Information processing system, information processing method and program

Abstract

To make it possible to determine whether cognitive behavioral therapy is appropriate.SOLUTION: An information processing system for assisting a cognitive behavioral therapy includes: a start permission inquiry unit for transmitting, to a patient, an inquiry as to whether or not the patient can engage in the cognitive behavioral therapy before the start of the cognitive behavioral therapy; and a determination unit for determining whether or not the patient can start the cognitive behavioral therapy on the basis of an input given by the patient in response to the inquiry.SELECTED DRAWING: Figure 1

Description

Technical Field

[0001] The present invention relates to an information processing system, an information processing method, and a program.

Background Art

[0002] Patent Document 1 discloses supporting cognitive behavioral therapy.

Prior Art Documents

Patent Documents

[0003]

Patent Document 1

Summary of the Invention

Problems to be Solved by the Invention

[0004] There are patients who drop out during the implementation of cognitive behavioral therapy.

[0005] The present invention has been made in view of such a background, and an object thereof is to provide a technique for determining whether a patient is suitable for cognitive behavioral therapy.

Means for Solving the Problems

[0006] The main invention of the present invention for solving the above problems is an information processing system for supporting cognitive behavioral therapy, comprising: a startability inquiry unit that transmits an inquiry to a patient as to whether the patient can perform the cognitive behavioral therapy before the start of the cognitive behavioral therapy; and a determination unit that determines whether the patient can start the cognitive behavioral therapy based on an input from the patient in response to the inquiry.

[0007] Regarding other problems disclosed in the present application and solutions therefor, they will be clarified by the embodiments of the invention and the drawings.

Effects of the Invention

[0008] According to the present invention, it is possible to determine whether cognitive behavioral therapy is suitable.

Brief Description of the Drawings

[0009]

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5

Modes for Carrying Out the Invention

[0010] <Overview of the System> Hereinafter, an information processing system according to an embodiment of the present invention will be described. The information processing system of the present embodiment is intended to support cognitive behavioral therapy (CBT). In the present embodiment, the information processing system determines whether a patient can expect a therapeutic effect by CBT. When implementing CBT, if the patient is not in a state where they can engage in CBT (for example, being calmer compared to when symptoms such as pain are the worst), CBT may not be continued and the patient may drop out. Therefore, in the information processing system of the present embodiment, it is configured to confirm in advance whether the patient is suitable for CBT.

[0011] In this embodiment, the suitability of CBT is confirmed in three stages. In the first stage, it is confirmed whether the patient is in a state where they can engage in CBT. If the patient is in a state where they can engage in CBT, then as the second stage, it is confirmed whether the patient has correct expectations regarding CBT. Before the confirmation in the second stage, by providing learning content, the patient is made to understand the outline of CBT, and then it is confirmed whether the patient can have correct expectations regarding CBT. In the third stage, it is confirmed whether the patient is likely to be able to continue with CBT. Note that it is also possible to implement only the first and second stages, or only the first stage or only the second stage.

[0012] The following will be described in detail.

[0013] FIG. 1 is a diagram showing an overall configuration example of the information processing system according to this embodiment. The information processing system of this embodiment is configured to include a management server 2. The management server 2 is communicably connected to the user terminal 1 and the medical institution terminal 3 via a communication network. The communication network is, for example, the Internet, and is constructed by a public telephone line network, a mobile phone line network, a wireless communication path, Ethernet (registered trademark), or the like.

[0014] The user terminal 1 is a computer operated by a patient. The user terminal 1 can be, for example, a smartphone, a tablet computer, a personal computer, or the like.

[0015] The medical institution terminal 3 is a computer operated by medical staff such as doctors and nurses. The medical institution terminal 3 can be, for example, a smartphone, a tablet computer, a personal computer, or the like.

[0016] The management server 2 may be a general-purpose computer such as a workstation or a personal computer, or may be logically realized by cloud computing.

