Treatment support system and treatment support program

Abstract

The present invention evaluates patient achievement of the six core processes of ACT on the basis of one or more indicators and, on the basis of an intervention scenario set in accordance with the results of the evaluation, sequentially executes a plurality of interventions that are based on the six core processes. The present invention also uses attribute information, treatment log information, and ACT evaluation information for a plurality of patients that have shown improvement from intervention to identify and store associated factors presumed to be associated with improvement by pattern of change in ACT achievement before and after intervention. When an intervention scenario is to be set for a particular patient, the present invention specifies a pattern of change for which associated factors match the attributes, etc. of the patient and sets the intervention scenario to lead to the same improvement in ACT achievement as the pattern of change.

Description

Technical Field

[0001] The present invention relates to a treatment support system and a treatment support program for assisting in the treatment of diseases.

Background Art

[0002] With the amendment of the Pharmaceutical Affairs Law (former Pharmaceutical Affairs Law) in the fall of 2014, medical software has been treated as a medical device, and the development of application programs for treating diseases (hereinafter referred to as treatment applications) has been promoted. For example, treatment applications that utilize "cognitive behavioral therapy" for treating diseases through improving lifestyle habits such as reviewing daily behaviors and ways of thinking are provided. In this type of treatment application, biological information measured for the patient and behaviors input by the patient are checked, and advice and review results are provided.

[0003] Also known is a system configured to generate an individualized care plan based on a specific treatment intervention and provide healthcare support to a patient based on the care plan (see, for example, Patent Document 1). The system described in Patent Document 1 provides care to patients suffering from chronic diseases. For a certain patient, at least one predetermined treatment intervention is selected from a library database based on data related to the patient stored in a patient database, and an individualized care plan is generated based on the selected predetermined treatment intervention. Then, the patient's health parameters and / or treatment compliance parameters are monitored, and healthcare support is provided to the patient based on the individualized care plan.

[0004]

Patent Document 1

Summary of the Invention

Problems to be Solved by the Invention

[0005] The present invention aims to improve the way of intervention in a treatment support system that supports the treatment of diseases while intervening in patients based on cognitive behavioral therapy.

Means for Solving the Problems

[0006] In order to solve the above problems, in the present invention, an evaluation of the patient's proficiency in ACT is performed based on one or more indicators according to all or part of the six core processes by ACT. According to the evaluation result, an intervention scenario based on the six core processes is set, and a plurality of intervention processes based on the six core processes are sequentially performed based on the set adjusted intervention scenario or a preset basic intervention scenario. After a series of intervention processes are executed based on the intervention scenario, it is evaluated whether there is an improvement effect expected by the intervention, and improvement evaluation information indicating the result of the evaluation is recorded for each patient together with the patient's attribute information and ACT evaluation information indicating the results of the evaluations before and after the execution of the series of intervention processes. Further, in the present invention, using the attribute information and ACT evaluation information of a plurality of patients shown to have an improvement effect expected by the improvement evaluation information, for each change pattern of the proficiency in ACT before and after the execution of the series of intervention processes, a relevant factor presumed to be related to the improvement is identified as an attribute-related factor from among the attribute information. Then, when setting an intervention scenario for a certain patient, the evaluation result and attribute information regarding the patient's proficiency in ACT are compared with the change pattern of the proficiency in ACT and the attribute-related factors, a change pattern matching the certain patient is specified, and an adjusted intervention scenario including an intervention process for leading to an improvement in the proficiency in ACT in the same way as the specified change pattern is set.

Effects of the Invention

[0007] According to the present invention configured as described above, it is possible to perform an intervention process on a patient according to an intervention scenario set according to the evaluation result regarding the proficiency of ACT by the patient along the six core processes by ACT. Further, according to the present invention, using the attribute information and ACT evaluation information of a plurality of patients in which an improvement effect was observed as a result of executing a series of intervention processes based on the intervention scenario, an attribute-related factor presumed to be related to the improvement is identified for each change pattern of the proficiency of ACT, and when setting an intervention scenario for a certain patient, the intervention scenario is set using this identification result. Thereby, it is possible to set an intervention scenario focused on a core process that is expected to have a high probability of improvement according to the attributes of the patient and the proficiency of ACT before the start of the intervention process. As described above, according to the present invention, in a treatment support system that supports the treatment of a disease while performing an intervention on a patient based on cognitive behavioral therapy, it is possible to improve the way of intervention.

Brief Description of the Drawings

[0008]

Figure 1

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Embodiments for Carrying Out the Invention

[0009] Hereinafter, an embodiment of the present invention will be described with reference to the drawings. FIG. 1 is a diagram showing an example of the overall configuration of a treatment support system according to this embodiment. As shown in FIG. 1, the treatment support system of this embodiment is a treatment support system that supports the treatment of a disease while performing an intervention on a patient based on cognitive behavioral therapy, and includes a treatment support device 10 and a server device 20. The treatment support device 10 and the server device 20 are connected via a communication network 30 such as the Internet or a mobile phone network.

[0010] The treatment support device 10 is constituted by, for example, a smartphone, a tablet terminal, or a personal computer, and is installed with a treatment application 1 that executes various processes for supporting the treatment of a disease in cooperation with the server device 20. Although only one treatment support device 10 is shown in FIG. 1, there are a plurality of treatment support devices 10 used by a plurality of patients.

