Reinforcement learning in mobile health (mHealth) interventions requires balancing intervention efficacy with user burden, particularly when state measurements (for example, user surveys or feedback) are costly yet essential. The Act-Then-Measure (ATM) heuristic addresses this challenge by decoupling control and measurement actions within the Action-Contingent Noiselessly Observable Markov Decision Process (ACNO-MDP) framework. However, the standard ATM algorithm relies on a temporal-difference-inspired Q-learning method, which is prone to instability in sparse and noisy environments. In this work, we propose a Bayesian extension to ATM that replaces standard Q-learning with a Kalman filter-style Bayesian update, maintaining uncertainty-aware estimates of Q-values and enabling more stable and sample-efficient learning. We evaluate our method in both toy environments and clinically motivated testbeds. In small, tabular environments, Bayesian ATM achieves comparable or improved scalarized returns with substantially lower variance and more stable policy behavior. In contrast, in larger and more complex mHealth settings, both the standard and Bayesian ATM variants perform poorly, suggesting a mismatch between ATM's modeling assumptions and the structural challenges of real-world mHealth domains. These findings highlight the value of uncertainty-aware methods in low-data settings while underscoring the need for new RL algorithms that explicitly model causal structure, continuous states, and delayed feedback under observation cost constraints.

Typical black-box optimization approaches in robotics focus on learning from metric scores. However, that is not always possible, as not all developers have ground truth available. Learning appropriate robot behavior in human-centric contexts often requires querying users, who typically cannot provide precise metric scores. Existing approaches leverage human feedback in an attempt to model an implicit reward function; however, this reward may be difficult or impossible to effectively capture. In this work, we introduce SortCMA to optimize algorithm parameter configurations in high dimensions based on pairwise user preferences. SortCMA efficiently and robustly leverages user input to find parameter sets without directly modeling a reward. We apply this method to tuning a commercial depth sensor without ground truth, and to robot social navigation, which involves highly complex preferences over robot behavior. We show that our method succeeds in optimizing for the user's goals and perform a user study to evaluate social navigation results.