A human-centered perspective on research challenges for hybrid human artificial intelligence in lifestyle and behavior change support

As intelligent systems become more integrated into people’s daily life, systems designed to facilitate lifestyle and behavior change for health and well-being have also become more common. Previous work has identified challenges in the development and deployment of such AI-based support for diabetes...

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Main Authors: Chenxu Hao, Susanne Uusitalo, Caroline Figueroa, Quirine T. S. Smit, Michael Strange, Wen-Tseng Chang, M. I. Ribeiro, Vanita Kouomogne Nana, Myrthe L. Tielman, Maaike H. T. de Boer
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-03-01
Series:Frontiers in Digital Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fdgth.2025.1544185/full
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author Chenxu Hao
Susanne Uusitalo
Caroline Figueroa
Caroline Figueroa
Quirine T. S. Smit
Michael Strange
Wen-Tseng Chang
M. I. Ribeiro
Vanita Kouomogne Nana
Myrthe L. Tielman
Maaike H. T. de Boer
author_facet Chenxu Hao
Susanne Uusitalo
Caroline Figueroa
Caroline Figueroa
Quirine T. S. Smit
Michael Strange
Wen-Tseng Chang
M. I. Ribeiro
Vanita Kouomogne Nana
Myrthe L. Tielman
Maaike H. T. de Boer
author_sort Chenxu Hao
collection DOAJ
description As intelligent systems become more integrated into people’s daily life, systems designed to facilitate lifestyle and behavior change for health and well-being have also become more common. Previous work has identified challenges in the development and deployment of such AI-based support for diabetes lifestyle management and shown that it is necessary to shift the design process of AI-based support systems towards a human-centered approach that can be addressed by hybrid intelligence (HI). However, this shift also means adopting a user-centric design process, which brings its own challenges in terms of stakeholder involvement, evaluation processes and ethical concerns. In this perspective paper, we aim to more comprehensively identify challenges and future research directions in the development of HI systems for behavior change from four different viewpoints: (1) challenges on an individual level, such as understanding the individual end-user’s context (2) challenges on an evaluation level, such as evaluation pipelines and identifying success criteria and (3) challenges in addressing ethical implications. We show that developing HI systems for behavior change is an interdisciplinary process that requires further collaboration and consideration from various fields.
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spelling doaj-art-992f74f4dcf64128ab8dda83e7ed53ae2025-08-20T01:49:27ZengFrontiers Media S.A.Frontiers in Digital Health2673-253X2025-03-01710.3389/fdgth.2025.15441851544185A human-centered perspective on research challenges for hybrid human artificial intelligence in lifestyle and behavior change supportChenxu Hao0Susanne Uusitalo1Caroline Figueroa2Caroline Figueroa3Quirine T. S. Smit4Michael Strange5Wen-Tseng Chang6M. I. Ribeiro7Vanita Kouomogne Nana8Myrthe L. Tielman9Maaike H. T. de Boer10Delft University of Technology, Delft, NetherlandsUniversity of Oulu, Oulu, FinlandDelft University of Technology, Delft, NetherlandsUniversity of California Berkeley, School of Social Welfare, Berkeley, United StatesTNO, Soesterberg, NetherlandsDepartment of Global Political Studies, Malmö University, Malmö, SwedenAmsterdam University of Applied Sciences, Amsterdam, NetherlandsTechnical University of Eindhoven, Eindhoven, NetherlandsDepartment of Computer Sciences and Information Systems, Faculty of Sciences and Engineering, University of Limerick, Limerick, IrelandDelft University of Technology, Delft, NetherlandsTNO, Soesterberg, NetherlandsAs intelligent systems become more integrated into people’s daily life, systems designed to facilitate lifestyle and behavior change for health and well-being have also become more common. Previous work has identified challenges in the development and deployment of such AI-based support for diabetes lifestyle management and shown that it is necessary to shift the design process of AI-based support systems towards a human-centered approach that can be addressed by hybrid intelligence (HI). However, this shift also means adopting a user-centric design process, which brings its own challenges in terms of stakeholder involvement, evaluation processes and ethical concerns. In this perspective paper, we aim to more comprehensively identify challenges and future research directions in the development of HI systems for behavior change from four different viewpoints: (1) challenges on an individual level, such as understanding the individual end-user’s context (2) challenges on an evaluation level, such as evaluation pipelines and identifying success criteria and (3) challenges in addressing ethical implications. We show that developing HI systems for behavior change is an interdisciplinary process that requires further collaboration and consideration from various fields.https://www.frontiersin.org/articles/10.3389/fdgth.2025.1544185/fullhuman computer interactionhybrid intelligencebehavior changehealthcaresupport system
spellingShingle Chenxu Hao
Susanne Uusitalo
Caroline Figueroa
Caroline Figueroa
Quirine T. S. Smit
Michael Strange
Wen-Tseng Chang
M. I. Ribeiro
Vanita Kouomogne Nana
Myrthe L. Tielman
Maaike H. T. de Boer
A human-centered perspective on research challenges for hybrid human artificial intelligence in lifestyle and behavior change support
Frontiers in Digital Health
human computer interaction
hybrid intelligence
behavior change
healthcare
support system
title A human-centered perspective on research challenges for hybrid human artificial intelligence in lifestyle and behavior change support
title_full A human-centered perspective on research challenges for hybrid human artificial intelligence in lifestyle and behavior change support
title_fullStr A human-centered perspective on research challenges for hybrid human artificial intelligence in lifestyle and behavior change support
title_full_unstemmed A human-centered perspective on research challenges for hybrid human artificial intelligence in lifestyle and behavior change support
title_short A human-centered perspective on research challenges for hybrid human artificial intelligence in lifestyle and behavior change support
title_sort human centered perspective on research challenges for hybrid human artificial intelligence in lifestyle and behavior change support
topic human computer interaction
hybrid intelligence
behavior change
healthcare
support system
url https://www.frontiersin.org/articles/10.3389/fdgth.2025.1544185/full
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