Enhanced Social Cognitive Theory Dynamic Modeling and Simulation Towards Improving the Estimation of "Just-In-Time" States.

Abstract

Insufficient physical activity (PA) is commonplace in society, in spite of its significant impact on personal health and well-being. Improved interventions are clearly needed. One of the challenges faced in behavioral interventions is a lack of understanding of multi-timescale dynamics. In this paper we rely on a dynamical model of Social Cognitive Theory (SCT) to gain insights regarding a control-oriented experimental design for a behavioral intervention to improve PA. The intervention (Just Walk JITAI) is designed with the aim to better understand and estimate ideal times for intervention and support based on the concept of "just-in-time" states. An innovative input signal design strategy is used to study the just-in-time state dynamics through the use of decision rules based on conditions of need, opportunity and receptivity. Model simulations featuring within-day effects are used to assess input signal effectiveness. Scenarios for adherent and non-adherent participants are presented, with the proposed experimental design showing significant potential for reducing notification burden while providing informative data to support future system identification and control design efforts.