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. 2019 Feb;42(1):67-83.
doi: 10.1007/s10865-018-9966-z. Epub 2019 Mar 1.

The history and future of digital health in the field of behavioral medicine

Danielle Arigo  1 , Danielle E Jake-Schoffman  2 , Kathleen Wolin  3 , Ellen Beckjord  4 , Eric B Hekler  5 , Sherry L Pagoto  6
Affiliations

The history and future of digital health in the field of behavioral medicine

Danielle Arigo et al. J Behav Med. 2019 Feb.

Abstract

Since its earliest days, the field of behavioral medicine has leveraged technology to increase the reach and effectiveness of its interventions. Here, we highlight key areas of opportunity and recommend next steps to further advance intervention development, evaluation, and commercialization with a focus on three technologies: mobile applications (apps), social media, and wearable devices. Ultimately, we argue that future of digital health behavioral science research lies in finding ways to advance more robust academic-industry partnerships. These include academics consciously working towards preparing and training the work force of the twenty first century for digital health, actively working towards advancing methods that can balance the needs for efficiency in industry with the desire for rigor and reproducibility in academia, and the need to advance common practices and procedures that support more ethical practices for promoting healthy behavior.

Keywords: Behavior change intervention; Digital health; Mobile applications; Social media; Wearable technology.

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Conflict of interest statement

Conflict of Interest: Danielle Arigo, Danielle E. Jake-Schoffman, Kate Wolin, and Ellen Beckjord declare that they have no conflicts of interest. Eric B. Hekler serves as scientific advisor to Omada Health, Proof Pilot, and eEcoSphere. Sherry L. Pagoto serves as scientific adviser to Fitbit.

Figures

Figure 1.
Figure 1.
Timeline of key developments in behavioral medicine’s use of technology to support interventions. (Dates approximated from published work.)
Figure 2.
Figure 2.
Strengths, weaknesses, and intersecting priorities for development of digital health tools in academia and industry.
See this image and copyright information in PMC

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References

    1. Agras WS (1982). Behavioral medicine in the 1980s: Nonrandom connections. Journal of Consulting and Clinical Psychology, 50, 797–803. - PubMed
    1. Anderson CM, & Zhu SH (2007). Tobacco quitlines: Looking back and looking ahead. Tobacco Control, 16 (Suppl 1), i81–i86. - PMC - PubMed
    1. Arigo D (2015). Promoting physical activity among women using wearable technology and online social connectivity: A feasibility study. Health Psychology and Behavioral Medicine, 3, 391–409.
    1. Arigo D, Pagoto S, Carter-Harris L, Lillie SE, & Nebeker C (2018). Using social media for health research: Methodological and ethical considerations for recruitment and intervention delivery. Digital Health, 4, 1–15. - PMC - PubMed
    1. Ashrafian H, Toma T, Harling L, Kerr K, Athanasiou T, & Darzi A (2014). Social networking strategies that aim to reduce obesity have achieved significant although modest results. Health Affairs, 33, 1641–1647. - PubMed

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