Training assistance device, program, and training assistance method for independent support type daily living activity assistance method

Abstract

Providing technical means to support the independence of those receiving support by implementing appropriate care actions based on the results of confirming the will and remaining abilities of the person receiving support. [Solution] The training assistance device 1 for the independent living support type daily living activity assistance method of the present invention is equipped with an output unit 112 that outputs explanatory information explaining the assistance procedure according to the daily living activity, and this assistance procedure includes an intention confirmation step, an execution support step, and a repetitive support step, and the output unit 112 executes at least an intention confirmation step output step having a procedure for observing the reaction of the person to be supported and confirming the intention to perform the daily living activity, an execution support step output step for outputting assistance action explanatory information having the procedure of assistance actions related to the daily living activity for which the intention to perform has been confirmed, and a repetitive support step output step having a procedure for repeatedly performing the assistance action within a given upper limit number of times.

Description

[Technical Field]

[0001] The present invention relates to a training assistance device, a program, and a training assistance method for an assistance method for activities of daily living. [Background technology]

[0002] In home care, support for independence is being promoted through various systems and awareness-raising activities. However, it has been pointed out that there are many cases in which home care providers have not been able to break away from the so-called "caregiving for others," where all daily activities are performed on behalf of the user regardless of their will or ability. The structural factor behind this is that home care is often provided in a one-on-one environment between the user and the caregiver, making it difficult for caregivers to confirm and share assistance methods between themselves.

[0003] The Ministry of Health, Labour and Welfare's Notice, known as the 10th Notice of the Elderly Care Plan of 2000, is used in nursing care settings to set out specific standards for independent living support. It can be said that this notice indicates the scope of care that falls under independent living support and the scope of appropriate support for daily living assistance similar to instrumental activities of daily living (IADL). However, it is difficult to say that this notice adequately indicates the scope of these activities of daily living (ADL), particularly physical care related to basic activities of daily living (BADL).

[0004] Under these circumstances, there is concern that caregivers may not be able to make appropriate decisions regarding the scope of care that qualifies as support for independent living and the scope of appropriate support. Regarding this concern, it has been pointed out that caregivers are leaning toward support that is similar to total assistance due to their inability to make appropriate decisions. As such, there is concern that the current concept of support for independent living, which is the basic principle of the long-term care insurance system, has not been fully adopted by either users or caregivers.

[0005] In nursing care based on the concept of supporting independence, which is the basic principle of the long-term care insurance system, "co-care" that makes the most of the remaining abilities of the user based on the user's wishes is preferable. However, in order to implement "co-care," caregivers must be able to properly understand the user's condition and select care actions appropriate to the situation. For this reason, there is a need for methods to assist caregivers so that they can provide care based on specific guidelines.

[0006] Regarding means for assisting caregivers to provide care based on specific guidelines, Patent Document 1 discloses a system for evaluating care actions, in which a server computer transmits to a mobile information terminal procedure data including information on care actions to be performed on a person requiring care and evaluation categories for evaluating the actions, receives performance data including evaluation information input by the caregiver according to the evaluation categories on the mobile information terminal, and determines and outputs an evaluation of the caregiver or the person requiring care based on data including the searched performance data.

[0007] The technology of Patent Document 1 can provide an evaluation system and method that can obtain an objective evaluation of caregiving actions. [Prior art documents] [Patent documents]

[0008] [Patent Document 1] Japanese Patent Application Laid-Open No. 2006-018768 Summary of the Invention [Problem to be solved by the invention]

[0009] However, in "co-assistance," the key point is to confirm the user's will and remaining ability. The technology of Patent Document 1 is only capable of obtaining an objective evaluation of the care action. Therefore, the technology of Patent Document 1 has room for further improvement in terms of implementing appropriate care action based on the results of confirming the user's will and remaining ability, and supporting the independence of the support recipient in independent living support.

[0010] The present invention has been made to solve the problems of the prior art as described above, and aims to provide a technical means for implementing appropriate care actions based on the results of confirming the will and remaining abilities of the person being supported, and for supporting the independence of the person being supported in independent living support. [Means for solving the problem]

[0011] As a result of intensive research into solving the above-mentioned problems, the inventors have found that the above-mentioned problems can be solved by outputting explanatory information explaining the assistance procedures in a method for assisting activities of daily living for an independent living supporter, and by configuring an output unit that executes this output to output explanations of specific steps (e.g., an intention confirmation step, an execution assistance step, and a repetitive assistance step) related to the method for assisting activities of daily living for an independent living supporter, or by other technical configurations. The inventors have then completed the present invention. Specifically, the present invention provides the following.

[0012] The invention according to a first aspect of the present invention provides a training assistance device for an independent assistance type activity of daily living assistance method, comprising an output unit that outputs explanatory information that explains assistance procedures according to activities of daily living, the assistance procedures including an intention confirmation step, an execution support step, and a repetitive support step, wherein the output unit executes at least the following steps for the intention confirmation step: an intention confirmation step output step having a procedure for observing the reaction of the person to be supported to confirm the intention to perform the activity of daily living; an execution support step output step for the execution support step that outputs assistance operation explanatory information having procedures for assistance operations related to the activity of daily living for which the intention to perform has been confirmed; and a repetitive support step output step for the repetitive support step having a procedure for repeatedly performing the assistance operation within a given upper limit number of times.

[0013] In the present invention, the output unit outputs explanatory information of assistance procedures according to activities of daily living, thereby assisting in training a supporter to provide assistance using an assistance method for activities of daily living.

[0014] The assistance procedure in the present invention includes an intention confirmation step, an execution support step, and a repetition support step. The output unit of the present invention executes an output step of outputting specific key points for each of these steps.

[0015] Therefore, this invention can train a caregiver to confirm the intentions of the support recipient, perform appropriate assistance actions in accordance with those intentions, and repeat the assistance procedure. This prevents inappropriate care actions (e.g., full assistance) from being performed without fully confirming the support recipient's intentions or remaining abilities. Furthermore, this invention supports training to enable the supporter to perform care actions aimed at maintaining and improving remaining abilities through the repetition of assistance actions.

[0016] Therefore, the invention relating to the first feature of the present invention can provide a technical means for carrying out appropriate care actions based on the results of confirming the will and remaining abilities of the person being supported, and for supporting the independence of the person being supported in independent living support.

[0017] A second aspect of the present invention provides a training assistance device for a method of assisting activities of daily living for independent living, further comprising a designation acquisition unit that acquires designation information related to activities of daily living, and the output unit outputs explanatory information that explains an assistance procedure corresponding to the activities of daily living related to the designation information, the assistance procedure further including a movement induction step, an assistance judgment step, and a feedback step, and the output unit further executes, for the movement induction step, a movement induction step output step that outputs movement induction step explanatory information having a procedure in which a supporter presents movement induction stimuli that elicit one or more reactions corresponding to the activities of daily living from the support recipient, and an assistance judgment step output step that outputs assistance judgment step explanatory information having an index for classifying the reactions corresponding to the movement induction stimuli, and the execution assistance step output step executed by the output unit provides assistance action explanatory information having an assistance action procedure corresponding to the reaction classification result.

[0018] In the present invention, based on the acquired activity of daily living designation information, the output unit outputs explanatory information of the assistance procedure according to the designation information. This helps the supporter to designate the activity of daily living and appropriately perform training related to the activity. Therefore, the present invention helps the supporter to train so that they can provide independence assistance using the independence assistance type activity of daily living assistance method.

[0019] The assistance procedure in the present invention includes an intention confirmation step, a movement guidance step, an assistance decision step, an execution support step, a repetition support step, and a feedback step. The output unit of the present invention also executes an output step of outputting specific key points for each of the movement guidance step and assistance decision step.

[0020] Therefore, this invention can train a caregiver to execute an assistance procedure that provides stimuli to elicit responses according to the activities of daily living, classifies the responses based on indicators, and performs appropriate assistance actions according to the classification results. This prevents insufficient care actions, such as full assistance, from being performed without fully confirming the support recipient's wishes or remaining abilities.

[0021] Therefore, the invention relating to the second feature of the present invention can provide a technical means for carrying out appropriate care actions based on the results of confirming the will and remaining abilities of the person being supported, and for supporting the independence of the person being supported in independent living support.

[0022] A third aspect of the present invention provides a training assistance device according to the second aspect of the invention, wherein the output unit further executes a feedback process output step having a procedure for recording observed reactions and implementation status regarding the support of the activities of daily living for the feedback process and reflecting the results in the content of support from the next time onwards.

[0023] The present invention also performs an output step of outputting specific explanatory information in the feedback process. This allows the invention to record observed reactions and implementation status regarding assistance with activities of daily living, and assists the supporter in training so that the supporter can carry out assistance procedures, including procedures to be reflected in the content of assistance from the next time onwards. This allows the supporter to provide independent support that makes better use of the remaining abilities of the support recipient and promotes the recovery of those remaining abilities.

[0024] Therefore, the invention relating to the third feature of the present invention can provide a technical means for carrying out appropriate care actions based on the results of confirming the will and remaining abilities of the person being supported, and for supporting the independence of the person being supported in independent living support.

[0025] A fourth aspect of the present invention provides a training assistance device according to the second or third aspect of the invention, wherein the output unit is configured to output assistance decision-making process explanation information having an index for classifying the reaction based on responsiveness, attention retention, coordination of body movements, or presence or absence of gaze following in the assistance decision-making process output step.

[0026] In the assistance judgment step, the invention provides the support person with more specific indicators, such as reactivity, attention retention, coordination of body movements, or presence or absence of gaze tracking, when classifying responses to movement-inducing stimuli, thereby assisting the support person in training to make more objective classifications based on more specific indicators.

[0027] Therefore, the invention relating to the fourth feature of the present invention can provide technical means for carrying out appropriate care actions based on the results of confirming the will and remaining abilities of the person being supported, and for supporting the independence of the person being supported in independent living support.

[0028] The fifth aspect of the present invention is an invention according to any one of the second to fourth aspects, wherein the designation acquisition unit is configured to acquire designation information relating to any one of turning over, getting up and down, maintaining a sitting position, standing up and sitting down, walking, eating, grooming, changing clothes, bathing, urination, defecation, and transferring, providing a training assistance device.

[0029] This invention can specify the daily living activity to be trained from the major daily living activities of turning over, getting up and down, maintaining a sitting position, standing up and sitting down, walking, eating, grooming, changing clothes, bathing, urination, defecation, and transferring, and can assist in training of assistance movements related to the daily living activity.

[0030] Therefore, the invention relating to the fifth feature of the present invention can provide a technical means for carrying out appropriate care actions based on the results of confirming the will and remaining abilities of the person being supported, and for supporting the independence of the person being supported in independent living support.

[0031] The sixth and seventh aspects of the present invention are both in a different category from the first aspect of the invention. [Effects of the Invention]

[0032] The present invention can provide a technical means for supporting the independence of a support recipient in an independent living support by implementing appropriate care actions based on the results of confirming the support recipient's will and remaining abilities. [Brief explanation of the drawings]

[0033] [Figure 1] FIG. 1 is a block diagram showing an example of the hardware and software configuration of a system S. As shown in FIG. [Figure 2] FIG. 2 is a flowchart showing an example of a preferable flow of the training assistance process executed by the training assistance device 1. [Figure 3] FIG. 3 is a continuation of the previous figure. [Figure 4] FIG. 4 is a continuation of the previous figure. [Figure 5] FIG. 5 shows an example of a screen for specifying activities of daily living. [Figure 6] FIG. 6 shows an example of the supporter understanding check screen. [Figure 7] FIG. 7 shows an example of a screen displaying the results of the comprehension check. DETAILED DESCRIPTION OF THE INVENTION

[0034] First, although the following disclosure, diagrams, and / or claims may be described as being presented alone or in combination with one or more other aspects, the subject matter of the immediate disclosure is not intended to be so limited. That is, the immediate disclosure, diagrams, and claims are intended to encompass the various aspects described herein, each alone or in one or more combinations with each other. For example, even if the immediate disclosure describes and illustrates a first, second, and third embodiment in such a way that the first embodiment is described and illustrated specifically in conjunction with the second embodiment, or the second embodiment is described and illustrated only in conjunction with the third embodiment, the immediate disclosure and illustrations are not so limited and may include only the first embodiment, only the second embodiment, only the third embodiment, or one or more combinations of the first, second, and / or third embodiments, such as the first and second embodiments, the first and third embodiments, the second and third embodiments, or the first, second, and third embodiments.

