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Latest Publications

    2025

    Giger, O.F., Fleisch, E., Jovanova, M., Kowatsch, T., Barriers and facilitators of implementing value-based care: The case of SwissDiabeter, Digital Health, 11, 10.1177/20552076251336322.

    Brügger, V., Kowatsch, T., Jovanova, M., Predicting postprandial glucose excursions to personalize dietary interventions for type-2 diabetes management, Scientific Reports (forthcoming).

    Mair, J., Negi, S., Castro, O., Jabir, A., Shenoi, A., von Wangenheim, F., Kowatsch, T., Using Machine Learning Models to Predict Receptive States for Physical Activity Behavioral Support, Abstract presented at the International Society of Behavioral Nutrition and Physical Activity Conference (ISBNPA), Auckland, New Zealand, June 11-14, 2025, Book of Abstracts. [PDF]

    Zheng, S., Castro, O., Mair, J., Tan, X., Jabir, A., Yan, X., Chakraborty, B., Tai, E.S., Van Dam, R., von Wangenheim, F., Fleisch, E., Griva, K., Kowatsch, T., Müller-Riemenschneider, F., Smart Health, Adaptive Support: A Sequential, Multiple Assignment, Randomized Pilot Trial of LvL UP, Abstract presented at the International Society of Behavioral Nutrition and Physical Activity Conference (ISBNPA), Auckland, New Zealand, June 11-14, 2025, Book of Abstracts. [PDF]

    Budig, T., Nißen, M.K., Kowatsch, T., Towards the Embodied Conversational Interview Agentic Service ELIAS: Development and Evaluation of a First Prototype, LLM4Good: The 1st Workshop on Sustainable and Trustworthy Large Language Models for Personalization co-located with the 33rd ACM International Conference on User Modeling, Adaptation and Personalization (UMAP 2025), New York, USA, June 16-19, 2025, 10.1145/3708319.3733810.

    Brügger, V., Kowatsch, T., Jovanova, M., Using Commercial Wearables for Lifestyle and Metabolic Phenotyping: A Study Protocol of the GLOW UP Study, Abstract presented at the International Society of Behavioral Nutrition and Physical Activity Conference (ISBNPA), Auckland, New Zealand, June 11-14, 2025, Book of Abstracts. [PDF]

    Brügger, V., Kowatsch, T., Jovanova, M., Wearables and smartphones for tracking modifiable risk factors in metabolic health: a scoping review, Abstract presented at the International Society of Behavioral Nutrition and Physical Activity Conference (ISBNPA), Auckland, New Zealand, June 11-14, 2025, Book of Abstracts. [PDF]

    Fuchs, M., Wirth, B., Bilz, S., Brändle, M., Kowatsch, T., Jovanova, M., Exploring Message Receptivity and Protocol Adherence in a Clinical Study: A Micro-Randomized Trial Protocol, Workshop Envisioning the Future of Interactive Health, co-located with the ACM CHI conference on Human Factors in Computing Systems (CHI 2025), Yokohama, Japan, 26 Apr – 1 May, 2025, 10.5281/zenodo.15203351. [PDF]

    Shenoi, A., Teepe, G., Lukic, Y., Negi, S., Mair, J., Fleisch, E., Kowatsch, T., Just Breathe: Harnessing Pretrained Audio Models for Mood Awareness in a Gamified Breathing Training App, Workshop Envisioning the Future of Interactive Health, co-located with the ACM CHI conference on Human Factors in Computing Systems (CHI 2025), Yokohama, Japan, 26 Apr – 1 May, 2025, 10.5281/zenodo.15203351. [PDF]

    Bitomsky, L., Pfitzer, E., Nißen, M.K., Kowatsch, T., Advancing health equity and the role of digital health technologies: a scoping review, BMJ Open (forthcoming).

    Nißen, M., Harperink, S., Joshi, P., Bischof, A., Schachner, T., Lukic, Y., Schneider, F., Santhanam, P., von Wangenheim, F., Ollier, J.B., Kowatsch, T., Leveraging Influencers to Reach and Engage Vulnerable Individuals: A Quasi-Experimental Field Study with a Digital Health Intervention, Journal of Medical Internet Research (JMIR), 10.2196/preprints.67174 (forthcoming).

