Rania Islambouli

Dominik P. Hofer, David Haag, Rania Islambouli et al.

Digital behaviour change systems increasingly rely on repeated, system-initiated messages to support users in everyday contexts. LLMs enable these messages to be personalised consistently across interactions, yet it remains unclear whether such personalisation improves individual messages or instead shapes users' perceptions through patterns of exposure. We explore this question in the context of LLM-generated JITAIs, which are short, context-aware messages delivered at moments deemed appropriate to support behaviour change, using physical activity as an application domain. In a controlled retrospective study, 90 participants evaluated messages generated using four LLM strategies: baseline prompting, few-shot prompting, fine-tuned models, and retrieval augmented generation, each implemented with and without Big Five Personality Traits to produce personality-aligned communication across multiple scenarios. Using ordinal multilevel models with within-between decomposition, we distinguish trial-level effects, whether personality information improves evaluations of individual messages, from person-level exposure effects, whether participants receiving higher proportions of personality-informed messages exhibit systematically different overall perceptions. Results showed no trial-level associations, but participants who received higher proportions of BFPT-informed messages rated the messages as more personalised, appropriate, and reported less negative affect. We use Communication Accommodation Theory for post-hoc analysis. These results suggest that personality-based personalisation in behaviour change systems may operate primarily through aggregate exposure rather than per-message optimisation, with implications for how adaptive systems are designed and evaluated in sustained human-AI interaction. In-situ longitudinal studies are needed to validate these findings in real-world contexts.

Dominik P. Hofer, Haochen Song, Rania Islambouli et al.

Behaviour Change Techniques (BCTs) are central to digital health interventions, yet selecting and delivering effective techniques remains challenging. Contextual bandits enable statistically grounded optimisation of BCT selection, while Large Language Models (LLMs) offer flexible, context-sensitive message generation. We conducted a 4-week study on physical activity motivation (N=54; 9 post-study interviews) that compared five daily messaging approaches: random templates, contextual bandit with templates, LLM generation, hybrid bandit+LLM, and LLM with interaction history. LLM-based approaches were rated substantially more helpful than templates, but no significant differences emerged among LLM conditions. Unexpectedly, bandit optimisation for BCTs selection yielded no additional perceived helpfulness compared with LLM-only approaches. Unconstrained LLMs focused heavily on a single BCT, whereas bandit systems enforced systematic exploration-exploitation across techniques. Quantitative and qualitative findings suggest contextual acknowledgement of user input drove perceived helpfulness. We contribute design suggestions for reflective AI health behaviour change systems that address a trade-off between structured exploration and generative autonomy.

Haochen Song, Dominik Hofer, Rania Islambouli et al.

Machine learning approaches, such as contextual multi-armed bandit (cMAB) algorithms, offer a promising strategy to reduce sedentary behavior by delivering personalized interventions to encourage physical activity. However, cMAB algorithms typically require large participant samples to learn effectively and may overlook key psychological factors that are not explicitly encoded in the model. In this study, we propose a hybrid approach that combines cMAB for selecting intervention types with large language models (LLMs) to personalize message content. We evaluate four intervention types: behavioral self-monitoring, gain-framed, loss-framed, and social comparison, each delivered as a motivational message aimed at increasing motivation for physical activity and daily step count. Message content is further personalized using dynamic contextual factors including daily fluctuations in self-efficacy, social influence, and regulatory focus. Over a seven-day trial, participants receive daily messages assigned by one of four models: cMAB alone, LLM alone, combined cMAB with LLM personalization (cMABxLLM), or equal randomization (RCT). Outcomes include daily step count and message acceptance, assessed via ecological momentary assessments (EMAs). We apply a causal inference framework to evaluate the effects of each model. Our findings offer new insights into the complementary roles of LLM-based personalization and cMAB adaptation in promoting physical activity through personalized behavioral messaging.