[0011] The treatment application 1 performs an intervention process based on six core processes of ACT (Acceptance and Commitment Therapy). ACT is a therapy that maintains and restores mental health by creating "psychological flexibility" based on the concept of mindfulness. The basic concept of the intervention by the treatment application 1 based on the six core processes is as follows.

[0012] 1. Defusion: Recognize that "thoughts" are just a combination of "words" and "images". The therapeutic app 1 intervenes to prompt the patient to firmly recognize that thoughts are merely words and images, neither reality nor truth, thereby improving negative thoughts about illness, treatment, etc. and reducing stress.

[0013] 2. Acceptance: Accept unpleasant feelings and create a place for them. Rather than rejecting, driving away, or disguising negative thoughts and feelings, the therapeutic app 1 intervenes to prompt creating a place (space) within oneself to recognize the state as it is by opening and expanding one's consciousness.

[0014] 3. Contact with this very moment: Concentrate and place your consciousness on "here and now, this very moment". The therapeutic app 1 intervenes to prompt the patient to concentrate their consciousness on what they should do now and be in a state where they can be grateful for what is happening to them now, thereby improving the efficiency and effectiveness of treatment.

[0015] 4. Self as an observer: Direct your consciousness towards the "aware self" that objectively observes the "thinking self". Random thoughts are generated by the thinking self, reducing concentration and causing suffering from self - deprecating feelings. The therapeutic app 1 intervenes to prompt the patient to become aware of this thinking self and defuse from it.

[0016] 5. Values: Clarify the values you want to cherish and use them as guidelines for action. The therapeutic app 1 intervenes to prompt the patient to confirm what they cherish and value, and make it the engine for treatment - related actions.

[0017] 6. Committed actions: Actually take actions in line with your values. The therapeutic app 1 intervenes to prompt the patient to think about specific treatment goals, make plans, and execute them.

[0018] FIG. 2 is a block diagram showing a functional configuration example of the treatment support device 10 according to the present embodiment. FIG. 3 is a block diagram showing a functional configuration example of the server device 20 according to the present embodiment. Hereinafter, the configuration of the treatment support system according to the present embodiment will be described in detail with reference to FIGS. 2 and 3.

[0019] As shown in FIG. 2, the treatment support device 10 of the present embodiment includes, as functional components, an attribute information input unit 101, an attribute information registration request unit 102, an ACT evaluation unit 103, an intervention scenario registration unit 104, an intervention process execution unit 105, a treatment log recording unit 106, a log registration request unit 107, a sensor information recording unit 108, an intervention effect evaluation unit 109, and a communication unit 110. Further, the treatment support device 10 of the present embodiment includes, as storage media, an attribute information storage unit 111, an evaluation index storage unit 112, an intervention scenario storage unit 113, a treatment log storage unit 114, and a sensor information storage unit 115.

[0020] The functional blocks 101 to 110 can be configured by any of hardware, a DSP (Digital Signal Processor), and software. For example, when configured by software, the functional blocks 101 to 110 are actually configured with a computer's CPU, RAM, ROM, etc., and are realized by the operation of a program stored in a storage medium such as RAM, ROM, a hard disk, or a semiconductor memory.

[0021] The communication unit 110 communicates with the server device 20 via the communication network 30 and exchanges various types of information.

[0022] The attribute information input unit 101 inputs the patient's attribute information through an operation on the treatment application 1 by the patient. The attribute information input by the attribute information input unit 101 is, for example, the patient's age (or age group), gender, medical history, employment status (unemployed / full-time housewife / manager / self-employed, etc.). In addition, it may further include information such as the patient's basic physical information, family history, social history, hobbies, allergies, etc. that may be described in the medical record. The patient's attribute information input by the attribute information input unit 101 is stored in the attribute information storage unit 111.

[0023] The attribute information registration request unit 102 requests to register the patient's attribute information stored in the attribute information storage unit 111 in the server device 20. For example, the attribute information registration request unit 102 transmits a registration request for the attribute information regarding the patient to the server device 20 via the communication unit 110 through an operation on the treatment application 1 by the patient. As will be described later, upon receiving this request, the server device 20 registers the attribute information of the patient received from the treatment support device 10 in the database.

[0024] The ACT evaluation unit 103 evaluates the proficiency of the patient in ACT based on one or more indicators according to all or part of the six core processes by ACT. For example, the ACT evaluation unit 103 presents a questionnaire consisting of a combination of a plurality of questions and options to the patient, calculates a score according to the result of the answer to each question, and evaluates the proficiency of ACT based on the score. The larger the score, the higher the proficiency of ACT. For example, the ACT evaluation unit 103 classifies the proficiency of the patient in ACT as either "low" or "high" according to the magnitude of the calculated score. Note that the proficiency may be ranked into three or more levels.

[0025] Here, the questionnaire is created corresponding to the core process, and the score calculated based on the questionnaire is an aspect of the indicator according to the core process. The data of the questionnaire is stored in the evaluation index storage unit 112. For example, the data of six questionnaires corresponding to the six core processes by ACT are stored in the evaluation index storage unit 112. The ACT evaluation unit 103 presents these six questionnaires to the patient to obtain answers, calculates a score for each questionnaire, and evaluates the proficiency of ACT for each of the six core processes.

