Evaluation support system

Abstract

To periodically and easily evaluate ADL of a user in a nursing care office.SOLUTION: An evaluation support system for supporting an evaluation of a physical function or a cognitive function necessary for a person to autonomously perform a living motion, or an evaluation of a mental state of a person or an ability necessary for a person to perform a social activity, wherein a plurality of types of images graphically representing scales of the evaluation are selected for each type of living motion performed by a person to be evaluated, and a sum of numerical values corresponding to the scales of the images selected for each type of living motion is used as an evaluation value.SELECTED DRAWING: Figure 2

Description

[Technical Field]

[0001] The present invention relates to an evaluation support system for evaluating the physical or cognitive functions required for a person to autonomously perform daily activities, or for evaluating a person's mental state or the abilities required for a person to perform social activities. [Background technology]

[0002] Japan has the world's highest aging rate, and by 2025, when the baby boomer generation will be 75 years old or older, the number of elderly people (aged 75 years or older) is expected to reach 36.77 million (Cabinet Office, 2019 White Paper on the Elderly). It is believed that the majority of elderly people will gradually transition to a state of needing nursing care, passing through an intermediate stage known as "frailty." Furthermore, nursing care costs for frail elderly people are approximately 24 times higher than for healthy, community-dwelling elderly people (Makizako H et al., 2021). It has also been shown that the pathology of frailty is often manifested in declines in various functional aspects, such as physical and mental function and daily living functions, and is difficult to detect in standard clinical medical tests (Nishi et al., 2012). Therefore, early detection of declines in activities of daily living (ADL) in elderly people will contribute to maintaining and improving their quality of life, ultimately leading to an extension of healthy life expectancy and reduced medical and nursing care costs.

[0003] The 2018 nursing care fee revision introduced a new "ADL Maintenance Surcharge" for day care providers, which evaluates those who maintain or improve their ADLs within a certain period of time. This is the first outcome assessment in nursing care in Japan. The Barthel Index (BI, Mahoney, FI et al., 1965) was used as an evaluation index, a simple method for measuring the functional recovery process of patients who are not independent in ADLs. The BI has also been shown to correlate with nursing care certification assessments (Tomoyuki, M et al., 2019). Regularly assessing ADLs is important for preventing the need for nursing care and optimizing home care services.

[0004] A decline in physical function, including strength, muscle strength, muscle mass, bone density, and visceral function, can lead to problems with standing and walking, decreased balance, decreased dexterity and coordination, increased fatigue, and decreased appetite. Specifically, symptoms include unsteadiness when moving or walking, a tendency to fall, and difficulty using chopsticks or buttoning clothes. A decline in cognitive function can lead to forgetfulness, memory loss, disorientation, impaired executive function, and a decline in judgment and communication skills. Specific symptoms include difficulty remembering names of people or objects, not understanding cooking procedures, choosing appropriate clothing for the season or purpose, being unable to calculate money when shopping, and getting lost. Such declines in physical and cognitive function lead to decreased activity and a worsening mental state. Loss of opportunities for exercise, thinking, and communication (social activities) can lead to a decline in physical and brain function, making people more likely to become bedridden.

[0005] Here, as a prior art document, Patent Document 1 discloses software for recording and displaying information related to nursing care services. This software includes an information processing device, an information input means for receiving input of diary report information, which is information on diaries and reports created by caregivers, contact information, which is information handed over between caregivers, hospital record information, which is information on hospital visits of care recipients, condition observation information, which is information on care recipients under follow-up observation and the contents of observation, nursing care service information, which is information on the contents or results of nursing care services provided to care recipients, care recipient information, which is information including personal information of care recipients and information on the independence level related to nursing care, and vital sign information, which is information on the values ​​of vital signs measured from care recipients and information on the date and time of measurement, and a recording device for recording the input diary report information, contact information, hospital record information, condition observation information, nursing care service information, care recipient information, and vital sign information. and a display information generating means for generating, as display information, the following information for each care recipient: the recorded diary report information, the contact information, the hospital record information, the condition observation information, the care service information, the care recipient information, and the vital sign information; care daily planner information, which is information consisting of the care service information on the same date as the date on which the care service was provided; and vital sign daily planner information, which is information that graphs the values ​​of the vital signs of the care recipient over a specified period. [Prior art documents] [Patent documents]