    Bitomsky, L., Nißen, M.K., Kowatsch, T., Equity by Design Principles for Digital Health Interventions, Research Square, 30 May 2025, Preprint, 10.21203/rs.3.rs-6705871/v1.

    Mair, J., Jabir, A., Salamanca-Sanabria, A., Castro, O., Zheng, S., Keller, R., Frese, B., Lim, C.S., Alattas, A., Negi, S., Shenoi, A., Van Dam, R., Tai, E.S., Fleisch, E., von Wangenheim, F., Tudor Car, L., Müller-Riemenschneider, F., Kowatsch, T., LvL UP 1.0, a holistic mHealth lifestyle coaching intervention for the prevention of non-communicable diseases and common mental disorders: a mixed methods feasibility study, Research Square Preprint (Version 1, 23 May 2025) 10.21203/rs.3.rs-6484027/v1.

    Brill, E., Vinay, R., Nißen, M., Joshi, P., Klöppel, S., Kowatsch, T., Towards a smartphone-based and conversational agent delivered just-in-time adaptive holistic lifestyle intervention for seniors affected by cognitive decline: Two-week proof-of-concept study, JMIR Formative Research, 12/05/2025:66885 10.2196/66885 (Preprint).

    Defraeye, T., Bahrami, F., Kowatsch, T., Annaheim, S., Bragt, M.C.E., Rossi, R.M., Greger, M., Advances in Food-as-Medicine interventions and their impact on future food production, processing, and supply chains, Advances in Nutrition, 16(6), 100421, 10.1016/j.advnut.2025.100421.

    Weber, S., Deperrois, N., Heun, R., Frühschütz, L., Monn, A., Homan, S., Häfliger, A., Seifritz, E., Kowatsch, T., Kleim, B., Olbrich, S., Using a Fine-tuned Large Language Model for Symptom-based Depression Evaluation, Research Square Preprint (Version 1, 12 May 2025), 10.21203/rs.3.rs-6555767/v1.

    Homan, S., Roman, Z., Ries, A., Santhanam, P., Michel, S., Bertram, A.M., Klee, N., Berther, C., Blaser, S., Gabi, M., Homan, P., Scherer, H., Colla, M., Vetter, S., Olbrich, S., Seifritz, E., Galatzer-Levy, I., Kowatsch, T., Scholz, U., Kleim, B., Subgrouping suicidal ideations:an ecological momentary assessment study in psychiatric inpatients, BMC Psychiatry 25, 469 (2025), 10.1186/s12888-025-06861-w.

    Vinay, R., Uetova, E., Tommila, N., Biller-Andorno, N., Kowatsch, T., GRACE, A Hybrid Rule- and LLM-based Embodied Voice Assistant for Cognitive Stimulation in Older Adults: A Pilot Study Assessing Technical Feasibility, Technology Acceptance, and Working Alliance, JMIR Preprints. 09/05/2025:76489, 10.2196/preprints.76489.

    Barth, J., Schläpfer, S., Schneider, F., Santhanam, P., Kowatsch, T., Heinz, P., Held, U., Eicher, M., Witt, C., Mobile health intervention CanRelax reduces distress in people with cancer in a randomized controlled trial, npj Digital Medicine 8, 269 (2025), 10.1038/s41746-025-01688-x.

    Haug, S., Schaub, M.P., Kowatsch, T., Wirkfaktoren bei mHealth-Anwendungen zum Alkohol- und Tabakkonsum, SuchtMagazin 2/2025, Jg. 51, 5-8, Link.

    Vinay, R., Probst, J., Huynh, P., Schlögl, M., Kowatsch, T., Nißen, M., Top-funded digital health companies offering lifestyle interventions for dementia prevention: Company overview and evidence analysis, PLoS One 20(5): e0323390, 10.1371/journal.pone.0323390.