[0035] The use of the phrase "or" in this document shall mean a "non-exclusive" arrangement unless expressly specified otherwise. For example, "item x is A or B" shall mean either: (1) item x is either A or B, but not both; or (2) item x is both A and B. In other words, the word "or" is not used to define an "exclusive" arrangement.

[0036] Additionally, the phrases "comprising at least one of" and "comprising at least one of the following," when used in conjunction with a system or element, mean that the system or element includes one or more of the elements listed after the phrase. For example, if there are three types of elements, element 1 through element 3, the phrases "comprising at least one of" and "comprising at least one of the following" are to be interpreted as any of the following structural arrangements: a device including the first element, a device including the second element, a device including the third element, a device including the first and second elements, a device including the first and third elements, a device including the second and third elements, or a device including the first, second, and third elements.

[0037] A similar interpretation is intended when the phrase "used in at least one of the following" is used in this context. Furthermore, as used in this context, "and / or" is used as a verbal conjunction to indicate that one or more of the listed elements or conditions are included or occur. For example, a device including a first element, a second element, and / or a third element is to be interpreted as any of the following structural arrangements: a device including the first element, a device including the second element, a device including the third element, a device including the first element and the second element, a device including the first element and the third element, a device including the second element and the third element, or a device including the first element, the second element, and the third element.

[0038] In addition, the use of the phrase "and / or" in the text means a "non-exclusive" agreement, as stipulated in the Japanese Industrial Standards (JIS) "Format and preparation method of standard sheets JIS Z 8301."

[0039] Hereinafter, an example of an embodiment of the present invention will be described in detail with reference to the drawings.

[0040] <System S> FIG. 1 is a block diagram showing an example of the hardware and software configuration of system S. As shown in FIG.

[0041] The system S includes at least a training assistance device (training assistance device 1) for an assistance method for activities of daily living. The system S may further include a terminal T configured to be able to communicate with the training assistance device 1 via a network N.

[0042] [Method for assisting activities of daily living for independent living support] In this embodiment, the "method for assisting activities of daily living for independent living support" refers to a method of assistance aimed at supporting the independence of a user and maintaining and recovering their physical functions. In addition to this objective, this assistance method is characterized by including a procedure for encouraging active movements of the support recipient, taking into account their condition. This assistance method will be described in detail later in the explanation of the training assistance process.

[0043] [Training Assistance Device 1] The training assistance device 1 according to this embodiment includes a control unit 11, a storage unit 13, a display unit 15, and an input unit 16. The training assistance device 1 may further include a communication unit 14. By executing the program of this embodiment, the training assistance device 1 performs a training assistance process that assists the supporter in undergoing training to become proficient in the independence support type activity of daily living assistance method.

[0044] [Various Aspects of the Training Assistance Device 1] The configuration of the training assistance device 1 is not particularly limited, and may be, for example, a desktop computer, a laptop computer, a tablet computer, an information providing device compatible with menu operations, or other information processing devices. Note that the information providing device may be a device that combines a general-purpose playback device with data including the program, as long as it executes the program of this embodiment and outputs explanatory information. Examples of general-purpose playback devices include a DVD player, a BD player, and a streaming media player.

[0045] [Supporters and Supportees] "Supporters" refer to service providers who provide assistance with activities of daily living. Examples of supporters include "visiting caregivers," nurses, and physical therapists. "Visiting caregivers" refer to practitioners who visit users' homes and provide care services to service users.

[0046] Because the business model involves providing services in a one-on-one setting between the caregiver and the person receiving care, it is difficult for "home caregivers" to share information about assistance procedures with their colleagues. Therefore, there is a particular demand for such "home caregivers" to receive training in methods of assisting with activities of daily living that support independence. Given this background, it is particularly preferable for the caregiver to be a practitioner of the relevant field. In cases where the "caregiver" is a practitioner of the relevant field, the training support device 1 can be said to have a significant effect in fulfilling such special needs by assisting the training.

[0047] "Support recipient" refers to a service user who receives assistance with activities of daily living. An example of a support recipient is a person receiving assistance as part of nursing care or welfare services under the long-term care insurance system.

[0048] [Control Unit 11] The control unit 11 includes a central processing unit (CPU), a random access memory (RAM), a read only memory (ROM), and other components.

[0049] The control unit 11 cooperates with at least one of the storage unit 13 and the communication unit 14 as necessary. The control unit 11 then realizes a designation acquisition unit 111 and an output unit 112, which are software components of the program of this embodiment executed by the training assistance device 1. The control unit 11 may also be configured to further realize an answer acquisition unit 113 and a scoring unit 114.

[0050] The training assistance process executed by the program of this embodiment will be described later with reference to FIGS.

[0051] [Memory Unit 13] The memory unit 13 is a device for storing data and / or files, and has a storage unit that non-temporarily stores data using a hard disk, semiconductor memory, recording medium, memory card, or other storage member. The memory unit 13 stores programs executed by the microcomputer, explanatory information, correspondence information that associates specified information with information that identifies the corresponding explanatory information, and other data.

[0052] (Program) The program of this embodiment is not particularly limited as long as it causes the training assistance process described below to be executed by the training assistance device 1. Examples of the program include compiled executable data, program code or intermediate code data executed by an interpreter, script data or navigation data for controlling menu display or screen transitions, and other control data.

[0053] It is sufficient that the program is stored in the storage unit 13 from immediately before the training assistance process is executed until immediately after it is completed. For example, the program may be stored in various removable media, read out immediately before the training assistance process is executed, and stored in the storage unit 13. Furthermore, for example, the program may be obtained from an external server immediately before the training assistance process is executed, and stored in the storage unit 13.

[0054] (Explanatory Information) The structure of the explanatory information is not particularly limited. Examples of such a structure include video, audio, still images, text, or a combination of these. In order to specifically explain the steps involved in the method for assisting activities of daily living, it is preferable that the explanatory information includes video. This structure is particularly effective in conveying the specific steps by which the supporter presents movement-inducing stimuli, the specific reactions corresponding to each classification that serves as an index for classifying the support recipient's reaction to the stimuli, and the specific steps of the assistance movement corresponding to the reaction classification results.

[0055] In order to specifically explain the action-inducing stimuli including verbal prompts and the responses including audio, the explanatory information preferably includes both video and audio. In order to convey the procedure in a manner that makes it easy to retain knowledge, the explanatory information preferably includes text.

[0056] In order to solidify knowledge by presenting action-inducing stimuli, including verbal prompts, and by linking the text with the reactions and other specific procedures of the person being supported, it is particularly preferable that the explanatory information be structured to include a combination of video, audio, and text.

[0057] It is sufficient that the explanatory information is stored in the storage unit 13 at the timing when it is required to be output during execution of the training assistance process. For example, the explanatory information may be stored in various removable media, read out immediately before or during execution of the training assistance process, and stored in the storage unit 13. Furthermore, for example, the explanatory information may be obtained from an external server immediately before or during execution of the training assistance process, and stored in the storage unit 13.

[0058] [Communication Unit 14] The specific configuration of the communication unit 14 is not particularly limited as long as it is capable of connecting the training assistance device 1 to the network N and performing communication. An example of the communication unit 14 is a configuration using a network card compatible with the Ethernet standard or a communication device compatible with wireless LAN.

[0059] [Display Unit 15] The display unit 15 is not particularly limited as long as it is configured to be able to display explanatory information and other display data. Examples of the display unit 15 include a liquid crystal display, an organic electroluminescence display, and a head-mounted display.

[0060] The display unit 15 may be configured integrally with the training assistance device 1 (for example, a built-in display of a laptop computer) or may be configured separately. The display unit 15 may also be a combination of multiple components, or a combination of a component integrated with the training assistance device 1 and a separate component. The display unit 15 may also support virtual reality (VR) display, augmented reality (AR) display, mixed reality (MR) display, or other cross reality (XR) display in order to provide explanatory information that is more in line with the actual situation.

[0061] [Input Unit 16] The input unit 16 is not particularly limited as long as it is configured to perform various inputs related to training assistance, such as input of specified information. Examples of the input unit 16 include a remote controller, a keyboard, a game pad, or various pointing devices.

[0062] The input unit 16 may be integrated with the training assistance device 1 (for example, a keyboard and pointing device provided on a laptop computer, a touch panel provided on a tablet terminal, operation buttons provided on a general-purpose playback device, or operation buttons on a portable game console), or may be separate (for example, a remote controller, an external keyboard, an external pointing device, or a game pad connected to a portable or stationary game console). Furthermore, the input unit 16 may be a combination of multiple components, or a combination of a component integrated with the training assistance device 1 and a separate component.

[0063] [Server 2] Although not an essential aspect, the system S may further include a server 2 that provides the program and / or explanatory information of this embodiment to the training assistance device 1 via the network N. The server 2 may be either a device (e.g., a server device) or a system (e.g., a cloud server) that provides a server function.

[0064] The programs, explanatory information, and other data of this embodiment may need to be modified and / or updated. However, if the data is stored in the training assistance device 1, the administrator of the system S is required to take the effort of modifying and / or updating the data in each device. By configuring the system S to include the server 2, the administrator of the training assistance device 1 can centrally manage the programs and / or explanatory information on the server 2. This allows the administrator to modify and / or update the data without having to take the aforementioned effort.

[0065] [Network N] The type of network N is not particularly limited as long as it allows the training assistance device 1 and other devices to communicate. Examples of the network N include the Internet, a mobile phone network, and a wireless LAN.

[0066] [Main Flowchart of Training Assistance Processing] Figure 2 is a flowchart showing an example of a preferred flow of the training assistance processing executed by the training assistance device 1. Figures 3 and 4 are continuations of the previous figures. Below, an example of a preferred flow of the training assistance processing executed by the training assistance device 1 will be described using Figures 2 to 4.

[0067] The training assistance process preferably includes a series of steps for specifying the activities of daily living to be supported in the method for assisting activities of daily living of the independent living support type of this embodiment. Steps S1 to S3 are an example of the steps.

[0068] [Step S1: Determine whether to display a designation screen] The control unit 11 cooperates with the storage unit 13 and the input unit 16 to realize the designation acquisition unit 111. Then, the control unit 11 executes a process of determining whether to display a designation screen for inputting designation information using the designation acquisition unit 111 (designation screen display determination step). The "designation information" in this step is information that designates an activity of daily living to be supported in the method for assisting activities of daily living. If the control unit 11 determines that the screen should be displayed, it proceeds to step S2, and if not, it proceeds to step S4.

[0069] In this step, the specification acquisition unit 111 determines to display the specified screen if various conditions are met (for example, after the output step described below is completed, after a command to display the specified screen is received via the input unit 16, or after a given time has elapsed since the start of the training assistance process).

[0070] [Step S2: Displaying Designated Screen] The control unit 11 executes a process of instructing the designation acquisition unit 111 to display a designated screen (designated screen display execution step). In this embodiment, "instructing the display of a screen" refers to executing a series of processes for displaying the screen on the display unit 15, which is configured integrally or separately, or on the display unit of the terminal T, which is configured separately. The control unit 11 moves the process to step S3. The "designated screen" is not particularly limited as long as it is a screen that has a user interface for designating one daily living activity from multiple candidate daily living activities. An example of the designated screen will be described later in the section on usage examples.

[0071] In order to cover all the activities of daily living related to the independent living support type assistance method for activities of daily living, it is preferable that the specification screen be configured so that any of the activities of daily living related to a group including at least turning over, getting up and down, maintaining a sitting position, standing up and sitting down, walking, eating, grooming, changing clothes, bathing, urination, defecation, and transferring can be specified.

[0072] [Step S3: Obtain Designated Information] The control unit 11 executes a process of acquiring designated information indicating the activities of daily living designated in the previous step by the designation acquisition unit 111 (designation acquisition step). The control unit 11 proceeds to step S4.

[0073] [Step S4: Determine whether output of explanatory information has been specified] The control unit 11 cooperates with the storage unit 13 and the input unit 16 to realize the output unit 112. Then, the control unit 11 executes a process of determining whether output of explanatory information has been specified by the output unit 112 (output determination step). The "explanatory information" in this step is information that explains the assistance procedure corresponding to the activity of daily living related to the specified information acquired in the previous step. If the control unit 11 determines that the instruction has been specified, it proceeds to step S5, and if not, it proceeds to step S12.

[0074] [Step S5: Identifying explanatory information related to designated information] The control unit 11 executes a process of identifying explanatory information related to the designated information of step S3 using the output unit 112 (explanatory information identification step). The control unit 11 moves the process to step S6. In the explanatory information identification step, the output unit 112 identifies the explanatory information, for example, by referring to the above-mentioned correspondence information.

