Finite-Time Guarantees for Multi-Agent Combinatorial Bandits with Nonstationary Rewards

We study a sequential resource allocation problem where a decision maker selects subsets of agents at each period to maximize overall outcomes without prior knowledge of individual-level effects. Our framework applies to settings such as community health interventions, targeted digital advertising, and workforce retention programs, where intervention effects evolve dynamically. Agents may exhibit habituation (diminished response from frequent selection) or recovery (enhanced response from infrequent selection). The technical challenge centers on nonstationary reward distributions that lead to changing intervention effects over time. The problem requires balancing two key competing objectives: heterogeneous individual rewards and the exploration-exploitation tradeoff in terms of learning for improved future decisions as opposed to maximizing immediate outcomes. Our contribution introduces the first framework incorporating this form of nonstationary rewards in the combinatorial multi-armed bandit literature. We develop algorithms with theoretical guarantees on dynamic regret and demonstrate practical efficacy through a diabetes intervention case study. Our personalized community intervention algorithm achieved up to three times as much improvement in program enrollment compared to baseline approaches, validating the framework's potential for real-world applications. This work bridges theoretical advances in adaptive learning with practical challenges in population-level behavioral change interventions.

Planning a Community Approach to Diabetes Care in Low- and Middle-Income Countries Using Optimization

Diabetes is a global health priority, especially in low- and-middle-income countries, where over 50% of premature deaths are attributed to high blood glucose. Several studies have demonstrated the feasibility of using Community Health Worker (CHW) programs to provide affordable and culturally tailored solutions for early detection and management of diabetes. Yet, scalable models to design and implement CHW programs while accounting for screening, management, and patient enrollment decisions have not been proposed. We introduce an optimization framework to determine personalized CHW visits that maximize glycemic control at a community-level. Our framework explicitly models the trade-off between screening new patients and providing management visits to individuals who are already enrolled in treatment. We account for patients' motivational states, which affect their decisions to enroll or drop out of treatment and, therefore, the effectiveness of the intervention. We incorporate these decisions by modeling patients as utility-maximizing agents within a bi-level provider problem that we solve using approximate dynamic programming. By estimating patients' health and motivational states, our model builds visit plans that account for patients' tradeoffs when deciding to enroll in treatment, leading to reduced dropout rates and improved resource allocation. We apply our approach to generate CHW visit plans using operational data from a social enterprise serving low-income neighborhoods in urban areas of India. Through extensive simulation experiments, we find that our framework requires up to 73.4% less capacity than the best naive policy to achieve the same performance in terms of glycemic control. Our experiments also show that our solution algorithm can improve upon naive policies by up to 124.5% using the same CHW capacity.