Interventions

Chronic stressT3 · 63MOD
Vitality reserve44MOD
Stress burden58MOD
Stress-age+4 yrMOD

Readiness · stage of change

Transtheoretical model

Pre-contemplation
Contemplation
Preparation
Action
now
Maintenance

Overall in Action — engaged, adherent, asking for evidence rather than reassurance. Readiness isn't uniform across pillars, and the plan meets each where it is.

Action — Sleep, movement, mindfulness (adapted) — actively practising; push consolidation.
Preparation — Nutrition — ambivalent about the skipped breakfast; use small commitments, not a full overhaul.

Stage is inferred from engagement, check-ins and adherence — clinician-editable. It sets the tone of AVA's nudges and which just-in-time nudges fire.

Goals ↔ plan · revalidation

Confirm each goal's pathway still fits

Plan review due — last confirmed 20 Feb. Check each goal's pathway still fits, or adjust.
1
Stabilise daytime energy
Served by: Nutrition · protein-anchor + Movement recovery block
2
Consolidate the sleep gains
Served by: Sleep restore pathway (68%)
3
Protect the therapeutic alliance
Served by: Psychology referral + lighter load; watch irritability
4
Keep panic at bay
Served by: Body-scan & labelling — breathing/meditation contraindicated
Movement stays eased one more cycle — revisit intensity once VRES clears 30. — Dr Ionita · 06 Mar

Active plan · is it working?

Fidelity vs. effect on the target

Plan load
~35 min/day · moderate for her capacity — not overloaded
Sleep restoreFoundationWorking
Fidelity
78%
Effect · sleep onset latency
−12 minsignal

Onset latency falling; efficiency +6%. The behaviour is moving the target.

Body-scan & labellingMindfulnessWorking
Fidelity
74%
Effect · pre-event tension
−18%signal

Interoceptive labelling reducing tension; no panic episodes — the safe alternative is holding.

Gentle movementActivityCan't judge yet
Fidelity
53%
Effect · energy / resilience
flatnoise

Adherence-limited — too low to conclude it isn't working. Raise adherence before judging.

Meditation / breathingBlocked

Not offered — relaxation-induced panic risk, blocked by the safety system.

Proposed change

1 pending · you decide

Assistant proposes75% confidence
Add a recovery day · hold current intensity

Movement fidelity slipped to 53% and its effect can't be read yet. A recovery block protects engagement while you decide whether to re-time movement.

Just-in-time nudges

Micro-interventions · timed & capped so they ground rather than nag

Body-scan micro-practice2 minActive

Fires when tension rises before a meeting (HRV drop + calendar), ~15 min prior.

Evidence B71% response · tension ↓Max 2/day · skips if mid-task
Movement snack5 minAvailable

Short walk / stretch to break sedentary stretches — a low-burden lift for the slipping movement pathway.

Evidence B
Protein + hydration nudge1 minSuggested

Fires at her meal-skip windows — targets the worsening skipped-meals signal.

Evidence C
Coherent breathing4 minContraindicated

Blocked — anxiety & panic history, relaxation-induced panic risk. Not offered.