[0006] [Patent Document 1] Patent Publication No. 2021-189844 Summary of the Invention [Problem to be solved by the invention]

[0007] However, according to a survey conducted after the establishment of the ADL maintenance premium (Ministry of Health, Labor and Welfare Research Project on the Evaluation of Service Quality in the Long-Term Care Insurance System), only 578 day care service providers (2.6%) and 57 community-based day care service providers (0.3%) calculated the ADL maintenance premium. The most common reason for not submitting the ADL maintenance premium was that "the burden of evaluation using BI is too great," at 43.3%. Based on the above survey, it is believed that it is necessary to promote the submission of the ADL maintenance premium, reduce the evaluation burden in order to make regular ADL evaluation a habit, and develop evaluation indicators that can be used to evaluate ADL in any occupation.

[0008] The present invention has been made in view of the above circumstances, and aims to provide an evaluation support system that enables a care facility to easily evaluate the ADL of users on a regular basis. [Means for solving the problem]

[0009] (1) In order to achieve the above object, the present invention employs the following means: That is, the evaluation support system of the present invention is an evaluation support system for supporting the evaluation of the physical functions or cognitive functions necessary for a person to autonomously perform daily activities, or the evaluation of a person's mental state or the abilities necessary for a person to engage in social activities, and is characterized by comprising: a display unit that displays multiple types of images graphically expressing the evaluation scales for each type of daily activity performed by the person being evaluated; and a control unit that calculates the sum of the numerical values ​​corresponding to the scales of the images displayed on the display unit and selected for each type of daily activity, and outputs the calculated sum as an evaluation value.

[0010] (2) Furthermore, the evaluation system of the present invention is an evaluation support system for supporting the evaluation of the physical functions or cognitive functions necessary for a person to perform daily activities autonomously, or the evaluation of a person's mental state or the abilities necessary for a person to perform social activities, and is characterized in that multiple types of images that graphically represent the evaluation scales are selected for each type of daily activity performed by the person being evaluated, and the sum of the numerical values ​​corresponding to the scales of the images selected for each type of daily activity is used as the evaluation value. [Effects of the Invention]

[0011] According to the present invention, the time required for evaluation of the physical or cognitive functions necessary for a person to perform daily activities autonomously, or the mental state or abilities necessary for a person to participate in social activities, can be significantly reduced. Furthermore, it is possible to reduce the burden of evaluation by making periodic ADL evaluation a habit. As a result, it becomes possible to promote the application of the ADL maintenance premium. [Brief explanation of the drawings]

[0012] [Figure 1] 1 is a block diagram showing a schematic configuration of an ADL evaluation support system. [Figure 2] FIG. 2 is a diagram showing a pictogram according to the present embodiment. [Figure 3] FIG. 2 is a diagram showing a pictogram according to the present embodiment. [Figure 4] 1 is a flowchart showing the basic operation of the ADL evaluation support system according to the present embodiment. [Figure 5] FIG. 10 is a diagram showing an example of a screen display of the ADL evaluation support system. [Figure 6] FIG. 10 is a diagram showing an example of a screen display of the ADL evaluation support system. [Figure 7] FIG. 10 is a diagram showing an example of a screen display of the ADL evaluation support system. [Figure 8] FIG. 10 is a diagram showing an example of a screen display of the ADL evaluation support system. [Figure 9] FIG. 10 is a diagram showing an example of a screen display of the ADL evaluation support system. [Figure 10] FIG. 10 is a diagram showing an example of a screen display of the ADL evaluation support system. [Figure 11] This is a pictogram of the sixth test in Table 2. [Figure 12] 10 is a flowchart showing the procedure for creating an ADL evaluation index displayed as a pictogram. DETAILED DESCRIPTION OF THE INVENTION

[0013] In Japan's nursing care medical fee system, a new ADL maintenance surcharge was introduced in fiscal year 2018, which requires periodic assessment of ADL and allows for additional compensation if ADL improves. The re-revision increased the compensation by 10 times, but the complexity of the assessment was cited as an issue in the field. Under these circumstances, the inventor focused on "pictograms" and discovered a new ADL assessment method that is easier than the conventional text-based assessment method, leading to the invention.