[0026] Alternatively, less than six (e.g., one) questionnaires configured to individually evaluate the proficiency of the six core processes, or questionnaires capable of comprehensively evaluating the proficiency of the six core processes, may be presented to the patient to obtain answers, and based on the answer results, the proficiency of ACT may be evaluated for each of the six core processes. As an example of a questionnaire capable of comprehensive evaluation, for example, it is possible to use the MPFI (Multidimensional Psychological Flexibility Inventory). Also, by presenting less than six questionnaires corresponding to any one or some of the core processes to the patient to obtain answers, calculating scores for each questionnaire, and evaluating the proficiency of ACT for each of some of the core processes, respectively. For example, it is possible to use questionnaires regarding the respective indicators of the FFMQ (Five Facet Mindfulness Questionnaire), CPAQ (Chronic Pain Acceptance Questionnaire), VQ (Valuing Questionnaire), and AAQ-II (Acceptance and Action Questionnaire).

[0027] The ACT evaluation unit 103 evaluates the proficiency of ACT at least twice, before (before the start of the intervention period) and after (after the end of the intervention period) a series of intervention processes are executed by the intervention process execution unit 105 based on the intervention scenario described later. Evaluating the proficiency of ACT before and after a series of intervention processes is to recognize how the proficiency of ACT has changed due to the intervention.

[0028] The ACT evaluation unit 103 transmits information indicating the evaluation result of the ACT proficiency (hereinafter referred to as ACT evaluation information) to the server device 20 together with the patient's identification information, and requests to register the ACT evaluation information in the server device 20 in association with the patient. For example, when evaluating the ACT proficiency of a certain patient, the ACT evaluation unit 103 transmits a registration request for the ACT evaluation information to the server device 20 via the communication unit 110. As will be described later, upon receiving this request, the server device 20 registers the ACT evaluation information in the database in association with the patient who stores the attribute information.

[0029] The intervention scenario registration unit 104 transmits the ACT evaluation information of a certain patient for whom treatment is about to start to the server device 20 and requests the setting of an intervention scenario, and receives the intervention scenario set by the server device 20 in response and registers it in the intervention scenario storage unit 113. An intervention scenario is information that defines the procedure and method for performing a plurality of intervention processes on a patient along the six core processes of ACT. The method of performing the intervention process includes at least one piece of information such as the timing of performing the intervention process, the frequency in the case of repeated execution, and the notification method to the patient.

[0030] The intervention scenario set by the server device 20 is created by adjusting a part of the basic intervention scenario. Hereinafter, this will be referred to as an adjusted intervention scenario. The method of setting the adjusted intervention scenario by the server device 20 will be described later. In the intervention scenario storage unit 113, the information of the basic intervention scenario is stored in advance when the treatment application 1 is installed in the treatment support device 10, and the information of the adjusted intervention scenario received from the server device 20 at an arbitrary timing thereafter is additionally stored.

[0031] FIG. 4 is a conceptual diagram showing a configuration example of a basic intervention scenario. The example shown in FIG. 4 defines that, during a predetermined intervention period (e.g., 8 weeks), the actions corresponding to the core process are switched every predetermined unit period (e.g., 1 week), and the intervention processes corresponding to each action are sequentially executed. It may be defined that one intervention process is associated with one action, or it may be defined that a plurality of intervention processes are associated with one action.

[0032] The intervention process includes, for example, a process of prompting the patient to perform a predetermined action corresponding to the core process. The predetermined action includes, for example, drinking meditation, eating meditation, observing hands, daily mindfulness, creating a life compass (such as a worksheet of a list of important things), activities towards the life compass, browsing exercise of cards showing specific ways of thinking, reciting exercise of specific ways of thinking, exercises such as walking, and housework. Note that the examples listed here are just a few, and it is not limited to these.

[0033] The intervention process execution unit 105 sequentially executes a plurality of intervention processes based on six core processes based on the basic intervention scenario or the adjusted intervention scenario (the adjusted intervention scenario set by the intervention scenario setting unit 203 of the server device 20 described later or the basic intervention scenario set in advance) stored in the intervention scenario storage unit 113.

[0034] Here, during the initial period from the start of the operation of the treatment support system until the intervention process is executed for a certain number of patients, the intervention process execution unit 105 executes the intervention process based on the basic intervention scenario. That is, during this initial period, the intervention scenario registration unit 104 does not request the server device 20 to set the intervention scenario, or even if it requests, it does not obtain the adjusted intervention scenario from the server device 20. In this case, since the adjusted intervention scenario is not stored in the intervention scenario storage unit 113, the intervention process execution unit 105 executes the basic intervention scenario stored in advance in the intervention scenario storage unit 113.

[0035] On the other hand, after performing the intervention process on a certain number of patients (after the initial period has passed), the intervention process is executed based on the adjustment intervention scenario set by the server device 20. In this way, the reason for using the adjustment intervention scenario after the initial period has passed is that when setting the adjustment intervention scenario in the server device 20, it is necessary to analyze the data accumulated by the intervention process on a certain number or more of patients. Note that it is also possible to execute the intervention process based on the basic intervention scenario after performing the intervention process on a certain number of patients.

