Using engineering control principles to inform the design of adaptive interventions: A conceptual introduction
Using engineering control principles to inform the design of adaptive interventions: A conceptual introduction
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DOI：
10.1016/j.drugalcdep.2006.10.020
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发表时间：
2007-05-01
影响因子：
4.2
通讯作者：
Collins, Linda A.
中科院分区：
文献类型：
--
作者：
Rivera, Daniel E.;Pew, Michael D.;Collins, Linda A.
本文的目的是描述控制工程原理在开发和提高自适应、时变干预措施的有效性方面所起的作用。它表明，适应性干预构成了一种形式的反馈控制系统的背景下，行为健康。因此，借鉴控制工程的思想有可能为适应性干预措施的分析、设计和实施提供重要信息，从而提高依从性，更好地管理有限的资源，减少负面影响，并总体上提高干预措施的有效性。本文阐述了如何表达一个自适应干预控制工程方面，以及如何使用这个框架在计算机模拟调查的预期影响干预设计的选择效果。基于控制工程原理操作决策规则的潜在益处对于涉及多个组件或解决共病的适应性干预特别重要，这些情况对传统临床实践构成重大挑战。(c)2006爱思唯尔爱尔兰有限公司保留所有权利。
The goal of this paper is to describe the role that control engineering principles can play in developing and improving the efficacy of adaptive, time-varying interventions. It is demonstrated that adaptive interventions constitute a form of feedback control system in the context of behavioral health. Consequently, drawing from ideas in control engineering has the potential to significantly inform the analysis, design, and implementation of adaptive interventions, leading to improved adherence, better management of limited resources, a reduction of negative effects, and overall more effective interventions. This article illustrates how to express an adaptive intervention in control engineering terms, and how to use this framework in a computer simulation to investigate the anticipated impact of intervention design choices on efficacy. The potential benefits of operationalizing decision rules based on control engineering principles are particularly significant for adaptive interventions that involve multiple components or address co-morbidities, situations that pose significant challenges to conventional clinical practice. (c) 2006 Elsevier Ireland Ltd. All rights reserved.