Tailoring motivational health messages for smoking cessation using an mHealth recommender system integrated with an electronic health record: a study protocol

Abstract Background Smoking is one of the most avoidable health risk factors, and yet the quitting success rates are low. The usage of tailored health messages to support quitting has been proved to increase quitting success rates. Technology can provide convenient means to deliver tailored health m...

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Main Authors: Santiago Hors-Fraile, Francine Schneider, Luis Fernandez-Luque, Francisco Luna-Perejon, Anton Civit, Dimitris Spachos, Panagiotis Bamidis, Hein de Vries
Format: Article
Language:English
Published: BMC 2018-06-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-018-5612-5
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author Santiago Hors-Fraile
Francine Schneider
Luis Fernandez-Luque
Francisco Luna-Perejon
Anton Civit
Dimitris Spachos
Panagiotis Bamidis
Hein de Vries
author_facet Santiago Hors-Fraile
Francine Schneider
Luis Fernandez-Luque
Francisco Luna-Perejon
Anton Civit
Dimitris Spachos
Panagiotis Bamidis
Hein de Vries
author_sort Santiago Hors-Fraile
collection DOAJ
description Abstract Background Smoking is one of the most avoidable health risk factors, and yet the quitting success rates are low. The usage of tailored health messages to support quitting has been proved to increase quitting success rates. Technology can provide convenient means to deliver tailored health messages. Health recommender systems are information-filtering algorithms that can choose the most relevant health-related items—for instance, motivational messages aimed at smoking cessation—for each user based on his or her profile. The goals of this study are to analyze the perceived quality of an mHealth recommender system aimed at smoking cessation, and to assess the level of engagement with the messages delivered to users via this medium. Methods Patients participating in a smoking cessation program will be provided with a mobile app to receive tailored motivational health messages selected by a health recommender system, based on their profile retrieved from an electronic health record as the initial knowledge source. Patients’ feedback on the messages and their interactions with the app will be analyzed and evaluated following an observational prospective methodology to a) assess the perceived quality of the mobile-based health recommender system and the messages, using the precision and time-to-read metrics and an 18-item questionnaire delivered to all patients who complete the program, and b) measure patient engagement with the mobile-based health recommender system using aggregated data analytic metrics like session frequency and, to determine the individual-level engagement, the rate of read messages for each user. This paper details the implementation and evaluation protocol that will be followed. Discussion This study will explore whether a health recommender system algorithm integrated with an electronic health record can predict which tailored motivational health messages patients would prefer and consider to be of a good quality, encouraging them to engage with the system. The outcomes of this study will help future researchers design better tailored motivational message-sending recommender systems for smoking cessation to increase patient engagement, reduce attrition, and, as a result, increase the rates of smoking cessation. Trial registration The trial was registered at clinicaltrials.org under the ClinicalTrials.gov identifier NCT03206619 on July 2nd 2017. Retrospectively registered.
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spelling doaj.art-f7ed2c808e38430da9b999a6673fcb452022-12-21T18:22:28ZengBMCBMC Public Health1471-24582018-06-0118111010.1186/s12889-018-5612-5Tailoring motivational health messages for smoking cessation using an mHealth recommender system integrated with an electronic health record: a study protocolSantiago Hors-Fraile0Francine Schneider1Luis Fernandez-Luque2Francisco Luna-Perejon3Anton Civit4Dimitris Spachos5Panagiotis Bamidis6Hein de Vries7Department of Architecture and Computer Technology, Universidad de Sevilla, ETSIIDepartment of Health Promotion, School for Public Health and Primary Care (Caphri), Maastricht UniversityQatar Computing Research Institute, Hamad bin Khalifa UniversityDepartment of Architecture and Computer Technology, Universidad de Sevilla, ETSIIDepartment of Architecture and Computer Technology, Universidad de Sevilla, ETSIIMedical School, Faculty of Health Sciences, Aristotle University of ThessalonikiMedical School, Faculty of Health Sciences, Aristotle University of ThessalonikiDepartment of Health Promotion, School for Public Health and Primary Care (Caphri), Maastricht UniversityAbstract Background Smoking is one of the most avoidable health risk factors, and yet the quitting success rates are low. The usage of tailored health messages to support quitting has been proved to increase quitting success rates. Technology can provide convenient means to deliver tailored health messages. Health recommender systems are information-filtering algorithms that can choose the most relevant health-related items—for instance, motivational messages aimed at smoking cessation—for each user based on his or her profile. The goals of this study are to analyze the perceived quality of an mHealth recommender system aimed at smoking cessation, and to assess the level of engagement with the messages delivered to users via this medium. Methods Patients participating in a smoking cessation program will be provided with a mobile app to receive tailored motivational health messages selected by a health recommender system, based on their profile retrieved from an electronic health record as the initial knowledge source. Patients’ feedback on the messages and their interactions with the app will be analyzed and evaluated following an observational prospective methodology to a) assess the perceived quality of the mobile-based health recommender system and the messages, using the precision and time-to-read metrics and an 18-item questionnaire delivered to all patients who complete the program, and b) measure patient engagement with the mobile-based health recommender system using aggregated data analytic metrics like session frequency and, to determine the individual-level engagement, the rate of read messages for each user. This paper details the implementation and evaluation protocol that will be followed. Discussion This study will explore whether a health recommender system algorithm integrated with an electronic health record can predict which tailored motivational health messages patients would prefer and consider to be of a good quality, encouraging them to engage with the system. The outcomes of this study will help future researchers design better tailored motivational message-sending recommender systems for smoking cessation to increase patient engagement, reduce attrition, and, as a result, increase the rates of smoking cessation. Trial registration The trial was registered at clinicaltrials.org under the ClinicalTrials.gov identifier NCT03206619 on July 2nd 2017. Retrospectively registered.http://link.springer.com/article/10.1186/s12889-018-5612-5Recommender systemTailored messagesSmoking cessationMobile appPatientmHealth
spellingShingle Santiago Hors-Fraile
Francine Schneider
Luis Fernandez-Luque
Francisco Luna-Perejon
Anton Civit
Dimitris Spachos
Panagiotis Bamidis
Hein de Vries
Tailoring motivational health messages for smoking cessation using an mHealth recommender system integrated with an electronic health record: a study protocol
BMC Public Health
Recommender system
Tailored messages
Smoking cessation
Mobile app
Patient
mHealth
title Tailoring motivational health messages for smoking cessation using an mHealth recommender system integrated with an electronic health record: a study protocol
title_full Tailoring motivational health messages for smoking cessation using an mHealth recommender system integrated with an electronic health record: a study protocol
title_fullStr Tailoring motivational health messages for smoking cessation using an mHealth recommender system integrated with an electronic health record: a study protocol
title_full_unstemmed Tailoring motivational health messages for smoking cessation using an mHealth recommender system integrated with an electronic health record: a study protocol
title_short Tailoring motivational health messages for smoking cessation using an mHealth recommender system integrated with an electronic health record: a study protocol
title_sort tailoring motivational health messages for smoking cessation using an mhealth recommender system integrated with an electronic health record a study protocol
topic Recommender system
Tailored messages
Smoking cessation
Mobile app
Patient
mHealth
url http://link.springer.com/article/10.1186/s12889-018-5612-5
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