[0036] Here, a certain number may be set in advance. In this case, until the data of a predetermined number of patients is accumulated in the server device 20, the server device 20 does not set the adjustment intervention scenario even if there is a request from the treatment support device 10. Alternatively, an operation manager or doctor of the treatment support system may appropriately determine a reasonable number as a certain number while monitoring the data accumulation status. In this case, the operation manager or the like who determines that a reasonable number of data has been accumulated instructs the server device 20 to start setting the adjustment intervention scenario. Until this instruction is input, the server device 20 does not set the adjustment intervention scenario even if there is a request from the treatment support device 10.

[0037] The treatment log recording unit 106 generates treatment log information regarding the actions performed by the patient at the prompting of the intervention process by the intervention process execution unit 105 and sequentially records it in the treatment log storage unit 114. The treatment log information includes, for example, the name of the action performed by the patient, the date and time of the action, and the information specified by the treatment application 1 as a result of the action (for example, the score calculated from the execution result of the worksheet).

[0038] Here, in the case of the actions performed by the patient using the treatment app 1, the treatment app 1 can automatically generate treatment log information through the processed treatment app 1 that has been executed. On the other hand, in the case of actions performed by the patient without using the treatment app 1, the treatment log information is generated by the patient inputting the necessary information into the treatment app 1 after the execution. For example, after the intervention processing execution unit 105 executes the intervention processing, after a time longer than the time normally required for the patient to complete the action prompted by the intervention processing has elapsed, the treatment log recording unit 106 may prompt the patient to input the treatment log information by sending a notification, so that the treatment log information is input.

[0039] The log registration request unit 107 requests to register the patient's treatment log information stored in the treatment log storage unit 114 in the server device 20. For example, when the treatment log information regarding a certain patient is stored in the treatment log storage unit 114, the log registration request unit 107 sends a registration request for the treatment log information to the server device 20 via the communication unit 110. As will be described later, upon receiving this request, the server device 20 registers the treatment log information in the database in association with the patient whose attribute information is stored.

[0040] The sensor information recording unit 108 sequentially records the sensor information acquired by a sensor (not shown) in the sensor information storage unit 115. The sensor includes, for example, at least one of a pedometer, GPS, heart rate monitor, blood pressure monitor, calorie counter, etc. The sensor used in this embodiment is for detecting information capable of measuring or estimating the patient's activity level, and the sensors listed here are an example thereof. Note that the sensor information recording unit 108 does not necessarily need to constantly record the sensor information acquired by the sensor in the sensor information storage unit 115, and may record the sensor information acquired at predetermined interval periods in the sensor information storage unit 115.

[0041] After a series of intervention processes are executed by the intervention process execution unit 105 based on the intervention scenario, the intervention effect evaluation unit 109 evaluates whether there is an improvement effect expected by the intervention based on at least one of the treatment log information stored in the treatment log storage unit 114 and the sensor information stored in the sensor information storage unit 115. The improvement effect expected by the intervention is that the patient masters the ACT way of thinking, can engage in behavioral activities not constrained by pain, and as a result, the activity level improves (increases).

[0042] The increase in the activity level can be grasped by factors such as an increase in the number of steps, an expansion of the activity range, and an increase in the activity time (an increase in the number of working days or the time for housework) before and after executing a series of intervention processes. For example, when the average number of steps measured by a pedometer after executing a series of intervention processes is increased compared to the average number of steps measured by the pedometer before executing a series of intervention processes, it is possible to determine that the activity level has increased. Also, when the moving distance of the patient's current position measured by GPS has increased before and after executing a series of intervention processes, it is also possible to determine that the activity level has increased. Further, when the time of the patient's behavior recorded in the treatment log information has increased before and after executing a series of intervention processes, it is also possible to determine that the activity level has increased. Note that not only the physical activity level but also the static activity level without physical activities such as listening to music or painting may be used to evaluate whether there is an improvement effect as expected.

[0043] The intervention effect evaluation unit 109 may determine that there is an improvement effect expected by the intervention when an increase in the activity level is shown for any one of the factors, or may also determine that there is an improvement effect expected by the intervention when an increase in the activity level is shown for any plurality of the factors. Alternatively, elements to be improved may be set in advance for each patient, and when an increase in the activity level is shown for the target elements, it may be determined that there is an improvement effect expected by the intervention.

[0044] The intervention effect evaluation unit 109 transmits information indicating the evaluation result of whether there is an improvement effect (hereinafter referred to as improvement evaluation information) to the server device 20 together with the identification information of the patient, and requests the server device 20 to register the improvement evaluation information in association with the patient. For example, when the intervention effect evaluation unit 109 executes an evaluation of whether there is an improvement effect expected by the intervention for a certain patient, it transmits a registration request for the improvement evaluation information to the server device 20 via the communication unit 110. As will be described later, upon receiving this request, the server device 20 registers the improvement evaluation information in the database in association with the patient whose attribute information is stored.

