Analyzing recommender systems for health promotion using a multidisciplinary taxonomy

A scoping review

Santiago Hors-Fraile, Octavio Rivera-Romero, Francine Schneider, Luis Fernandez, Francisco Luna-Perejon, Anton Civit-Balcells, Hein de Vries

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background: Recommender systems are information retrieval systems that provide users with relevant items (e.g., through messages). Despite their extensive use in the e-commerce and leisure domains, their application in healthcare is still in its infancy. These systems may be used to create tailored health interventions, thus reducing the cost of healthcare and fostering a healthier lifestyle in the population. Objective: This paper identifies, categorizes, and analyzes the existing knowledge in terms of the literature published over the past 10 years on the use of health recommender systems for patient interventions. The aim of this study is to understand the scientific evidence generated about health recommender systems, to identify any gaps in this field to achieve the United Nations Sustainable Development Goal 3 (SDG3) (namely, "Ensure healthy lives and promote well-being for all at all ages"), and to suggest possible reasons for these gaps as well as to propose some solutions. Methods: We conducted a scoping review, which consisted of a keyword search of the literature related to health recommender systems for patients in the following databases: ScienceDirect, PsycInfo, Association for Computing Machinery, IEEExplore, and Pubmed. Further, we limited our search to consider only English-language journal articles published in the last 10 years. The reviewing process comprised three researchers who filtered the results simultaneously. The quantitative synthesis was conducted in parallel by two researchers, who classified each paper in terms of four aspects-the domain, the methodological and procedural aspects, the health promotion theoretical factors and behavior change theories, and the technical aspects-using a new multidisciplinary taxonomy. Results: Nineteen papers met the inclusion criteria and were included in the data analysis, for which thirty-three features were assessed. The nine features associated with the health promotion theoretical factors and behavior change theories were not observed in any of the selected studies, did not use principles of tailoring, and did not assess (cost)-effectiveness. Discussion: Health recommender systems may be further improved by using relevant behavior change strategies and by implementing essential characteristics of tailored interventions. In addition, many of the features required to assess each of the domain aspects, the methodological and procedural aspects, and technical aspects were not reported in the studies. Conclusions: The studies analyzed presented few evidence in support of the positive effects of using health recommender systems in terms of cost-effectiveness and patient health outcomes. This is why future studies should ensure that all the proposed features are covered in our multidisciplinary taxonomy, including integration with electronic health records and the incorporation of health promotion theoretical factors and behavior change theories. This will render those studies more useful for policymakers since they will cover all aspects needed to determine their impact toward meeting SDG3.

Original languageEnglish
JournalInternational Journal of Medical Informatics
DOIs
Publication statusAccepted/In press - 1 Jan 2018

Fingerprint

Health Promotion
Health
Conservation of Natural Resources
Cost-Benefit Analysis
Research Personnel
Foster Home Care
United Nations
Electronic Health Records
Leisure Activities
PubMed
Information Systems
Health Care Costs
Language
Databases
Delivery of Health Care
Population

Keywords

  • Behavior change
  • Health intervention
  • Health promotion
  • Patient
  • Recommendation
  • Recommender system
  • Tailoring
  • Taxonomy

ASJC Scopus subject areas

  • Health Informatics

Cite this

Analyzing recommender systems for health promotion using a multidisciplinary taxonomy : A scoping review. / Hors-Fraile, Santiago; Rivera-Romero, Octavio; Schneider, Francine; Fernandez, Luis; Luna-Perejon, Francisco; Civit-Balcells, Anton; de Vries, Hein.

In: International Journal of Medical Informatics, 01.01.2018.