[0014] In other words, the evaluation support system of the present invention is an evaluation support system for supporting the evaluation of physical functions or cognitive functions necessary for a person to perform daily living activities autonomously, or the evaluation of a person's mental state or the evaluation of the abilities necessary for a person to perform social activities, and is characterized by comprising a display unit that displays multiple types of images that graphically represent the evaluation scales for each type of daily living activity performed by the person being evaluated, and a control unit that calculates the sum of the numerical values ​​corresponding to the scales of the images displayed on the display unit and selected for each type of daily living activity, and outputs the calculated sum as an evaluation value.

[0015] In addition, the evaluation support system of the present invention is an evaluation support system for supporting the evaluation of the physical functions or cognitive functions necessary for a person to perform daily activities autonomously, or the evaluation of a person's mental state or the abilities necessary for a person to perform social activities, and is characterized in that multiple types of images that graphically represent the evaluation scales are selected for each type of daily activity performed by the person being evaluated, and the evaluation value is the sum of the numerical values ​​corresponding to the scales of the images selected for each type of daily activity.

[0016] As a result, the inventor has made it possible to significantly shorten the evaluation time when evaluating the physical or cognitive functions necessary for a person to autonomously perform daily activities, or when evaluating a person's mental state or the abilities necessary for a person to engage in social activities. It also makes it possible to reduce the burden of evaluation by making periodic ADL evaluations a habit. It also makes it possible to promote the filing of ADL maintenance premiums. The following is a detailed description of embodiments of the present invention.

[0017] [First embodiment] 1 is a block diagram showing a schematic configuration of an ADL evaluation support system. The ADL evaluation support system 1 receives input from an operator at an input unit 10. The display unit 12 has a display and is capable of displaying images. The display unit 12 may also be provided with an audio output function such as a speaker or headphone jack.

[0018] The pictogram storage unit 14 stores image data that represents the contents of the Barthel Index (BI) using pictograms. A pictogram is a typical graphic symbol that uses the shape of an object to convey a semantic concept. It is also called a pictograph. The pictogram storage unit 14 may also store explanatory text for each BI corresponding to each pictogram. It may also store explanatory text that allows the operator to select one of two adjacent pictograms in relation to the assigned score. Furthermore, the pictogram storage unit 14 may store additional notes specific to each country. For example, in Myanmar, when assisting a person of the opposite sex, cautions for the recipient may be added to the bathing icon. In Indonesia, when a recipient may become violent during bathing assistance, there is a risk of soiling the hishab, so a warning such as "it is recommended to prepare a replacement hishab" may be added.

[0019] 2 and 3 are diagrams illustrating pictograms according to this embodiment. The pictograms according to this embodiment are characterized by a variety of designs that graphically represent the contents of the Barthel Index (BI). The Barthel Index (BI) is a system for evaluating ADLs, scoring 10 items (eating, transferring from a wheelchair to a bed, grooming, toileting, bathing, walking, climbing stairs, getting dressed, bowel control, and bladder control) in increments of 5, with the total score being calculated out of 100. Specifically, according to the Ministry of Health, Labor, and Welfare's "Reiwa 3 Nursing Care Fee Revision (Promotion of Independence Support and Prevention of Severity)" (accessed February 10, 2022) https: / / www.mhlw.go.jp / content / 12300000 / 000672514.pdf.p.46," the BI is defined as follows:

[0020] [Table 1]

[0021] That is, each pictogram in Figures 2 and 3 corresponds to the content of each BI in Table 1 above. For example, in the BI for "eating" in Table 1 above, 10 points are assigned to "independent, able to eat alone from a tray or table with food placed within reach, able to use assistive devices if necessary, and finish eating within a reasonable time," but in "eating" in Figure 2, only one pictogram is used to show the person eating alone. Also, in the BI for "transferring" in Table 1 above, 5 points are assigned to "able to sit but requires full assistance for movement," but in "transferring" in Figure 2, only one pictogram is used to show the care recipient receiving assistance from a caregiver when standing up from a wheelchair.

[0022] In this way, the characteristics of each BI content are expressed by pictograms, allowing the operator to easily and quickly determine the condition of the care recipient and perform an ADL assessment.

[0023] In Figure 2, the customer information database 16 stores information on the care recipient, the caregiver, the operator, etc. The communication interface has a function for connecting to a network and downloading and uploading data. It also receives and transmits information for applying for ADL maintenance surcharges under the control of the control unit 20 (described later). The control unit 20 transmits and receives information to and from each component via the bus and controls the entire system.

