SATO (IDEAS expAnded wiTh BCIO): Workflow for designers of patient-centered mobile health behaviour change intervention applications

Aneta Lisowska, Szymon Wilk, Mor Peleg

Research output: Contribution to journalArticlepeer-review


Designing effective theory-driven digital behaviour change interventions (DBCI) is a challenging task. To ease the design process, and assist with knowledge sharing and evaluation of the DBCI, we propose the SATO (IDEAS expAnded wiTh BCIO) design workflow based on the IDEAS (Integrate, Design, Assess, and Share) framework and aligned with the Behaviour Change Intervention Ontology (BCIO). BCIO is a structural representation of the knowledge in behaviour change domain supporting evaluation of behaviour change interventions (BCIs) but it is not straightforward to utilise it during DBCI design. IDEAS (Integrate, Design, Assess, and Share) framework guides multi-disciplinary teams through the mobile health (mHealth) application development life-cycle but it is not aligned with BCIO entities. SATO couples BCIO entities with workflow steps and extends IDEAS Integrate stage with consideration of customisation and personalisation. We provide a checklist of the activities that should be performed during intervention planning with concrete examples and a tutorial accompanied with case studies from the Cancer Better Life Experience (CAPABLE) European project. In the process of creating this workflow, we found the necessity to extend the BCIO to support the scenarios of multiple clinical goals in the same application. To ensure the SATO steps are easy to follow for the incomers to the field, we performed a preliminary evaluation of the workflow with two knowledge engineers, working on novel mHealth app design tasks.

Original languageEnglish
Article number104276
JournalJournal of Biomedical Informatics
Early online date28 Dec 2022
StatePublished - Feb 2023

Bibliographical note

Funding Information:
The CAPABLE project has received funding from the European Union's Horizon 2020 research and innovation programme under grant agreement No 875052. This work has been also partly supported by the EU H2020 grant Sano No. 857533 and the IRAP Plus programme of the Foundation for Polish Science. The authors also wish to thank Vitali Gisko and Valentina Ganicheva from Bitsens UAB for provision of the app mock-ups and Alex Kogan and Nicole Veggiotti for participation in the SATO evaluation.

Publisher Copyright:
© 2022 The Authors


  • Application design
  • Cancer
  • Digital behaviour change intervention (DBCI)
  • Mobile health
  • Personalisation
  • Wellbeing

ASJC Scopus subject areas

  • Computer Science Applications
  • Health Informatics


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