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Activity Number: 402 - Advances in Statistical Methods for Wearable and Mobile Health Data Analysis
Type: Invited
Date/Time: Wednesday, August 10, 2022 : 10:30 AM to 12:20 PM
Sponsor: Biometrics Section
Abstract #320395
Title: Optimal Adaptive Interventions with Unobserved Treatment Fatigue
Author(s): Joseph Lawson* and Eric Laber and Min Qian
Companies: Duke University and Duke University and Columbia Universityh
Keywords: Precision medicine; mHealth; Reinforcement learning; Bayesian dynamic programming; Causal inferenc
Abstract:

Treatment discontinuation can significantly limit the long-term effectiveness of mobile-health interventions. However, negative impacts of treatment, e.g., fatigue, habituation, or burden, which can lead to discontinuation can be difficult to observe and incorporate into just-in-time adaptive intervention algorithms. We model these negative effects as latent (unobserved) processes and estimate an optimal intervention strategy using Bayesian Dynamic programming. We establish frequentist performance guarantees and demonstrate its empirical performance through a suite of simulation experiments.


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