[0024] FIG. 4 is a flowchart showing the basic operation of the ADL assessment support system according to this embodiment. This operation is performed by installing and executing the ADL assessment support program according to this embodiment on a computer (electronic communication device such as a smartphone, tablet, or laptop PC). FIGS. 5 to 10 are diagrams showing examples of screen displays of the ADL assessment support system. In FIG. 4, when the ADL assessment support program according to this embodiment is started on a computer, a login screen (not shown) is displayed (step S1). When the operator enters login information, it is determined whether or not ADL assessment has been selected (step S2). If ADL assessment has not been selected, the determination of step S2 continues (or other processing is performed). If ADL assessment has been selected, the initial screen shown in FIG. 5 is displayed. A start button 51 is displayed on the initial screen 50, and when the operator operates the start button 51, the screen transitions to the next screen.

[0025] Next, input of care recipient information is accepted (step S3). Here, an input screen 60 such as that shown in FIG. 6 is displayed, and information such as "staff number (e.g., operator identification number, etc.)," ​​"user number (e.g., number identifying the care recipient)," "user name (name of care recipient)," "gender," and "walker / wheelchair usage status" can be entered. A list of users (care recipients) is also provided, which can be used for searches. To perform an ADL evaluation, the user operates the evaluation button 61. The user can view the results of previous evaluations by operating the view button 62. When the care recipient's nationality is entered, additional information by country can also be displayed, as described above.

[0026] When the evaluation button 61 in FIG. 6 is operated, pictograms corresponding to the BIs are displayed for each action type corresponding to the BI, as shown in the example screen display 70 in FIG. 7 and the example screen display 80 in FIG. 8 (FIG. 4, step S4). Then, the operator selects a pictogram, and the score associated with each pictogram is added (FIG. 4, step S5). For example, in the example screen display 70 in FIG. 7, the action type “eating 71” is selected as “assistance required, such as cutting food,” which is 5 points, and the action type “transferring between chair and bed 72” is selected as “partial assistance or supervision required at some stage,” which is 10 points. The action types “grooming 73” and “toileting action 74” are not yet selected, and therefore arrows are displayed to alert the operator. The action type “bathing 75” is selected as “independent (soaking in the bathtub, using the shower),” which is 5 points. When the “next button 76” is operated in the example screen display 70, the screen transitions to the example screen display 80.

[0027] In the example screen display 80 of FIG. 8, the action type of "walking on level ground 81" is selected as 10 points, "can walk on level ground 45 m if assistance or supervision is required," the action type of "climbing stairs 82" is selected as 10 points, "independent, can use handrails or a cane," the action type of "dressing 83" is selected as 5 points, "requires partial assistance, but can do at least half of the work on oneself and within an appropriate time frame," the action type of "bowel control 84" is selected as 10 points, "no incontinence, can administer enemas and suppositories," and the action type of "urination control 85" is selected as 5 points, "occasionally incontinent, may require assistance in administering a urine collection device."

[0028] Each pictogram can be selected by touch, and a long press of a pictogram can display a description of the corresponding BI. In Figure 7, simultaneously pressing and holding two pictograms corresponding to the 10-point and 5-point scales for "Eating" (71) displays the message, "For those who have changed their eating habits, such as chopped food, click here (meaning partial assistance on the right)." Similarly, simultaneously pressing and holding two pictograms corresponding to the 10-point and 5-point scales for "Grooming" (73) displays the message, "You will need supervision or other assistance to walk to the bathroom, but if you can brush your teeth using the toothbrush provided, click here (meaning independence on the left)." This supports the operator's judgment and shortens the evaluation time. A pop-up can also be displayed at the time of bathing assistance (e.g., 3:00 p.m.) to prompt the operator to evaluate the "Bathing" scale on the Barthel Index. In addition to bathing, pop-ups can also be displayed at specific times for activities such as "Eating" and "Grooming."

[0029] In Fig. 4, it is determined whether all pictograms have been selected (step S6), and if not all pictograms have been selected, an unselected display is displayed, i.e., an arrow is displayed at the unselected action type (step S7), as shown in the screen display example 70 of Fig. 7. On the other hand, if all pictograms have been selected in step S6, the "Go to confirmation screen button 86" shown in Fig. 8 becomes operable, and when this is operated, the sum of the numerical values ​​is output (Fig. 4, step S8), and the process ends.

