Reinforcement Learning in Modern Biostatistics: Constructing Optimal Adaptive Interventions
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Abstract (arXiv)
In recent years, reinforcement learning (RL) has acquired a prominent position in health-related sequential decision-making problems, gaining traction as a valuable tool for delivering adaptive interventions (AIs). However, in part due to a poor synergy between the methodological and the applied communities, its real-life application is still limited and its potential is still to be realized. To address this gap, our work provides the first unified technical survey on RL methods, complemented with case studies, for constructing various types of AIs in healthcare. In particular, using the common methodological umbrella of RL, we bridge two seemingly different AI domains, dynamic treatment regimes and just-in-time adaptive interventions in mobile health, highlighting similarities and differences between them and discussing the implications of using RL. Open problems and considerations for future research directions are outlined. Finally, we leverage our experience in designing case studies in both areas to showcase the significant collaborative opportunities between statistical, RL, and healthcare researchers in advancing AIs.
Key facts. Cited by 6 papers in the map (data through 7 Oct 2026). Builds on 37 of its 335 references that are in the map. First posted on arXiv 4 Mar 2022.
Builds on
37 of 335 references.
References · 37
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- 2018Supervised Reinforcement Learning with Recurrent Neural Network for Dynamic Treatment Recommendationcited by 101
- 2019Confidence Intervals for Policy Evaluation in Adaptive Experimentscited by 95
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25 more
- 2021Statistical Inference with M-Estimators on Adaptively Collected Datacited by 40
- 2021Proximal Reinforcement Learning: Efficient Off-Policy Evaluation in Partially Observed Markov Decision Processescited by 40
- 2016A Reinforcement Learning System to Encourage Physical Activity in Diabetes Patientscited by 38
- 2015Residual Weighted Learning for Estimating Individualized Treatment Rulescited by 37
- 2018Balanced Linear Contextual Banditscited by 30
- 2019Recovering Banditscited by 28
- 2016Assessing Time-Varying Causal Effect Moderation in Mobile Healthcited by 27
- 2021Estimating Optimal Infinite Horizon Dynamic Treatment Regimes via pT-Learningcited by 26
- 2021Causal Decision Making and Causal Effect Estimation Are Not the Same... and Why It Matterscited by 25
- 2020IntelligentPooling: Practical Thompson Sampling for mHealthcited by 24
- 2017Action Centered Contextual Banditscited by 23
- 2018Deep Reinforcement Learning for Dynamic Treatment Regimes on Medical Registry Datacited by 23
- 2021Online Multi-Armed Bandits with Adaptive Inferencecited by 21
- 2014Thompson sampling with the online bootstrapcited by 19
- 2018Semiparametric Contextual Banditscited by 19
- 2017An Actor-Critic Contextual Bandit Algorithm for Personalized Mobile Health Interventionscited by 17
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- 2019Direct and indirect reinforcement learningcited by 11
- 2019Contextual Multi-armed Bandit Algorithm for Semiparametric Reward Modelcited by 10
- 2018Robust Actor-Critic Contextual Bandit for Mobile Health (mHealth) Interventionscited by 9
- 2021Efficient Inference Without Trading-off Regret in Bandits: An Allocation Probability Test for Thompson Samplingcited by 7
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Citing papers per year: 2023: 1; 2024: 2; 2025: 1; 2026: 2.
6 papers.
- 2026Reinforcement Learning in the Real World: A Survey of Statistical Challenges and Future Directionscited by 5
- 2024Medical Knowledge Integration into Reinforcement Learning Algorithms for Dynamic Treatment Regimescited by 3
- 2026BFTS: Thompson Sampling with Bayesian Additive Regression Treescited by 1
- 2023A Meta-Learning Method for Estimation of Causal Excursion Effects to Assess Time-Varying Moderationcited by 0
- 2024Artificial Intelligence-based Decision Support Systems for Precision and Digital Healthcited by 0
- 2025Conformal bandits: bringing statistical validity and reward efficiency under weak arm separabilitycited by 0
- 2026BFTS: Thompson Sampling with Bayesian Additive Regression Trees8 Feb 2026
- 2026Reinforcement Learning in the Real World: A Survey of Statistical Challenges and Future Directions21 Jan 2026
- 2025Conformal bandits: bringing statistical validity and reward efficiency under weak arm separability10 Dec 2025
- 2024Artificial Intelligence-based Decision Support Systems for Precision and Digital Health22 Jul 2024
- 2024Medical Knowledge Integration into Reinforcement Learning Algorithms for Dynamic Treatment Regimes29 Jun 2024
- 2023A Meta-Learning Method for Estimation of Causal Excursion Effects to Assess Time-Varying Moderation28 Jun 2023