# An Agentic Just-in-Time Adaptive Intervention System for Personalized Sleep Support: Proof-of-Concept Study with N of 1 Data

arXiv: https://arxiv.org/abs/2609.21805 · HTML: https://mlsanity.com/paper/2609.21805/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Medical and scientific domain agents, one of 16 directions in LLM agents and tool use.
- Builds on 0 of its 12 references that are in the map.
- First posted on arXiv 18 Sep 2026.

## Placed in

- LLM agents and tool use / [Medical and scientific domain agents](https://mlsanity.com/agents/medical-and-scientific-domain-agents/)

## Abstract (arXiv)

Background: Just-in-time adaptive interventions (JITAIs) can use behavioral data to adapt support to changing contexts, but many rely on predefined rules and manual configuration. Objective: We developed a proof-of-concept sleep JITAI using an AI agent to review personal data, evaluate reminders, adapt interventions, and record decisions for human review. Methods: Running in Home Assistant on a configurable schedule, the agent follows a reusable skill file to review 30 days of sleep and behavioral data, including physical activity, smartphone use, and bedtime routines, to identify patterns and create or update automated reminders. Results: Initial runs demonstrated technical feasibility, successfully completing data review and intervention decisions while limiting reminders to three per day and saving decision records. Conclusions: Agentic AI may enable flexible, adaptive sleep JITAIs. The architecture supports future comparison with fixed or rulebased interventions, requires human oversight, and could extend to other health behaviors.