Health care system
The healthcare system addresses life stage transitions and mental health by delivering personalized self-care functions through a networked system, enhancing usability and data sharing, thus improving mental health management and preventing diseases.
Patent Information
- Application Number
- JP2024128601
- Authority / Receiving Office
- JP · JP
- Patent Type
- Applications
- Current Assignee / Owner
- Priority Date
- 2024-04-09
- Filing Date
- 2024-08-04
- Publication Date
- 2025-10-22
AI Technical Summary
Conventional healthcare apps do not provide a self-care environment that considers life stages, require separate apps for different diseases, and lack data sharing capabilities, leading to inefficiencies in usability and symptom management.
A healthcare system that provides self-care functions tailored to life stages and events, using a network-connected user terminal and server system to deliver personalized healthcare functions, data, and programs, including mental health support, based on age, life stage, and user behavior, with data sharing capabilities across applications.
Enables continuous healthcare support across life stages, early disease prevention, and seamless data sharing, improving mental health management and reducing the need for multiple apps by providing integrated self-care solutions.
Smart Images

Figure 2025160080000001_ABST
Abstract
Description
[Technical Field]
[0001] The present invention relates to a healthcare system, particularly a healthcare system that can be used continuously regardless of age, that applies technology similar to e-commerce and technology developed in the field of diagnostic medical equipment. [Background technology]
[0002] Illnesses that arise from psychological or social stress or that are thought to worsen due to stress are called stress-related illnesses. Stress-related illnesses are also called psychosomatic illnesses, and if the stress response is not improved and becomes chronic, it can lead to not only mental health problems but also physical illnesses. Mental health conditions related to stress include autonomic nervous system disorders, depression, anxiety disorders, panic disorders, adjustment disorders, alcoholism, drug addiction, eating disorders, irritable bowel syndrome, sudden hearing loss, neurosis, migraines, insomnia, and tension headaches. Stress-related physical conditions (psychosomatic disorders) include gastric and duodenal ulcers, essential hypertension, cardiac neurosis, bronchial asthma, hyperarousal syndrome, essential hypertension, coronary artery disease (angina pectoris, myocardial infarction), gastric and duodenal ulcers, ulcerative colitis, psychogenic vomiting, simple obesity, diabetes, muscle contraction headache, spasmodic torticollis, writer's cramp, chronic urticaria, atopic dermatitis, alopecia areata, rheumatoid arthritis, lower back pain, bedwetting, psychogenic impotence, eye strain, essential blepharospasm, Meniere's disease, temporomandibular joint disorder, and PMS / PMDD. Psychotherapy is used to treat these mental health disorders. In addition, various events in life can cause mental disorders related to the above-mentioned disorders caused by stress.
[0003] Conventionally, technologies have been developed for therapeutic apps to treat these mental disorders and psychosomatic diseases using information processing devices such as smartphones. Patent Document 1 discloses a technology that measures the degree of impact of a life stage and provides a therapeutic app according to that degree of impact. [Prior art documents] [Patent documents]
[0004] [Patent Document 1] Japanese Patent Publication No. 2022-001980 Summary of the Invention [Problem to be solved by the invention]
[0005] A life stage refers to each period when a person's life is divided into several periods based on certain criteria. For example, by age, a person can be divided into infancy, childhood, adolescence, youth, adulthood, and old age. Within each life stage, there are life events such as marriage and childbirth. There are also events unrelated to life stages or events that cross life stages. All prior art technologies provide treatment modules that address patient symptoms, but do not take life stages into consideration. Patent Document 1 predicts a patient's symptoms based on the impact of each life stage and provides a treatment app. As disclosed in this technology, prior art technologies respond to certain disease symptoms, but do not provide a self-care environment that can prevent disease or provide self-care at an early stage, even when the user is unaware of the stress symptoms that may occur in that age group.
[0006] The first problem with this invention is that conventional healthcare apps target specific diseases or symptoms and provide treatment according to those symptoms, but do not provide a self-care environment for prevention throughout the transition of life stages. The second problem is that conventional treatment apps are specialized for specific diseases, and if you want to use an app for another disease, you have to purchase the app for that disease separately, which changes usability, and apps that target general stress cannot address the symptoms of a specific disease. The third problem is that when using different apps for each disease, there are problems such as the inability to share previously entered data. [Means for solving the problem]
[0007] (Invention 1) A healthcare system that provides self-care functions corresponding to life stage transitions, The system comprises: a user's information processing terminal having a terminal control device and an input / output device; a server having a storage device and a server control device that stores association information between age and a healthcare function to be provided, and information, data, and / or a self-care program required to realize the healthcare function; the information processing terminal and the server are connected via a network so as to be able to cooperate with each other; the terminal control device acquires personal data including at least an age from the user using the input / output device, and stores the acquired personal data in the storage device; The server control device uses the personal data and the association information determining a healthcare function to be provided to the user, and providing the determined information, data and / or self-care program necessary to realize the healthcare function to the user via the input / output device in cooperation with the terminal control device; The server control device periodically updates the healthcare functions to be provided to the user using the personal data and the association information. According to the present invention, information relating to functions, information, and data required according to the user's age and the user's age transition, as well as functions, information, and data to be provided to the user, are provided, and this information, data, and / or functions are automatically or semi-automatically provided to the user. This information, data, and / or functions enable not just disease treatment, but also life stages and the prevention and early detection of possible diseases corresponding to each life stage, as well as self-care for mental disorders. The healthcare function may be any health management information or function. The ability to grasp the user's condition through questions specific to each life stage provides high accuracy, unlike systems that simply assess diseases by asking general symptoms in a medical interview. (Invention 2) The healthcare system of Invention 1 further stores in the storage device second association information between a specific event and a healthcare function to be provided in the event, and information, data and / or self-care programs required to realize the healthcare function, and the server control device accepts a request from the user to execute the event via the input / output device, determines a healthcare function based on the request based on the second association information, and provides the user with the information, data and / or self-care programs required to realize the healthcare function related to the event instead of the healthcare function being provided. According to the present invention, events unrelated to age (such as dieting or pain, for which healthcare functions for multiple events are typically stored in one of the system's storage devices and can be selected by the user) and function types selected by the system can be swapped, added, or switched to a composite type. (Invention 3) The healthcare system of Invention 2, wherein the healthcare function is a self-care function related to mental health. Mental care is highly useful because it is a form of self-care that has not traditionally been practiced. (Invention 4) The healthcare system of Invention 1, wherein the storage device further stores third association information between the user's behavior and a healthcare function that can be provided when the user performs the behavior, and information, data and / or self-care programs required to realize the healthcare function, and the server control device monitors the user's behavior using the functions of the information processing terminal, and when information based on behavior that satisfies predetermined conditions is detected, suggests to the user via the input / output device that the user execute a new healthcare function based on the third association information, accepts the user's request for the execution, and provides the user with information, data and / or self-care programs required to realize the new healthcare function instead of the healthcare function that is currently being provided. By asking questions on an evaluation scale to detect the state of illness, etc., by using EMA to ask about daily conditions, and by using symptom memory, the user's mental state can be estimated, and evaluations and functions can be provided to deal with symptoms while they are still minor and to prevent illness. (Invention 1A) A healthcare system that provides self-care functions in response to life stage transitions, The system comprises: a user's information processing terminal having a terminal control device and an input / output device; a server having a storage device and a server control device that stores first association information between ages and life stages, second association information between the life stages and healthcare functions to be provided at the life stages, and information, data, and / or programs required to realize the healthcare functions; the information processing terminal and the server are connected via a network so as to be able to cooperate with each other; the terminal control device acquires personal data including at least an age from the user using the input / output device, and stores the acquired personal data in the storage device; the server control device determines a life stage of the user using the personal data and the first association information; determining a healthcare function to be provided to the user based on the life stage and the second association information, and providing the determined healthcare function to the user via the input / output device in cooperation with the terminal control device; The server control device periodically updates the healthcare functions to be provided to the user using the personal data and the first association information. According to the present invention, the system includes information relating to the user's age and life stages that change as the user ages, information relating to functions, information, and data required at each life stage, and functions, information, and data to be provided to the user. This information, data, and / or functions are automatically or semi-automatically provided to the user. These information, data, and / or functions enable not just disease treatment but also prevention and early detection of possible diseases corresponding to each life stage and self-care for mental disorders. While the healthcare function may provide information or functions for health management, it is most effective as a mental health self-care function. The system's ability to grasp the user's condition through questions specific to each life stage offers high accuracy, unlike systems that simply assess diseases by asking general symptoms. Note that the first and second association information described above may be combined into a single piece of information. Information relating age to the healthcare function may also be used instead. (Invention 2A) The healthcare system of Invention 1A further stores in the storage device third association information between a specific event and a healthcare function to be provided in the event, and information, data and / or programs necessary to realize the healthcare function, and the server control device accepts a request from the user to execute a function of the event via the input / output device and provides the user with a function related to the event instead of the healthcare function that is currently being provided. According to the present invention, events unrelated to age (such as dieting or pain, for which healthcare functions for multiple events are typically stored in one of the system's storage devices and can be selected by the user) and function types selected by the system can be swapped, added, or switched to a composite type. (Invention 3) The healthcare system of Inventions 1A-2A, wherein the healthcare function is a self-care function related to mental health. Mental care is highly useful because it is a form of self-care that has not traditionally been practiced. (Invention 4) The healthcare system of inventions 1A-2A, which asks questions to estimate mental state. By asking questions on an evaluation scale to detect the state of illness, etc., by using EMA to ask about daily conditions, and by using symptom memory, the user's mental state can be estimated, and evaluations and functions can be provided to deal with symptoms while they are still minor and to prevent illness. (Invention 5) A healthcare system of Inventions 1-4, wherein the storage device further stores fourth association information between the user's behavior and a healthcare function that can be provided when the user performs the behavior, and information, data and / or programs necessary to realize the healthcare function, and the server control device monitors the user's behavior using the functions of the information processing terminal, and