The Evolution of Personalized Behavioral Intervention Technology

Abstract

Telehealth access, mobile communication, instrumented devices, and wearable sensing technologies can be con-figured by internet connectivity to hover like an invisible per-sonal drone, curating continuous data about physical activity, mental state, and physiology, even body and environmental chemistry, during everyday life.1,2 The figurative drone can gather ground truth via direct observation of disabled persons after a stroke during their daily activities or rehabilitation practice, then transmit measurements of interest to clinicians and researchers with high accuracy in real time. The technol-ogy can be configured to ask about and record in-the-moment self-reports about mood, pain, social interaction, activity, and other personal events. After stroke, it can enable patients to receive rehabilitation in their homes and communities when little or no therapy would otherwise be available.