Dynamic and accretive composition of patient engagement instruments for personalized plan generation

Instruments of determined level of self-efficacy may be chosen dynamically for customized patient engagement, e.g., based on a patient's latent adherence trait estimated from lifestyle and other clinical data. Customization points in care plans may be identified, e.g., by monitoring an accumulative change in the patient's health literacy level. Clinical decision support at the point of care may be provided by adjusting patient engagement strategies and allocating resources accordingly.