when information based on behavior that satisfies predetermined conditions is detected, suggests to the user via the input / output device that the user execute a new healthcare function based on the fourth association information, accepts the user's request for the execution, and provides the user with a function related to the new healthcare function instead of the healthcare function currently being provided. By monitoring user behavior, function types are suggested (semi-)automatically, allowing users to practice the function types that are most suitable for them. (Invention 6) The healthcare system of Inventions 1-5 includes a healthcare function that performs psychological intervention on the user, excluding healthcare functions that only record the user's healthcare data. (Invention 6-2) The healthcare system of Inventions 1-5, excluding healthcare functions that only perform healthcare functions unrelated to the user's mental health. The present invention is not only concerned with mental health but also with physical health care functions alone, but since changes in life stages have a particularly large impact on the mind and are highly effective in terms of managing mental health, Invention 6 specifically addresses this point. (Invention 7) A database system commonly used in systems that provide healthcare functions adapted to life stages and events included in the life stages, The database system comprises: a server having a storage unit that stores a plurality of healthcare functions; Information about your personal data, including your age; life stage information determined for the user; Information about healthcare functions provided to the user; and A database system that stores a set of answers to questions posed by the user in the healthcare functions provided to the user and / or information about the user's implementation status provided in the healthcare functions provided to the user. The burden on users is reduced because a common database can be used. (Invention 8) A database system characterized in that other applications executed outside the server of the system providing this service are connected to the database system of Invention 7 and store at least common information data. Sharing data with other companies' apps increases the amount of data, improving user convenience and the accuracy of data analysis. (Invention 9) A healthcare system that provides self-care functions, comprising: The system comprises: a user's information processing terminal having a terminal control device and an input / output device; a server having a storage device that stores storage information of a plurality of healthcare functions included in the system and information, data and / or programs necessary to realize the healthcare functions, and a server control device; the information processing terminal and the server are connected via a network so as to be able to cooperate with each other; The terminal control device allows the user to refer to the stored information via the input / output device, select the healthcare function that the user wants to use, transmit a request from the information processing terminal to the system, acquire the request for the healthcare function from the user, and transmit the information to the server; The server control device provides the requested healthcare function to the user via the input / output device in cooperation with the terminal control device. The system of the present invention provides healthcare functions requested by users (e.g., dietary management, exercise management, diet, mental health, depression self-care, insomnia self-care, PMS self-care). It is particularly preferable for this system to have self-care functions related to mental health. [Effects of the Invention]
[0008] The healthcare system of the present invention allows for healthcare to be provided in response to various life stages and events within those life stages, as well as other life events (diet, pain, illness, etc.) using a single healthcare system. It also leads to early prevention and treatment of diseases that the patient is not aware of. [Brief explanation of the drawings]
[0009] [Figure 1] 1 is a conceptual diagram showing a system of the present invention. [Figure 2] 1A and 1B are diagrams showing an example of a database of personal data of a user in a PMS memory according to an embodiment of the present invention, and an example of an input screen; [Figure 3] 1A and 1B are diagrams showing an example of a database of personal data of a user of a sleep diary according to an embodiment of the present invention, and an example of an input screen thereof; [Figure 4] FIG. 1 shows an example of a database of personal data of a pain diary user according to an embodiment of the present invention. [Figure 5] FIG. 10 is a diagram showing an example of a pain diary input screen according to an embodiment of the present invention. [Figure 6] 1A is a diagram showing the functional blocks of a control program of a system according to the present invention, and FIG. 1B is a diagram showing the control flow. [Figure 7] FIG. 10 is a diagram showing an example of a user screen of the system according to the embodiment of the present invention. [Figure 8]1 is a list showing the correspondence between diseases and intervention programs used in the programs included in the self-care system of the present invention. [Figure 9] 1 is a list showing the correspondence between the biopsychosocial factors of users of the platform of the present invention and the requirements of the platform. [Figure 10] FIG. 10 is a diagram showing a flow of determining a function type according to the present invention. [Figure 11] FIG. 10 is a diagram showing the correspondence between age groups and function types according to the present invention. [Figure 12] 1A and 1B are diagrams showing examples of input screens for two function types of EMAs according to the present invention. [Figure 13] FIG. 2 is a diagram showing an example of a database used in the present invention. DETAILED DESCRIPTION OF THE INVENTION
[0010] This invention is based on the finding that in a self-care system for stress-related diseases and mental disorders caused by stress, the effectiveness of symptomatic improvement suggestions can be improved by learning how to deal with stress, which is the root cause, in addition to symptomatic improvement suggestions brought about by stress-related diseases and mental disorders caused by stress.Furthermore, the effectiveness can be further improved by linking the stress-coping methods with the content and timing of the symptomatic improvement suggestions. (System configuration including self-care app) One embodiment of the present invention is a program installed in a network system located on the Internet. The network system includes a server or a cloud-based large-capacity storage device, and is connected to user terminals such as laptops, smartphones, and tablets via the Internet. The server device executes the program according to this embodiment, and provides various information to users via the user terminal, such as therapeutic apps that enable treatment and alleviation of stress-related illnesses and self-care, self-mental health care apps, and disease education related to stress-related illnesses, using information input from the user terminal and information stored in the server's storage device through data communication with the user terminal. Furthermore, while this system is shown as an example in which the server and user terminal cooperate to improve the symptoms of users and patients, the scope of the present invention also includes systems in which all elements are stored solely on the server side and the user terminal is used only for information input / output and display, systems in which necessary data and programs can be downloaded to the user terminal and all processing can be performed on the user terminal, and systems provided as web pages accessible to users. FIG. 1 shows an outline of the configuration of a network system 100 including a user terminal 110 and a server 106. The user terminal 110 includes a communication device 105 for communicating with a server 130 via the Internet 120, a storage device 102 for recording personal information, data, and programs, a display device 103, an input device 104 for receiving input from a user, and a control device 101 for controlling these devices. The server 130 includes a communication device 131 for communicating with the user terminal 110 via the Internet 120, a large-capacity storage device 133, and a control device 132. The control device 132 is equipped with a communication control program for communicating with the user terminal 110 via the communication device 131, and also stores a program for managing a database constructed in the storage device 133, a dedicated program for managing a symptom record (diary) that records the user's current or past symptoms and conditions (hereinafter also referred to as a symptom diary program), server-side programs for self-care apps and treatment apps, and data such as workbooks and disease education videos that are treatment modules for the self-care apps and treatment apps. The server-side control program then works in conjunction with the user-side self-care and treatment apps to perform diagnosis, treatment, mitigation, improvement, maintenance, or self-care, and the control device 132 provides the information necessary for self-care and treatment to the user terminal in conjunction with the communication control program and database management program. This allows the server 130 to provide diagnosis, treatment, mitigation, improvement, maintenance, or self-care to the user. While this example illustrates an example in which the self-care and treatment app is divided into a server-side portion and a user-terminal portion, each of which performs diagnosis, treatment, mitigation, improvement, maintenance, or self-care, it may also be configured such that all necessary programs and data are downloaded to the user terminal 110 and can be executed independently by the user terminal 110. Alternatively, the user terminal 110 may function only as an input means and a display means, and the server 130 may execute programs based on input from the user terminal 110, for example, via a dedicated web page.
[0011] (Stress management method) Psychotherapy and psychological counseling techniques have been established as methods for helping subjects learn ways to cope with stress. While the present invention illustrates a stress coping method based on cognitive behavioral therapy, other psychotherapeutic techniques can also be applied. Furthermore, by acquiring stress coping techniques, it becomes possible to increase stress tolerance on a daily basis and prevent various maladaptive behaviors and symptom problems, which in turn leads to improvement in stress-related diseases and symptoms, and also enhances the effectiveness of psychological interventions for symptoms. Systematic stress coping methods are psychotherapy methods that systematically implement a series of steps, such as mindfulness-based stress reduction (building a foundation (interview, exploring mindfulness, how you see the world and yourself, being with your own body), responding to stress (what is stress, stress: automatic reaction or mindful response, mindful communication, a silent day), and caring (caring for yourself, reflecting, moving forward, continuing on), or, in the case of problem-solving methods, specifying the problem, thinking of specific solutions, considering the advantages and disadvantages of each of several solutions, deciding on a solution, implementing it, and evaluating the results of implementing it).
[0012] (Acceptance and Commitment Therapy Techniques) In recent years, Acceptance and Commitment Therapy (ACT) has been developed as a third-generation cognitive behavioral therapy. ACT has six core processes: (1) Acceptance, (2) Defusion, (3) Present Moment Awareness, (4) Self as Context, (5) Contact with Values, and (6) Committed Action. It is a psychotherapy based on modern behavioral psychology, including relational frame theory, that applies the acceptance or mindfulness process together with the commitment and behavioral change process ((1)-(4) are said to be related to mindfulness). By acquiring the skills corresponding to each of these processes, patients can develop psychological flexibility and the ability to cope with stress. The inventors of this application believe that these processes are separated in ACT, and that training methods for each process have been established, making it suitable for use on information processing devices. Therefore, we propose an ACT approach. It goes without saying that it is not necessary to strictly follow the above classification, and different classifications may be used as long as the respective objectives can be achieved, and it is not necessary to implement all of them.
[0013] (Symptom Memory) The symptom memory records the user's daily condition using calendar and schedule functions. The questions posed to the user can be tailored to the psychosomatic disorder being addressed. The app can also select the questions required to match the user's symptoms. Alternatively, a wide range of psychosomatic symptoms and questions can be stored in advance in a storage device. When using the app, the user is prompted to answer questions, and the corresponding questions are set as daily questions in the symptom memory based on the user's answers. Because psychosomatic symptoms can be self-treated by managing a symptom record, it is preferable for the user to request the system via an information processing device to display the progress of their daily symptom status on the screen. Figure 2(a) shows an example of a symptom memory database stored in a storage device. This database shows a record of date and time information associated with the user's answers to questions (in this case, entered using a four-point or seven-point scale). Typically, the app can simultaneously associate and store not only questions but also vital data such as body temperature, heart rate, and activity level, as well as information about social events such as trips, weddings, and drinking parties. Furthermore, as a simple health care management function unrelated to mental health, for example, in the case of managing exercise volume, it is of course possible to use the symptom memory to record only jogging distance, number of steps, food eaten, weight, etc., without including psychological questions.