[0045] As shown in FIG. 3, the server device 20 of the present embodiment includes, as functional components, a patient-related information recording unit 201, an improvement-related factor identification unit 202, an intervention scenario setting unit 203, and a communication unit 204. Further, the server device 20 of the present embodiment includes, as storage media, a patient-related information storage unit 211, a related factor storage unit 212, and a basic scenario storage unit 213.

[0046] The functional blocks 201 to 204 can be configured by any of hardware, DSP, and software. For example, when configured by software, the functional blocks 201 to 204 are actually configured with a computer's CPU, RAM, ROM, etc., and are realized by the operation of a program (including a treatment support program) stored in a storage medium such as RAM, ROM, hard disk, or semiconductor memory.

[0047] The communication unit 204 communicates with the treatment support device 10 via the communication network 30 and exchanges various types of information.

[0048] The patient-related information recording unit 201 records, for each patient, the patient's attribute information, ACT evaluation information indicating the results of the evaluations performed by the ACT evaluation unit 103 before and after executing a series of intervention processes, improvement evaluation information indicating the results of the evaluations performed by the intervention effect evaluation unit 109 after executing a series of intervention processes, and treatment log information specified when executing a series of intervention processes for the patient, in the patient-related information storage unit 211. The patient's attribute information, ACT evaluation information, improvement evaluation information, and treatment log information are stored in the patient-related information storage unit 211 in response to a registration request being made from the treatment support device 10 at their respective timings.

[0049] That is, in response to a registration request from the attribute information registration request unit 102 of the treatment support device 10, the patient-related information recording unit 201 records the patient's attribute information in the patient-related information storage unit 211. Also, in response to a registration request from the ACT evaluation unit 103 of the treatment support device 10, the patient-related information recording unit 201 records the ACT evaluation information obtained before and after executing a series of intervention processes in the patient-related information storage unit 211. Also, in response to a registration request from the intervention effect evaluation unit 109 of the treatment support device 10, the patient-related information recording unit 201 records the improvement evaluation information obtained after executing a series of intervention processes in the patient-related information storage unit 211. Also, in response to a registration request from the log registration request unit 107 of the treatment support device 10, the patient-related information recording unit 201 sequentially records the treatment log information specified when executing a series of intervention processes in the patient-related information storage unit 211.

[0050] FIG. 5 is a diagram schematically showing patient-related information regarding a certain patient. In FIG. 5, the attribute information is the information transmitted by the attribute information registration request unit 102 of the treatment support device 10. The treatment log information is the information transmitted by the log registration request unit 107 of the treatment support device 10. These pieces of information are the same as the attribute information and treatment log information stored in the attribute information storage unit 111 and the treatment log storage unit 114 of the treatment support device 10, but differ from the attribute information storage unit 111 and the treatment log storage unit 114 in that the patient-related information storage unit 211 stores the attribute information and treatment log information regarding a plurality of patients.

[0051] The ACT evaluation information is the information transmitted by the ACT evaluation unit 103 of the treatment support device 10, and here an example is shown when the proficiency of ACT is evaluated for each of the six core processes. "×" indicates that the proficiency of ACT by the patient is evaluated as low, and "〇" indicates that the proficiency of ACT is evaluated as high. The improvement evaluation information is the information transmitted by the intervention effect evaluation unit 109 of the treatment support device 10. "×" indicates that it is evaluated that there is no improvement effect expected by the intervention, and "〇" indicates that it is evaluated that there is an improvement effect.

[0052] The improvement-related factor identification unit 202 uses the attribute information, ACT evaluation information, and treatment log information of a plurality of patients, for which it is shown by the improvement evaluation information stored in the patient-related information storage unit 211 that there is an expected improvement effect, to identify, for each change pattern of the proficiency of ACT before and after the execution of a series of intervention processes, the related factors presumed to be related to the improvement as attribute-related factors and log-related factors respectively from among the attribute information and the treatment log information.

[0053] That is, the improvement-related factor identification unit 202 extracts a plurality of patients (patients with an improvement effect due to the intervention) in which "〇" is recorded in the improvement evaluation information shown in FIG. 5, and groups the extracted patients together based on those with the same change pattern of the proficiency of ACT before and after the intervention shown by the ACT evaluation information. As illustrated in FIG. 5, when the ACT evaluation information is information showing the results of evaluating the proficiency of ACT for each of the six core processes, patients whose information on how the proficiency regarding each individual core process has changed before and after the intervention matches in all six points are grouped into one group.

[0054] Then, the improvement-related factor identification unit 202 analyzes the attribute information of each patient for each individual group, and identifies the attribute information estimated to be related to improvement as an attribute-related factor. For example, the improvement-related factor identification unit 202 identifies, as an attribute-related factor estimated to be related to improvement, the type of attribute information that is commonly possessed by a predetermined ratio or more of the patients among multiple types of attribute information regarding a plurality of patients belonging to the group. This is the image of identifying the attribute information of the 50s as an attribute-related factor when the age of a predetermined ratio or more of the patients is in their 50s among the age, gender, past history, and employment status of the patients. Alternatively, for each of the multiple types of attribute information, attribute information obtained by generalizing the content common to the attribute information regarding a predetermined ratio or more of the patients may be generated and identified as an attribute-related factor estimated to be related to improvement. This is the image of identifying the generalized attribute information of "50s or younger" as an attribute-related factor when a predetermined ratio or more of the patients are 50s or younger, for example, regarding the age of the patients.