[0075] The following is a description of the process of outputting explanatory information by the output unit 112. The output unit 112 executes at least an intention confirmation process output step, an execution support process output step, and an iteration support process output step.

[0076] As a result, the training assistance device 1 can confirm the intentions of the person being supported, perform appropriate assistance actions in accordance with those intentions, and train the supporter to be able to execute repetitive assistance procedures. Therefore, the training assistance device 1 prevents insufficient care actions, such as full assistance, from being performed without fully confirming the intentions or remaining abilities of the person being supported. Furthermore, the training assistance device 1 assists in training to enable the supporter to perform care actions aimed at maintaining and improving remaining abilities by repeating assistance actions.

[0077] Preferably, the output unit 112 further executes a motion guidance process output step and an assistance determination process output step. In addition, the output unit 112 further executes a feedback process output step.

[0078] This allows the support worker to be trained to execute the assistance procedure, which involves confirming the support recipient's intentions, providing stimuli that elicit responses appropriate to the activities of daily living, classifying the responses based on indicators, and providing appropriate assistance actions according to the classification results. This prevents insufficient care actions, such as full assistance, from being performed without adequately confirming the support recipient's intentions or remaining abilities.

[0079] The assistance procedure of the present invention includes at least an intention confirmation step, an execution support step, and a repetition support step. Furthermore, the assistance procedure of the present invention more preferably includes an intention confirmation step, a motion guidance step, an assistance determination step, an execution support step, a repetition support step, and a feedback step. The explanatory information relating to each step will be explained in each step described below. The explanatory information relating to the assistance procedure specific to an activity of daily living is exemplified in the section "Explanatory information specific to an activity of daily living."

[0080] [Step S6: Output of explanatory information related to the intention confirmation process] The control unit 11 executes a process of outputting explanatory information related to the intention confirmation process by the output unit 112 (intention confirmation process output step). The control unit 11 moves the process to step S7. The "intention confirmation process" is a process of confirming with the support recipient their intention to perform the activities of daily living corresponding to the specified information. The following is an example of the procedure indicated by the explanatory information related to the intention confirmation process.

[0081] The explanatory information related to the intention confirmation process includes, for example, a call, examples of reactions that indicate an intention to carry out the call, and a response when there is no major reaction. An example of a call is, "Mr. / Ms. △△, can you try turning to the side?" Examples of reactions are changes in line of sight, facial direction, facial expression, and breathing. An example of a response is to observe subtle reactions of facial expression, eyeballs, or trunk to read signs of intention when the call is not accepted.

[0082] As a result, the training assistance device 1 can assist in training to acquire the intention confirmation process of first calling out to the subject, and determining if there is a clear change that the subject has an intention to perform the exercise, and even if there is no such change, determining whether or not there is an intention to perform the exercise based on subtle reactions.

[0083] [Step S7: Output explanatory information related to the movement guiding process] The control unit 11 executes a process of outputting explanatory information related to the movement guiding process by the output unit 112 (movement guiding process output step). The control unit 11 moves the process to step S8.

[0084] The "movement induction process" is a process having a procedure in which a support person presents a movement induction stimulus that elicits one or more reactions corresponding to the activities of daily living from the support recipient. The explanatory information related to the movement induction process is also referred to as movement induction process explanatory information, and has a procedure in which a support person presents a movement induction stimulus that elicits one or more reactions corresponding to the activities of daily living from the support recipient. The following is an example of the procedure indicated by the explanatory information related to the movement induction process.

[0085] It is preferable that the explanatory information relating to the movement guidance process includes, for example, a series of steps that first encourages posture stabilization, then indicates specific movement targets, presents examples related to those movement targets, and, if necessary, guides the movement through physical contact.

[0086] As a result, the training assistance device 1 can assist the person being supported in training to learn a movement guidance process that guides the movement through instructions, examples, and physical contact, while helping the person being supported to assume a stable posture and prevent accidents during the movement.

[0087] [Step S8: Output of explanatory information related to the assistance determination process] The control unit 11 executes a process of outputting explanatory information related to the assistance determination process by the output unit 112 (assistance determination process output step). The control unit 11 moves the process to step S9.

[0088] The "assistance determination process" is a process that includes a procedure for classifying the responses to the above-mentioned movement-inducing stimuli. The explanatory information related to the assistance determination process is also referred to as assistance determination process explanatory information, and includes indices for classifying the responses to the movement-inducing stimuli. The following are examples of indices indicated by the assistance determination process explanatory information.

[0089] The index is, for example, an index that classifies the reaction into one of watching (light support), partial assistance (moderate support), and full assistance (heavy support). By providing an index that classifies the reaction into these three stages, the training assistance device 1 provides an index that can appropriately confirm the remaining ability of the support recipient, and also makes it easy to become familiar with the classification procedure using the index.

[0090] Examples of specific responses indicated by the indicators for classification as "supervision" include the support recipient's immediate response to a call, smooth initiation of a movement, ability to maintain a stable posture, and ability to perform major movement units without assistance. As a result, the training support device 1 can provide an indicator for classification as "supervision," which refrains from direct contact and assistance, when the support recipient has sufficient remaining ability to start a movement voluntarily without appearing to be at risk of falling.

[0091] Examples of specific reactions indicated by the index for classifying as "partial assistance" include the support recipient responding to verbal prompts but not immediately, not making smooth movements, having a slightly unstable posture, and requiring a certain level of assistance for major movement units. As a result, when there are concerns but the support recipient still has some remaining ability to perform the movement, the training support device 1 can provide an index for classifying as "partial assistance" that provides assistance while making use of that remaining ability.

[0092] Examples of specific reactions indicated by the index for classification as "full assistance" include not being able to observe the starting point of the movement, being extremely unstable in posture, and requiring full assistance for major movement units. As a result, the training support device 1 can provide an index for classification as "full assistance," in which the supporter fully assists with the daily living movement while ensuring safety, when the patient is unable to start or continue the movement by themselves, or when it is difficult to ensure safety in the execution of the movement.

[0093] The assistance determination process explanation information may include an explanation that if any of the specific reactions indicated in the indicators for "full assistance" are observed, the response is classified as "full assistance," and if such reaction is not observed and any of the specific reactions indicated in the indicators for "partial assistance" are observed, the response is classified as "partial assistance." This allows the training assistance device 1 to assist the supporter in training so that the supporter can classify the reaction without hesitation even when only some of the specific reactions are observed.

[0094] In addition, this step supports training for the supporter to evaluate the condition of the support recipient based on objective and consistent criteria by presenting graded classification indices in advance, thereby enabling the training support device 1 to suppress variations in judgment due to subjectivity and / or experience.

[0095] [Step S9: Output of explanatory information related to the execution support process] The control unit 11 executes a process of outputting explanatory information related to the execution support process by the output unit 112 (execution support process output step). The control unit 11 moves the process to step S10.

[0096] The "execution support process" is a process of executing assistance actions related to the activities of daily living whose execution intention has been confirmed by the above-mentioned process. The explanation information related to the execution support process is also called execution support process explanation information, and includes specific procedures for assistance actions related to the activities of daily living whose execution intention has been confirmed.

[0097] In addition, it is preferable that the "execution support step" is also a step of executing an assisting action according to the above-mentioned reaction classification result. In this case, the execution support step explanation information has a specific procedure for the assisting action according to the above-mentioned reaction classification result.

[0098] The following is an example of a procedure indicated by the execution support process explanation information.

[0099] The assistance actions according to the classification result of "watching" are, for example, actions to adjust the surrounding environment as needed, encourage the movement only by speaking, basically maintain a distance, and only make light contact and guide in unexpected situations. In this way, the training assistance device 1 can support training that increases safety by adjusting the surrounding environment, makes it possible to intervene for safety in unexpected situations, and allows for observation-centered interaction that does not interfere with the movement based on the remaining ability of the person being supported.

[0100] An assistance action according to the classification result of "partial assistance" is, for example, an action of touching the trunk or upper limbs from a position that does not obstruct the view of the support recipient, assisting with part of the movement that the support recipient is not leading, and releasing the assistance once stability is confirmed. In this way, the training assistance device 1 can assist training that makes use of remaining abilities and can intervene for safety in unexpected situations while refraining from interfering with the lower limbs, which are the basis of daily living activities.

[0101] An assistance action according to the classification result of "full assistance" is, for example, an action in which the supporter performs all steps of daily living activities while leaving those that the support recipient can do by themselves, and while anticipating falls, loss of posture, incorrect operation, and other risks and necessary measures, and using trunk support or lower limb guidance in combination. In this way, the training support device 1 can assist in training to help the support recipient safely perform daily living activities while utilizing any remaining abilities.

[0102] [Step S10: Output of explanatory information related to the iterative support process] The control unit 11 executes a process of outputting explanatory information related to the iterative support process by the output unit 112 (iterative support process output step). The control unit 11 shifts the process to step S11.

[0103] The "repetitive assistance process" is a process of repeatedly performing the above-mentioned assistance action. The explanatory information related to the repetitive assistance process is also referred to as repetitive assistance process explanatory information, and has a procedure for repeatedly performing the above-mentioned assistance action within a given upper limit number of times. The following is an example of the procedure indicated by the repetitive assistance process explanatory information.

[0104] By outputting the repetitive assistance process explanation information as described above, the training assistance device 1 can assist the support recipient in training for assistance with independent living activities of daily living, which supports the support recipient in relearning physical functions, such as learning and maintaining movement sequences, shifting the center of gravity, and controlling posture. The repetitive assistance process also contributes to the collection of information for determining changes in the level of support and other support decisions. In addition, the repetitive assistance process also promotes the support recipient's automation of daily living activities by performing them themselves.

[0105] The repetitive assistance process explanation information preferably includes a definition of a unit action that is one unit in the repetitive execution. A unit action in a non-physiological action (e.g., turning over in bed, standing up, sitting down, maintaining a sitting position, standing up and sitting down, walking, transferring) is defined, for example, as a single round trip action from performing the action to returning to the original state. A unit action in a physiological action (e.g., eating, grooming, changing clothes, bathing, urination, defecation) is defined, for example, as a unit action during the physiological action (e.g., taking a bite during a meal) or a preparatory action for the physiological action (e.g., getting dressed during a bath). This allows the training assistance device 1 to assist the supporter in training so that they do not get confused about the definition of the unit action.

[0106] The repetition assistance process instruction information preferably includes a procedure for repeating a unit movement a given maximum number of times (5 to 30 times) with short breaks in between while observing the state of fatigue, concentration, muscle tension, etc. In this way, the training assistance device 1 can assist in training by assisting the repetition of a unit movement with a number of repetitions adjusted according to the individual state, within a range up to the upper limit that avoids excessive strain.

[0107] [Step S11: Output of explanatory information related to the feedback process] The control unit 11 executes a process of outputting explanatory information related to the feedback process by the output unit 112 (feedback process output step). The control unit 11 moves the process to step S12.

[0108] The "feedback process" is a process of recording observed reactions and implementation status regarding support for activities of daily living and reflecting them in the content of support from the next time onwards. The explanatory information related to the feedback process is also referred to as feedback process explanatory information, and has a procedure for recording observed reactions and implementation status regarding support for activities of daily living and reflecting them in the content of support from the next time onwards. The following is an example of the procedure indicated by the feedback process explanatory information.

[0109] The feedback process explanatory information includes at least an explanation of the procedure for recording the number of times an action has been performed. The feedback process explanatory information preferably includes an explanation of the procedure for recording observation items such as accuracy of movement, stability of posture, maintenance of concentration, and the like. In order to record and utilize the number of times of assistance for each assistance level, the feedback process explanatory information preferably includes an explanation of the procedure for recording the number of times an action has been performed for each assistance stage (e.g., supervision, partial assistance, full assistance).

[0110] The feedback process explanation information preferably includes an explanation of the procedure for recording the fatigue of the support recipient, the level of concentration of the support recipient, and incidents related to safety during support. This allows the training assistance device 1 to reliably record matters related to fatigue, concentration, and safety, and to assist training by enabling the support procedure to be reviewed based on the records.

[0111] The feedback process explanation information preferably includes an explanation of the procedure for adjusting and recording the support content from the next time onwards, exemplified by setting the daily living activities to be assisted, redesigning the support level, process order, adjustment of the number of times, and adjustment of rest periods. This allows the training assistance device 1 to visualize feedback for adjusting the support content from the next time onwards, and assist in training that enables the user to execute procedures that encourage reliable implementation in the next and subsequent support.