[0014] (PMS memory) Using Figure 2, we will explain the PMS memory as one type of symptom memory. The PMS memory simultaneously records physical, mental, and social symptoms, etc., synchronized with the user's menstrual cycle, along with basal body temperature and EMA (Ecological Momentary Assessment, or EMA), in order to understand symptoms that periodically appear in a woman's body due to the influence of biological rhythms. Figure 2(b) shows an example of an input screen for the PMS memory via a user terminal 110, as an example of a symptom memory. In the PMS memory, input items are displayed on the display device 103 of the user terminal 110, and an example is shown in which the user inputs the presence or absence of symptoms for each item using a slider bar via the input device 104, which is a touch panel on the surface of the display device 103. (The question items in Figure 2(b) correspond to items A, B, etc. in Figure 2(a). Note that due to space limitations, only three items are shown, but it goes without saying that the other items are merely omitted.) The display and input methods are not limited to this; free text or check boxes may also be used. For example, this PMS memory is entered every day at the same time as measuring basal body temperature, and the basal body temperature and the day's physical symptoms, mental symptoms, and social symptoms (not all of these need to be included, but only the necessary ones), and in some cases additional EMA input data (not only data from the PMS memory, but also other measurement results (physical activity measured using an acceleration sensor, heart rate fluctuations measured using an electrocardiogram sensor, sleep time, and food records)) are associated with the menstrual cycle and stored in memory device 102 or memory device 133, or both.The questions to be recorded in the PMS Memory may include those listed in the PMS Memory (Kawase et al., Journal of the Japanese Society of Psychosomatic Medicine, Vol. 5, No. 1, pp. 31-37), the Menstrual Distress Questionnaire (MDQ), the polarized MDQ (modified MDQ), the Premenstrual Symptoms Screening Tool (PSST), the DSM-IV PMDD diagnostic criteria, the Calendar of Premenstrual Experiences (COPE), the Premenstrual Symptoms Impact Survey (PMSIS), the Diagnostic Inventory of Health and Life Habit (DIHAL.2, for junior high school students to adults), the Menstrual Attitude Questionnaire (MAQ), and the VAS (Variable Analogue Scale). These indices can be used to diagnose menstrual symptoms. Furthermore, since it is believed that the psychosocial symptoms associated with menstruation are influenced by the user's psychological and social background, such as whether or not they wish to become pregnant, their views and images of menstruation, and their maternal and gender role personalities, questions about the user's basic information, such as whether or not they wish to become pregnant, their views and images of menstruation, and their maternal and gender role personalities, may also be recorded as questions.
[0015] (Sleep diary) FIG. 3(a) shows an example of sleep diary data stored in the storage device 133 (or storage device 102, in some cases). This sleep diary includes items such as the patient's bedtime, sleep onset time, awakening time, wake-up time, sleep quality (e.g., on a five-point scale), number of awakenings (or duration of awakening), duration of yesterday's nap, sleep efficiency, actual sleep time, time in bed, next-day tasks, and use of sleeping pills or alcohol. The system including the insomnia treatment app prompts the patient to periodically input values for these items via the input screen (e.g., FIG. 3(b)) of the user terminal 110, such as a smartphone, typically promptly after waking up. The next-day tasks may also be entered after returning home, before setting a bedtime. Here, the next-day tasks are input values indicating the risk of the next day's tasks or work, e.g., tasks or work that could pose a physical risk if the patient falls asleep. When this box is checked or when the user's sleepiness is rated 4 or higher on a 5-point scale, it is preferable from a safety perspective to set the bedtime to avoid settings that would shorten the user's actual sleep time (e.g., avoid shortening the bedtime if the user's daytime sleepiness is rated 4 on a 5-point scale). Other parameters, such as the number of sleeps, may also be input and stored. Since a correlation between a person's body temperature cycle and their circadian rhythm is known, and a correlation between a person's body temperature cycle and their sleep cycle is also known, it is possible to periodically measure the user's body temperature and graphically display a graph of the user's daily body temperature change and its relationship to bedtime, or to use this temperature change to set the user's bedtime or sleep onset time, or wakeup time or wakeup time (e.g., set the bedtime when the user's body temperature is decreasing, or set the wakeup time when the user's body temperature is increasing). In this way, the relationship between the user's vital signs and the user's bedtime or sleep onset time, or the wakeup time or wakeup time, may be displayed, or this data may be used to set these times. Also, while FIG. 3(a) shows the stored data as data for three days from July 1st to July 3rd, it goes without saying that records should be stored for the duration of treatment or for any required period.Furthermore, in the above example, the sleep diary is entered by the user via the user terminal 110, but it may also be entered automatically from a user terminal such as a wearable device.
[0016] Sleep efficiency refers to the percentage of time spent actually asleep relative to the total time spent in bed or other sleeping space. That is, sleep efficiency is calculated using the following formula: Sleep efficiency = (time from falling asleep to waking up) / (time from falling asleep to waking up) x 100 [%] Bed time is calculated using the following formula: Time in bed = time from bedtime to wake-up time The sleep time is calculated using the following formula: Sleep time = time from falling asleep to waking up The actual sleep time is calculated using the following formula: Actual sleep time = time from falling asleep to waking up - time awake In addition, these times and sleep quality may be obtained by data from actigraphy, polysomnography, or wearable devices such as smart beds and smart watches, instead of by user input. Furthermore, this data can be used to check the patient's condition and for user self-care by making it possible to call up patient data for a specific day, call up average data, and display data trends over a specific period (as a line graph, etc.) from the user terminal 110 or the terminal of an administrator or medical professional (not shown).
[0017] (Pain diary) Figure 4 shows an example of pain diary data stored in storage device 133 (or storage device 102, if applicable). This pain diary records the patient's pain level in the morning, afternoon, and evening, medication records in the morning, afternoon, and evening, the impact of pain on daily life in the morning, afternoon, and evening, mood of the day, weather, average temperature (maximum temperature, minimum temperature, temperature difference, etc. may also be recorded), average humidity (middle, afternoon, and evening humidity), body temperature (middle, afternoon, and evening humidity may also be recorded), systolic and diastolic blood pressure (middle, afternoon, and evening humidity may also be recorded), environmental factors, stress factors such as circumstances, and events and notes for the day, as well as whether or not a period occurred. The diary can be used for any type of chronic pain, such as chronic headaches, migraines, joint pain, or lower back pain. It may also be possible to record the type of pain. Figure 5 shows how to input each data item via user terminal 110. First, to enter the time of entry, click on the user input field, a drop-down box appears allowing the user to select "morning," "afternoon," or "night." Next, to enter the level of pain at the time of entry, click on the input field and select "strong," "medium," "weak," or "none" from the drop-down box. Next, click on the drop-down box for entering the medication name and quantity, and select the medication name (e.g., "Bufferin," "Loxonin," "Imigran," "Zomig," "Relvax," "Maxalt," "Amaze," or "Inderal") and the dosage (e.g., "1 tablet," "2 tablets," or "3 tablets"). Next, to record the impact of pain on daily life, click on the user input field and select "high," "medium," or "low" from the drop-down box that appears. Furthermore, to record the mood of the day, click on the user input field next to "mood" and select the emotion or symptom (e.g., "depression," "anxiety," "irritability," "throbbing pain," "nausea," "severe pain," "vomiting," "insomnia," or "other." Women can also enter whether they are menstruating. Finally, click on the user input field to enter their body temperature and blood pressure measured at regular times each day. Furthermore, the user clicks on the user input field for the day's weather, selects "sunny," "cloudy," or "rainy" from the drop-down box that appears, and enters the temperature and humidity in the user input field and stores them.Once all input is complete, click the "Done" button (not shown) to overwrite the input values in the list shown in Figure 4. Although the user manually inputs the weather, temperature, and humidity in the above example, they can be downloaded from local weather information websites. Furthermore, body temperature and blood pressure can be automatically acquired from a smartphone camera, a smartwatch, an earphone-type wearable device, or the like. Alternatively, a touch button can be provided as an input device, configured to be pressed each time pain is felt, and the degree of pain can be determined from the intensity and frequency of the touch. Alternatively, if a headache state can be recognized from pulse rate or other vital signs, such information can be used to input the data. Other input methods known to those skilled in the art can also be used to input these data, and items can be added or removed. Here, date information is automatically acquired from a smartphone, but it can also be entered by the user. The list in Figure 4 shows an example of data from March 1 to March 3, but this is not limited to this, and data can of course be added continuously. Furthermore, by linking these data with the user terminal 110 or a terminal (not shown) of an administrator or medical institution, it is possible to call up patient data for a specific day from these terminals, or to call up and display data that has been compiled and analyzed for easy evaluation, such as average data, or data trends over a specific period (as a line graph, etc.), which can be useful for checking the patient's condition and for the user's self-care (data may be sent periodically in addition to being called up). Furthermore, by linking this data with software such as electronic medical records on a medical institution's terminal, data can be transferred to the software, or specific data can be transferred to the software for use at the medical institution. The pain diary can also be used as a medication management app, and may be configured to record the time of administration, the name of the medication taken, and the number of medications taken. Here, for frequently taken medications, buttons may be displayed on the input screen to make them easy to select, and when the button is pressed to take the medication, the number of times the button was pressed and the time may be recorded. Furthermore, a graph showing the correlation between medication management and pain, a line graph of the data for both, etc. may be displayed, or this data may be transferred to a medical institution's terminal.
[0018] (App example 1) This example illustrates a self-care app for menstrual symptoms (especially PMS). This app is configured with a first half for stress management (stress care) and a second half for symptom management (if only stress care is intended, the app can be configured with only the first half). This app is controlled by a software program stored in either the server 130 or the user's information processing terminal 110, or both. This program consists of the functional blocks shown in FIG. 6(a) and controls the devices having the functions shown in FIG. 1 to provide the user with the software program functions. The software program typically operates according to the flow shown in FIG. 6(b). The input / output block 601 controls the display device 103 and input device 104, presents information (including tasks, etc.) to the user, and accepts user input. The evaluation block 602 performs a predetermined evaluation based on the information input from each block. The schedule management block 603 has a calendar function, associates date information with various information, and processes the information in cooperation with the memory management block 605. The work provision block 604 is a block that, in accordance with the flow of the program, receives a request for work provision from the control block 606 and sends the work to the input / output block 601 in cooperation with the memory management block 605. The memory management block 605 controls the system's memory devices 102, 133, and returns information such as requested work and data in response to requests from the control block 606 and other blocks. The control block 606 is a block that controls the execution of this program. Figure 7 shows an example of a home screen that follows this program.FIG. 7 shows an information processing terminal 110, which is a user's smartphone; a main window 701 that displays the user's predicted menstrual period, vital data, weather, barometric pressure and their forecasts, and the state of the menstrual cycle; a function window 702 for activating a predetermined function by touching a tile (icon) 706 on the touch panel (hidden tiles can be viewed by scrolling horizontally, and these function buttons are fixed); a search window 703; an information window 704 for viewing predetermined information or activating a function by touching a tile (icon) 705 on the touch panel (hidden tiles can be viewed by scrolling vertically, and icons corresponding to new information and functions are added to tiles in the information window at the top of the screen, and old information is moved to the bottom of the information window, and the desired information is displayed); A fixed number of tiles can be viewed (in this embodiment, 18 tiles can be viewed, and older tiles are controlled to be deleted from the tiles in the information window. In this embodiment, older information is organized by category and date in the archive folder that opens when the archive function in the function window is activated, and is set up so that it can be viewed). In this embodiment, the tiles of information displayed are managed in the memory of the storage device, and the memory is numbered 1-18, starting with the most recent information, with 1-3 displayed from the left at the top of the information window, 4-6 displayed on the second row, and so on. When a request is made to display new information, the new information is stored in 1, and the original information for 1 is rewritten in memory 2, the original information for 2 is rewritten in memory 3, and so on.
