The behavioral intervention technology model: An integrated conceptual and technological framework for ehealth and mhealth interventions

David C. Mohr*, Stephen M. Schueller, Enid Montague, Michelle Nicole Burns, Parisa Rashidi

*Corresponding author for this work

Research output: Contribution to journalReview article

144 Scopus citations

Abstract

A growing number of investigators have commented on the lack of models to inform the design of behavioral intervention technologies (BITs). BITs, which include a subset of mHealth and eHealth interventions, employ a broad range of technologies, such as mobile phones, the Web, and sensors, to support users in changing behaviors and cognitions related to health, mental health, and wellness. We propose a model that conceptually defines BITs, from the clinical aim to the technological delivery framework. The BIT model defines both the conceptual and technological architecture of a BIT. Conceptually, a BIT model should answer the questions why, what, how (conceptual and technical), and when. While BITs generally have a larger treatment goal, such goals generally consist of smaller intervention aims (the why) such as promotion or reduction of specific behaviors, and behavior change strategies (the conceptual how), such as education, goal setting, and monitoring. Behavior change strategies are instantiated with specific intervention components or elements (the what). The characteristics of intervention elements may be further defined or modified (the technical how) to meet the needs, capabilities, and preferences of a user. Finally, many BITs require specification of a workflow that defines when an intervention component will be delivered. The BIT model includes a technological framework (BIT-Tech) that can integrate and implement the intervention elements, characteristics, and workflow to deliver the entire BIT to users over time. This implementation may be either predefined or include adaptive systems that can tailor the intervention based on data from the user and the user's environment. The BIT model provides a step towards formalizing the translation of developer aims into intervention components, larger treatments, and methods of delivery in a manner that supports research and communication between investigators on how to design, develop, and deploy BITs.

Original languageEnglish (US)
Article numbere146
JournalJournal of medical Internet research
Volume16
Issue number6
DOIs
StatePublished - Jun 2014

Keywords

  • Behavioral intervention technology
  • Ehealth
  • Mhealth

ASJC Scopus subject areas

  • Health Informatics

Fingerprint Dive into the research topics of 'The behavioral intervention technology model: An integrated conceptual and technological framework for ehealth and mhealth interventions'. Together they form a unique fingerprint.

  • Cite this