[0017] <Management Server> FIG. 2 is a diagram showing an example of the hardware configuration of the management server 2. Note that the illustrated configuration is an example, and other configurations may be used. The management server 2 includes a CPU 201, a memory 202, a storage device 203, a communication interface 204, an input device 205, and an output device 206. The storage device 203 stores various data and programs, such as a hard disk drive, a solid state drive, or a flash memory. The communication interface 204 is an interface for connecting to a communication network, such as an adapter for connecting to Ethernet (registered trademark), a modem for connecting to a public telephone network, a wireless communication device for performing wireless communication, a USB (Universal Serial Bus) connector or an RS232C connector for serial communication, and the like. The input device 205 inputs data, such as a keyboard, a mouse, a touch panel, a button, or a microphone. The output device 206 outputs data, such as a display, a printer, or a speaker. Each functional unit of the management server 2 described below is realized by the CPU 201 reading a program stored in the storage device 203 into the memory 202 and executing it, and each storage unit of the management server 2 is realized as a part of the storage area provided by the memory 202 and the storage device 203.

[0018] FIG. 3 is a diagram showing an example of the software configuration of the management server 2. The management server 2 includes a start permission inquiry unit 211, a determination unit 212, an explanation output unit 213, an understanding degree inquiry unit 214, an expected content input unit 215, a question storage unit 231, and a learning content storage unit 232.

[0019] ==Storage Unit== The question storage unit 231 stores questions as to whether or not CBT can be performed before the start of CBT. The questions are used for assessing whether a patient is in a state where they can engage in CBT. In the present embodiment, the questions include first to third questions related to the first stage, fourth and fifth questions related to the second stage, and further a sixth question related to the third stage.

[0020] The first question is, "Do you have any difficulties in life due to your symptoms?" Controlling symptoms and reducing difficulties is one of the goals of CBT, and patients with difficulties due to symptoms are targeted. Therefore, the first question is used to confirm whether the patient is a target patient. Note that the first question may inquire about the degree of difficulty. Note that it may also indicate a specific disease (for example, irritable bowel syndrome (IBS)) and inquire about the presence or absence of difficulties due to the disease.

[0021] The second question is, "Do you want to actively engage in treatment and improve to a better state?" For example, if the patient is satisfied with the current treatment such as drug therapy, the need to implement CBT is low. Therefore, the second question is used to confirm whether the patient himself / herself has the intention to improve to a better state. Note that the second question may inquire about the degree of improvement desired.

[0022] The third question is, "Is your living situation conducive to engaging in treatment?" For example, if the patient has other diseases with a higher treatment priority, CBT can be excluded. The third question can include questions that inquire about whether the degree of symptoms targeted by CBT is stable. For example, it can include questions about whether the pain has subsided.

[0023] If any of the first to third questions is NO, it can be determined that CBT is not suitable. If all of the first to third questions are YES, it is determined that the patient is in a state where they can engage in CBT, and the first-stage confirmation can be completed.

[0024] The fourth question is, "Have you understood CBT through learning?" If the patient's understanding of CBT is not above a certain level, it can be determined that CBT is not suitable. The fourth question may inquire about the degree of understanding (for example, a numerical value from 0 to 6).

[0025] Question 5 is "What do you expect through CBT?" Question 5 can have, for example, options. For Question 5, for example, options such as "I want to be able to do activities that I couldn't do due to abdominal pain" (Option 1), "Complete cure of symptoms such as abdominal pain" (Option 2), "Measures for symptoms such as abdominal pain" (Option 3), "Master measures for symptoms such as abdominal pain" (Option 4), "Physician's treatment techniques" (Option 5), "Reduce the amount of medication used" (Option 6) can be included. Also, an expected degree can be set for each option included in Question 5. In the above example, for Option 2 and Option 5, an expected degree exceeding the threshold can be set.

[0026] If the answer to Question 4 (comprehension level) does not exceed a predetermined threshold (for example, "3", etc.), or if any of the answers to Question 5 is equal to or higher than the predetermined threshold (in this embodiment, when Option 2 and Option 5 are selected), it can be determined that CBT is not suitable.

[0027] Question 6 is whether the patient can continue CBT for a predetermined period (for example, 2 months, etc.). If the answer to Question 6 indicates that the patient feels it is difficult to continue CBT, it can be determined that CBT is not suitable.

[0028] The learning content memory unit 232 stores learning content for the patient to understand the outline of CBT. The learning content may be text data, may be video data, audio data, etc., or may be a combination of these. In the learning content, it is assumed to explain the purpose, overall picture, how to proceed with the treatment, expected effects, etc. of CBT.