[0019] Next, the flow of the software program will be explained with reference to FIG. 6(b). (650) The user logs in from a login screen (not shown) that is launched by touching an icon representing this program on the touch panel of the display device 103 of the information processing terminal 110 controlled by the input / output control block 601. This displays the home screen of FIG. 7. (651) The schedule management function block 603 requests the memory management block 605 whether or not there is any input to the PMS memory at the timing when data for the day should be entered. The memory management block 605 searches the database of the storage device 133 or storage device 102 and returns a response indicating whether or not there is any record. If there is no record, the schedule management block 604 presents questions that the user should store in the PMS memory via the input / output block 601. Upon receiving the user's input, the schedule management block 604 sends the input to the memory management block 605, which adds the data to the database that stores the personal data for each user stored in the PMS memory. (652) The self-care function is initiated when the user launches a self-mental care app, or when a condition is met, such as a change in the user's vital signs or a specific user input on a social networking site, and the launch of the app is requested, or when the timing for launching the app is specified in the program description. The schedule management block 603 requests the control block 606 to provide educational content (typically videos, but text format, audio content, interactive content in the form of chatbots or games as exercises, etc.) about multiple disease education and psychotherapy for PMS and menstrual symptoms (in the case of ACT, this would include metaphors and psychoeducation about trapped thinking, psychoeducation about psychological flexibility and values, psychoeducation about value-based behavior, psychoeducation about acceptance and experiential avoidance, psychoeducation about fusion, attention training, psychoeducation about the self as a context, and psychoeducation about the ineffectiveness of experiential avoidance, etc.) at predetermined time intervals and in a predetermined order, in this case, one content every morning according to a list that defines the order in which these contents are provided.In response to this request, the control block 606 sends a request to the storage management block 605, and the storage management block reads the corresponding content from the storage device 133 or 102 and sends it to the control block 606, which then sends it to the input / output block 601. The input / output block provides the corresponding content to the user via the display device 103 and input device 104 as needed. The actual screen changes from the main window in FIG. 7 to a page providing the corresponding content. For example, in the case of a video, the corresponding content video is provided as a new tile in the upper left corner of the information window on the screen (not shown). The user returns to the main window by touching the "Back" button (not shown) on the screen or by ending the content. In addition, the schedule management block 603 monitors the execution status of the user, and if it was interrupted, it stores the execution status. The control block 606 controls the execution so that it resumes from the interrupted point the next time it is started. If the user has completed the corresponding content, the process moves to the next step. When the schedule management block 603 attempts to provide new content according to the list containing the provision schedule, if it detects that the previous content has not yet finished, it can request the control block 606 to control the display of the previous content in the upper left corner instead of providing the new content. The content of this app can be in the form of text, audio, video, game, or other formats, such as chatbots. A content group using one of these formats or a combination of these formats depending on the content may be provided. Alternatively, a single piece of content may be created in multiple formats, which can be set in advance or selected by the user each time. Furthermore, the user's usage history, for example, the app usage history, may be monitored and recorded using the monitoring device 106. For example, if a user frequently watches videos, the content may be provided in the form of videos, and if the user frequently uses social media, the content may be provided in the form of a chatbot.
[0020] (653) In this embodiment, the core processes based on ACT are ten exercises for "Self as Context," "Acceptance," "Defusion," and "Now and Now," and six for "Values" and "Commitment." Although three exercises are used here, this is not a limitation; any process based on the six processes of ACT may be used (for example, it may be implemented as four processes, such as "Mindfulness," "Defusion," "Now and Now," and "Acceptance"). The scale used below is merely an example, and it goes without saying that well-known scales can be used depending on the purpose. First, the control block 606 administers the PMDD assessment scale questions to the user. That is, the control block 606 requests the appropriate scale from the memory management block 605. In response to the request, the memory management block 605 reads the appropriate scale from the storage device 133 or 102 and sends it to the control block 606. The control block 606 then sends it to the input / output block 601. The input / output block displays the scale items on the display device 103, and the user answers via the input device 104. For each item, it is convenient to select a numerically translatable selection method, such as a four-point, five-point, or seven-point scale, which allows users to select responses such as "Agree," "Somewhat Agree," "Not Very Agree," or "Disagree." The evaluation block 602 then determines the user's PMDD status based on the response results (typically a total score or a total score for each factor included in the scale). The evaluation block 602 then requests a list of correspondences between the scale, known scores, and symptoms from the memory management block 605. The memory management block 605 retrieves the corresponding list from the storage device 133 or 102 and returns it to the evaluation block 602. The evaluation block then evaluates the user's condition by comparing the user's response scores with this list. The evaluation block 602 then transmits the results to the memory management block 605, which stores them in a database of the storage device 133 or 102 that stores personal data for each user (the following procedures for obtaining and evaluating the scale responses are similar). Next, to measure psychological flexibility, the user's responses are obtained using the AAQ-II scale in the same manner as described above and stored in the user's personal data.It is also possible to prompt the user to answer questions on scales such as the FFMQ or CFQ, and have the answers stored in the user's personal data and used as base data.
[0021] Next, exercises based on the theory of ACT are provided for each process of ACT. Memory 133 or 102 contains the following exercises: "Self as Context" (well-known exercises such as the observer exercise, MCT (Metacognitive Therapy) free association task, and chessboard metaphor to understand the self as observer / perspective = self as field / context), "Acceptance" (well-known exercises such as the ice squeeze exercise to open up to painful internal events and take the time to do so), "Value Clarification" (well-known exercises such as the ice squeeze exercise to clarify the values of what actions you will take continuously), and "Value Clarification" (well-known exercises such as the ice squeeze exercise to clarify the values of what actions you will take continuously). The following exercises are stored: "Self as Context," "Acceptance," "Defusion," and "Now" (well-known exercises, such as choosing an area of personal value that one considers important, such as work / career or friends / social life exercises); "Defusion" (well-known exercises, such as the Bass exercise, which helps one distance oneself from or detach from and observe internal events, and the exercise of rephrasing oneself as having "I..."); "Now" (well-known exercises, such as focusing attention on the sound of an orchestral instrument, the appearance, taste, smell, and texture of gummy candy, and the sensations of various parts of the body, which help one connect with and immerse oneself in what is happening in the present moment); and "Committed Action" (well-known exercises, such as work that encourages value-based commitment, which helps one take effective action guided by one's values). In this example, ten exercises are provided for "Self as Context," "Acceptance," "Defusion," and "Now" (well-known exercises, such as choosing an area of personal value that one considers important, such as work on ... In addition, educational content related to each process may also be provided.
[0022] Next, the implementation of exercises and other work in flow 653 will be described. While there are no specific rules regarding the order in which each process is performed, for example, measures such as the FFMQ or CFQ could be used to begin with relatively weaker processes. Alternatively, when starting the 653, the user could be asked questions about which of the six processes they are interested in, and the order could be determined based on the user's responses. Alternatively, the user could be asked questions to assess their characteristics in advance, such as the BIG5, Enneagram, or MBTI, and the order and the processes to be provided could be determined based on the user's characteristics. For example, if the BIG5 indicates low emotional stability, the program could offer "Acceptance" followed by "Defusion." If the user's curiosity is high, the program could offer "Now, This Moment" and then "Defusion," thereby enhancing the effectiveness of the user's exercise. Furthermore, instead of asking questions to the user via an information processing device, well-known technology (e.g., Patent Publication No. 2022-189376) that evaluates characteristics such as the BIG5 based on smartphone usage history could be used to make decisions without increasing the burden on the user. In this embodiment, the exercise is set to start with "Now, This Moment" and "Defusion," which are important processes in many cases. Furthermore, the interaction between each block of the software program and each function of the hardware is similar to that described above, so details are omitted. Furthermore, prior to executing the exercise program, the control block 606 can prompt the user to answer a scale such as the FFMQ or CFQ, and the results of those answers can be used as a basis.
[0023] First, the schedule management block 603 provides the "Drink Tea" exercise, which is included in the "Now, This Moment" exercise set. That is, at 10:00 AM on the start day, the control block 606 requests that an icon for launching the "Drink Tea" exercise be displayed in the latest tile (top left) of the information window. The schedule management block 603 records the user's execution of the exercise. As with the educational content, if the user has not performed the exercise, the schedule management block 603 may not only provide the exercise according to the schedule, but may also control the schedule management block 603 to re-install the unperformed or paused exercise in the latest tile. To count the number of times the user has performed an exercise, for example, a "Performance Count" button can be provided on the exercise page, which accumulates the count each time the user touches the button. Points can then be awarded based on the number of times the exercise has been performed, providing an incentive. Next, as described above, at 10:00 AM the next day, the schedule management block 603 displays the next exercise, "Read Text While Focusing on Your Feet," in the latest tile according to the schedule list. Furthermore, the schedule management block 603 provides the user with the next exercise according to the list every morning until the fifth day, encouraging the user to perform it. On the sixth day, a subscale of the FFMQ (Five Facet Mindfulness Questionnaire) is used to measure the proficiency of the "Now Moment" process (the scale is not limited to this, and other scales used in ACT, such as the MAAS (Mindful Attention Awareness Scale), can also be used). In this embodiment, the evaluation block 602 compares this evaluation result with the user's previous evaluation result (stored in personal data), and if improvement is observed, or if this is the second time the five-day work set for this process has been completed, the process is set to proceed to the next step. Note that this setting can be modified as needed, such as not obtaining a scale, proceeding to the next step without evaluating the scale, or repeating the same process until the evaluation result not only improves but also reaches a predetermined level of improvement (since the work set for this process has 10 exercises, the same exercises are repeated from the third time onwards).
[0024] Next, the schedule management block 603 requests the control block 606 to provide a "defusion" exercise, similar to the "Now, This Moment" exercise described above. Here, the CFQ (Cognitive Fusion Questionnaire) is used for evaluation (though the scale is not limited to this and other scales used in ACT can also be used).
[0025] Next, the schedule management block 603 requests the control block 606 to provide an "acceptance" exercise in the same way as the "Now, This Moment" exercise. Here, the APQ (Acceptance Process Questionnaire) is used for evaluation (though the scale is not limited to this and other scales used in ACT can also be used).
[0026] Next, the schedule management block 603 requests the control block 606 to provide the "self-as-context" exercise in the same way as the "now, this moment" exercise. Here, the evaluation uses the SACS (Self-as-Context Scale), CompactACT, MPFI, or subscales of the FFMQ (scales are not limited to these, and other scales used in ACT can also be used).