    Pfitzer, E., Giger, O.F., Kausch, C., Kowatsch, T., Success Factors and Measures for Scaling Patient-Facing Digital Health Technologies from Leaders Insights, BMC Health Services Research 25(632) 10.1186/s12913-025-12748-z.

    Deuber, R., Langer, P., Kraus, M., Pfäffli, M., Bantle, M., Barata, F., von Wangenheim, F., Fleisch, E., Weinmann, W., Wortmann, F., Moving Beyond the Simulator: Interaction-Based Drunk Driving Detection in a Real Vehicle Using Driver Monitoring Cameras and Real-Time Vehicle Data, In Proceedings of the 2025 CHI Conference on Human Factors in Computing Systems (CHI ’25). Association for Computing Machinery, New York, NY, USA, Article 84, 1–25. 10.1145/3706598.3714007 ***Best Paper***.

    Vinay, R., Spitale, G., Biller-Andorno, N., Germani, F., Emotional prompting amplifies disinformation generation in AI large language models, Frontiers in Artificial Intelligence, 8:1543603, 10.3389/frai.2025.1543603.

    Mair, J., Hashim, J., Linh, T.M., Tai, E.S., Ryan, J., Kowatsch, T., Müller-Riemenschneider, F., Edney, S.M., Understanding and Overcoming Barriers to Digital Health Adoption: A Patient and Public Involvement Study, Translational Behavioral Medicine, 15(1), ibaf010, 10.1093/tbm/ibaf010 .

    Gruener, M.R., West, E., Muhitira, U., Heldt, K., Oberhauser, S., l’Allemand, D., Jovanova, M., Kowatsch, T., Broser, P.J., Assessing Glucose Variability Metrics: Nerve Conduction Velocity in Children and Adolescents with Type 1 Diabetes, medRxiv 2025.03.25.25324553, 10.1101/2025.03.25.25324553.

    Castro, O., Norris, E., Wright, A.J., Hayes, E., Howes, E., Moore, C., West, R., Michie, S., Creating a body of physical activity evidence to test the generalisation of annotation methods for automated evidence synthesis, Abstract presented 9th International Conference from the UCL Centre for Behaviour Change, Lisbon, Portugal, 2-3 April 2025. [PDF]

    Castro, O., Fajardo, G., Johnston, M., Laroze, D., Leiva-Pinto, E., Figueroa, O., Corker, E., Chacón-Candia, J., Duarte, G., Translating the behaviour change technique taxonomy version 1 into Spanish: Methodology and validation, Abstract presented at the Digital Health Session, The Society of Behavioral Medicine’s 46th Annual Meeting & Scientific Sessions, San Francisco, CA, March 26 – 29, 2025. [PDF]

    Mair, J., Edney, S.M., Hashim, J., Müller-Riemenschneider, F., Tai, E.S., Ryan, J., Kowatsch, T., Behavioral Mechanisms Driving the Uptake and Sustained Use of Digital Health Interventions in a Multicultural Population, Abstract presented at the Digital Health Session, The Society of Behavioral Medicine’s 46th Annual Meeting & Scientific Sessions, San Francisco, CA, March 26 – 29, 2025. [PDF]

    Huynh, P., Stöckli, S., Fleisch, E., Kowatsch, T., Vinay, R., Technological integration and business models of leading home care providers for older adults: A systematic market analysis and multiple case study, Abstract presented at the 11th Asian Conference on Aging & Gerontology (AGen2025), Tokyo, Japan, 24-29 March 2025. [PDF]

    Huynh, P., Kowatsch, T., Stöckli, S., Vinay, R., Leveraging technology to transform home care for older adults: Challenges, innovations, and implications, Abstract presented at the 11th Asian Conference on Aging & Gerontology (AGen2025), Tokyo, Japan, 24-29 March 2025. [PDF]