[0029] ==Functional Unit== The start feasibility inquiry unit 211 sends an inquiry (question) to the patient asking whether CBT can be performed before the start of CBT. The start feasibility inquiry unit 211 can send, for example, screen data for displaying a form (such as buttons) for questions and answers to the user terminal 1. The start feasibility inquiry unit 211 can send the questions stored in the question storage unit 231 to the patient (user terminal 1) and receive answers from the patient.

[0030] The determination unit 212 determines whether the patient can start CBT. That is, the determination unit 212 can determine whether the patient is suitable for CBT.

[0031] The determination unit 212 can perform a conformity check for CBT according to the answer to the question sent by the start feasibility inquiry unit 211.

[0032] The explanation output unit 213 shows an explanation about CBT to the patient. The explanation output unit 213 sends the learning content stored in the learning content storage unit 232 to the user terminal 1, and it is assumed that the user terminal 1 creates the learning content to show an explanation about CBT to the patient.

[0033] The comprehension inquiry unit 214 inquires the patient about the degree of comprehension of the explanation about CBT (the content of the learning content). The comprehension inquiry unit 214 can send, for example, screen data including a form for selecting the degree of comprehension (which can be, for example, 6 levels from 0 to 5) to the user terminal 1 and receive the value input into the form from the user terminal 1.

[0034] The determination unit 212 can determine whether CBT can be started according to the degree of comprehension. The determination unit 212 can determine, for example, that CBT can be started when the degree of comprehension is equal to or higher than a given threshold value. The determination unit 212 can, for example, perform a conformity check for CBT according to the answer to the question sent by the start feasibility inquiry unit 211 and then further determine whether CBT can be started (whether CBT conforms) according to the degree of comprehension.

[0035] The expected content input unit 215 receives from the patient what the patient expects from CBT. The expected content input unit 215 transmits to the user terminal 1 screen data including a form for allowing selection of options related to the fifth question stored in the question storage unit 231, and can receive from the user terminal 1 one or more of the options included in the fifth question selected by the patient. The expected content input unit 215 can receive the selection of the option after the explanation output unit 213 provides the learning content.

[0036] The determination unit 212 can determine whether CBT can be started according to the selected option (the content expected from CBT input by the patient). For example, when the degree of expectation is higher than a predetermined threshold, the determination unit 212 can determine that CBT is not suitable. The determination unit 212 may, for example, determine that it is not suitable when the degree of expectation of the selected option is higher than the threshold, or may determine that it is not suitable when the aggregated value of the degrees of expectation of the selected options is higher than the threshold. The determination unit 212 can, for example, determine whether CBT is suitable according to the answer to the question transmitted by the startability inquiry unit 211, further determine whether CBT is suitable according to the degree of understanding, and in addition, determine whether CBT is suitable according to the expected content (the selected option).

[0037] The determination unit 212 can further present to the patient a sixth question for inquiring whether the patient can continue CBT for a predetermined period or more and receive an answer, and may determine that CBT is suitable when the answer is that it seems to be able to be continued for a predetermined period or more.

[0038] <Operation> FIG. 4 is a diagram for explaining an overview of the suitability determination of CBT.

[0039] The patient operates the user terminal 1 to access the information processing system (management server 2) (S301), the management server 2 provides questions related to the assessment (the first to third questions) (S302), the patient answers the questions using the user terminal 1 (S303), and the answer is transmitted from the user terminal 1 to the management server 2 (S304).

[0040] In the management server 2, a CBT suitability determination is made according to the answers to the first to third questions (S305). Specifically, when YES is answered to all of the first to third questions, it is determined that CBT is not unsuitable, and the learning content and the fourth to sixth questions are transmitted to the user terminal 1 (S306), the patient browses the learning content using the user terminal 1 (S307), after browsing the learning content, answers the fourth to sixth questions (S308), and the answer is transmitted from the user terminal 1 to the management server 2 (S309).

[0041] In the management server 2, a CBT suitability determination is made according to the answers to the fourth to sixth questions (S310).