[0027] Next, the schedule management block 603 requests the control block 606 to perform the "Clarifying Values" exercise, thereby carrying out the value work. The schedule management block 603 requests the control block 606 to display a tile for launching the value work exercise as the latest tile in the information window at 10:00 AM the following morning. When the user touches the tile, the control block 606 prompts the user to select one to three areas of value that the user considers important from ten areas of value (e.g., work / occupation, friends / social life), and then controls the input / output block 601 to input "behaviors" that the user considers valuable within the selected areas in free text. The control block 606 then sends the input "behaviors" to the memory management block 605 for storage. Whether or not the user is engaging in value-based behavior is evaluated using a Valuing Questionnaire (VQ) (the scale is not limited to this and other scales used in ACT can also be used).
[0028] Next, the schedule management block 603 requests the control block 606 to perform the "committed action" exercise, thereby carrying out the value work. The schedule management block 603 requests the control block 606 to display a tile for starting the value work exercise in the latest tile of the information window at 10:00 the next morning. When the tile is touched by the user, the control block 606 displays the values entered in the value clarification at the top of the screen and displays a window at the bottom for entering actions in line with short-term, medium-term, and long-term values. The control block 606 sends the entered actions to the memory management block 605 and stores them. Whether or not the committed action is being performed is similarly evaluated using a VQ (Valuing Questionnaire) (the scale is not limited to this and other scales used in ACT can also be used).
[0029] Here, the control block 606 again measures the user's AAQ-II, FFMQ, and CFQ scores, and graphically displays the changes in the AAQ-II score and the six process values, for example, as a line graph of the AAQ-II score change and a hexagonal radar chart of the six process changes, allowing the user to visually understand the effectiveness of this program. The changes in these graphs over time can be checked at any time by accessing the user's personal data.
[0030] As described above, a systematic basic program for stress management based on ACT was provided. Next, the evaluation block 602 evaluated the results of the six processes (using the FFMQ, CFQ, or other scales of the six ACT processes) and implemented the processes for which the user scored relatively low in "Self as Context," "Acceptance," "Defusion," and "Now and Here and Now." The implementation method was the same as for each process described above. After one month of implementation, the evaluation block 602 evaluated the user's psychological flexibility and proficiency in each process using the AAQ-II, FFMQ, CFQ, and VQ. If necessary (e.g., when the value achievement rate is low and the value needs to be reassessed, or when the goal is achieved and needs to be reset), the above-mentioned processes for "Clarifying Values" and "Committed Action" were implemented again. When this turn ended, the process was repeated, starting with the processes with the lowest scores, based on the evaluation results of the six processes. If the AAQ-II score continues to reach a certain level, indicating psychological flexibility, the exercises can be stopped. The AAQ-II and the six processes can be evaluated periodically, for example, monthly, and the exercises can be resumed if psychological flexibility or proficiency in any of the processes declines, or if psychological flexibility declines after the AAQ-II. The six ACT processes can be repeated as desired. For example, the processes and order of the processes to be provided can be determined based on the pattern of process evaluation scores. A list of multiple patterns, the processes to be provided, and their order (if more than one) can be stored in a storage device. The evaluation block 602 compares the user's evaluation score with this list to determine the next process to be provided. After the provided process(es) is completed, the next process can be determined by evaluating the process(es) using a scale. Alternatively, the evaluation scores of each process and the evaluation scores after the execution of subsequent processes can be used as training data to build a model through machine learning. The evaluation scores can be input into this model to suggest recommended processes, and the execution and evaluation of these processes can be repeated.
[0031] (654) Next, the second function of the evaluation block 602 will be explained using the example of self-care for disease-specific symptoms of PMS. The evaluation block 602 is also a block that has the function of analyzing personal data in the PMS memory entered by the user. The system also has a function to calculate and predict the next menstrual period from past menstrual periods entered by the user, and to analyze the relationship between the mental and physical symptoms of PMS and symptoms such as abdominal pain entered by the user and the menstrual period (for example, if it is found from past input that the user tends to complain of mental symptoms such as "irritability" four days before the menstrual period and physical symptoms such as "abdominal pain" for three days after the menstrual period, the system calculates a prediction of the next menstrual period along with a prediction of "irritability" four days before and "abdominal pain" for three days after the menstrual period, and sends these to the schedule management block 603. The schedule management block 603 reads out a list of intervention dates and intervention processes for each disease stored in the storage device, and controls so that the predicted date for PMS in the list related to PMS is set as the intervention date, and the set intervention program is provided on that date and time. In this embodiment, if the result of predicting that the next menstrual period is April 10th is issued, the list will include a "defusion" process to be generated on April 6th. Write down the process for four days, until April 10th. Also, write down the process for three days on April 10th. For many mental and psychosomatic disorders, there are effective interventions for addressing the symptoms. For example, in the case of PMS, it is expected that fusion occurs, such as "I feel irritated and lash out at others, and they dislike me," so "defusion" is effective. For menstrual pain, it is expected that recollections of past pain exacerbate unpleasant symptoms, so "now and now" exercises and "mindfulness" exercises are effective. These exercises can be the same as the exercises used to develop psychological flexibility, but it is more convenient to use modified versions tailored to the symptoms of the disorder. (For example, create a version of the "tea" exercise, replacing "tea" with "menstrual pain" and repeating it aloud for 20 seconds.)
[0032] The schedule management block 603 manages both the exercises for the process of cultivating psychological flexibility and the exercises for the process of self-care for disease-specific symptoms. When both are implemented in parallel, a situation may arise in which an exercise for the former process and an exercise for the latter process are provided at the same time. In this case, the schedule management block 603 can simply provide both exercises, pause the former exercise and perform the latter, or, if the exercises provided at the same time have the same theme—for example, "defusion"—provide the latter "defusion" process exercise instead of the former "defusion" process exercise, or provide both exercises but at different times. Furthermore, since the order of delivery can be important depending on the process or exercise, the schedule management block 603 records exercises that would cause problems if the delivery order were reversed in the list. For example, if exercise C must not be provided before exercise D in the defusion exercises, the schedule management block 603 can adjust the process or change the order of delivery of the exercises so that exercise C comes before exercise D when it is scheduled to be provided in the latter process. In parallel with these functions, the schedule management block 603 performs daily input to the PMS memory and input to the EMA, as well as acquisition and recording of data from the monitoring device, in cooperation with the control block 606, memory management block 605, and input / output block 601. Finally, evaluation is performed using a scale, such as the PMDD scale, to evaluate symptoms specific to the disease.
[0033] In this example, each process is packaged as a set of work to master the theme, making it easy to measure the proficiency of each process, and psychotherapy can be provided automatically using an information processing terminal, making it easy to repeat.In addition, by measuring each process using an evidence-based scale, reliability and accuracy of confirming effectiveness are increased. In accordance with the spirit of the present invention, it is preferable for the psychotherapy to include all elements necessary for mastering stress coping, such as the six processes for cultivating psychological flexibility in ACT and the four processes related to mindfulness in ACT. However, because each process is related, several processes can be combined and provided as a work set (a set of exercises) (e.g., "defusion," "mindfulness," and "value clarification"). In this case, it is convenient to have three or more processes in order to confirm proficiency (and it would be even more convenient if each of these processes had an evaluation scale). However, depending on the purpose of the app being developed, it is not necessary to include all necessary elements (e.g., the six processes of ACT). Note that, for the purposes of explanation, this example uses PMS, which has a part for cultivating stress coping skills and a part for alleviating disease-specific symptoms. However, if the purpose is solely stress coping, the system can be configured with only the stress coping part.
[0034] (App example 2) In this example, an example of applying the present invention to self-care for sleep disorders will be described. Mindfulness-Based Stress Reduction (MSBR) is used as a systematic stress reduction method. The mindfulness-based stress reduction method consists of (1) body scan (chewing meditation exercises, breathing exercises, and body scan exercises), (2) body scan and yoga (body scan exercises, yoga exercises, and walking meditation exercises), and (3) seated meditation and yoga (seated meditation exercises and yoga exercises). As with the ACT process, the delivery method can be selected from text, audio, video, and game formats. However, since video is well suited to mindfulness, this embodiment provides video exercises. Specifically, the storage device 102 or storage device 133 stores exercise work sets for the themes (1) to (3), as well as educational video content on mindfulness and educational video content on sleep disorders. The application program configuration is the same as that shown in FIG. 6(a). The functions and operations of each block and the hardware components of the information processing device 110 are the same as those in the first embodiment, so details are omitted.
[0035] The application program flow is similar to that shown in Figure 6(b), with the control block 606 coordinating with each block to control it. First, (650) the user logs in to the application and launches it. Next, (651) the symptom memory stores data such as that shown in Figure 3(a) as personal data and inputs it via an input screen such as that shown in Figure 3(b). The input details are the same as those for the PMS memory. Also, at this stage, the user's response data on the FFMQ scale is acquired and stored as personal data to serve as a baseline for verifying the effectiveness of self-care. (652) The control block 606 cooperates with the schedule management block 603 to first provide the user with educational content (653): content (1) in weeks 1 and 2, content (2) in weeks 3 and 4, and content (3) in weeks 5 and 6. Here, the user is prompted to answer the FFMQ scale again, and the results are obtained. The evaluation block 602 then compares and analyzes the results with the baseline data and graphically presents the effectiveness to the user. If the results of this comparative analysis show that the FFMQ score does not reach the predetermined value, the process of providing exercises for themes (1)-(3) is repeated. Also, evaluation using a rating scale is conducted between (1), (2), and (3), and if the predetermined standard is not reached, corrections can be made by repeating the previous steps. (654) Disease-specific interventions for insomnia, such as the "here and now" process, mindfulness, cognitive restructuring, stimulant fishing, sleep restriction, progressive muscle relaxation, and sleep scheduling, are known and can be used. The "Now, This Moment" process can be applied to the user through cooperation between the control block 606 and the schedule management block 603, similar to the application of the "Defusion" and "Now, This Moment" processes in the first embodiment. (In the present invention, the same exercises as those in the self-care function for stress management or modified versions for sleep disorders may be used.) The difference from the first embodiment is the timing of application. The timing is determined when the evaluation block 602 compares the user's sleep efficiency in the sleep memory with the user's normal sleep efficiency or with the sleep efficiency of the typical age group and evaluates that there is a problem. Alternatively, the evaluation block 602 evaluates the user's tendencies recorded in the sleep memory and transmits the time when it evaluates that a sleep disorder is likely to occur to the schedule management block 603, and the process is executed at that timing. In this case, the schedule management block 603 controls the process in cooperation with the control block 606 so that the exercises are provided during the period when a sleep disorder occurs. As a variation of this embodiment, if cognitive restructuring is provided as the exercise to be provided, a well-known technique (e.g., Patent Document 4) can be provided instead of "Now, This Moment." The schedule management block 603 can coordinate the provision of stress coping exercises and disease-specific exercises, as in Example 1. Finally, assessment using a scale is performed. If the intervention is based on the same principles as those provided for stress coping (e.g., "in the moment" exercises or exercises adapted to the symptoms), the same scale (e.g., subfactors of the FFMQ) can be used, or a scale specific to the symptoms of the disease (e.g., BPS, PSQI, ISI, AIS) can be used. Furthermore, these assessment results can be provided to the user over time to increase user satisfaction.
