, B. J., Michie, S., Asch, D. A., et al. (2015) · Translational Behavioral Medicine · doi:10.1007/s13142-015-0324-1 · Cited by 210 · see citing works
A reusable framework for health counseling dialogue systems based on a behavioral medicine ontology
Bickmore, T. W., Schulman, D., & Sidner, C. L. (2011) · Journal of Biomedical Informatics · doi:10.1016/j.jbi.2010.12.006 · Cited by 147 · see citing works
Challenges and Opportunities of eHealth Research
Ahern, D. K. (2007) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2007.01.016 · Cited by 103 · see citing works
Rethinking Health: ICT-Enabled Services to Empower People to Manage Their Health
Honka, A. M., Kaipainen, K., Hietala, H., & Saranummi, N. (2011) · IEEE Reviews in Biomedical Engineering · doi:10.1109/rbme.2011.2174217 · Cited by 89 · see citing works
Web-Based Weight Management Programs for Children and Adolescents
An, J., Hayman, L. L., Park, Y.-S., Dusaj, T. K., & Ayres, C. G. (2009) · Advances in Nursing Science · doi:10.1097/ans.0b013e3181b0d6ef · Cited by 89 · see citing works
Michie, S., Johnston, M., Rothman, A. J., de Bruin, M., Kelly, M. P., Carey, R., Bohlen, L. C., Groarke, H., Anderson, N., & Zink, S. (2021) · Health Services and Delivery Research · doi:10.3310/hsdr09010 · Cited by 81 · see citing works
Hesse, B. W., Hanna, C., Massett, H. A., & Hesse, N. (2010) · JNCI Monographs · doi:10.1093/jncimonographs/lgq004 · Cited by 74 · see citing works
Hermawati, S., & Lawson, G. (2014) · Personal and Ubiquitous Computing · doi:10.1007/s00779-014-0757-4 · Cited by 40 · see citing works
Big hearts, small hands: a focus group study exploring parental food portion behaviours
Curtis, K., Atkins, L., & Brown, K. (2017) · BMC Public Health · doi:10.1186/s12889-017-4711-z · Cited by 33 · see citing works
Informatics-Enabled Behavioral Medicine in Oncology
Hesse, B. W., & Suls, J. M. (2011) · The Cancer Journal · doi:10.1097/ppo.0b013e318227c811 · Cited by 18 · see citing works
Liyanage, H., Liaw, S., Kuziemsky, C., Terry, A. L., Jones, S., Soler, J. K., & de Lusignan, S. (2013) · Yearbook of Medical Informatics · doi:10.1055/s-0038-1638846 · Cited by 17 · see citing works
Databases and the geometry of knowledge
Brazhnik, O. (2006) · Data & Knowledge Engineering · doi:10.1016/j.datak.2006.05.005 · Cited by 17 · see citing works
Vinson, C., Bickmore, T., Farrell, D. W., Campbell, M. K., An, L. C., Saunders, E. J., Nowak, M., Fowler, B., & Shaikh, A. R. (2011) · Translational Behavioral Medicine · doi:10.1007/s13142-010-0008-9 · Cited by 16 · see citing works
Ontologies About Human Behavior
Blanch, À., Garcı́a, R., Planes, J., Gil, R., Balada, F., Blanco, E., & Aluja, A. (2017) · European Psychologist · doi:10.1027/1016-9040/a000295 · Cited by 14 · see citing works
Personalized behavior change support for disease prevention
Kaipainen, K., Honka, A. M., & Saranummi, N. (2011) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/iembs.2011.6090196 · Cited by 8 · see citing works
Lokshina, I. V., & Durkin, B. J. (2016) · Wireless Personal Communications · doi:10.1007/s11277-016-3752-4 · Cited by 6 · see citing works
Grigore, E. C. (2015) · Lecture notes in computer science · doi:10.1007/978-3-319-20267-9_34 · Cited by 3 · see citing works
Lokshina, I. V., & Bartolacci, M. R. (2013) · International Journal of Interdisciplinary Telecommunications and Networking · doi:10.4018/ijitn.2013100106 · Cited by 3 · see citing works
Lokshina, I. V., & Bartolacci, M. R. (2014) · International Journal of Interdisciplinary Telecommunications and Networking · doi:10.4018/ijitn.2014070103 · Cited by 3 · see citing works
Lokshina, I. V., & Bartolacci, M. R. (2019) · Advances in wireless technologies and telecommunication book series · doi:10.4018/978-1-5225-8188-8.ch015 · Cited by 1 · see citing works
Beštek, M., Kocev, D., Džeroski, S., Brodnik, A., & Iljaž, R. J. (2017) · Lecture notes in computer science · doi:10.1007/978-3-319-59758-4_11 · Cited by 1 · see citing works
Mahdavi, R., Ghannadiasl, F., & Jafarabadi, M. A. (2016) · Iranian Red Crescent Medical Journal · doi:10.5812/ircmj.24390 · Cited by 1 · see citing works
interventions for broader dissemination and implementation
Vinson, C., Bickmore, T., Farrell, D. W., Campbell, M. K., Nowak, M., Fowler, B., & Shaikh, A. R. (2011)
Ogundele, O. A. (2016) · ResearchSpace (University of KwaZulu-Natal)
Spatial Behavior Analysis of Covid-19 Health Protocol Violation By Traders Along Pasar Ciluar Street
Ragawardhana, W. A., Sumadio, W., & Zubair, A. (2021) · Jurnal Pembangunan Wilayah dan Kota · doi:10.14710/pwk.v17i4.37955
Ruyobeza, B., Grobbelaar, S. S. S., & Botha, A. (2024) · IEEE Engineering Management Review · doi:10.1109/emr.2024.3412795
- Authors
- Lenert, L., Norman, G. J., Mailhot, M., & Patrick, K.
- Affiliations
- Veterans Health Administration (US)
- University of California San Diego (US)
- San Diego State University (US)
- Corresponding author
- Lenert, Leslie
- Venue
- Journal of Biomedical Informatics
- Publisher
- Elsevier BV
- Published
- 2005-08
- Volume
- 38
- Issue
- 4
- Pages
- 270-280
- ISSN
- 1532-0464 (ISSN-L)
- OpenAlex
- W2128063862
- Cited by
- 27
- References
- 23
- Citations by year
- 2024: 1 · 2021: 2 · 2019: 1 · 2017: 3 · 2016: 4 · 2015: 2 · 2014: 2 · 2013: 2
- FWCI
- 0.97
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Biomedical Informatics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Keywords
- health behavior change, behavioral theory, ontology (information science), stages of change, social cognitive theory, behavioral interventions, knowledge modeling, intervention design, chronic disease prevention
- MeSH terms
- Adolescent, Adolescent Behavior, Psychology, Adolescent, Algorithms, Counseling, Female, Health Promotion, Humans, Male, Models, Psychological, United States, Health Behavior, Cognitive Behavioral Therapy, Decision Support Systems, Clinical
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
