Behavior Change Engine

The Behavior Change Engine is a module within the Mahalo digital health platform, designed to deliver personalized behavior and lifestyle intervention programs to patients. It is intended for healthcare organizations and digital health teams that need to move beyond generalized guidance and provide individualized, long-term support to patients managing chronic health conditions.

The platform is built on the premise that patients respond differently to behavior change interventions — some require daily coaching, others respond to financial incentives or cause-and-effect visualizations — and that a single standardized approach is insufficient. The engine combines automated content delivery, algorithmic personalization, live one-on-one coaching sessions, and engagement notifications to support each patient's specific needs over time.

Defining Success Metrics for Patient Populations

• Set minimum and maximum values for patient biomarkers
• Configure reduction or elimination goals for specific behaviors
• Adjust how frequently biomarkers are permitted to fall outside a specified range
• Apply group and cohort-level goals to support motivation across patient segments

Measuring What Works for Individual Patients

• Tracks whether individual patients respond to daily coaching sessions
• Identifies patients who respond to impactful or "shocking" educational content
• Supports personalized cause-and-effect visualizations as a motivational tool
• Accommodates monetary reward-based motivation for applicable patients
• Recognizes that most patients respond to a combination of tactics, with the mix varying per individual

Automating Individualized Behavior Change Programs

• Allows creation of multiple distinct behavior change programs
• Groups content together in logical patterns suited to different patient journeys
• Automates delivery of content to each patient based on their profile
• Uses algorithms to individualize content according to each patient's progress over time

Monitoring and Improving Programs

• Measures the effectiveness of content and programs on an ongoing basis
• Supports reworking or replacing content and programs with low success rates
• Enables modeling of new content based on the highest-performing programs
• Provides data drill-down at both the group cohort level and the individual patient level

The Behavior Change Engine is part of Mahalo's broader unified digital health platform, which also covers eClinical tools, DTx development, and a unified data platform. The platform references compliance with HIPAA, GDPR, ISO standards, and Good Clinical Practice (GCP), and includes security and responsible disclosure policies.