Microrandomized Trial Design for Evaluating Just-in-Time Adaptive Interventions through Mobile Health Technologies for Cardiovascular Disease

Academic Article


  • Smartphone and wearable device use is rising broadly and can be leveraged for chronic disease management. Just-in-Time adaptive interventions promise to deliver personalized, dynamic interventions directly to patients through use of push notifications from mobile devices. Although just-in-Time adaptive interventions are a powerful tool for shaping health behavior, their application to cardiovascular disease management has been limited as they can be challenging to design. Herein, we provide a general overview and conceptual framework for microrandomized trials, a novel experimental study design that can be used to optimize just-in-Time adaptive interventions. Microrandomized trials leverage mobile devices to sequentially randomize participants to types or levels of an intervention to determine the effectiveness of an intervention and time-varying moderators of those effects. Microrandomized trials are an efficient study design that can be used to determine which intervention components to include in just-in-Time adaptive interventions and to optimize their decision rules while maintaining the strength of causal inference associated with traditional randomized controlled trials.
  • Digital Object Identifier (doi)

    Author List

  • Golbus JR; Dempsey W; Jackson EA; Nallamothu BK; Klasnja P
  • Start Page

  • 249
  • End Page

  • 258