[0030] FIG. 9 shows a screen display example 90 showing the ADL evaluation results. Here, for example, 75 points is displayed as the total score 90a. In addition, in the screen display example 90, the scores for all items are displayed in the score result section 90b. In addition, in the screen display example 90, operating the "Register button 91" records the current ADL evaluation results. In addition, operating the "Back button 92" transitions to the pictogram selection screen (screen display example 70 or screen display example 80).

[0031] 10 shows a comparison of the ADL evaluation results with the previous results in a bar graph 101, and also shows the numerical values ​​of each item in the previous and current ADL evaluation results in a radar chart 102. These make it possible to grasp and evaluate the ADL evaluation results at a glance.

[0032] [Improved evaluation efficiency through the present invention] The inventor measured the time required for evaluation using conventional BI and the time required for evaluation using the present invention. Specifically, three operators performed evaluation using conventional BI and the present invention on 52 individuals requiring care, and calculated the average time required. The time required for evaluation using conventional BI was 23.57143 seconds, while the time required for evaluation using the present invention was 20.36735 seconds. In other words, the time required for evaluation was reduced by approximately 14%.

[0033] [Accuracy of evaluation according to the present invention] The inventors had one operator (caregiver) measure the BI of 50 subjects with various levels of care using a conventional method and conduct ADL evaluations. Next, two operators (caregivers) measured the BI of 50 subjects with various levels of care using the present invention and conducted ADL evaluations. As a result, the intraclass correlation coefficient (ICC) was 0.91, and the Pearson correlation coefficient was 0.86. Since an intraclass correlation coefficient (ICC) of 0.6 or less is considered "moderate" and an ICC of 0.8 or less is considered "substantial," the fact that the present invention achieved an intraclass correlation coefficient of 0.91 indicates that the present invention achieved accuracy equivalent to that of conventional methods. Furthermore, regarding the Pearson correlation coefficient, the "Rule of Thumb for Interpreting the Size of a Correlation Coefficient" defines ".90 to 1.00" as "Very high positive correlation" and ".70 to .90" as "High positive correlation." Therefore, the fact that the Pearson correlation coefficient achieved as a result of implementing the present invention was 0.86 means that the same level of accuracy was achieved as with conventional methods.

[0034] Here, the intraclass correlation coefficient is calculated as (intergroup variance - intragroup variance) / (intergroup variance + (intergroup variance / number of groups)). That is, the average value within a group is calculated, and then the overall average value is calculated. Next, to calculate the variance, the intergroup variance (the sum of squares of the difference between the average within a group and the overall average) and the intragroup variance (the sum of squares of the difference between each score and the average of that group) are calculated. By using these calculation results and applying them to the above-mentioned formula, it is possible to obtain the intraclass correlation coefficient. The higher this coefficient, the closer the ADL assessment based on conventional BI measurement and the ADL assessment based on BI measurement by implementing the present invention are, indicating that sufficient accuracy can be expected.

[0035] The correlation coefficient is an index that measures the strength and direction of the linear relationship between two variables. The Pearson correlation coefficient (commonly referred to as the "correlation coefficient") is calculated as follows: First, the mean value of each variable is calculated, then the sum of the product of deviations is calculated, and then the sum of the squared deviations is calculated. Finally, the sum of the product of deviations is divided by the product of the sum of the squared deviations of each variable. The value of the correlation coefficient varies between -1 and +1, where +1 indicates a perfect positive linear relationship, -1 indicates a perfect negative linear relationship, and 0 indicates no linear relationship between the variables. Since the correlation coefficient of the present invention with the conventional method is 0.91, it can be said that there is a positive linear relationship, and the ADL assessment according to the present invention can be said to have the same accuracy as the conventional method.

[0036] Furthermore, ADL is often considered a component factor in assessing "Quality of Life (QOL)," and it has been reported that it is a major area of ​​QOL, especially for elderly people with illnesses. Therefore, according to the present invention, maintaining and improving ADL can be said to contribute to improving QOL.

[0037] [Second embodiment] In the second embodiment, correction of the ADL evaluation result in the case of dementia will be described. When dementia is present, the ADL tends to be higher. In reality, the level of care required should be evaluated higher, so in the present invention, the ADL evaluation result is corrected for care recipients who are diagnosed with dementia.

