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Currently submitted to: JMIR Mental Health

Date Submitted: Oct 17, 2026

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

Context Shapes Need, Receptivity, and Effectiveness: What Emotion Regulation Science Offers Just-in-Time Adaptive Interventions

  • Emma Holly Palermo; 
  • Mark Shuquan Chen

ABSTRACT

Just-in-time adaptive interventions (JITAIs) promise real-time mental health support that are tailored to provide the right support at the right time to each person. Yet most existing JITAIs for mental health are rarely not truly “just-in-time” or “adaptive” in practice. Building and refining decision rules based on three components (i.e., need, receptivity, and effectiveness), and incorporating contextual influences on each of these components, can help to propel research on JITAIs forward. We argue that the field of emotion regulation (ER) research has already built an evidence base highlighting the influence of context on three stages of ER—evaluation, implementation, and monitoring—that map onto the three JITAI components needed to create decision rules. We describe how context maps onto each JITAI component and propose concrete research designs to further evaluate context-dependent need and strategy effectiveness, as well as to experimentally test idiographically predicted strategies in JITAIs. The integration of context into JITAIs can help to refine decision rules and ultimately lead to more personalized, acceptable, and effective interventions.


 Citation

Please cite as:

Palermo EH, Chen MS

Context Shapes Need, Receptivity, and Effectiveness: What Emotion Regulation Science Offers Just-in-Time Adaptive Interventions

JMIR Preprints. 17/10/2026:114687

DOI: 10.2196/preprints.114687

URL: https://preprints.jmir.org/preprint/114687

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