[0042] The result of the CBT suitability determination is transmitted from the management server 2 to the medical institution terminal 3 (S311), and the medical staff can confirm the result of the CBT suitability determination of the patient using the medical institution terminal 3 (S312). The medical staff can provide additional explanations to the patient as needed (S313). Here, it is also possible not to implement CBT. In addition, the medical staff can also prescribe to the patient as needed (S314).

[0043] In addition, in steps S301 - S305, each time the user answers each of the first to third questions, the answer may be transmitted from the user terminal 1 to the management server 2. In this case, when a NO is answered for any of the first to third questions, the management server 2 can determine that the CBT is not suitable (S305), and can transmit the result of the CBT not being suitable to the medical institution terminal 3 (S311). Here, when the medical staff determines that the CBT can be implemented, the medical institution terminal 3 notifies the management server 2 to that effect, and it can return to step S302 and proceed to the next question.

[0044] Also, when it is determined in step S305 that the CBT is not suitable, if the medical staff provides additional explanations to the patient as necessary (S313) and then determines that the CBT can be implemented, the medical institution terminal 3 can notify the management server 2 to that effect. In response to the notification, the management server 2 can execute steps S306 - S309, and may proceed to step S311 to notify the medical institution terminal 3 of the result of step S310 again.

[0045] Also, even when it is determined in step S305 that the CBT is not suitable, it may proceed to step S306, and the management server may transmit the learning content and the fourth to sixth questions to the user terminal 1. In this case, in S311, the management server 2 can transmit the results of the CBT suitability determination in both step S305 and step S310 to the medical institution terminal 3.

[0046] As described above, the suitability of the CBT can be determined before the implementation of the CBT, and the medical staff can confirm the result.

[0047] Figure 5 is a diagram for explaining the operation of the management server 2.

[0048] The management server 2 inquires the patient about a first question of whether there are any troubles in life (sends it to the user terminal 1) (S321), inquires the patient about a second question of whether they want to improve by engaging in treatment (sends it to the user terminal 1) (S322), inquires the patient about a third question of whether they are in a state where they can engage in treatment (sends it to the user terminal 1) (S323). If any of the first to third questions is "No" (S324: NO), for the patient, it can be determined that CBT is not suitable (S325).

[0049] When all of the first to third questions are "Yes" (S324: YES), the management server 2 provides the learning content stored in the learning content storage unit 232 to the patient (sends it to the user terminal 1) (S326) and has the patient learn the learning content. Also, the management server 2 sends a fourth question to inquire about the degree of understanding of CBT to the user terminal 1 and accepts the input of the degree of understanding from the patient (S327). Also, the management server 2 sends a fifth question to inquire about the degree of expectation for CBT to the user terminal 1 and accepts the input of the degree of expectation from the patient (S328). Furthermore, the management server 2 sends a sixth question to inquire about the patient's confidence regarding the continuation of CBT to the user terminal 1 and accepts the confidence in the continuation of CBT from the patient (S329).

[0050] If the degree of understanding is less than a predetermined threshold (the first threshold) (S330: NO), it proceeds to step S325, and it can be determined that CBT is not suitable.

[0051] Even when the degree of expectation exceeds a predetermined threshold (the second threshold) (S331: NO), it proceeds to step S325, and it can be determined that CBT is not suitable.

[0052] Even in the case of an answer indicating a lack of confidence in continuation (S332: NO), it proceeds to step S325, and it can be determined that CBT is not suitable.

[0053] If all of the first to third questions are YES (S324: YES), the learning comprehension level is equal to or higher than the first threshold (S330: YES), the expectation level is equal to or lower than the second threshold (S331: YES), and there is confidence in continuation (S332: YES), it can be determined that the patient is suitable for CBT.

[0054] As described above, according to the information processing system of the present embodiment, it is possible to determine in advance the suitability of CBT for a patient (whether CBT can be started or whether CBT can be implemented and continued).

[0055] Although the present embodiment has been described above, the above embodiment is for facilitating the understanding of the present invention and is not for limiting the interpretation of the present invention. The present invention can be changed and improved without departing from its gist, and equivalents thereof are also included in the present invention.

