Risky lifestyle behaviors remain one of the most pressing challenges in global health, contributing to the rising burden of chronic diseases. Despite wide recognition of the need for healthier long-term habits, achieving meaningful and lasting behavioral change continues to be difficult. Traditional interventions often fall short in promoting sustained motivation, and cost-effective digital solutions that adapt to individual needs are still limited.
At Healthentia, we are committed to bridging this gap by leveraging science-driven innovation in digital health. Our latest research presents a holistic framework designed to transform lifestyle behavior change through personalized digital coaching, powered by an automated multiagent reasoning system.
A Science-Backed Multiagent Framework
This framework brings together established behavioral change science and the practical strength of Healthentia’s certified SaMD (Software as a medical device). At its core, the system uses multiagent reasoning to select the most effective coaching strategies for everyone based on personal assessments and daily health and lifestyle data.
By prioritizing evidence-based BCTs (Behavioral Change Techniques) with the strongest impact on change, Healthentia’s digital coaching adapts in real time to user progress and engagement patterns. This ensures that interventions are not only relevant but also sustainable, empowering patients to take ownership of their health journey.
Application in Type 2 Diabetes Management
To illustrate this approach, we applied the behavioral change coaching scheme in a study involving patients with Type 2 Diabetes during a total of 12 weeks intervention plan with a 2-week assessment and adherence control weeks. Nine participants were monitored using Healthentia SaMD for remote care and personalized coaching content delivery.
The outcomes were highly encouraging. Within the group, fasting glucose levels dropped by an average of –17.3 mg/dL, supported by a large effect size and strong statistical significance. Patients also experienced meaningful reductions in weight (–2.89 kg) and BMI (–1.05 kg/m²). Importantly, the personalized coaching delivered through Healthentia resonated with patients, with over 71% of the opened, recommended content received positively.
These results demonstrate the potential of combining behavioral science with adaptive digital coaching to create measurable improvements in health outcomes.
What This Means for the Future
While these findings are preliminary, they highlight a promising path forward. Future directions include refining the multiagent selection process, expanding the type 2 diabetes program with more comprehensive health markers, and broadening the applications of this framework to other chronic conditions.
Further to the CE-marked virtual coaching module of Healthentia, wellbeing coaching support that is supported by genAI technologies can have strong influence to the patients’ behavior. This is to be studied and presented in future work.
Healthentia’s mission is to advance decentralized care with digital tools that are not only clinically robust but also deeply human-centered. By fusing data-driven intelligence with personalized coaching, we are helping patients break free from the limitations of one-size-fits-all health advice—giving them the right support at the right time.
