Symposia
Technology
Susan Murphy, Ph.D. (she/her/hers)
Professor
Harvard University
Boston, Massachusetts
Susobhan Ghosh, Student
Student
Harvard University
Boston, Massachusetts
Pei-Yao Hung, PhD
Software Developer
University of Michigan
Ann Arbor, Michigan
Lara Coughlin, PhD
Assistant Professor
University of Michigan
Ann Arbor, Michigan
Erin Bonar, PhD
Associate Professor
University of Michigan
Ann Arbor, Michigan
Yongyi Guo, PhD
Postdoctoral Researcher
Harvard University
Boston, Massachusetts
Inbal Nahum-Shani, PhD
Research Associate Professor
University of Michigan
Ann Arbor, Michigan
Mashfiqui Rabbi, Ph.D.
Senior Principal Research Scientist
Harvard University
Seattle, Washington
Maureen Walton, MPH, PhD
Professor
University of Michigan
Ann Arbor, Michigan
Recent advances in digital technology offer much potential for promoting healthy behaviors in real-time, real-world settings. At the same time advances in artificial intelligence algorithms offer an approach to personalizing mobile health interventions to maximize impact. MiWaves is a digital intervention aimed at reducing cannabis use among young adults who use cannabis regularly (at least 3x/week) with some motivation to change. MiWaves integrates empirically based intervention strategies for reducing substance use (e.g., motivational interviewing, behavioral economics) with engagement strategies grounded in psychology, human-computer interaction, and marketing. Many of these strategies are delivered via smartphone prompts. Since excessive delivery of prompts can induce habituation and disengagement, we are developing a MiWaves reinforcement learning (RL) algorithm that will, as each participant experiences MiWaves, personalize whether to send or not send prompts depending on each participant’s current setting (i.e., recent cannabis use, recent engagement). Here we describe the multiple stages of development of an online RL algorithm for learning whether and under what conditions, sending a prompt benefits intervention engagement. Challenges in designing and testing an RL algorithm in these real-life health settings include developing a simulation testbed on impoverished data, ensuring the RL algorithm can learn and run stably under a variety of constraints, e.g., avoid overburdening participants and ensuring the resulting data can be used in standard statistical analyses. We will present feasibility results from beta testing of MiWaves. The MiWaves study, with RL algorithm, is to start in December, 2023.