Research output: Contribution to journalArticle

Hors-Fraile, Santiago ; Rivera-Romero, Octavio ; Schneider, Francine ; Fernandez, Luis ; Luna-Perejon, Francisco ; Civit-Balcells, Anton ; de Vries, Hein. / Analyzing recommender systems for health promotion using a multidisciplinary taxonomy : A scoping review. In: International Journal of Medical Informatics. 2018.
@article{759a180630cf4348bc72dc527f1520a8,
title = "Analyzing recommender systems for health promotion using a multidisciplinary taxonomy: A scoping review",
abstract = "Background: Recommender systems are information retrieval systems that provide users with relevant items (e.g., through messages). Despite their extensive use in the e-commerce and leisure domains, their application in healthcare is still in its infancy. These systems may be used to create tailored health interventions, thus reducing the cost of healthcare and fostering a healthier lifestyle in the population. Objective: This paper identifies, categorizes, and analyzes the existing knowledge in terms of the literature published over the past 10 years on the use of health recommender systems for patient interventions. The aim of this study is to understand the scientific evidence generated about health recommender systems, to identify any gaps in this field to achieve the United Nations Sustainable Development Goal 3 (SDG3) (namely, {"}Ensure healthy lives and promote well-being for all at all ages{"}), and to suggest possible reasons for these gaps as well as to propose some solutions. Methods: We conducted a scoping review, which consisted of a keyword search of the literature related to health recommender systems for patients in the following databases: ScienceDirect, PsycInfo, Association for Computing Machinery, IEEExplore, and Pubmed. Further, we limited our search to consider only English-language journal articles published in the last 10 years. The reviewing process comprised three researchers who filtered the results simultaneously. The quantitative synthesis was conducted in parallel by two researchers, who classified each paper in terms of four aspects-the domain, the methodological and procedural aspects, the health promotion theoretical factors and behavior change theories, and the technical aspects-using a new multidisciplinary taxonomy. Results: Nineteen papers met the inclusion criteria and were included in the data analysis, for which thirty-three features were assessed. The nine features associated with the health promotion theoretical factors and behavior change theories were not observed in any of the selected studies, did not use principles of tailoring, and did not assess (cost)-effectiveness. Discussion: Health recommender systems may be further improved by using relevant behavior change strategies and by implementing essential characteristics of tailored interventions. In addition, many of the features required to assess each of the domain aspects, the methodological and procedural aspects, and technical aspects were not reported in the studies. Conclusions: The studies analyzed presented few evidence in support of the positive effects of using health recommender systems in terms of cost-effectiveness and patient health outcomes. This is why future studies should ensure that all the proposed features are covered in our multidisciplinary taxonomy, including integration with electronic health records and the incorporation of health promotion theoretical factors and behavior change theories. This will render those studies more useful for policymakers since they will cover all aspects needed to determine their impact toward meeting SDG3.",
keywords = "Behavior change, Health intervention, Health promotion, Patient, Recommendation, Recommender system, Tailoring, Taxonomy",
author = "Santiago Hors-Fraile and Octavio Rivera-Romero and Francine Schneider and Luis Fernandez and Francisco Luna-Perejon and Anton Civit-Balcells and {de Vries}, Hein",
year = "2018",
month = "1",
day = "1",
doi = "10.1016/j.ijmedinf.2017.12.018",
language = "English",
journal = "International Journal of Medical Informatics",
issn = "1386-5056",
publisher = "Elsevier Ireland Ltd",

}

TY - JOUR

T1 - Analyzing recommender systems for health promotion using a multidisciplinary taxonomy