[0055] In addition, the improvement-related factor identification unit 202 analyzes the treatment log information of each patient for each individual group, and identifies the treatment log information estimated to be related to improvement as a log-related factor. For example, the improvement-related factor identification unit 202 identifies, as an attribute-related factor estimated to be related to improvement, the type of treatment log information that is commonly possessed by a predetermined ratio or more of the patients among multiple types of treatment log information regarding a plurality of patients belonging to the group. Alternatively, for each of the multiple types of treatment log information, treatment log information obtained by generalizing the content common to the treatment log information regarding a predetermined ratio or more of the patients may be generated and identified as a log-related factor estimated to be related to improvement.

[0056] FIG. 6 schematically shows an example in which, for one change pattern regarding the proficiency of ACT, relevant factors presumed to be related to improvement are identified as attribute-related factors from among attribute information and specified as log-related factors from among treatment log information. In the example of FIG. 6, before the start of the intervention process, the proficiency of ACT is evaluated as "×" (low) for all six core processes, while after the end of the intervention process, the proficiency of ACT is evaluated as "〇" (high) for three core processes of defusion, contact with the present moment, and values.

[0057] Also, FIG. 6 shows an example in which three attribute-related factors of "being employed", "under 50 years old", and "one or fewer medical histories" are identified from among the attribute information of multiple patients in which ACT evaluation information of such a change pattern is recorded, and three log-related factors of "the progress of the program is behind by less than 〇〇 days", "the implementation rate of meditation is ××% or more", and "the input of the worksheet is 100%" are identified from among the treatment log information of multiple patients.

[0058] The improvement-related factor identification unit 202 records the attribute-related factors and log-related factors identified as described above in the related factor storage unit 212 for each change pattern of the proficiency of ACT. FIGS. 7A and 7B are diagrams schematically showing examples of information stored in the related factor storage unit 212. FIGS. 7A and 7B schematically show an example in which the attribute-related factors and log-related factors identified by the improvement-related factor identification unit 202 are associated and stored for each of the four change patterns (1) to (4).

[0059] The intervention scenario setting unit 203 sets an adjusted intervention scenario based on six core processes by adjusting the basic intervention scenario stored in the basic scenario storage unit 213 according to the evaluation result of the proficiency of the ACT sent from the intervention scenario registration unit 104 of the treatment support device 10 for a certain patient for whom treatment is about to start. The adjusted intervention scenario is an intervention scenario including an intervention process for guiding the improvement of the proficiency of the ACT in the same way as the change pattern of the proficiency of the ACT stored in the related factor storage unit 212 for the intervention process related to at least one of the six core processes.

[0060] For example, the intervention scenario setting unit 203 collates the evaluation result regarding the proficiency of the ACT performed by the ACT evaluation unit 103 for a certain patient and the attribute information of the certain patient with the change pattern of the proficiency of the ACT and the attribute-related factors stored in the related factor storage unit 212 to identify a change pattern that matches the certain patient. Then, an adjusted intervention scenario including an intervention process for guiding the improvement of the proficiency of the ACT in the same way as the identified change pattern is set.

[0061] Here, the identification of the change pattern is performed as follows. That is, the intervention scenario setting unit 203 identifies a change pattern that matches a certain patient from the viewpoints of the relationship between the attribute information of a certain patient and the attribute-related factors and the relationship between the evaluation result regarding the proficiency of the ACT of a certain patient and the evaluation result regarding the proficiency of the ACT shown as the information before the change (before the execution of a series of intervention processes) in the change pattern. For example, a change pattern in which the attribute information of a certain patient and the attribute-related factors match and the evaluation result regarding the proficiency of the ACT of a certain patient and the evaluation result regarding the proficiency of the ACT shown as the information before the change in the change pattern match is identified as a change pattern that matches the certain patient.

[0062] In the case where there are multiple applicable change patterns, any one of them is arbitrarily selected. Alternatively, the change pattern with the largest or smallest number of core processes in which the proficiency of ACT is improved before and after the execution of a series of intervention processes may be selected. Conversely, if no applicable change pattern is found, the matching conditions may be relaxed for the consistency of the attribute information or the consistency of the evaluation results regarding the proficiency of ACT, and a change pattern that matches a certain patient may be identified.

[0063] FIG. 8 is a diagram for explaining the processing content of the intervention scenario setting unit 203. The example in FIG. 8 shows a situation where the change pattern (1) shown in FIG. 7A is identified based on the consistency between the attribute information of patient A and the evaluation results regarding the proficiency of ACT, and the attribute-related factors for each change pattern stored in the related factor storage unit 212. That is, in this example, three pieces of attribute information of patient A match three attribute-related factors, and the evaluation result regarding the proficiency of ACT of patient A matches the evaluation result regarding the proficiency of ACT shown as the information before the change in the change pattern (1). As a result, the change pattern (1) is identified as the change pattern that matches patient A.