[0112] The training support process preferably includes a procedure for confirming whether the supporter correctly understands the content of the explanatory information. This allows the training support device 1 to assist the supporter in objectively confirming their level of understanding regarding each of the procedures, including the intention confirmation process, the movement guidance process, the assistance decision process, the execution support process, the repetition support process, and the feedback process. Such a confirmation procedure may also be called, for example, an "understanding check," "understanding quiz," "understanding test," "confirmation test," "review quiz," or similar names. Steps S12 to S16 are an example of such a procedure.

[0113] [Step S12: Determining Whether Display of Check Screen Has Been Specified] The control unit 11 cooperates with the storage unit 13 and the input unit 16 to realize the answer acquisition unit 113. Then, the control unit 11 executes a process of determining whether display of the check screen has been specified by the answer acquisition unit 113 (check screen display determination step). The "check screen" in this step is a screen that displays questions for confirming the level of understanding of the independence support type activity of daily living assistance method. If the control unit 11 determines that the check screen has been specified, it proceeds to step S13; if not, it returns to step S1 and repeats the processes from step S1 to step S16.

[0114] [Step S13: Display Check Screen] The control unit 11 executes a process of instructing the answer acquisition unit 113 to display a check screen (check screen display instruction step). The control unit 11 moves the process to step S14.

[0115] The "check screen" in this step is not particularly limited as long as it is a screen that displays questions to check the level of understanding of the independent living support type activities of daily living assistance method. The screen may be configured as a video, audio, still image, text, or a combination of these. In order to clarify the questions, the check screen preferably includes text or audio indicating the questions. In order to specifically show the actions of the supporter or the reaction of the support recipient related to the questions, the check screen preferably includes a video.

[0116] To obtain the answer information, the check screen preferably includes interface elements for multiple-choice answer options or free answers, such as a text input box, a Japanese syllabary table or other character element table, and a voice input start button.

[0117] [Step S14: Obtain Answer Information] The control unit 11 executes a process of obtaining answer information by the answer obtaining unit 113 (answer information obtaining step). The control unit 11 moves the process to step S15.

[0118] [Step S15: Scoring Based on Answer Information] The control unit 11 cooperates with the storage unit 13 and the input unit 16 to realize the scoring unit 114. Then, the control unit 11 executes a process of scoring based on the above-mentioned answer information by the scoring unit 114 (scoring step). The control unit 11 proceeds to step S16.

[0119] For answer information entered using multiple-choice answer options, the scoring unit 114 performs scoring based on, for example, information that associates the question shown on the check screen with information indicating the correct answer option for the question, and the answer information.

[0120] For the answer information corresponding to the free response, the scoring unit 114 performs scoring using, for example, a generation AI that has undergone reinforcement learning based on learning data that associates the questions shown on the check screen with information indicating the correct answers to the questions. In order to provide appropriate improvement guidelines for incorrect answers, it is preferable that the learning data further include data that associates the questions, incorrect answers to the questions, and improvement guidelines for the incorrect answers.

[0121] When the answer information corresponding to a free response includes voice data, the scoring unit 114 preferably performs preprocessing to convert the voice data into an input data format acceptable for the generation AI. This preprocessing is realized, for example, using a voice recognition model.

[0122] [Step S16: Display result display screen] The control unit 11 executes a process to command the scoring unit 114 to display a result display screen showing the above-mentioned scoring results (scoring step). The control unit 11 returns the process to step S1 and repeats the processes from step S1 to step S16.

[0123] Through the above-described check procedure, the training assistance device 1 can assist in training by making appropriate decisions about continuing training based on the assistant's level of understanding and visualizing the need for relearning. Furthermore, through the above-described check procedure, the training assistance device 1 enables the assistant to proceed with learning while actively confirming their understanding, rather than simply passively receiving explanatory information. This increases the likelihood that the content of the explanatory information will be appropriately put into practice in the field.

[0124] [Effects of the Training Assistance Process] The following describes the effects that the training assistance process described above brings about in the training assistance device 1 of this embodiment.

[0125] In the training assistance process, based on the activity of daily living designation information acquired by the procedures of steps S1 to S3, the output unit 112 outputs explanatory information of the assistance procedure according to the designation information (steps S4 to S11). In this way, the training assistance device 1 assists the supporter in training to provide independence assistance using the independence support-type activity of daily living assistance method.

[0126] The assistance procedure in the training assistance process includes at least an intention confirmation step, an execution support step, and a repetition support step. The output unit 112 executes an output step that outputs specific key points for at least the intention confirmation step, the execution support step, and the repetition support step, which can be considered essential steps (step S6, and steps S9 to S10).

[0127] Therefore, the training assistance device 1 can confirm the intention of the person being supported, perform appropriate assistance actions in accordance with the intention, and train the supporter to be able to execute repetitive assistance procedures. This prevents the training assistance device 1 from performing insufficient care actions (for example, providing full assistance when the person being supported has the intention to perform the care) without fully confirming the intention or remaining ability of the person being supported. Furthermore, the training assistance device 1 assists in training to be able to perform care actions aimed at maintaining and improving remaining ability by repeating assistance actions.

[0128] Furthermore, the training assistance device 1 can also be configured to execute an output step of outputting specific explanatory information for the movement guiding step and the assistance determining step (steps S7 to S8).

[0129] Therefore, this invention can train a caregiver to execute an assistance procedure that provides stimuli that elicit responses according to activities of daily living, classifies the responses based on indicators, and performs appropriate assistance actions according to the classification results. This prevents insufficient care actions (for example, full assistance when there is sufficient response) from being performed without fully confirming the support recipient's will or remaining ability.

[0130] In addition, the training assistance device 1 can also be configured to execute an output step of outputting specific explanatory information for the feedback process (step S11). As a result, the training assistance device 1 records observed reactions and implementation status regarding assistance with activities of daily living, and assists the training by enabling the supporter to carry out assistance procedures including procedures to be reflected in the content of assistance from the next time onwards. As a result, the training assistance device 1 can provide independence support that makes better use of the remaining abilities of the support recipient and promotes the recovery of their remaining abilities.

[0131] The training assistance process may provide the assistant with more specific indicators, such as reactivity, attention retention, coordination of body movements, or presence or absence of gaze tracking, when classifying reactions in response to movement-inducing stimuli in outputting explanatory information related to the assistance judgment step (step S8). In this way, the training assistance device 1 assists the assistant in training to enable more objective classification based on more specific indicators.

[0132] The training assistance process can take a form in which an activity of daily living to be trained is designated from major activities of daily living, such as turning over, getting up and down, maintaining a sitting position, standing up and sitting down, walking, eating, grooming, changing clothes, bathing, urination, defecation, and transferring (steps S1 to S3). This allows the training assistance device 1 to assist in training of assistance actions related to the activity of daily living.

[0133] As described above, the training assistance device 1 of this embodiment can provide a technical means for carrying out appropriate care actions based on the results of confirming the will and remaining ability of the support recipient, and for supporting the support recipient's independence in self-reliance support.

[0134] The training assistance process may also include a procedure for confirming whether the supporter correctly understands the contents of the explanatory information (steps S12 to S16). This allows the training assistance device 1 to assist the supporter in objectively confirming the level of understanding of each of the procedures: intention confirmation process, movement guidance process, assistance decision process, execution assistance process, repetition assistance process, and feedback process.

[0135] Through this procedure, the training assistance device 1 can assist in training by making appropriate decisions about continuing training based on the assistant's level of understanding and visualizing the need for relearning. Furthermore, through this procedure, the training assistance device 1 enables the assistant to proceed with learning while actively confirming their understanding, rather than simply passively receiving explanatory information. This increases the likelihood that the content of the explanatory information will be appropriately put into practice in the field.

[0136] As described above, the training assistance device 1 of this embodiment can perform the above-mentioned confirmation procedure to provide a technical means for supporting the independence of the person being supported in independent living support by carrying out more appropriate care actions based on the results of confirmation of the person being supported's will and remaining abilities.

[0137] [Effects of the Program of the Present Embodiment] Furthermore, the program that causes the training assistance device 1 (computer) to execute the above-described training assistance process enables various general-purpose information processing devices, exemplified by general-purpose playback devices, to be utilized as the training assistance device 1. As a result, the program performs appropriate care actions based on the confirmation results of the support recipient's will and remaining ability, and contributes to providing technical means for supporting the support recipient's independence in self-reliance support.

[0138] [Effects of the training assistance process of this embodiment] In addition, the above-mentioned training assistance process itself carries out appropriate care actions based on the results of confirming the will and remaining abilities of the person being supported, and can be said to contribute to providing technical means to support the independence of the person being supported in independent living support.

[0139] <Example of Use> The following is an example of use of the training assistance device 1 of this embodiment.

[0140] [Program Execution] A supporter who is training in the method for assisting activities of daily living for individuals with disabilities loads a medium storing the program and other data of this embodiment into a general-purpose playback device. The playback device loads the program and starts processing as the training assistance device 1 of this embodiment.

[0141] [Start of training] The training assistance device 1 displays a screen for specifying activities of daily living. Figure 5 is an example of the screen for specifying activities of daily living. In this example, a message saying "Please specify an activity of daily living" and buttons for selecting from 12 types of activities of daily living, namely, turning over, getting up and down, maintaining a sitting position, standing up and sitting down, walking, eating, grooming, changing clothes, bathing, urination, defecation, and transferring, are displayed.

[0142] The support person specifies a desired activity of daily living using these buttons by operating the input unit 16. The training support device 1 outputs explanatory information relating to the intention confirmation process, movement guidance process, assistance decision process, execution support process, repetition support process, and feedback process for the specified activity of daily living to the display unit 15 in order.

[0143] As an example of output, in the movement induction process output step, the training assistance device 1 outputs movement induction process explanation information having a procedure in which the supporter presents movement induction stimuli that elicit one or more reactions corresponding to designated daily living activities from the support recipient. Also, in the assistance determination process output step, the training assistance device 1 outputs assistance determination process explanation information having indices for classifying the support recipient's reactions corresponding to the movement induction stimuli. Furthermore, in the execution assistance process output step, the training assistance device 1 outputs assistance action explanation information having an assistance action procedure corresponding to the reaction classification result.

[0144] Since specific key points are output for each of the essential steps of the movement guidance step, assistance decision step, and execution support step, the training assistance device 1 can train the supporter to execute the assistance procedure, which involves confirming the support recipient's intention, providing stimuli that elicit a reaction according to the activities of daily living, classifying the reaction based on indicators, and performing appropriate assistance actions according to the classification results. This prevents the training assistance device 1 from performing inappropriate care actions, such as full assistance, without fully confirming the support recipient's intention or remaining ability.

[0145] [Execution via video site] If the program of this embodiment is configured to be executed using a video site, the supporter executes the program of this embodiment through the procedure of playing a video on the video site.

[0146] In this case, the program of this embodiment is executed, for example, by a procedure using an official script, a procedure using an embedded player, or a procedure using a video description section. In the procedure using the official script, the program is executed via a script function provided by the video site. In the procedure using an embedded player, the program is executed using a web page element that embeds a video player from the video site and a script that controls the player. In the procedure using the video description section, for example, a series of processes from displaying a specified screen to outputting based on the specification is executed by displaying a name of a daily living activity associated with a button that jumps to a playback time where explanatory information for the activity is output.

[0147] [Comprehension Check] The supporter issues a command to execute a comprehension check via input from the input unit 16. In response to the command, the training assistance device 1 outputs a supporter comprehension check screen to the display unit 15.

[0148] Figure 6 is an example of a screen for checking the level of understanding of the caregiver. In this example, the question "What assistance do you provide for this reaction? (Turning over)" along with the options "1: Watch," "2: Partial assistance," and "3: Full assistance" and a button for "4: Watch again" are displayed to the right of a video showing assistance with turning over. The video shows a situation in which, in response to the caregiver's encouragement to turn over on his side, the person receiving assistance moved his eyes, and there were changes in the direction of his face and breathing, but no following movements of the upper limbs were observed.

[0149] If necessary, the supporter operates the button "4: Watch again" to repeatedly check the video and inputs a choice from 1 to 3. The training support device 1 scores the video based on the input.

[0150] FIG. 7 is an example of a screen displaying the results of a comprehension check. This example shows the result when the supporter selects "2: Partial Assistance" in response to the question in the previous figure. In this example, a box is displayed around the button indicating "2: Partial Assistance," indicating that the answer has been selected. Also, in this example, a check mark indicating the correct answer is displayed to the left of the button indicating "2: Partial Assistance." Additionally, in this example, a person in the video makes a gesture indicating the correct answer, and an audio track reads a message announcing the correct answer.