T2 - A scoping review

AU - Hors-Fraile, Santiago

AU - Rivera-Romero, Octavio

AU - Schneider, Francine

AU - Fernandez, Luis

AU - Luna-Perejon, Francisco

AU - Civit-Balcells, Anton

AU - de Vries, Hein

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Background: Recommender systems are information retrieval systems that provide users with relevant items (e.g., through messages). Despite their extensive use in the e-commerce and leisure domains, their application in healthcare is still in its infancy. These systems may be used to create tailored health interventions, thus reducing the cost of healthcare and fostering a healthier lifestyle in the population. Objective: This paper identifies, categorizes, and analyzes the existing knowledge in terms of the literature published over the past 10 years on the use of health recommender systems for patient interventions. The aim of this study is to understand the scientific evidence generated about health recommender systems, to identify any gaps in this field to achieve the United Nations Sustainable Development Goal 3 (SDG3) (namely, "Ensure healthy lives and promote well-being for all at all ages"), and to suggest possible reasons for these gaps as well as to propose some solutions. Methods: We conducted a scoping review, which consisted of a keyword search of the literature related to health recommender systems for patients in the following databases: ScienceDirect, PsycInfo, Association for Computing Machinery, IEEExplore, and Pubmed. Further, we limited our search to consider only English-language journal articles published in the last 10 years. The reviewing process comprised three researchers who filtered the results simultaneously. The quantitative synthesis was conducted in parallel by two researchers, who classified each paper in terms of four aspects-the domain, the methodological and procedural aspects, the health promotion theoretical factors and behavior change theories, and the technical aspects-using a new multidisciplinary taxonomy. Results: Nineteen papers met the inclusion criteria and were included in the data analysis, for which thirty-three features were assessed. The nine features associated with the health promotion theoretical factors and behavior change theories were not observed in any of the selected studies, did not use principles of tailoring, and did not assess (cost)-effectiveness. Discussion: Health recommender systems may be further improved by using relevant behavior change strategies and by implementing essential characteristics of tailored interventions. In addition, many of the features required to assess each of the domain aspects, the methodological and procedural aspects, and technical aspects were not reported in the studies. Conclusions: The studies analyzed presented few evidence in support of the positive effects of using health recommender systems in terms of cost-effectiveness and patient health outcomes. This is why future studies should ensure that all the proposed features are covered in our multidisciplinary taxonomy, including integration with electronic health records and the incorporation of health promotion theoretical factors and behavior change theories. This will render those studies more useful for policymakers since they will cover all aspects needed to determine their impact toward meeting SDG3.

AB - Background: Recommender systems are information retrieval systems that provide users with relevant items (e.g., through messages). Despite their extensive use in the e-commerce and leisure domains, their application in healthcare is still in its infancy. These systems may be used to create tailored health interventions, thus reducing the cost of healthcare and fostering a healthier lifestyle in the population. Objective: This paper identifies, categorizes, and analyzes the existing knowledge in terms of the literature published over the past 10 years on the use of health recommender systems for patient interventions. The aim of this study is to understand the scientific evidence generated about health recommender systems, to identify any gaps in this field to achieve the United Nations Sustainable Development Goal 3 (SDG3) (namely, "Ensure healthy lives and promote well-being for all at all ages"), and to suggest possible reasons for these gaps as well as to propose some solutions. Methods: We conducted a scoping review, which consisted of a keyword search of the literature related to health recommender systems for patients in the following databases: ScienceDirect, PsycInfo, Association for Computing Machinery, IEEExplore, and Pubmed. Further, we limited our search to consider only English-language journal articles published in the last 10 years. The reviewing process comprised three researchers who filtered the results simultaneously. The quantitative synthesis was conducted in parallel by two researchers, who classified each paper in terms of four aspects-the domain, the methodological and procedural aspects, the health promotion theoretical factors and behavior change theories, and the technical aspects-using a new multidisciplinary taxonomy. Results: Nineteen papers met the inclusion criteria and were included in the data analysis, for which thirty-three features were assessed. The nine features associated with the health promotion theoretical factors and behavior change theories were not observed in any of the selected studies, did not use principles of tailoring, and did not assess (cost)-effectiveness. Discussion: Health recommender systems may be further improved by using relevant behavior change strategies and by implementing essential characteristics of tailored interventions. In addition, many of the features required to assess each of the domain aspects, the methodological and procedural aspects, and technical aspects were not reported in the studies. Conclusions: The studies analyzed presented few evidence in support of the positive effects of using health recommender systems in terms of cost-effectiveness and patient health outcomes. This is why future studies should ensure that all the proposed features are covered in our multidisciplinary taxonomy, including integration with electronic health records and the incorporation of health promotion theoretical factors and behavior change theories. This will render those studies more useful for policymakers since they will cover all aspects needed to determine their impact toward meeting SDG3.

KW - Behavior change

KW - Health intervention

KW - Health promotion

KW - Patient

KW - Recommendation

KW - Recommender system

KW - Tailoring

KW - Taxonomy

UR - http://www.scopus.com/inward/record.url?scp=85040373452&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85040373452&partnerID=8YFLogxK

U2 - 10.1016/j.ijmedinf.2017.12.018

DO - 10.1016/j.ijmedinf.2017.12.018

M3 - Article

JO - International Journal of Medical Informatics

JF - International Journal of Medical Informatics

SN - 1386-5056

ER -