Wellbeing module · Not a medical device
Behavioral Change Coaching
that actually changes behavior
Most digital health tools track. A few remind. Healthentia BCC is the first to reason — autonomously selecting, sequencing, and adapting science-backed coaching techniques to each individual, at scale, without a human coach in the loop.
Physical activity Nutrition Sleep Smoking cessation Chronic condition coping
Why behavior change is still broken
Lifestyle diseases account for over 70% of global deaths. The cause isn't knowledge — it's behavior. And behavior is hard to change at scale.
Human coaches don't scale
One-on-one coaching works — but it's expensive, inconsistent, and inaccessible to most patients with chronic conditions.
Generic apps don't engage
Most mHealth apps deliver the same notification to everyone. Without personalization, engagement drops sharply within weeks.
RPM alone doesn't coach
Remote monitoring tells you what's happening. It doesn't help the patient understand why or what to do differently.
How BCC works: the coaching cycle
A continuous, autonomous loop — informed by behavioral science and driven by individual data. Four steps. Constantly running.
1
Assess
During a 2-week initialization phase, BCC collects clinical, behavioral, and psychosocial data. Each user is mapped against the COM-B model — capability, opportunity, motivation — across all five wellbeing domains.
2
Predict
The agentic automation engine simulates a digital twin of the individual — forecasting where behavior is likely to go over 12 weeks and identifying the highest-leverage intervention points.
3
Tailor
From a taxonomy of 93 validated Behavioral Change Techniques (BCTs), the system selects the most effective combinations for this person — balancing domain priority, psychological readiness, and proven technique synergies.
4
Deliver & adjust
Coaching is delivered through a conversational digital coach — via tips, interactive dialogues, and weekly lessons. Behavior is monitored continuously. If deviation is detected, the plan adapts in real time.
Grounded in behavioral science
BCC isn't built on intuition. Three established theoretical frameworks underpin every coaching decision.
COM-B model
Capability, Opportunity, Motivation → Behavior. The foundational framework for understanding why individuals act the way they do — and what needs to change.
Behaviour Change Wheel
Links COM-B components to specific intervention functions. Used to identify which BCTs are most appropriate for a given behavioral determinant.
BDI framework
Belief–Desire–Intention. The computational architecture for modeling agent decision-making — selecting the right technique at the right moment for the right person.
Real-world evidence, peer-reviewed
Published in JMIR Formative Research (2025). A preliminary study in patients with Type 2 Diabetes showed promising engagement and behavioral indicators after 12 weeks of BCC.
83%
of delivered content was accessed by participants
1,310 of 1,570 content items completed
72%
of content received positive feedback
1,125 of 1,570 items positively rated
−17.3 mg/dL
mean fasting glucose change
Large effect size (Cohen d=1.5, p=.002)
−2.9 kg
mean weight reduction
Large effect size (Cohen d=1.05, p=.01)
"Personalized digital coaching, rooted in behavioral science and aligned with an individual's unique beliefs, capabilities, and motivations, demonstrates higher engagement and retention — potentially enhancing patient self-management strategies."
Kostopoulou et al., JMIR Formative Research, July 2025 · doi:10.2196/73807
Engagement and behavioral indicators reflect wellbeing module performance only. This is not a medical claim. Results are preliminary and based on a limited sample. Full study ongoing.
How BCC compares
Not all digital coaching is the same.
Generic apps
✗ Same content for everyone
✗ No behavioral theory
✗ No real-time adaptation
✗ Engagement drops fast
Human coaches
✗ High cost per patient
✗ Limited availability
✗ Inconsistent delivery
✓ Personalized (but unscalable)
RPM-only platforms
✗ Monitors, doesn't coach
✗ No behavior change layer
✓ Good clinical data capture
✗ Passive patient role
Healthentia BCC
✓ Hyper-personalized coaching
✓ Science-backed BCTs
✓ Autonomous real-time adaptation
✓ Scales without human coaches
Designed with compliance built in
BCC is a wellbeing module — clearly separate from Healthentia's CE-marked medical device modules, in line with MDR Recital 12. All coaching content is framed as lifestyle and wellbeing support. No medical guidance is provided through BCC.
MDR Recital 12 aligned
BCC operates as a non-medical, wellbeing module. Medical and wellbeing functionalities are architecturally segregated within the Healthentia platform.
AI Act–aware design
The agentic automation engine is designed with transparency and user control as core principles — meeting the spirit of emerging AI Act requirements for health applications.