[0151] This allows the supporter to check the results of the training using the explanatory information and take review or other measures as necessary. Therefore, the training support device 1 can assist in training by making appropriate decisions about continuing the training based on the supporter's level of understanding and visualizing the need for relearning. Furthermore, by checking the level of understanding, the training support device 1 enables the supporter not only to passively receive the explanatory information, but also to actively confirm their understanding while progressing with their learning. In this way, the training support device 1 increases the likelihood that the content of the explanatory information will be appropriately put into practice in the field.

[0152] <Details about the output step> The following shows examples of explanatory information relating to each step of each activity of daily living, which is output in each output step from step S6 to step S11.

[0153] [Activity of Daily Living: Turning Over] The following is an example of explanatory information when "turning over" is specified as an activity of daily living.

[0154] [Intention Confirmation Process Explanation Information] The explanation information preferably includes an explanation of a procedure in which the support person encourages the support recipient to turn sideways to confirm the support recipient's intention to turn sideways, and if a clear reaction such as a change in the support recipient's line of sight, face direction, or breathing is confirmed, it is determined that the support recipient has the intention to turn sideways. Furthermore, even if a clear reaction is not obtained, the explanation information preferably further includes a response procedure in which the support person observes subtle reactions of the support recipient's facial expression, eyes, or trunk to read signs of the support recipient's intention.

[0155] As a result, the training assistance device 1 can assist in training a procedure for determining the intention to perform based on subtle physical reactions in addition to changes in gaze, breathing, and other factors.

[0156] [Movement Guidance Step Explanation Information] The explanatory information preferably includes an explanation of a procedure in which the support person verbally encourages the support recipient to look at the support person, and naturally guides the support recipient's gaze and facial direction based on the support recipient's position and voice direction. The explanatory information preferably includes an explanation of a procedure in which, when the support recipient achieves a gaze or facial rotation, the support person extends their hand to the opposite side of the support recipient to encourage the support recipient to coordinate their gaze and upper limb movement. Furthermore, the explanatory information preferably includes an explanation of a response in which, when the support recipient makes the support recipient follow with their upper limb, the support recipient verbally reinforces this positively and encourages the support recipient to continue the movement. Furthermore, the explanatory information preferably further includes a procedure in which the support recipient verbally encourages the support recipient to try to raise their knees, raise both knees or one knee, and gently tilt the raised knee in the direction of rolling over to induce trunk rotation.

[0157] As a result, the training assistance device 1 can guide the gaze, upper limb, and lower limb movements in a stepwise manner, and can assist in training a series of guidance procedures leading to the turning over movement accompanied by trunk rotation.

[0158] [Information explaining the assistance determination process] The information preferably includes the following indicators: if a change in gaze or facial direction is observed, the response is classified as requiring light assistance; if a following movement of the upper limbs is confirmed, the response is classified as requiring moderate assistance; and if the response is extremely weak or no movement is performed, the response is classified as requiring full assistance.

[0159] As a result, the training assistance device 1 can assist training in the assistance decision process by using an index that classifies reactions by focusing on the presence or absence of initial reactions such as the gaze and upper limb following, which are the starting point of the movement, based on the fact that the rolling over movement is a series of linked movements involving multiple joints and rotation.

[0160] [Execution Support Process Explanation Information] The explanation information preferably includes, for example, the following procedures as procedures for assistance actions according to the reaction classification results. Light assistance: A procedure for supervising assistance in which the supporter encourages the movement by speaking to the support recipient and provides positioning assistance to adjust the support recipient's position as needed. Moderate assistance: A procedure for partial assistance in which the supporter lightly supports the pelvis or shoulder girdle, which serve as a fulcrum, and guides the trunk in an appropriate direction. Full assistance: A procedure in which the supporter holds the limbs and safely changes the support recipient's position while supporting them in stages, in the order of knees, pelvis, shoulders, and head.

[0161] As a result, the training assistance device 1 can assist in training to learn the assistance procedures for safely and smoothly performing the multi-joint coordination and trunk rotation required for rolling over, depending on the classification of assistance required, such as light assistance, medium assistance, or full assistance, based on the assistance judgment.

[0162] [Information on Repetitive Assistance Process] The information on repetitive assistance preferably includes, for example, the following procedures for promoting learning of the movement through repeated performance of the rolling over movement: The support person alternates between turning over to the right and left, with the total number of times in each direction limited to 5 to 30; The support person takes a short break after each set while observing the fatigue level of the support recipient. It is desirable that these repetitions are intended to encourage relearning of trunk rotation and center of gravity movement, and to serve as preparatory movements for other ADLs.

[0163] As a result, the training assistance device 1 can assist in the repetitive assistance training process of acquiring the physical coordination and basic movement patterns required for turning over in bed through the repetition of symmetrical movements in the left and right directions.

[0164] [Feedback Process Explanation Information] The explanation information preferably includes an explanation of the procedure for recording and evaluating the results of the rolling over movement and reflecting the results in the next training plan. The procedure includes, for example, recording the presence or absence of a response to verbal prompts, the range of motion in response to the movement guidance, the speed or physical coordination of the movement, the number of repetitions, the difference between the left and right sides, the degree of fatigue, and other observation items. Furthermore, the explanation information preferably includes a procedure for adjusting the next guidance method, the number of repetitions, or the training goal based on the observation results.

[0165] As a result, the training assistance device 1 can grasp the performance trends, including the movement accuracy and left-right differences, in the rolling over movement, and can assist in training in a feedback process that enables the training plan to be updated according to the level of learning of the person being supported.

[0166] [Activities of Daily Living: Getting Up and Down] The following is an example of explanatory information when "activities of daily living" are specified as activities of daily living. The activities of daily living are the actions of moving a supporter who is in a supine position to a sitting position on the edge of the bed.

[0167] [Intention Confirmation Process Explanation Information] The explanation information preferably includes an explanation of a procedure in which the support person verbally asks the support recipient to confirm their intention to sit up and perform the action, and determines that they intend to perform the action if a clear reaction such as a change in facial expression, eye movement, breathing, or nodding is confirmed. Furthermore, the explanation information preferably includes a procedure for observing subtle reactions such as the support recipient turning their gaze toward the caregiver, a momentary cessation of breathing, or slight arm movements, and further includes a response procedure in which, even if no non-verbal reaction is confirmed, the support recipient starts the action by announcing, "I'm going to sit up now."

[0168] As a result, the training assistance device 1 can assist in training the intention confirmation process in daily living activities through a variety of non-verbal responses and / or advance warning voices, even when the intention is not clearly expressed.

[0169] [Movement Guidance Process Explanation Information] The explanation information preferably includes the following steps as guidance procedures for gradually implementing getting-up and down movements. In step 1, the support person says, "First, let's raise your knees," and supports the knees and feet while flexing both knees or the healthy knee, forming a basic posture that prepares the pelvis for standing and rotation. In step 2, the support person says, "Let's turn your body to the side," and forms a lateral position by guiding contact with the pelvis and shoulder girdle. In step 3, the support person says, "Let's put your feet over here," and guides both lower limbs together and hanging naturally outside the bed, encouraging trunk flexion. In step 4, the support person says, "Put this elbow on the bed," and guides the healthy elbow in the flexion direction to ensure an initial support surface. In step 5, the support person says, "Next, put your palm on the bed," and moves the elbow, then the hand, and then the shoulder to stabilize the trunk and prepare to raise the center of gravity. It is preferable to clearly indicate supports such as handrails and bed rails as necessary, and to include guidance such as, "Place your hands here." In addition, it is desirable to include a sixth step in which the patient is told, "Let's sit up straight," and the patient is then encouraged to lift their trunk forward by supporting the shoulder girdle or pelvis, and the head is adjusted upright to complete the sitting position.

[0170] As a result, the training assistance device 1 can structure the getting-up and sitting movements into six stages, and through guidance training according to each stage, can assist in training in the movement guidance process that safely and gradually leads to a sitting position on the edge of a chair.

[0171] [Information on the Assistance Judgment Process] The explanatory information preferably includes the following classification indicators: if the patient is able to kneel and transition to a side-lying position on their own, it is classified as a response requiring supervision and assistance; if the patient is able to perform some support movements with their elbows or hands, it is classified as a response requiring partial assistance; and if the movement reaction is poor or if it is difficult to assume an anti-gravity position, it is classified as a response requiring full assistance. Furthermore, the explanatory information preferably includes an explanation of the procedure using factors such as the speed of movement, coordination, reactivity, muscle tone, and stability of body position as criteria for judgment.

[0172] As a result, the training assistance device 1 can assist in training to determine an appropriate level of assistance based on the physical reactions of the assistance recipient.

[0173] [Information explaining the execution support process] The information preferably includes an explanation of the assistance procedure according to the assistance judgment. For supervision assistance, it is a procedure in which the person being supported completes the movement by themselves by only speaking or by providing minimal clues. For partial assistance, it is a procedure in which assistance is provided in stages depending on the required part, such as holding the knees, supporting the shoulder girdle, and assisting the elbows. For full assistance, it is desirable to include a procedure in which the supporter consistently performs the entire process from the supine position to rotating the lower limbs, raising the trunk, and maintaining a sitting position. At any level of assistance, it is preferable to include a procedure in which the supporter also speaks to encourage a shared awareness, such as "Let's do this together."

[0174] As a result, the training assistance device 1 can assist in the training of the execution assistance process, which allows the patient to gradually learn appropriate assistance actions according to each assistance category.

[0175] [Repetitive Assistance Process Explanation Information] The explanatory information preferably includes an explanation of the procedure for repeating the movement of rising and falling from a supine position to a sitting position. The procedure includes repeating the movement by setting the number of repetitions in the range of 5 to 30, with one round trip counting as one repetition, while gradually reducing the amount of support. The explanatory information is configured to allow the patient to learn the movement order without omitting any steps, and preferably includes a procedure for adding variations such as alternately placing the healthy side and the affected side on the bottom. Furthermore, the explanatory information preferably further includes a procedure for observing breathing, facial expressions, sweating, and other reactions related to fatigue level, and adjusting the number of repetitions and / or how to take breaks depending on the level of fatigue.

[0176] As a result, the training assistance device 1 can promote relearning of trunk flexion and center of gravity movement through repetitive training, and can assist in acquiring the physical functions necessary for daily living activities.

[0177] [Feedback Process Explanation Information] The explanation information preferably includes an explanation of the procedure for recording and evaluating the results of daily living activities and reflecting them in the next training plan. Recording items should preferably include the number of times the activity was performed, the ratio of independent / assisted elbow support or hand support, changes in reaction (e.g., changes in the amount of guidance), and signs of fatigue (e.g., shortness of breath, ataxia, risk of falling). Furthermore, the explanation information preferably includes response procedures for shortening or refining the procedure, adjusting the level of assistance, or revising the repetition rhythm based on the observation results.

[0178] As a result, the training assistance device 1 can assist in training with a feedback process that enables updating of an individually optimized training plan based on the physical reactions and training results of the person being supported.

[0179] [Activities of Daily Living: Sitting] The following is an example of explanatory information when "sitting" is specified as an activity of daily living. Sitting is an activity of statically maintaining a body posture in a sitting position.

[0180] [Intention Confirmation Process Explanation Information] The explanation information preferably includes an explanation of a procedure in which the support person asks the support recipient, "Can you maintain this posture?" to confirm their intention to maintain a sitting position, and if a clear reaction such as a nod, a forward gaze, or a slight raising of the trunk is confirmed, it is determined that the support recipient has an intention to maintain a sitting position. Furthermore, the explanation information preferably includes a response procedure in which movements to correct posture and / or subtle reactions to attempt to maintain a sitting position are evaluated as signs of intention.

[0181] As a result, the training assistance device 1 can assist in training the assistance recipient to make decisions that reflect his or her intention to correct his or her posture, in addition to confirming the assistance recipient's intention through the assistance recipient's gaze and / or trunk reaction.

[0182] [Movement Guidance Process Explanation Information] The explanation information preferably includes an explanation of the guidance procedures for the support recipient to maintain a stable sitting posture. The procedures include, for example, a procedure for aligning the head and trunk by correcting the axis of the back and / or verbal guidance of gaze (e.g., "Keep your back straight" or "Look this way"). Furthermore, the procedures preferably include a procedure for providing specific guidance such as "Please turn your head back toward this hand" when the head is tilted to one side, a procedure for encouraging support with the upper limbs by verbal guidance such as "Try lightly gripping this handrail," and a procedure for adjusting the base of support by verbal guidance such as "Try placing the soles of your feet firmly on the floor" when the lower limbs are unstable.

[0183] As a result, the training assistance device 1 can assist in the reconstruction of the body elements necessary for maintaining a sitting position through a guidance procedure that adjusts three points: the center of gravity, the line of sight, and the base of support.