[0038] Table 2 below shows the "Revised Hasegawa Shiki Simple Intelligence Assessment (https: / / www.jpn-geriat-soc.or.jp / tool / pdf / tool_05.pdf)." Table 2 shows tests for assessing the abilities necessary for people to engage in mental and social activities. In this application, these tests are simply displayed using images (illustrations, photographs, etc.). For example, the sixth test in Table 2 asks, "Please say the number I am about to say backwards." If the participant successfully says a three-digit or four-digit number, one point is added for each, but if the participant fails to recite the three-digit number backwards, the test is terminated.

[0039] Figure 11 is a pictogram representation of the sixth test in Table 2. The pictogram on the left side of Figure 11 shows a successful three-digit recitation, while the pictogram on the right side of Figure 11 shows a failed three-digit recitation. Rather than reading and understanding the text in Table 2 and judging the state of the person being evaluated, the operator can simply, accurately, and efficiently evaluate the test results by visually checking the pictograms shown in Figure 11. [Table 2]

[0040] For example, if a subject scores 20 or below in the above test, or if the subject has been diagnosed with Alzheimer's disease, vascular dementia, Lewy body dementia, frontotemporal dementia, Parkinson's disease dementia, traumatic dementia, or other dementias, the "Dementia Mode Changer" implemented in this invention will change the Barthel Index score to -10 points. This will enable ADL assessment that takes dementia into consideration.

[0041] [Third embodiment] In the third embodiment, application to the ADL maintenance premium will be described. After executing the program of the evaluation support system according to the present invention, each of the 10 BI items is converted into CSV format and submitted to the Ministry of Health, Labor and Welfare's database. In other words, information showing the ADL evaluation results obtained by implementing the present invention is output in CSV file format, which can be imported into the Ministry of Health, Labor and Welfare's database (LIFE). This reduces the burden of evaluation by making regular ADL evaluation a habit, and is expected to promote the filing of ADL maintenance premium applications.

[0042] [Pictogram selection using the Delphi method] In this specification, the Delphi method is used to select pictograms. The Delphi method is a method primarily used in medical research (Hasson F., Keeney S. & McKenna H. Research guidelines for the Delphi survey technique, Journal of Advanced Nursing 2000, 32(4), 1008-1015). Each pictogram is evaluated by experts in the field, and the evaluation is scored and used for selection. Scores are calculated on a 10-point scale, with 0 being "not representative at all" and 10 being "perfectly representative." If more than half of the evaluators rate a pictogram at 7 or above, that pictogram is adopted. On the other hand, if the score is 7 or below, the pictogram is revised and reevaluated. This evaluation process is repeated to select a pictogram.

[0043] FIG. 12 is a flowchart showing the procedure for creating an ADL evaluation index displayed as a pictogram. First, a draft of the ADL evaluation index displayed as a pictogram is created (step S21). Next, a first Delphi round is conducted (step S22). Next, the results of the first Delphi round are fed back and a second Delphi round is conducted (step S23). Next, the results of the second Delphi round are fed back and a third Delphi round is conducted (step S24). Finally, the ADL evaluation index displayed as a pictogram is completed (step S25). Note that, although the above description shows an example in which a third Delphi round is conducted, the present invention is not limited to this, and more Delphi rounds may be conducted. This enables the selection of pictograms with high accuracy and rationality. [Explanation of symbols]

[0044] 1. ADL assessment support system 10 Input section 12 Display section 14 Pictogram storage section 16 Customer Information Database 20 Control Unit

Claims

1. An evaluation support system for supporting the evaluation of physical functions or cognitive functions necessary for a person to autonomously perform daily activities, or the evaluation of a person's mental state or abilities necessary for a person to perform social activities, a display unit that displays a plurality of types of images that graphically represent the evaluation scale for each type of daily living activity performed by the person being evaluated; calculating a sum of the numerical values ​​corresponding to the scales of the images displayed on the display unit and selected for each type of daily living activity; and a control unit that outputs the calculated total as an evaluation value.

2. An evaluation support system for supporting the evaluation of physical functions or cognitive functions necessary for a person to autonomously perform daily activities, or the evaluation of a person's mental state or abilities necessary for a person to perform social activities, A plurality of types of images graphically representing the evaluation scales are selected for each type of daily living activity performed by the person to be evaluated; An evaluation support system characterized in that the sum of the numerical values ​​corresponding to the scale of the images selected for each type of daily living activity is used as an evaluation value.

Images