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A Conceptual Framework for Adaptive Preventive Interventions
Open accessAbstract
Recently, adaptive interventions have emerged as a new perspective on prevention and treatment. Adaptive interventions resemble clinical practice in that different dosages of certain prevention or treatment components are assigned to different individuals, and/or within individuals across time, with dosage varying in response to the intervention needs of individuals. To determine intervention need and thus assign dosage, adaptive interventions use prespecified decision rules based on each participant's values on key characteristics, called tailoring variables. In this paper, we offer a conceptual framework for adaptive interventions, discuss principles underlying the design and evaluation of such interventions, and review some areas where additional research is needed.
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“The adaptive intervention that a SMART design produces can be incorporated into clinical practice more naturally and seamlessly than the findings of a fixed-intervention study [53, 54, 62].”
From A Sequential Multiple Assignment Randomized Trial (SMART) study of medication and CBT sequencing in the treatment of pediatric anxiety disorders (2021) · cites this paper as [62]
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In the citing paper
“Adaptive interventions resemble clinical practice, in that different interventions are assigned to different individuals and within individuals over time, with the intervention(s) ideally varying in response to patient needs and patient response [62].”
From A Sequential Multiple Assignment Randomized Trial (SMART) study of medication and CBT sequencing in the treatment of pediatric anxiety disorders (2021) · cites this paper as [62]
In the citing paper
“Adaptive treatment methodologies has been applied to interventions that adjust over the course of weeks or months, not hours or days, but these methodologies can be applied to mobile technology interventions [106].”
From Health behavior models in the age of mobile interventions: are our theories up to the task? (2011) · cites this paper as [106]
In the citing paper
“MOST has three phases.”
From An Overview of Research and Evaluation Designs for Dissemination and Implementation (2017) · cites this paper as [32]
In the citing paper
“Fractional designs can make examination of multiple components feasible, even when cluster randomization is necessary (30, 32, 37).”
From An Overview of Research and Evaluation Designs for Dissemination and Implementation (2017) · cites this paper as [32]
In the citing paper
“Testing all combinations in a single design is not feasible, but MOST can be used to identify and test an optimized intervention.”
From An Overview of Research and Evaluation Designs for Dissemination and Implementation (2017) · cites this paper as [32]
In the citing paper
“The Sequential Multiple Assignment Randomized Implementation Trial (SMART) implementation design is a special case of the factorial experiment (32, 67, 78) involving multistage randomizations where the site-level implementation process can be modified if unsuccessful.”
From An Overview of Research and Evaluation Designs for Dissemination and Implementation (2017) · cites this paper as [32]
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Van Ryzin, M. J., & Dishion, T. J. (2012) · Development and Psychopathology · doi:10.1017/s0954579412000582 · Cited by 80
A School-Based, Family-Centered Intervention to Prevent Substance Use: The Family Check-Up
Stormshak, E. A., & Dishion, T. J. (2009) · The American Journal of Drug and Alcohol Abuse · doi:10.1080/00952990903005908 · Cited by 80
Cleveland, M. J., Collins, L. M., Lanza, S. T., Greenberg, M. T., & Feinberg, M. E. (2010) · Journal of Prevention & Intervention in the Community · doi:10.1080/10852352.2010.486299 · Cited by 79
Self-citationPo'e, E. K., Heerman, W. J., Mistry, R. S., & Barkin, S. L. (2013) · Contemporary Clinical Trials · doi:10.1016/j.cct.2013.08.013 · Cited by 78
Cleveland, M. J., Lanza, S. T., Ray, A. E., Turrisi, R., & Mallett, K. A. (2011) · Psychology of Addictive Behaviors · doi:10.1037/a0026130 · Cited by 84
Heterogeneity Among Violence-Exposed Women
Nurius, P. S., & Macy, R. J. (2008) · Journal of Interpersonal Violence · doi:10.1177/0886260507312297 · Cited by 77
A Pilot SMART for Developing an Adaptive Treatment Strategy for Adolescent Depression
Gunlicks‐Stoessel, M., Mufson, L. H., Westervelt, A., Almirall, D., & Murphy, S. A. (2015) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2015.1015133 · Cited by 77
Self-citationFlay, B. R., & Collins, L. M. (2005) · The Annals of the American Academy of Political and Social Science · doi:10.1177/0002716205274941 · Cited by 77
Self-citation
Metadata
- Authors
- Collins, L. M., Murphy, S. A., & Bierman, K. L.
- Affiliations
- Pennsylvania State University (US)
- University of Michigan (US)
- Corresponding author
- Collins, Linda M.
- Venue
- Prevention Science
- Published
- 2004-09
- Volume
- 5
- Issue
- 3
- Pages
- 185-196
- ISSN
- 1389-4986 (ISSN-L)
- 1573-6695
- PMC
- PMC3544191
- OpenAlex
- W2021206292
- Semantic Scholar
- 2dfd8040ec25b7b63e4bcff6e2c5671c91529c2e
- Cited by
- 608
- References
- 46
- Citations by year
- 2026: 19 · 2025: 18 · 2024: 19 · 2023: 34 · 2022: 27 · 2021: 27 · 2020: 23 · 2019: 33 · 2018: 30 · 2017: 33 · 2016: 38 · 2015: 30 · 2014: 42 · 2013: 37 · 2012: 34
- FWCI
- 19.93
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- Prevention Science (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Deep Blue (University of Michigan) (submittedVersion)
- Funders
- National Institute of Mental Health (R01MH050953)
- National Institute on Drug Abuse (K02DA015674, P50-DA-10075, P50DA010075, K02-DA15674)
- Topics
- Physical Sciences › Mathematics › Statistics and Probability › Advanced Causal Inference Techniques
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Clinical Trials
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- adaptive interventions, preventive interventions, decision rules, intervention dosage, personalized prevention, intervention design, intervention evaluation, conceptual framework
- MeSH terms
- Child, Child Behavior Disorders, Clinical Competence, Decision Support Techniques, Forecasting, Home Care Services, Humans, Judgment, Parent-Child Relations, Parents, Patient Care Planning, Patient Participation, Primary Prevention, Research Design, Risk Factors, Time Factors, Reproducibility of Results, Confounding Factors, Epidemiologic, Outcome Assessment, Health Care, Risk Assessment, Conduct Disorder, Needs Assessment
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