[0036] (App example 3) The mechanisms of symptom development for many diseases have been elucidated, and the appropriate interventions for alleviating stress-related illnesses have been determined (e.g., as in the above-mentioned examples). However, for some diseases, the causes are complex and intertwined, and simply implementing well-known interventions may not improve symptoms. The inventors have realized that this often occurs when the major contributing factor to the disease is not the patient himself, but rather the social factors surrounding the patient. Therefore, we will use ED (erectile dysfunction) as an example of such a disease. Note that similar causes may be suspected when symptom relief is not seen for the above-mentioned diseases, so the method of this example may also be applied. In the case of ED, a partner is a prerequisite for its development, so social influences are strong. Therefore, the causes of disease-specific symptoms are assessed and an intervention policy is determined. The implementation of the work set for improving stress coping ability is similar to that described above, so a detailed explanation is omitted.
[0037] When applying this to ED, first, before running the self-care app, an assessment is conducted on the user to identify the cause of the disease in parallel with the AAQ-II measurement. The assessment can be performed using evaluation scales in the same manner as in the previous examples. When evaluating these diseases, scales measuring biopsychosocial factors and the state of the disease are required. In this example, the general SF-36 was used as a scale to measure biopsychosocial factors, and in particular, since evaluation of partner relationships is required, the Kansas Marital Satisfaction Scale (KMS) and other well-known scales such as the Adult Social Care Outcomes Toolkit (ASCOT), a social care-related quality of life scale, can also be used. The International Erectile Function Score 5 (IIEF 5) and CFQ were used to evaluate the severity of general ED. Assessment is performed in the evaluation block 602. Based on the scores of the factors included in these scales, the user is first classified into Group 1 (not ED), Group 2 (ED), and Group 3 (ED but very severe) based on the IIEF-5 score. No specific intervention is performed for Group 1, while Group 3 is deemed beyond the level of self-care and a message is sent to the user recommending a medical consultation. For Group 2, the KMS scale is further evaluated. If the marital relationship is evaluated as poor, the user is classified as Group 2a. If the SF-36 score is low and the CFQ shows no tendency toward cognitive fusion, the user is classified as Group 2b, indicating excessive stress. Otherwise, the user is classified as Group 3c, indicating anticipatory anxiety. Classification methods are not limited to this; arbitrary scale combinations can be used, and conditional branching based on each score or a combination of multiple scales can be used. Next, a list (not shown) listing the correspondence between groups and intervention work sets is referenced, and a predetermined work set is provided. The procedure for how the schedule management function provides work sets is also described, and the schedule management block 603 provides the work sets to the user based on that. In addition, the list may be configured to store the results of evaluations based on a scale, and machine learning may be performed on that data as training data to build a model, which may then be used to update the list.(This allows for optimization of the intervention work set, exercises, evaluation scales, branching conditions, branching procedures, etc.).
[0038] (Other app examples) As an application of the present invention, in order to provide a systematic stress coping method, techniques such as "problem-focused coping" and "emotion-focused coping," such as well-known problem-solving methods, can be used to provide the user with a systematic stress coping method, as in the above-described embodiment. In addition, a process (a set of exercises) for self-care of disease-specific symptoms may be provided in combination with this. Processes available for chronic pain and migraines include "acceptance," "defusion," and "being in the present moment." (Other exercises for implementing psychological therapies for self-care of symptoms such as chronic pain may also be used.) In this embodiment, the evaluation block 602 also analyzes the user's pain diary to analyze the timing of the user's pain occurrence (changes in atmospheric pressure and weather, periodicity, and association with events) and transmits the timing to the schedule management block 603. The schedule management block 603 and the control block 606 work together to provide and adjust a process for self-care of disease symptoms. Apps for self-care of symptoms of other diseases can be similarly configured. For example, in addition to the stress coping methods of these embodiments, a process for self-care of the symptoms of each disease (for example, acceptance, defusion, and the present moment for menopausal disorders) can be provided, and the timing of providing the process can be adjusted by the evaluation block 602 and the schedule management block 603, and the control block 606 can provide the process.
[0039] In the above example, the stress coping method provision part and the disease symptom coping part are exemplified by providing exercises based on the same psychological theory and by providing exercises based on different psychological theories, but providing exercises based on the same theory is more consistent and effective.
[0040] (Example of an integrated medical system) This app is not limited to a specific disease, but can be used as a self-care app for the symptoms of multiple diseases. In this case, the system stores a medical interview function (typically executed by the input / output block) for inquiring about the user's symptoms / disease, a calendar function (typically executed by the schedule management block) that forms the basis for each functional block and symptom memory of the program, a work set for stress management, the basic symptom memory, a set of questions for each disease to be added to the symptom memory, and a work set for self-care processes for symptoms for each disease, and a process for inputting the user's symptoms after the app is launched.The evaluation block 602 analyzes the input results by comparing them with a list (an example is shown in Figure 8) stored in the storage device that shows the relationship between symptoms and diseases, and the processing items in the evaluation block 602 and the schedule block 603.For example, if the user inputs "can't sleep," the list is referenced and the result is symptom (can't sleep)-disease (sleep disorder).If this results in a question item for sleep disorder, the control block 606 can provide a work set for stress management and a work set for alleviating sleep disorder symptoms in cooperation with the evaluation block 602 and the schedule management block 603. Furthermore, after applying the system to a specific disease, it is possible to newly input information about other diseases through interviews and customize the system for other diseases. In this case, a common database can be used for daily data and personal data previously input by the user, and it is possible to omit input or utilize past data. Furthermore, the system according to the present invention described above can be applied to the integrated medical care system of this embodiment.
[0041] (Example: Healthcare system (platform) that responds to transitions in life stages) The present invention relates to a system that can change the system program (the functions it provides) for each of a user's multiple life stages (which can be used across multiple stages from childhood to old age (10 to 70 years old), but is typically particularly suited to the 25-55 age group), and elements of the aforementioned app examples can be applied to this system. The system includes a medical interview function (typically implemented by an input / output block) for ascertaining the user's biopsychosocial factors, a calendar function (typically implemented by a schedule management block) that serves as the basis for each functional block of the program and the symptom memory, a work set for stress management, a basic symptom memory, a set of questions for each anticipated disease or mental disorder to be added to the symptom memory, a work set for a self-care process for symptoms of each disease, and a set of scales (including questions for the questions) corresponding to life stages, life events, and events, all of which are stored in the system's storage device and can be provided to the user. The system also includes, for example, a database (or other association information; other association methods known to those skilled in the art, such as a list format or folder organization, may also be used) for storing information relating age to life stages. Figure 8 shows an example of a user's life stage, showing a table comparing several biopsychosocial conditions with the system requirements. This table shows biopsychosocial factors such as gender, age, student or working status, whether or not the user has children, whether or not the user holds managerial or other responsibilities at work, whether or not the user has menstrual periods, whether or not the user has sleep problems, and whether or not the user has pain or other problems (note that these are merely examples, and other biopsychosocial factors may be added, or items listed may be deleted). This table also shows an example of a list of system requirements (functions for each type) that correspond to these biopsychosocial factors. For example, an 18-year-old female student who has menstruation falls into Type 3, and the system is configured to set the menstrual function to the calendar function and provide the user with PMS self-care functions as a healthcare function.Healthcare functions include general health management functions such as diet and meal management, exercise management (e.g., step count), and calorie intake management. However, mental health functions are preferred from the perspective of prevention, as they are less recognizable to users. Furthermore, the scope of the present invention also includes simple EMA or symptom memory recording. Self-care and treatment apps can utilize functions that are provided for a roughly fixed period of time by a program, such as a scenario, or functions that are continuously provided, or functions that are executed as needed by the user (e.g., functions invoked by the user or suggested by the system based on the user's condition (e.g., health questions, tweets on social media, or information entered in the symptom memory)). For example, while the AAQ-II was used in the above example to assess psychological flexibility, the AFQ-Y (Avoidance and Fusion Questionnaire for Youth), which measures psychological inflexibility in young people from childhood to adolescence, can also be used, with the same indices for other indicators. For example, for a 35-year-old housewife with children who has a sleep disorder, physiological and sleep items can be set as symptom memory, and the user would enter a combined questionnaire. Since postpartum depression is also anticipated, a depression scale (e.g., the Edinburgh Postnatal Depression Assessment Inventory) is added to the scale set, and the user's responses are acquired along with the psychological flexibility scale. If depression is detected, a depression work set is provided. Work sets for stress management and specific illnesses can also be modified to suit biopsychosocial factors. For example, men aged 45 and over could be provided with primarily printed reading material, while those under 20 could be provided with manga-style reading material. This is not limited to the format of the work set; modifications such as changing the app's UI / UX to suit biopsychosocial factors are also possible. In this way, according to this embodiment, system requirements can be changed as life stages change, allowing, for example, a package system for a different age group. In this case, a common database can be used for daily data and personal data previously entered by the user, making it possible to omit input or utilize past data.The above-described system can be applied to the platform system of this embodiment.
[0042] An example of a specific example of this embodiment is shown below. While the functions described below are implemented by a software program executed on the system, this is not limiting and modifications are possible, such as implementing each functional block using hardware such as an FPGA. This embodiment also assumes a software program running on the system 100 of FIG. 1 , but modifications are also possible in which all operations are executed on the information processing terminal 110. This software program is stored in the storage device 133, and overall control and control of each device on the server 130 is performed by the control device 132. The front-end program executed on the information processing terminal 110 is stored in the storage device 102, and control of each device on the information processing terminal is controlled by the control device 101. The control device 132 and the control device 101 execute the program in cooperation with each other (e.g., requests from the information processing terminal to the server and vice versa). This program is also assumed to be a system tailored to the transitions of women's life stages for convenience's sake. However, this is not limiting and it goes without saying that a similar configuration can be used to configure a system for men, etc. (For example, the ED app example mentioned above can be adopted as a function provided for the male menopausal life stage). The operational flow of this software program is shown in Figure 10. First, the user launches this program by clicking an icon on display device 103, such as a touch panel, of information processing terminal 110, typically the user's smartphone (installation procedures are omitted). Next, the user information input process (X01) after launch will be described. The program retrieves question information for each questionnaire item stored in storage device 133, and presents the questions to the user on display device 103, typically via checkboxes or other selections, or via input means for entering letters and numbers into fields. The questions include personal data such as age, the user's gender, height, weight, marital status, pregnancy status, whether or not they have children, and whether or not they are employed. The user then inputs answers via input device 104, such as a touch panel. The input data is then stored in storage device 133 along with the user's identification number. In this example, the user is assumed to be a 25-year-old female, not pregnant, and without children.The control device 101 and the control device 132 cooperate to link data and information between the information processing terminal 110 and the server 130 via the communication device 105-net 120-communication device 131. In addition to input and output by text, input and output by voice and the like can also be used.