[0184] [Information explaining the assistance decision process] The information should preferably include the following classification indicators: if the trunk axis can be maintained by oneself, the response is classified as requiring supervision and assistance; if the axis can be maintained but the patient leans to the left or right, the response is classified as requiring partial assistance; and if the trunk is difficult to maintain and there is a high risk of falling, the response is classified as requiring full assistance. The information should also include an explanation of the procedure, using the time it takes to maintain the trunk without support, the immediacy of the response, the ability to follow the center of gravity, and the stability of the gaze as criteria for judgment.

[0185] As a result, the training assistance device 1 can assist in training in the assistance determination step, which enables determination of an appropriate assistance level according to the postural stability and physical reaction of the assistance recipient.

[0186] [Information explaining the execution support process] The information preferably includes the following step-by-step support procedures as procedures for supporting the person to maintain a sitting position based on the caregiver's judgment. Watchful support: A procedure in which maintaining posture is left to the person being supported, and if the person's axis becomes misaligned, the caregiver is prompted to correct it by speaking to the person. Partial support: A step-by-step support procedure in which contact support is provided to the pelvis or back, and intervention is made only when the person's posture becomes distorted. Full support: A comprehensive support procedure in which the shoulders or pelvis are supported from behind to constantly prevent the person from losing their edge-sitting position. It is also desirable that the information include a response that continues to evaluate "whether the person can return to the normal position by themselves" even during support.

[0187] As a result, the training assistance device 1 can flexibly assist posture maintenance training according to the level of assistance, from supervision to full assistance, and promote the development of the support recipient's ability to maintain posture independently.

[0188] [Repetition Support Process Explanation Information] The explanation information preferably includes a procedure for repetitive training to maintain a seated position for a certain period of time. The procedure is preferably configured to set a basic period of 30 seconds to 1 minute per set, with 3 to 15 repetitions. Furthermore, the explanation information preferably includes a procedure for performing training such as "30 seconds x 10 sets," with a 10-second to 1-minute rest between sets depending on fatigue. The procedure is preferably intended to relearn continuous antigravity activity and automate posture maintenance.

[0189] As a result, the training assistance device 1 can strengthen the posture-maintaining ability of the person being assisted through repeated sitting, and can assist in training the physical functions necessary to maintain an anti-gravity posture.

[0190] [Feedback Process Explanation Information] The explanation information preferably includes an explanation of the procedure for recording and evaluating the results of the sitting posture maintenance and reflecting them in the next training content. The explanation information preferably includes procedures for recording items such as maintenance time (longest, average, target), frequency and timing of posture deviations, changes in support level (e.g., transition from full assistance to supervision), signs of fatigue, and / or changes in attention focus (e.g., loss of concentration after a certain set). Furthermore, the explanation information preferably includes procedures for adjusting the amount of support, predicting the timing of posture correction, and changing the rhythm or content of verbal prompts as the next support policy.

[0191] As a result, the training assistance device 1 can visualize the performance tendency and assistance effect regarding maintaining a sitting position, and can assist in training with a feedback process that enables updating of the training plan in response to changes in the condition of the person being supported.

[0192] [Activities of Daily Living: Standing Up and Sitting Down] The following is an example of explanatory information when "standing up and sitting down" is designated as an activity of daily living: Standing up and sitting down is the action of standing up from a chair or bed and then sitting down.

[0193] [Intention Confirmation Process Explanation Information] The explanation information preferably includes an explanation of the procedure in which the support person asks the support recipient, such as "Shall we stand up?", to confirm their intention to stand up, and if a clear reaction such as an upward gaze, movement of the upper body, or stepping forward is confirmed, it is determined that the support recipient has the intention to stand up. Furthermore, the explanation information preferably further includes a response procedure in which, even if the intention is not clearly expressed, signs of synchronization with the action of standing up are observed and signs of intention are read.

[0194] As a result, the training assistance device 1 can accurately grasp the physical signs that precede the standing-up movement, and can assist in training to determine whether or not to start the standing-up movement based on whether or not there is an intention to do so.

[0195] [Movement Guidance Process Explanation Information] The explanation information preferably includes an explanation of the guidance procedure for preparing the posture step by step so that the support recipient can stand up stably. The procedure includes, for example, the following steps. Step 1: Say, "First, shift your buttocks a little forward," and adjust the initial position of the center of gravity by sliding the pelvis to the front edge of the chair. Step 2: Say, "Pull your feet back and try to place your heels under the chair," and deepen the knee flexion angle to prepare the lower limbs for propulsion. Step 3: Say, "Try leaning your body forward, as if bowing," and tilt the trunk forward 30 to 45 degrees to guide a shift in the center of gravity in the anti-gravity direction. Step 4: Say, "Try pushing against this handrail" or "Look ahead," and ensure stability of hand support and line of sight to prepare the balance maintenance conditions just before standing up.

[0196] As a result, the training assistance device 1 can gradually guide posture elements such as pelvic position, foot placement, trunk angle, line of sight, and hand support, and assist in establishing a safe posture for preparing to stand up.

[0197] [Information on the Assistance Judgment Process] The explanatory information preferably includes the following classification indicators: if the patient can independently slide the pelvis forward and pull the feet in, it is classified as a response requiring supervision and assistance; if the patient can pull the feet in but has difficulty leaning the trunk forward, it is classified as a response requiring partial assistance; and if the patient has difficulty sliding the pelvis and / or adjusting the foot position, it is classified as a response requiring full assistance. The explanatory information also preferably includes an explanation of the procedure for making an assistance judgment based on the degree to which the patient has reached the preparatory posture before starting the movement and / or the responsiveness at each stage.

[0198] As a result, the training assistance device 1 can use a plurality of preparatory stages in the standing-up movement as evaluation indices and assist training in the assistance determination process, which enables determination of a minimum and appropriate level of assistance.

[0199] [Information explaining the execution support process] The information explaining the process preferably includes an explanation of the support procedure according to the assistance decision. The following are examples. Watching support: A procedure that mainly involves speaking to encourage the patient to stand up on their own once they have achieved a ready posture. Partial assistance: A procedure in which assistance is provided to the foot position or forward lean of the trunk, and the patient is allowed to stand up on their own. Full assistance: A procedure in which the trunk and lower limbs are supported, while the patient is safely guided through the entire standing up movement to transition to a standing position.

[0200] As a result, the training assistance device 1 can appropriately select the assistance level for standing up assistance based on the degree of achievement of the preparatory movement, and can assist in training of an assistance procedure that aims to achieve both safety in movement and independence.

[0201] [Repetitive Assistance Process Explanation Information] The explanation information preferably includes an explanation of a training procedure for repeating the standing-up movement a certain number of times. The procedure preferably defines one repetition as "standing up → stopping for about one second → sitting down again," and includes a procedure for repeating 5 to 30 times depending on the patient's condition. It is also preferable that the procedure be configured as a "stepwise independence guidance" in which the amount of assistance is gradually reduced depending on the number of times, and that it is also possible to simultaneously apply weight to alternating left and right feet.

[0202] As a result, the training assistance device 1 can promote relearning of center of gravity movement and acquisition of independent standing-up movements through repetitive training, and can provide training assistance that can accommodate a variety of physical conditions.

[0203] [Feedback Process Explanation Information] The explanation information preferably includes an explanation of the procedure for recording and evaluating the results of the stand-up movement and reflecting them in the next training plan. The procedure includes, for example, observing and recording whether or not the center of gravity shifts forward when standing up, the accuracy of foot retraction (position and timing), the appropriateness of the forward lean angle, the stability of the line of sight and hand support, and the transition of the amount of support. Furthermore, the explanation information preferably includes a procedure for explicitly recording the number of repetitions, the number of independent attempts, and a breakdown of the assistance provided, and setting a next goal of maintaining the number of repetitions or gradually removing assistance.

[0204] As a result, the training assistance device 1 can comprehensively evaluate the preparatory posture, actual movements, and implementation trends regarding changes in support level during standing up movements, and assist in training through a feedback process that enables adjustment of the training plan according to the physical functions of the person being supported.

[0205] [Activities of Daily Living: Walking] The following is an example of explanatory information when "walking" is specified as an activity of daily living. Walking includes standing up, shifting the center of gravity, swinging the legs, changing direction, and maintaining stability.

[0206] [Intention Confirmation Process Explanation Information] The explanation information preferably includes an explanation of the procedure for determining that the support recipient has an intention to walk when a supporter asks the support recipient, such as "Mr. / Ms. △△, would you like to try walking a little?" or "Would you like to move your legs?", to confirm the support recipient's intention to walk, and when the support recipient's line of sight, leg movements, actions to stand up, or other clear reactions are confirmed. The explanation information preferably further includes a response procedure for observing verbal or non-verbal appeals regarding the desire to move and reading signs of the intention, even if no clear reaction is obtained.

[0207] As a result, the training assistance device 1 can assist in training in decision-making based on observation of the content of the complaint, in addition to gaze, lower limb movements, and other reactions.

[0208] [Movement Guidance Step Explanation Information] The explanation information preferably includes explanations of guidance procedures according to the main steps leading up to walking. The first step is a procedure to encourage stable standing by saying things like, "Let's stand up first" or "Look at your feet and keep your balance." The second step is a procedure to encourage the transition to walking by saying things like, "Try taking a step with your right foot" or "Keep moving forward." The third step is a procedure to encourage direction changes or spatial awareness by guiding people with things like, "Let's change direction" or "Let's walk along the wall." Finally, it is desirable to include procedures for stopping and stabilizing posture, such as, "Stop and stand here" or "Stop your feet in a balanced manner."

[0209] As a result, the training assistance device 1 can assist in training a procedure that guides a series of walking-related movements in an orderly and step-by-step manner.

[0210] [Information explaining the assistance determination process] The information preferably includes an assistance classification index based on the following responses: An index for classifying a response requiring supervision support when a series of actions from standing up to walking can be performed stably; an index for classifying a response requiring partial assistance when unsteadiness or loss of balance is observed while walking; and an index for classifying a response requiring full assistance when overall movement is difficult, such as maintaining a standing position or taking the first step.

[0211] As a result, the training assist device 1 can assist in judgment training for selecting an appropriate assistance level based on an evaluation of the basic movement abilities that constitute walking movements.

[0212] [Execution support process explanation information] The explanation information preferably includes an explanation of the execution support procedure according to the reaction classification result. Watching support: A procedure in which the supporter calls out to the supportee and ensures safety in the surrounding area, allowing the supportee to walk independently. Partial assistance: A procedure in which the supporter provides assistance with maintaining balance while walking, preventing falls, or changing direction, and supports the supportee's independent movement. Full assistance: A training procedure in which the supporter assists with all steps of the movement process while encouraging some independent movements (e.g., taking a step, etc.).

[0213] As a result, the training assistance device 1 can adjust the assistance level in accordance with the assistance judgment, and can assist in training of the execution procedure for gradually providing independence assistance related to walking movements.

[0214] [Repetitive Assistance Process Explanation Information] The explanation information preferably includes a procedure for repeating preparatory movements prior to walking and the walking itself. For example, a procedure for repeating a set of standing up (standing from a chair), walking about 5 to 10 steps, and turning or stopping, with the set being 5 to 30 times. Furthermore, it is desirable to include a training design for gradually decreasing the level of assistance during the repetitive execution, from full assistance to partial assistance and then to supervision assistance.

[0215] As a result, the training assistance device 1 can encourage the acquisition of basic movements necessary for walking, and can assist in repetitive training aimed at gradually realizing support for independence.

[0216] [Feedback Process Explanation Information] The explanation information preferably includes an explanation of the procedure for observing and recording the results of basic walking-related movements and reflecting them in the next training plan. For example, the explanation information includes a procedure for recording the stability of standing-up movements (e.g., speed, trunk support), walking stride length, footwork, left-right asymmetry, and balance when changing direction, as well as the assistance rate for each step (e.g., standing-up = partial assistance 3 times, independent walking 2 times). Furthermore, the explanation information preferably includes a procedure for reviewing the movements to be repeated (e.g., additional direction-changing training), reducing the amount of assistance and verbal encouragement, and adjusting the time period or load of walking training based on the recorded content.

[0217] As a result, the training assistance device 1 can grasp the implementation tendency of the assistance recipient regarding walking movements, and can assist in training in a feedback process that enables updating of the training design according to the degree of independence.

[0218] [Activities of Daily Living: Eating] The following is an example of explanatory information when "eating" is designated as an activity of daily living: Eating is a series of actions for ingesting food using eating utensils.