[0064] In this case, the intervention scenario setting unit 203 sets an adjusted intervention scenario including an intervention process that leads to an improvement in the proficiency of ACT in the same way as the identified change pattern (1). That is, among the six core processes, an adjusted intervention scenario including an intervention process that leads to an improvement in the evaluation of the proficiency of ACT from "×" to "〇" for the three core processes of defusion, contact at this moment, and value is set. For example, the intervention scenario setting unit 203 sets an adjusted intervention scenario including an intervention process related to the log-related factors stored in the related factor storage unit 212 in association with the identified change pattern.

[0065] When the change pattern (1) is specified as shown in FIG. 8, three log-related factors, namely, "the progress delay of the program is less than XX days", "the implementation rate of meditation is XX% or more", and "the input of the worksheet is 100%", are associated with the change pattern (1) and stored in the related factor storage unit 212 (see FIG. 7A). Therefore, the intervention scenario setting unit 203 sets an adjustment intervention scenario including an intervention process related to these three log-related factors. In the example of FIG. 8, it shows setting an adjustment intervention scenario including "push notification of reminder so that the progress delay of the program does not occur", "recommended display of implementing drinking meditation", and "reminder notification for an event to input a value worksheet".

[0066] FIG. 9 is a diagram showing an example of setting an adjustment intervention scenario for another patient B. The example of FIG. 9 shows a situation where the change pattern (4) shown in FIG. 7B is specified based on the consistency between the attribute information of patient B and the evaluation result regarding the proficiency of ACT and the attribute-related factors for each change pattern stored in the related factor storage unit 212. Also, in the example of FIG. 9, as an intervention process related to the two log-related factors associated with the change pattern (4), it shows setting an adjustment intervention scenario including "reminder notification for an event to input a value worksheet" and "recommend (or display a reminder notification at night) to perform the meditation event at night".

[0067] Note that the intervention process for leading to the improvement of the proficiency of ACT in the same way as the specified change pattern is not limited to the example of being an intervention process related to log-related factors. For example, among the six core processes, an intervention scenario in which the degree of intervention regarding the core process whose proficiency evaluation of ACT has improved from "×" to "〇" is strengthened compared to the basic intervention scenario may be set as the adjustment intervention scenario. As a method of strengthening the degree of intervention, for example, a method of increasing the frequency of repeated execution of the intervention process, a method of increasing the number of reminder notifications, etc. may be used. When setting the adjustment intervention scenario in such a way, it is optional for the patient-related information recording unit 201 to record the treatment log information in the patient-related information storage unit 211.

[0068] As described in detail above, in the present embodiment, an evaluation of the patient's proficiency in ACT is performed based on one or more indicators corresponding to all or part of the six core processes by ACT. According to the evaluation result, an intervention scenario based on the six core processes is set, and based on the set intervention scenario, a plurality of intervention processes based on the six core processes are sequentially performed. As a result, it becomes possible to perform an intervention process on a patient in accordance with an intervention scenario set according to the evaluation result regarding the patient's proficiency in ACT along the six core processes by ACT.

[0069] Further, in the present embodiment, using the attribute information, ACT evaluation information, and treatment log information of a plurality of patients in which it is shown that there has been an improvement effect expected by the improvement evaluation information, for each change pattern of the proficiency in ACT before and after the execution of a series of intervention processes, an attribute-related factor and a log-related factor estimated to be related to the improvement are identified, and the result is stored in the related factor storage unit 212. Then, when setting an intervention scenario for a certain patient, by comparing the evaluation result and attribute information regarding the proficiency in ACT of that patient with the change pattern of the proficiency in ACT and the attribute-related factor, a change pattern that matches the certain patient is specified, and an adjusted intervention scenario including an intervention process leading to an improvement in the proficiency in ACT in the same manner as the specified change pattern is set.

[0070] According to the present embodiment configured as described above, using the attribute information, ACT evaluation information, and treatment log information of a plurality of patients in which an improvement effect has been observed as a result of performing a series of intervention processes based on the intervention scenario, an attribute-related factor and a log-related factor estimated to be related to the improvement are identified for each change pattern of the proficiency in ACT. When setting an intervention scenario for a certain patient, the intervention scenario is set using this identification result. As a result, it is possible to set an intervention scenario focused on the core process that is expected to be highly improved according to the patient's attributes and the proficiency in ACT before the start of the intervention process.

[0071] In the above-described embodiment, an example in which the basic intervention scenario is used in the initial period has been described, but the present invention is not limited thereto. For example, among the six core processes, intervention processing for leading to improvement in the proficiency of ACT may be set and executed for the core process evaluated to have a low proficiency of ACT.

[0072] Further, in the above-described embodiment, after starting the processing of the intervention processing execution unit 105 based on the intervention scenario, at the timing before a series of intervention processing based on the intervention scenario ends, it is evaluated whether the expected improvement effect due to the intervention has occurred, and when it is evaluated that the improvement effect has occurred, feedback for informing the patient that the improvement has been made may be performed.

[0073] In the above-described embodiment, an example in which the adjusted intervention scenario is generated by adjusting the basic intervention scenario has been described, but the present invention is not limited thereto. For example, the adjusted intervention scenario may be set without using the basic intervention scenario.