[0056] <Disclosed matter> Note that the present disclosure also includes the following configurations. [Item 1] An information processing system that supports cognitive behavioral therapy, A start-availability inquiry unit that sends an inquiry to the patient asking whether cognitive behavioral therapy can be performed before the start of the cognitive behavioral therapy, A determination unit that determines whether the patient can start the cognitive behavioral therapy based on the input from the patient in response to the inquiry, An information processing system characterized by comprising: [Item 2] The inquiry is a question asking whether the degree of the symptom targeted by the cognitive behavioral therapy is stable, The information processing system according to Item 1, characterized in that: [Item 3] The inquiry includes at least one of a first question asking about the degree of trouble and a second question asking about the degree of desire for improvement of the symptom, and a third question asking whether the cognitive behavioral therapy can be performed, The information processing system according to Item 1. [Item 4] Further comprising an expected content input unit for receiving the content expected by the patient for the cognitive behavioral therapy, When the determination unit determines that the cognitive behavioral therapy can be started, according to the content, it further determines whether the cognitive behavioral therapy can be started, The information processing system according to Item 1, characterized by the above. [Item 5] Comprising an explanation output unit for showing the patient an explanation about the cognitive behavioral therapy, The expected content input unit receives the content after showing the explanation, The information processing system according to Item 4, characterized by the above. [Item 6] Comprising an understanding inquiry unit for inquiring about the degree of understanding of the explanation, The determination unit determines whether the cognitive behavioral therapy can be started according to the degree of understanding, The information processing system according to Item 5, characterized by the above. [Item 7] An information processing method for supporting cognitive behavioral therapy, A step of sending a query to the patient about whether the cognitive behavioral therapy can be performed before the start of the cognitive behavioral therapy, A step of determining whether the patient can start the cognitive behavioral therapy based on the input from the patient in response to the query, An information processing method characterized in that a computer executes the above. [Item 8] An information processing method for supporting cognitive behavioral therapy, A step of sending a query to the patient about whether the cognitive behavioral therapy can be performed before the start of the cognitive behavioral therapy, A step of determining whether the patient can start the cognitive behavioral therapy based on the input from the patient in response to the query, A program for causing a computer to execute the above.

Explanation of Signs

[0057] 1 User terminal 2 Management server 3 Medical institution terminal

Claims

1. An information processing system for supporting cognitive behavioral therapy, comprising: a startability inquiry unit that sends an inquiry to a patient asking whether the cognitive behavioral therapy can be performed before the start of the cognitive behavioral therapy; a determination unit that determines whether the patient can start the cognitive behavioral therapy based on an input from the patient in response to the inquiry; An information processing system characterized by comprising the above.

2. The inquiry is a question asking whether the degree of the symptom targeted by the cognitive behavioral therapy is stable, The information processing system according to claim 1, characterized by the above.

3. The inquiry includes at least one of a first question asking about the degree of trouble, a second question asking about the degree of desire for improvement of the symptom, and a third question asking whether the cognitive behavioral therapy can be performed, The information processing system according to claim 1.

4. Further comprising an expected content input unit that receives the content expected by the patient for the cognitive behavioral therapy, When the determination unit determines that the cognitive behavioral therapy can be started, the determination unit further determines whether the cognitive behavioral therapy can be started according to the content, The information processing system according to claim 1, characterized by the above.

5. Comprising an explanation output unit that shows an explanation of the cognitive behavioral therapy to the patient, The expected content input unit receives the content after showing the explanation, The information processing system according to claim 4, characterized by the above.

6. Comprising an understanding degree inquiry unit that inquires about the understanding degree of the explanation, The determination unit determines whether the cognitive behavioral therapy can be started according to the understanding degree, The information processing system according to claim 5, characterized by the above.

7. An information processing method for supporting cognitive behavioral therapy, comprising: a step of sending an inquiry to a patient asking whether the cognitive behavioral therapy can be performed before the start of the cognitive behavioral therapy; a step of determining whether the patient can start the cognitive behavioral therapy based on an input from the patient in response to the inquiry; An information processing method characterized by being executed by a computer.

8. An information processing method for supporting cognitive behavioral therapy, comprising: a step of sending an inquiry to a patient asking whether the cognitive behavioral therapy can be performed before the start of the cognitive behavioral therapy; Based on the input from the patient in response to the inquiry, determining whether the patient can start the cognitive behavioral therapy; A program for causing a computer to execute.

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