[0043] Next, the functional type analysis (X02) step will be described. The control unit 132 reads information about functional types corresponding to life stages stored in the storage device 133. Typically, a list of ages and life stages associated with each other, as shown in Figure 11, is used (information stored using a well-known association method, such as entering information in the header of a database or file where the associations are stored and then searching for it). Next, the system reads the user's age information from personal data stored in one of the system's storage devices, compares the user's age with the age group in the list, and determines whether the user falls into the 12-25 age group. Next, the system references the functional types belonging to that age group (row 12-25 in the table). Functional types marked with a "〇" are functional types that are suitable for that age group and the user. The system compares the conditions of each basic functional type with the user's personal data to select a suitable type. The user data is compared with the basic functional types of 12-25, such as PMS, pregnancy, and childcare. Here, the conditions for each function type are assumed to be predetermined, with no conditions for the "PMS" type, pregnancy for the "pregnancy" type, and childcare for the "childcare" type, and these conditions are stored in the storage device 133 along with the function type information. (Similar conditions are also set and stored for each of the other types. If multiple conditions are met, the order of priority and other conditions are also recorded, and the function type may be determined based on this, or the function types may be set in detail so that the function types do not overlap.) In this example, the target user data is pregnant and has no children, so the PMS type is set. (In this embodiment, the priority for function type selection is pregnancy > child > PMS, and this is stored along with the function type information, such as the list described above.) Here, the basic function types applied to each age group are life stages typically observed in that user group. The function type that matches the user's personal data is automatically determined based on a comparison of the function type compatibility conditions with the user data, and is set appropriately by the system designer.However, after the system determines the compatibility, a step may be added in which the determination result is presented to the user via the display device 103, and the user determines via the input device 104 whether or not to accept the provision of the program. In this case, if the user does not accept, the system may be controlled so that the user can set another function type. In addition to the information described above, questions may be provided to determine the user's compatibility (or answers to questions used in the provided functions may be used), and the user's answers may be obtained and stored as user data prior to determining the function type, and used to determine the function type.
[0044] Next, the OP selection function (X03) will be described. The OP selection function is a function type for events that are not particularly related to the life stages (or life events included therein) associated with an age group, but that the user may wish to select. Examples of these function types include a "diet" type, a "sleep disorder" type, and a "pain" type. These function types may be selected by the user after selecting the basic function type described above, or may be selected at the user's discretion from a location such as the app's settings screen. When a function type is selected by the user, the function is switched from the previously provided function type. Alternatively, a function type having a combination of the provided function types may be set in advance, and then switched to a function type having a combined function of the currently provided function type and the selected function type. Alternatively, the function types may be provided so that the user can switch between them (either method is used when switching function types in this embodiment).
[0045] Next, once the function type to be provided to the user is determined, the system proceeds to a process of providing the function (providing information, data, and / or a self-care program necessary to realize the healthcare function. Note that the program here refers to a program including the user's self-care activities, exercises, etc.). For each function type, the EMA question items and question information, mental and physical state assessment scales, health literacy information, healthcare modules, symptom memory (diary), etc., used therefor are set in accordance with the life stage and events (i.e., the items and functions may be any of those listed above, or may include additional items). Each data and program, for example, the question items and question information for the EMA, educational content (in the form of reading material, video, audio, chatbot, etc.) for the health literacy information, and the functions of a self-care app such as the aforementioned example app for the healthcare module, are stored in the storage device 133 along with association information with the function type (typically, a list or database indicating the corresponding correspondence). For example, in the case of PMS type, examples of information associated with the PMS type include the EMA, assessment scale, and treatment module exemplified in the PMS memory and application example 1 described above. For insomnia, EMA questionnaire items and question information suitable for insomnia patients, and well-known scales such as the Pittsburgh Sleep Quality Index (PSQI) and the Athens Insomnia Scale can be used as indicators for assessing the state of sleep disorders. Examples of self-care modules include the self-care app described above, and information on sleep disorder disease education and psychological education. This association information may also be information stored in a storage device (which may be in a list format, database format, file header information, or other information format using a well-known association method) or information written in a program. The association information between life stages and function types can also be realized in an information format known to those skilled in the art. Furthermore, information may be a set of life stages, function types, and provided functions. It may also be realized as a set of information on life stages and provided functions.
[0046] Next, the provision of functions according to the function type of the self-care app (X04) will be described. Once these function types are determined, the respective EMAs and other settings are configured according to the function type, and the self-care functions are provided to the user according to the procedure detailed in the above-mentioned application example. In this case, if the UI (user interface) is configured so that at least some, and preferably all, of the UI is common across function types, with only the questions, their contents, and the content of the exercises provided being different, for example, FIG. 12(a) shows an example of an EMA question screen provided for the PMS type, and FIG. 12(b) shows an example of an EMA question screen provided for the childcare type, it is preferable that the screen display and input method are the same, and only the questions are different (Question C is different from Question E, and Question F is different from Question H), which prevents the user from getting confused about how to operate it.
[0047] Next, the termination of a self-care app function (X05) will be described. These basic and optional function types typically have termination conditions. For example, the pregnancy type terminates after childbirth, and the diet type terminates when a set weight target is achieved. This may be done after a specific period, using automatic detection technology as described below, or by the user via a settings screen. When the self-care function of a set function type is terminated, the system may re-evaluate its association with other basic function types, as in the flow (X02), or select another optional function type, as in (X03). Alternatively, the function type may be the most basic function type for that age group (in this embodiment, the PMS type has a low priority and is the most basic function type because it has no conditions).
[0048] Although the above example shows setting an end condition for the function of each function type, it is not limited to this. It is also possible to perform a function type determination of X02 at a predetermined timing (for example, birthday, the beginning of the year, the date the user registered in the system, or a date and time set by the user), and change the function of the function type currently being used to the function type determined there. It is also possible to configure the system to suggest a change in function type to the user based on the usage status of the user's information processing terminal.
[0049] Then, once the function type is determined (X04), a program (scenario) is provided to the user that corresponds to that function type, such as the provision of health literacy information, self-care application functions, etc., as in the above-mentioned application example. Next, we will discuss user monitoring for determining other function types. In one example, the system monitors the user's behavior (this monitoring is conveniently performed by a resident program running in the background on the information processing terminal 110), that is, the control device 101 of the information processing terminal 110 performs processing to monitor the user's behavior using the information processing terminal. For example, the system monitors input information, such as tweets, made by a user using the input device 104 when entering information on a social networking service (SNS) app, email app, diary app, schedule app, BBS app, or website. The input information, typically input words (in the case of sentences, the input words are segmented and extracted; to improve accuracy, the context surrounding the words is also preferably analyzed using text mining), is compared with a group of words associated with function types pre-stored in the storage device 133 (when using server resources, the control device 101 cooperates with the control device 132, which controls the storage device 133 to transmit information between the information processing terminal 110 and the server 130) or the storage device 102. If a matching word is found, the system extracts the associated function type (it may be configured to extract and compare not only the word but also the context surrounding it to improve the accuracy of the suggestion). The control device 101 then suggests switching to the extracted function type via the display device 103, such as a touch panel. Another example of monitored user behavior is location information. The control device 101 may use GPS to utilize user location information as the monitoring device 106. The control device 101 collects information from the GPS of the user's information processing terminal 110, evaluates whether the user has been in the same location (location information is not separated by, for example, 10 m) for a predetermined period of time (for example, 30 minutes or more), and if it determines that the user is in the same location, obtains building information corresponding to the location information from a location information provider (Google Maps, etc. can also be used).Here, association information between each function type and building information (information related to location information) is stored in advance in the storage device 102 or the storage device 133. For example, the association information may correspond to a pregnancy type (obstetrics and gynecology hospital, maternity aerobics school), a childcare type (pediatrics hospital, school, cram school, calligraphy class), etc. Information obtained from the user's location information (information related to the building name and location) is compared or collated with the association information. If a match is found, for example, if the user is in an obstetrics and gynecology clinic, the control device 101 suggests switching to the pregnancy type via the display device 103, such as a touch panel. The user's behavior to be monitored is not limited to the above-mentioned information input and location information. Known user behavior may also be used as a target for monitoring, and may be used to suggest function types, etc. The association information between the user's behavior and function types may be stored as list-like information or using a database-like function, and may also be stored together with the above-mentioned functions, function types, and association information. Next, when the user agrees to the proposed change of function type via the input device 104, the system (the control device 101 or the control device 132, or both of them in cooperation with related devices) switches the function type. Furthermore, for example, if the behavior is no longer detectable for a predetermined period of time, the system may propose terminating the function type corresponding to that behavior, and if the user accepts the proposal, the system may be controlled to perform function type determination (X02) again. In this way, the system provides function types automatically, semi-automatically (when the user selects whether to agree to the system's proposal), or manually (when the user manually selects the desired function type). While the above-described embodiment illustrates a configuration in which function types are provided automatically or semi-automatically and then the user can select the function type, it is also possible to simply have the user select the function type. Furthermore, by combining the above-described integrated medical care system with the present system, for example, a medical interview function for inquiring about the user's symptoms / diseases may be implemented using EMA, symptom memory, and a rating scale for diagnosing and understanding symptoms.Furthermore, the system may combine the user's age, life stage, life events, and / or personal data (or a combination thereof) with a scale for assessing a disease likely to occur in each of the above cases, and when the conditions for the case are met, evaluate the combination of scales (providing the user with question information, obtaining responses, and performing statistical processing). If a disease is detected based on the evaluation results, the system notifies the user and, if the user consents, provides a corresponding treatment app. Alternatively, when a functional type is set, the system may evaluate the evaluation scale for a disease likely to occur in the functional type, notify the user of the result via a display device, and perform processing based on the result. In other words, if symptoms of a disease are present, a treatment app for that disease may be provided. Needless to say, these processes may be combined with processes provided according to the normal functional type. Furthermore, when a functional type is set, it is preferable to display the set functional type on a display device so that the user can recognize it. This is because the user can become aware of diseases likely to occur in the functional type by viewing this display.