[0074] Further, in the above-described embodiment, the functional configurations of the treatment support device 10 and the server device 20 have been shown, but a part of the functional configurations of the treatment support device 10 may be provided in the server device 20. For example, the intervention effect evaluation unit 109 may be provided in the server device 20. Further, the result of the answer to the questionnaire presented by the ACT evaluation unit 103 may be transmitted to the server device 20, and the server device 20 may evaluate the proficiency of ACT.

[0075] In addition, each of the above-described embodiments merely shows an example of implementation of the present invention, and the technical scope of the present invention should not be construed in a limited manner by this. That is, the present invention can be implemented in various forms without departing from the gist or the main features thereof.

Explanation of Reference Numerals

[0076] 1 Therapeutic app 10 Treatment support system 20 Server device 101 Attribute information input section 102 Attribute information registration request section 103 ACT evaluation section 104 Intervention scenario registration section 105 Intervention process execution section 106 Treatment log recording section 107 Log registration request section 108 Sensor information recording section 109 Intervention effect evaluation section 110 Communication section 201 Patient-related information recording section 202 Improvement-related factor identification section 203 Intervention scenario setting section 204 Communication section

Claims

1. A treatment support system that supports the treatment of a disease while performing an intervention on a patient based on cognitive behavioral therapy, an ACT evaluation unit that evaluates the proficiency of the patient in the above ACT based on one or more indicators according to all or part of six core processes by ACT (Acceptance & Commitment Therapy); an intervention scenario setting unit that sets an intervention scenario based on the six core processes according to the evaluation result by the above ACT evaluation unit; an intervention process execution unit that sequentially performs a plurality of intervention processes based on the six core processes according to the adjusted intervention scenario set by the above intervention scenario setting unit or a basic intervention scenario set in advance; an intervention effect evaluation unit that evaluates whether there is an improvement effect expected by the intervention after a series of intervention processes are executed by the above intervention process execution unit according to the above intervention scenario; a patient-related information recording unit that records, for each patient, the above patient's attribute information, ACT evaluation information indicating the results of the evaluations performed by the above ACT evaluation unit before and after the execution of the above series of intervention processes, and improvement evaluation information indicating the results of the evaluations performed by the above intervention effect evaluation unit after the execution of the above series of intervention processes; an improvement-related factor identification unit that identifies, as an attribute-related factor, a related factor estimated to be related to the above improvement from among the above attribute information for each change pattern of the proficiency of the above ACT before and after the execution of the above series of intervention processes, using the above attribute information and the above ACT evaluation information of a plurality of patients shown to have the above expected improvement effect by the above improvement evaluation information; the above intervention scenario setting unit collates the evaluation result regarding the proficiency of the above ACT performed by the above ACT evaluation unit for a certain patient and the attribute information of the above certain patient with the change pattern of the proficiency of the above ACT and the above attribute-related factor, to identify a change pattern that matches the above certain patient, and sets the above adjusted intervention scenario including an intervention process for leading to the improvement of the proficiency of the above ACT in the same way as the identified change pattern; A treatment support system characterized by the above.

2. The intervention scenario setting unit identifies a change pattern that matches a certain patient from the perspective of the relationship between the attribute information of the certain patient and the attribute-related factors, and the relationship between the evaluation result regarding the proficiency of the ACT of the certain patient and the evaluation result regarding the proficiency of the ACT shown as the information before the change in the change pattern. The treatment support system according to claim 1, characterized in that.

3. The patient-related information recording unit further records the treatment log information identified when executing the series of intervention processes for the patient, for each patient. The improvement-related factor identification unit further uses the treatment log information to identify, for each change pattern of the proficiency of the ACT before and after the execution of the series of intervention processes, the related factors presumed to be related to the improvement as the attribute-related factors and log-related factors respectively from among the attribute information and the treatment log information. The intervention scenario setting unit sets the adjusted intervention scenario including the intervention process related to the log-related factor as the intervention process leading to the improvement of the proficiency of the ACT in the same way as the identified change pattern. The treatment support system according to claim 1 or 2, characterized in that.

4. A treatment support program for causing a computer to execute a process for supporting the treatment of a disease while performing an intervention on a patient based on cognitive behavioral therapy, patient-related information recording means for recording, for each patient, the attribute information of the patient, the ACT evaluation information indicating the result of the evaluation regarding the proficiency of the ACT performed on the patient based on one or more indicators corresponding to all or part of six core processes by ACT (Acceptance & Commitment Therapy) before and after executing a series of intervention processes based on the intervention scenario, and the improvement evaluation information indicating the result of the evaluation regarding whether there was an improvement effect expected by the intervention after executing the series of intervention processes; improvement-related factor identification means for identifying, from among the attribute information, the related factors presumed to be related to the improvement as the attribute-related factors for each change pattern of the proficiency of the ACT before and after the execution of the series of intervention processes, using the attribute information and the ACT evaluation information of a plurality of patients for whom it is shown by the improvement evaluation information that there was an improvement effect as expected, and Intervention scenario setting means for setting an intervention scenario that includes an intervention process for identifying a change pattern that matches a certain patient by comparing the evaluation result regarding the proficiency of the above ACT performed on a certain patient and the attribute information of the above certain patient with the change pattern of the proficiency of the above ACT and the above attribute-related factors, and leading to the improvement of the proficiency of the above ACT in the same way as the identified change pattern A treatment support program for causing a computer to function as such.

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