[0219] [Intention Confirmation Process Explanation Information] The explanation information preferably includes an explanation of the procedure in which the support person encourages the support recipient to eat in order to confirm their intention to eat, and determines that they are willing to eat if they show clear reactions such as their gaze turning to the dishes, their lips or hands moving, or their mouth opening. Furthermore, the explanation information preferably further includes a response procedure in which they observe their facial expressions or reactions to smells, their outstretched hands, and other non-verbal and subtle reactions to read signs of their intention.

[0220] As a result, the training assistance device 1 can assist in training to accurately grasp the intention to eat through early signs of gaze, facial expression, and movement.

[0221] [Movement Guidance Process Explanation Information] The explanation information preferably includes the following step-by-step guidance procedures to enable the support recipient to eat with stable posture and movements. The first step is a posture guidance procedure that encourages the support recipient to maintain an upright pelvis by saying, "Straighten your back and place the soles of your feet on the floor," thereby ensuring stability of the trunk and neck. The second step is a procedure that gradually guides the support recipient to grasp the eating utensil, manipulate the wrist, and approach the target by saying words that encourage the support recipient to grasp the eating utensil, or by saying words that guide wrist manipulation, or by other words. If necessary, the procedure also includes a procedure in which the support recipient demonstrates imitation movements to encourage imitation learning. The third step is a procedure in which the support recipient links gaze and movement by saying words to encourage integrated movement from the hands to the face. Furthermore, the procedure preferably includes the combined use of hand movement guides and / or facial angle guidance.

[0222] As a result, the training assistance device 1 can assist in the stages of posture stabilization, eating utensil manipulation, and gaze guidance, and can assist in training in the guidance procedures that support the execution of a series of eating movements.

[0223] [Information explaining the assistance judgment process] The explanatory information preferably includes the following classification indicators: if the subject is able to grasp the eating utensil and introduce it to the mouth independently, the response is classified as requiring supervision and assistance; if the subject is able to grasp the utensil but is unstable in introducing it, the response is classified as requiring partial assistance; and if the subject has difficulty grasping and manipulating the utensil, the response is classified as requiring full assistance. Furthermore, the explanatory information preferably includes an explanation of the procedure based on criteria such as postural stability, finger coordination, gaze tracking, neck mobility, and attention span.

[0224] As a result, the training assistance device 1 can assist in training that allows for the determination of an appropriate level of assistance based on the observation of the complex elements involved in the eating movement.

[0225] [Execution support process explanation information] The explanation information preferably includes an explanation of the support procedure according to the assistance decision. Monitoring support: A procedure to allow the assistance recipient to continue independent eating movements while confirming safety. Partial assistance: A procedure to assist with only some of the processes, such as grasping and adjusting direction, and leave the rest to the assistance recipient themselves. Full assistance: A procedure to provide full assistance, from manipulating eating utensils to guiding them to the mouth. It is also desirable that the explanation information include a configuration to leave as many processes as possible to the assistance recipient themselves (e.g., closing the mouth by oneself after assistance).

[0226] As a result, the training assistance device 1 can assist the support recipient in training to gradually acquire the steps necessary for eating while making use of the support recipient's remaining abilities.

[0227] [Repetitive Assistance Process Explanation Information] The explanatory information preferably includes an explanation of a procedure for repeating the ingestion action included in the meal action. The procedure preferably includes a procedure for observing and adjusting the assistance ratio for the entire meal, regarding each bite as a natural repetition unit. For example, it is desirable to include a procedure for incorporating repetition according to the amount of intake into the assistance design, assuming an assistance distribution such as 5 out of 20 bites requiring full assistance, 10 requiring partial assistance, and 5 requiring self-help. It is also preferable to further include a configuration for evaluating and improving each element of the ingestion action, such as operability, posture control, and concentration maintenance, on a process-by-process basis.

[0228] As a result, the training assistance device 1 can promote improvement in the movement accuracy and concentration maintenance ability of the person being supported through repeated support for eating as a daily activity.

[0229] [Feedback Process Explanation Information] The explanation information preferably includes an explanation of the procedure for recording and evaluating the results of the eating behavior and reflecting them in the next assistance policy. The explanation information preferably includes a procedure for recording the distribution of posture stability, the number of times posture is lost, the accuracy of guiding the food to the mouth, the speed of utensil manipulation, the trajectory of utensil manipulation, line of sight, and / or assistance level (△ times with supervision, △ times with partial assistance, △ times with full assistance). It also preferably includes a procedure for setting the next goal as a reduction in the assistance rate (e.g., transitioning from partial assistance to supervision), a change in the eating utensils used (e.g., from spoons to chopsticks), a stabilization of the amount of intake, and / or a stabilization of the required time (e.g., reducing speed or interruptions).

[0230] As a result, the training assistance device 1 can grasp the implementation trends of posture, operation, and assistance level during eating movements, and can assist in training in the feedback process that enables the support recipient to update their plan for independent eating.

[0231] [Activities of Daily Living: Grooming] The following is an example of explanatory information when "grooming" is designated as an activity of daily living: Grooming includes washing the face, oral care, hair styling, and other actions for maintaining cleanliness or grooming.

[0232] [Intention Confirmation Process Explanation Information] The explanation information preferably includes an explanation of a procedure in which the support person verbally encourages the support recipient to wipe their face, brush their teeth, or perform other specific grooming actions to confirm their intention to perform grooming actions, and determines that the support recipient intends to perform the actions if the support recipient looks at the towel or toothbrush, reaches out to their face or mouth, nods, or shows some other clear reaction. Furthermore, the explanation information preferably further includes a response procedure in which, even if a clear reaction is not obtained, non-verbal reactions such as facial expressions or slight hand movements are observed to read signs of intention.

[0233] As a result, the training assistance device 1 can assist in training by checking the intention of the subject by paying attention to the presence or absence of subtle expressions of intention, in addition to the gaze and physical reaction to the tool.

[0234] [Movement Guidance Process Explanation Information] The explanation information preferably includes the following step-by-step structure as a method for guiding the patient through a series of grooming procedures. In the first step, it is desirable for the assistant to say, "Straighten your back and place your feet on the floor," and present a procedure for guiding posture to stabilize the trunk. In the second step, it is desirable to include a procedure for encouraging the patient to grasp the tools used in the grooming procedure by saying, for example, "Please hold this towel." In the third step, it is desirable to include a procedure for guiding the patient to reach the target area by specific motion guidance, such as, "Try wiping your forehead" or "Place the toothbrush against your front teeth." Furthermore, it is desirable for the explanation information to include a procedure for the assistant to demonstrate similar movements and guide the patient through visual imitation if the patient's movements are unstable.

[0235] As a result, the training assistance device 1 can assist in training by supporting step-by-step movement guidance from maintaining posture to operating a tool and reaching a target part.

[0236] [Information explaining the assistance judgment process] The information explaining the assistance preferably includes the following classification indicators based on the response to the grooming action. Monitoring support: An indicator for classifying the response as being able to grasp the tool and operate it on the target area by oneself. Partial assistance: An indicator for classifying the response as being able to grasp the tool but showing instability in the manipulation trajectory or reaching movement. Full assistance: An indicator for classifying the response as being difficult to both grasp and operate the tool.

[0237] As a result, the training assist device 1 can focus on the complex upper limb movements required for grooming, and assist in training in which assistance is classified according to the degree of movement accuracy and / or posture maintenance.

[0238] [Execution support process explanation information] The explanation information preferably includes the following categorized support as support procedures selected based on the assistance judgment. Monitoring support: A procedure in which the assistance recipient is left to perform the grooming actions independently, and assistance is provided only by talking to them or adjusting the environment. Partial assistance: A procedure in which the assistance recipient guides them to the target area and corrects the trajectory of tool operation, and encourages them to perform other steps independently. Full assistance: The assistance recipient takes the lead in the entire grooming action, but it is desirable to include procedures in which the assistance recipient is required to perform some steps, such as rinsing the mouth or finishing with a towel.

[0239] As a result, the training assistance device 1 can appropriately divide the components of the grooming movement according to each assistance classification, and can assist in training that supports the promotion of independence in a step-by-step manner.

[0240] [Information about the repetitive assistance process] The information about the repetitive assistance process preferably includes the following procedures for improving the stability and accuracy of the actions through repetition of grooming actions. As a first step, it is desirable to include a procedure for repeating each grooming step (wiping the forehead, brushing teeth, etc.) five to thirty times. As a second step, it is desirable to include a design for gradually decreasing the level of assistance, transitioning from full assistance at the beginning, to partial assistance in the middle, and finally to supervision assistance. Furthermore, it is desirable for the information about the repetitive assistance process to include a procedure for observing the accuracy of the action, the speed and stability of the action for each step, and using this as information for determining whether assistance is needed.

[0241] As a result, the training assistance device 1 can assist in training aimed at mastering grooming movements by adjusting the assistance level during repetition and evaluating the movement accuracy.

[0242] [Feedback Process Explanation Information] The explanation information preferably includes the following recording and evaluation items as procedures for adjusting the next training content based on the results of the grooming movement. It is desirable to include procedures for observing and recording items such as the tool grip state, accuracy of reaching the target area, understanding of the movement sequence, distribution of assistance levels (independent △ times, partial assistance △ times, full assistance △ times), duration of concentration, appearance of fatigue, and presence or absence of left-right asymmetry. Furthermore, the explanation information preferably includes procedures for achieving independence in the next tool grip process, clarifying movement correction points, and updating training goals based on these observation results.

[0243] As a result, the training assistance device 1 can grasp the mastery status of each individual step in grooming movements and assist in training of a feedback step that enables optimization of training design according to the support recipient.

[0244] [Activities of Daily Living: Dressing] The following is an example of explanatory information when "dressing" is specified as an activity of daily living. Dressing involves putting on and taking off clothes, and includes changing tops or bottoms, maintaining order, and posture control.

[0245] [Intention Confirmation Process Explanation Information] The explanation information preferably includes an explanation of the procedure for the support person to confirm the support person's intention to change clothes by saying something like "Mr. / Ms. △△, shall I change my clothes?" and determining that the support person intends to change clothes if a clear reaction such as looking at the clothes, moving hands, nodding, or other reaction is confirmed. Furthermore, the explanation information preferably further includes a response procedure for the support person to observe non-verbal reactions such as bringing their hands close to the clothes or trying to put their hands on the clothes, and read signs of intention, even if a clear reaction is not obtained.

[0246] As a result, the training assistance device 1 can detect a variety of reactions regarding the expression of intention for the dressing action, and can assist in training in the initial confirmation procedure.

[0247] [Movement Guidance Process Explanation Information] The explanation information should preferably include the following step-by-step instructions as a procedure for guiding the patient through a series of movements required for changing clothes. The first step is for the assistant to give preparatory instructions for stabilizing posture, such as "Sit deep in the chair and place your feet on the floor." The second step is for the assistant to present the garment and provide contact guidance, such as "Try putting your hands through this garment" or "Try holding these pants." The third step is for the assistant to guide the patient through upper or lower limb movements, such as "Stretch out your arms and put your hands through these sleeves" or "Raise your legs and put them into your pants." Furthermore, if the movements are difficult, it is preferable to include a procedure in which the assistant guides the patient step-by-step while imitating the movements or providing physical support.

[0248] As a result, the training assistance device 1 can assist in training by gradually guiding the entire dressing movement from maintaining posture to touching clothing and manipulating the limbs.

[0249] [Information explaining the assistance determination process] The information explaining the information preferably includes an assistance classification index based on the following reactions. Supervision: A reaction in which the person is able to grasp clothing and pass through the arms and legs independently. Partial assistance: A reaction in which the person is unsteady in the action of holding or passing through clothing. Full assistance: A reaction in which the person has difficulty putting on or taking off clothing independently and requires assistance with all actions. The information explaining the information preferably also includes an explanation of the procedure for assessing the need for assistance for these reactions.

[0250] As a result, the training assistance device 1 can focus on differences in the degree of independence in changing clothes and assist in training to learn the procedure for determining the appropriate assistance classification based on the reaction.

[0251] [Execution support process explanatory information] It is desirable that the explanatory information classify and explain the execution support procedures according to the assistance classification results as follows: Watchful support: A procedure in which the supporter prepares the environment and allows the supportee to take the initiative in putting on and taking off clothes, providing correction assistance only if the supportee makes a mistake. Partial assistance: A procedure in which the supporter provides partial assistance with clothing (e.g., putting on sleeves, hemming, leading the arms), leaving the supportee to do the rest on their own. Full assistance: A procedure in which the supporter supports the series of actions of putting on and taking off clothes, but leaves other possible actions such as pulling on arms or putting on a hat to the supportee.