[0050] As described above, as an application of this embodiment, not only can function types be (semi-)automatically changed in response to changes such as age, but the elemental technologies can also be used to allow the user to select and provide each healthcare function stored on a server. The system outlines a healthcare system that provides self-care functions corresponding to life stages or life events. The system includes a user's information processing terminal having a terminal control device and an input / output device, and a server having a storage device and a server control device that stores information relating to life events or life stages and healthcare functions to be provided at the life events or life stages, as well as information, data, and / or self-care programs required to realize the healthcare functions. The information processing terminal and the server are connected via a network so as to be able to work together. The terminal control device uses the input / output device to acquire requests for the healthcare functions from the user and transmits the information to the server. The server control device provides the requested healthcare functions to the user via the input / output device in cooperation with the terminal control device. The system of the present invention provides healthcare functions requested by the user (e.g., dietary management, exercise management, weight loss, mental health, depression self-care, insomnia self-care, and PMS self-care). Mental self-care functions are particularly preferred in this system. In the above example, the user selects a healthcare function that corresponds one-to-one with a life stage or life event and requests its execution, but it is also possible to associate multiple healthcare functions with each life stage or life event and allow the user to select from among them, or to allow the user to select and execute a healthcare function contained in the server's storage device from information about multiple healthcare functions contained in the server (information in well-known formats such as folder lists or lists can be used).
[0051] (Variation) In the above-described embodiment, a life stage is calculated from age and healthcare functions related to the life stage are provided. However, the scope of the present invention is not limited to this. For example, ages or age ranges may be associated with healthcare functions, and the corresponding healthcare functions may be provided based on the user's age. For example, association information associating ages with healthcare functions may be stored in the storage device 133. The healthcare system preferably periodically (e.g., annually) acquires the user's age (the user's age is acquired as personal data when the user registers with the system, and the age is automatically acquired by incrementing the age by 1 on a specific day (e.g., birthday) each year). Based on the association information and the user's age, the healthcare functions to be provided are identified. If multiple healthcare functions are identified as being available, the healthcare function to be provided is determined based on the association information from the user's personal data and healthcare functions, as in X02 described above. The healthcare function determined to be provided is then provided to the user via the information processing terminal 110 in an executable manner. The life stages associated with the healthcare functions may also be displayed on the display device 103 of the information processing terminal 110 so that the user can identify them. It goes without saying that the healthcare functions provided by the life events related to the life events described in the above embodiments and the healthcare functions provided by behavior monitoring can also be combined with this modified example.
[0052] (Database for data management) Next, an example of a database used in the platform system is shown in Figure 13. A database is provided for each user of the system, and each database centrally manages items set by the system user, such as the user's responses to explanations given on the system, the type of exercise provided to the user, the user's characteristics, the exercises provided to the user (whether or not they were performed), and the results of the user's psychological flexibility assessment, regardless of the functions provided to the user. Here, centralized management does not only mean that all data is contained in a single database, but also includes cases where data is divided into multiple databases that are linked and can be referenced as a single set of related data. For simplicity, Figure 13 shows only some recorded data for some dates for illustrative purposes. In the figure, "Type" indicates the user's assigned function type and characteristics, and the arrow indicates continuation of the original data (for example, on January 8, 1990, at age 22, the HEXAD SCALE, which classifies gamification motivation, showed that the user was classified as "SO," or "Socialist"). Questions A-D indicate the user's response scores on a 6-point scale to questions posed to the user using EMA or a rating scale; "-" indicates no participation; EX A-EX C indicate the user's implementation status of the exercises provided to the user (◯ indicates implementation, × indicates no implementation); and FLEX indicates the results of the AAQ-II psychological flexibility assessment. Although not shown, personal data entered by other users is also centrally managed and can be used without prompting the user to answer new questions when switching function types. User personal data can be updated based on user responses or behavioral findings. Centralized management of data acquired from users, rather than by function provided to each user, offers advantages such as the ability to share common personal data, increasing the amount of data available for user analysis and comparative analysis with other users, and improving accuracy. In addition, other application programs that acquire and utilize data common to the data in this database may be connected to this database and share the database.Other applications have backend functions on a server outside the system, and are typically executed (on the front-end side) by users of the app services provided by that server, typically on the user's information processing device. Connecting to other apps via well-known collaboration methods, such as API connection, and sharing the database can dramatically increase the amount of data, improving analysis accuracy. This information can also be fed back to other connected apps, allowing them to modify apps and functions corresponding to questions in other apps. The app can be used as a database for the healthcare system described in the above-described embodiment (the database is updated in a storage device of a server included in the system or in a dedicated database connected within the system), and can record and store data used in the healthcare system. The system or app then requests the information stored in the database along with request information (information for identifying the information) (e.g., a request from the control device 132 to the database within the system). The database then searches the database structure for the data stored in the database and transmits the detected information to the system (control device 132). In addition, the system (control device 132) sends the information to be stored in the database along with the information's identification information (information for identifying the information), and the database stores the information in a specified area of the database structure based on the identification information.
[0053] This app is an ecological momentary assessment (EMA) (an assessment method for recording psychological and physical symptoms in daily life on-the-spot using an electronic device such as a smartphone). Questions are displayed on the smartphone screen (as a daily record, questions are asked at an appropriate frequency, such as once or several times a week or once or several times a day). Users can record their mental and physical condition using radio buttons or a visual analog scale (or, in some cases, free text entry in a text box) in response to these questions). It is convenient for the app to provide features such as symptom memory, enabling the system to frequently and continuously acquire information on the user's mental and physical condition. Furthermore, this configuration can achieve effects significantly different from those of therapeutic apps that improve the user's symptoms on a device. For example, health literacy education is insufficient in Japan, so even if a user shows symptoms or feels signs of a stress-related illness, if the user does not have knowledge about the illness, effective treatment is often unavailable. In this application, users are encouraged to perform EMA and symptom memory to identify signs of stress-related illnesses that are likely to occur according to their age group. The system analyzes the user's responses to the EMA and symptom memory, presenting the user with possible stress-related illnesses via an information processing terminal (such as an alert via a display device), and suggests appropriate functions for dealing with them. For example, for women in their late teens, the EMA and symptom memory could be presented with a PMS memory function, providing a function for dealing with symptoms such as irritability even to women who are unaware of PMS. It is said that premenopausal symptoms begin to appear in women in their 40s, but many women are unaware of this fact. Therefore, for women in their early 40s, the EMA could be set up with questions that capture typical symptoms (such as whether or not they have hot flashes). The EMA responses could be analyzed, and if premenopausal symptoms are suspected, mental care functions for dealing with them could be provided, allowing for disease prevention, improvement, and self-health management.Furthermore, correlation analysis can be performed between items, combinations of items, and combinations of items, which can be useful for, for example, predicting characteristics and exercises that can be expected to be performed, predicting the effect that exercises with specific characteristics will have on psychological flexibility, and the relationship between specific questions or combinations of questions and function types that will lead to future mental disorders. Furthermore, machine learning can be applied to the data of these items, and AI can be used to correct the combination of function types and the information and data provided, as well as the logic for allocating function types.
[0054] The function types, EMAs associated with the function types, educational content, rating scales, and treatment application functions used in this embodiment are merely examples and can be modified as appropriate within the spirit and scope of the present invention. Furthermore, in accordance with the above function types or life stages, it is also possible to provide information other than healthcare functions, such as information on hobbies, beauty, current events, fashion, and entertainment, and to provide a function for providing incentives according to usage, thereby improving the rate at which users continue to use the system.
[0055] The present invention has been described based on several embodiments, but it goes without saying that elements used in each embodiment can be added to and used in the configuration of other embodiments. [Explanation of symbols]
[0056] 100 System of the present invention 101 Control device 102 Storage device 103 Display device 104 Input Device 105 Communication equipment 106 Monitoring equipment 110 User's information processing terminal 120 Internet 130 servers 131 Communication equipment 132 Control device 133 Storage device
Claims
1. A healthcare system that provides self-care functions corresponding to life stage transitions, The system comprises: a user's information processing terminal having a terminal control device and an input / output device; a server having a storage device and a server control device that stores association information between age and a healthcare function to be provided, and information, data, and / or a self-care program required to realize the healthcare function; the information processing terminal and the server are connected via a network so as to be able to cooperate with each other; the terminal control device acquires personal data including at least an age from the user using the input / output device, and stores the acquired personal data in the storage device; The server control device uses the personal data and the association information determining a healthcare function to be provided to the user, and providing the determined information, data and / or self-care program necessary to realize the healthcare function to the user via the input / output device in cooperation with the terminal control device; The server control device periodically updates the healthcare functions to be provided to the user using the personal data and the association information.
2. The healthcare system of claim 1, wherein the storage device further stores second association information between a specific event and a healthcare function to be provided at the event, and information, data and / or self-care programs required to realize the healthcare function, and the server control device accepts a request from the user to execute the event via the input / output device, determines a healthcare function based on the request based on the second association information, and provides the user with the information, data and / or self-care programs required to realize the healthcare function related to the event instead of the healthcare function being provided.
3. The healthcare system of claim 2 , wherein the healthcare function is a self-care function related to mental health.
4. 2. The healthcare system of claim 1, wherein the storage device further stores third association information between the user's behavior and a healthcare function that may be provided when the user performs the behavior, and information, data and / or self-care programs required to realize the healthcare function, and the server control device monitors the user's behavior using the functions of the information processing terminal, and when information based on behavior that satisfies predetermined conditions is detected, suggests to the user via the input / output device that the user perform a new healthcare function based on the third association information, accepts the user's request for the execution, and provides the user with the information, data and / or self-care programs required to realize the new healthcare function instead of the healthcare function that is currently being provided.
5. A database system used in a healthcare system that provides healthcare functions adapted to the transition of life stages, The database system comprises: a server having a storage device that stores a plurality of healthcare functions; Information about your personal data, including your age; life stage information determined for the user; Information about healthcare functions provided to the user; and a database structure for storing, as a set, answers to questions of the user's questionnaire items acquired in the healthcare function provided to the user and / or information on the user's implementation status provided in the healthcare function provided to the user; Recording database structure information transmitted from the healthcare system; and A database system that, in response to a request from the healthcare system, retrieves and transmits requested information to the healthcare system.
6. 6. A database system according to claim 5, wherein other applications executed outside the server of the system providing the present service are connected to the database system, and at least common information data is stored.
Citation Information
Patent Citations
System, method, program, and device for supporting implementation of medical treatment method using application for medical treatment
JP2022001980A