    Lüscher, J., Pauly, T., Boateng, G., Kowatsch, T., Bodemann, G., Scholz, U., Exploring Dyadic Interactions in Type II Diabetes: Insights from a Naturalistic Observation Study, Abstract presented at the Symposium Unpacking Couples’ Daily Lives: Evidence and Methods for Understanding Close Relationship Dynamics, at the Conference of the Society of Ambulatory Assessment (SAA) 2025, Leuven, Belgium, 26-28 May 2025 (forthcoming). [PDF]

    Tumescheit, C., Sou, D., Nißen, M.K., Kowatsch, T., Hastings, J., Large Language Models Reveal Menstruation Experiences and Needs on Social Media, 20th World Congress on Medical and Health Informatics (Medinfo), Taipei, 9-13 August 2025 (forthcoming).

    Mekniran, W., Kowatsch, T., EDEN: Towards a Computational Framework to Align Incentives in Healthy Aging, In Proc of the 18th International Joint Conference on Biomedical Engineering Systems and Technologies – Volume 2: HEALTHINF, ISBN 978-989-758-731-3, ISSN 2184-4305, 1067-1076, 10.5220/0013359800003911. [PDF]

    Pfitzer, E., Kowatsch, T., Challenges and Innovations in Digitizing Elderly Care in Switzerland: A Single Case Study, In Proc of the 18th International Joint Conference on Biomedical Engineering Systems and Technologies – Volume 2: HEALTHINF, ISBN 978-989-758-731-3, ISSN 2184-4305, 1077-1082, 10.5220/0013395400003911. [PDF]

    Huynh, P., Adoption and Challenges of Digital Technologies in Home Care for Older Adults in Austria: Bridging Practical and Managerial Perspectives, In Proc of the 18th International Joint Conference on Biomedical Engineering Systems and Technologies – Volume 2: HEALTHINF, ISBN 978-989-758-731-3, ISSN 2184-4305, 1057-1066, 10.5220/0013307700003911. [PDF]

    Nißen, M., Prinz, S., Beyond Safety: Towards Non-Stigmatizing Mobile Emergency Watches that Empower Older Adults, In Proc of the 18th International Joint Conference on Biomedical Engineering Systems and Technologies – Volume 2: HEALTHINF, ISBN 978-989-758-731-3, ISSN 2184-4305, 1092-1098, 10.5220/0013399800003911. [PDF]

    Shenoi, A., Li, T., Fleisch, E., Kowatsch, T., Mair, J., LLM-driven Motivational Interviewing for Health Behaviour Change, ISRII 13th Scientific Meeting, University of San Diego, San Diego, California, 4-7 Aug, 2025 (forthcoming). [PDF]

    Castro, O., Mair, J., Zheng, S., Tan, S., Jabir, A., Yan, X., Chakraborty, B., Tai, E.S., Van Dam, R., von Wangenheim, F., Fleisch, E., Griva, K., Kowatsch, T., Müller-Riemenschneider, F., The LvL UP Trial: Pilot Trial for a Sequential, Multiple Assignment, Randomized Controlled Trial of a Blended Mobile Lifestyle Intervention, 18th International Congress of Behavioral Medicine (ICBM 2025), Vienna, Austria, August 6-9, 2025 (forthcoming).

    Castro, O., Mair, J., Zheng, S., Tan, S., Jabir, A., Yan, X., Chakraborty, B., Tai, E.S., Van Dam, R., von Wangenheim, F., Fleisch, E., Griva, K., Kowatsch, T., Müller-Riemenschneider, F., The LvL UP Trial: Protocol for a Sequential, Multiple Assignment, Randomized Controlled Trial to Assess the Effectiveness of a Blended Mobile Lifestyle Intervention, Contemporary Clinical Trials, 10.1016/j.cct.2025.107833.

    Paersch, C., Recher, D.A., Schulz, A., Heininger, M., Schlup, B., Künzler, F., Homan, S., Kowatsch, T., Fisher, A.J., Horn, A., Kleim, B., Self-Efficacy Effects on Symptom Experiences in Daily Life and Early Treatment Success in Anxiety Patients, Clinical Psychological Science, 13(1), 178-194, 10.1177/21677026231205262.

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