[0252] As a result, the training assistance device 1 can assist in the training of execution assistance according to the assistance level of the dressing movement, and can encourage the assistance recipient to learn movement assistance that makes the most of the area in which the assistance recipient can be independent.

[0253] [Repetitive Assistance Process Explanation Information] The explanation information should preferably include the following content as a procedure for training repetitive actions that naturally occur in daily life regarding dressing. For example, a procedure in which a series of actions such as "taking off a shirt," "putting on a new shirt," "taking off pants," and "putting on pants" are treated as one step unit, and can be repeated up to 5 to 30 steps twice a day (morning and evening) or as needed. Furthermore, the explanation information should preferably include a procedure for gradually reducing the level of assistance for each step of putting on or taking off clothes (e.g., independent top dressing, partial assistance for bottom dressing).

[0254] As a result, the training assistance device 1 can assist in training in a repetitive assistance process that realizes step-by-step support for independence through repeated putting on and taking off in accordance with daily activities.

[0255] [Feedback Process Explanation Information] The explanation information preferably includes an explanation of the procedure for adjusting the next assistance policy based on observations and records of the dressing movement. Recorded items preferably include whether the subject can grasp the garment, accuracy of reaching the sleeve or hem, stability of maintaining posture, left-right difference, comprehension of the procedure, and / or the number of attempts for each assistance level (e.g., putting on and taking off a shirt = independent △ times, partial assistance △ times). Furthermore, the explanation information preferably includes response procedures based on the observation results, such as removing assistance where possible (e.g., making only the sleeves independent), simplifying the procedure, or adjusting the clothing material (e.g., changing from a front-opening to a stretchy material).

[0256] As a result, the training assistance device 1 can assist in training in a feedback process that evaluates the implementation status of the dressing movement from multiple angles and enables adjustment of the next assistance design according to the characteristics and / or progress of the assistance recipient.

[0257] [Activities of Daily Living: Bathing] The following is an example of explanatory information when "bathing" is designated as an activity of daily living. Bathing includes undressing, moving around the bathroom, washing the body, and getting in and out of the bathtub.

[0258] [Intention Confirmation Process Explanation Information] The explanation information preferably includes, as a first step, a procedure in which the support person asks the support recipient, "Mr. / Ms. △△, shall we take a bath?", to confirm the support recipient's intention to take a bath. The explanation information preferably includes a procedure for determining that the support recipient has the intention to take a bath when a clear reaction is obtained, such as a change in the support recipient's facial expression, eye movement, or reaction to undressing. The explanation information also preferably includes a procedure for observing the support recipient's reaction to environmental stimuli such as temperature, humidity, and the sound of water, and for supplementary reading of signs of intention.

[0259] As a result, the training assistance device 1 can assist in training the bathing action intention confirmation procedure based on non-verbal physical reactions and / or reactions to environmental stimuli.

[0260] [Movement Guidance Process Explanation Information] The explanation information preferably includes instructions for step-by-step bathing procedures, dividing them into multiple stages. In the first stage, the assistant guides the recipient into a safe sitting position, providing instructions such as "First, let's take off your clothes," and "Sit in a chair and get ready," and then adjusts the room temperature, the position of the handrails, the placement of the mat, and other environmental settings. In the second stage, the assistant guides the recipient across the step by using the movement route or support points, providing instructions such as "Let's move forward slowly" and "Hold this handrail and step over the step." In the third stage, the assistant preferably includes instructions for each body part during bathing, such as "Let's wash your arms with this towel" and "Bow your head and I'll pour hot water over you." In the fourth stage, the assistant further guides the recipient into and out of the bathtub based on the support points and the order of movements, providing instructions such as "Sit on the edge of the bathtub, then put your feet in," and "Hold the handrail and lower yourself."

[0261] As a result, the training assistance device 1 can assist in stepwise training of gaze guidance and body movements in a series of steps included in bathing actions, such as undressing, moving, washing the body, and getting in and out of the bath.

[0262] [Information explaining the assistance decision process] The information explaining the assistance should preferably include the following assistance classification indicators based on the response of the person being supported. Supervision support: An indicator classifying the response as requiring assistance to the extent of safety checks and environmental adjustments when the person is able to undress, move into the bathtub, or wash themselves largely independently. Partial assistance: An indicator classifying the response as requiring assistance in guiding support points and body parts when instability is observed when moving over or washing. Full assistance: An indicator classifying the response as requiring full assistance for each process of undressing, moving, washing, and getting in and out of the bathtub when the person is unable to be completely independent.

[0263] As a result, the training assist device 1 can accurately evaluate the movement ability for each step and assist training in the assistance determination step for appropriately determining the required assistance level.

[0264] [Explanatory information for execution support process] The explanatory information preferably includes the following support procedures depending on the result of the assistance judgment. Watchful support: A procedure in which the supporter calls out to the support recipient and prepares the environment, and the support recipient independently carries out the bathing process. Partial assistance: A procedure in which support is provided for only some of the actions, such as stepping over, washing, or getting in and out of the bathtub. Full assistance: A procedure in which the supporter comprehensively supports the series of actions, but leaves the steps that the support recipient can perform, such as wiping or holding a towel, to the support recipient.

[0265] As a result, the training assistance device 1 can assist in training to improve the safety and independence of bathing actions through execution procedures according to various assistance stages, from supervision assistance to full assistance.

[0266] [Repetitive Support Process Explanation Information] The explanation information preferably includes a procedure for encouraging relearning of each action performed during bathing as a repetitive unit. The explanation information preferably includes a procedure for performing each body part washing action 5 to 30 times through repetition of body washing actions such as "wash the right arm," "wash the left arm," and "wash the back." Furthermore, the explanation information preferably further includes a procedure for taking breaks while observing the level of fatigue of the person being supported, with the aim of automating the order, memory retention, and execution of the actions.

[0267] As a result, the training assistance device 1 can assist in training that encourages independent movement execution and acquisition of movement patterns through repetitive movements such as washing the body while bathing.

[0268] [Feedback Process Explanation Information] The explanation information preferably includes procedures for recording and evaluating the bathing assistance and results and reflecting them in the next assistance. The explanation information preferably includes procedures for recording observation items such as movement, ability to step over steps, washing accuracy and reach rate, number of assistances and assistance details, fatigue level, smoothness of movements, and duration of concentration. Furthermore, the explanation information preferably includes procedures for canceling assistance, adjusting the assistance order, or improving environmental settings (handrail position, etc.) depending on the learning status of the person receiving assistance.

[0269] As a result, the training assistance device 1 can grasp the implementation status of bathing actions and assist in training of a feedback process that enables adjustment of training goals and assistance policies from the next training onwards.

[0270] [Activities of Daily Living: Urination] The following is an example of explanatory information when "urination" is specified as an activity of daily living. Urination includes standing up, moving, manipulating clothing, sitting on the toilet seat or maintaining a standing position, and recovering after urination.

[0271] [Intention Confirmation Process Explanation Information] The explanation information preferably includes an explanation of the procedure for the support person to ask the support recipient, such as "Mr. / Ms. △△, shall we go to the toilet?" or "Do you want to pee?" to confirm the support recipient's intention to urinate, and to determine that the support recipient has the intention to urinate if a clear reaction is confirmed, such as the support recipient's gaze, trunk movement, touching of clothing, or other movements. The explanation information preferably further includes a response procedure for observing verbal or non-verbal complaints about the urge to urinate and reading signs of the intention, even if a clear reaction is not obtained.

[0272] As a result, the training assistance device 1 can assist in training in decision-making based on observation of the content of the complaint, in addition to gaze, contact actions, and other reactions.

[0273] [Movement Guidance Step Explanation Information] The explanation information preferably includes explanations of guidance procedures corresponding to the main steps leading up to urination. As a first step, it is preferable to include a procedure in which the assistant guides the patient to stand up by saying, "First, stand up," or "Lean forward and lift your bottom." As a second step, it is preferable to include a procedure in which the assistant encourages the patient to "hold on to the handrail and go to the toilet," and guides the patient to the toilet by moving a short distance and using a support. As a third step, it is preferable to include a procedure in which the assistant encourages the patient to adjust their clothing by saying, "Let's take off your pants," or "Hold the sides of your waist and try pulling them down." Furthermore, as a fourth step, it is preferable to include a procedure in which the assistant encourages the patient to "sit down slowly like this" or "balance here," and guides the patient to sit on the toilet seat or maintain a standing position. Finally, it is preferable to include a procedure in which the assistant guides the patient to return to their clothing by saying, "Let's put your pants back on."

[0274] As a result, the training assistance device 1 can assist in training a procedure that guides a series of actions related to urination in an orderly and step-by-step manner.

[0275] [Information explaining the assistance determination process] The information preferably includes an assistance classification index based on the following responses: An index for classifying a patient as needing supervision support when the patient can stand up and handle clothing stably; an index for classifying a patient as needing partial assistance when the patient is unstable when standing up or handling clothing; and an index for classifying a patient as needing full assistance when the patient has difficulty remaining independent in all urination-related processes.

[0276] As a result, the training assistance device 1 can assist in judgment training for selecting an appropriate assistance level based on an evaluation of the basic movement abilities that constitute the urination movement.

[0277] [Execution support process explanation information] The explanation information preferably includes an explanation of the execution support procedure according to the reaction classification results. Monitoring support: A procedure in which the supporter only calls out to the supporter and prepares the environment, and the supportee independently performs the processes before and after urination. Partial assistance: A procedure in which the supporter provides assistance with some of the following: handling clothes, maintaining a standing position, or moving to the toilet, and supports the supportee's independent actions. Full assistance: A procedure to intentionally promote independence in which the supporter performs a series of steps related to urination, but leaves some actions (e.g., pulling up clothes) to the supportee.

[0278] As a result, the training assistance device 1 can adjust the assistance level in response to the assistance judgment, and can assist in training the execution procedure for gradually providing independence assistance related to urination.

[0279] [Repetitive Assistance Process Explanation Information] The explanation information should preferably include a repetitive procedure for basic actions such as standing up, moving, and handling clothes, with the preparatory actions leading up to urination as the training target. For example, the procedure should include a set of standing up (standing from a chair), moving a short distance to the toilet (walking and changing direction), and pulling down or pulling up pants or underwear, with each set being repeated 5 to 30 times. Furthermore, it should preferably include a training design that gradually reduces the level of assistance during the repetitive implementation, from full assistance to partial assistance and then supervision assistance.

[0280] As a result, the training assistance device 1 can encourage the acquisition of basic movements prior to urination, and can assist in repetitive training aimed at gradually realizing support for independence.

[0281] [Feedback Process Explanation Information] The explanation information preferably includes an explanation of the procedure for observing and recording the results of basic urination-related movements and reflecting them in the next training plan. For example, it is desirable to include procedures for recording the stability of standing-up movements (speed, left-right asymmetry, need for support), the dexterity and accuracy of clothing manipulation, the presence and stability of movement before urination, and the proportion of support for each step (e.g., standing up = partial assistance 3 times, independent clothing 2 times). Furthermore, it is desirable to include procedures for reviewing the movements to be repeated (e.g., switching from clothing manipulation to movement to the toilet), reducing the amount of support and verbal prompts, and adjusting support for each time period or designing the timing of toilet guidance based on the recorded content.

[0282] As a result, the training assistance device 1 can grasp the support recipient's tendency to perform basic movements leading up to urination, and can assist in training in a feedback process that enables updating of the training design according to the level of independence.

[0283] [Activities of Daily Living: Defecation] The following is an example of explanatory information when "defecation" is specified as an activity of daily living. Defecation includes standing up, moving, handling clothes, sitting on the toilet seat, wiping after defecation, and putting clothes back on.

[0284] [Intention Confirmation Process Explanation Information] The explanation information preferably includes an explanation of the procedure in which the support person asks the support recipient, such as "Mr. / Ms. △△, do you want to poop?" or "How is your stomach feeling?", to confirm their intention to defecate, and if a clear reaction such as a change in facial expression, hand movements to the abdomen, or forward leaning of the trunk is confirmed, it is determined that the support recipient has the intention to defecate. Furthermore, the explanation information preferably further includes a response procedure in which the support person encourages defecation based on the rhythm of daily life (e.g., after meals) even if the reaction is unclear.

[0285] As a result, the training assistance device 1 can assist in training the procedure of grasping the intention to defecate through physical reactions and daily rhythms.

[0286] [Movement Guidance Process Explanation Information] The explanation information preferably includes the following step-by-step guidance procedures for the series of movements required for defecation. As a first step, it is preferable to include instructions for encouraging the user to move to a standing position and using a handrail to lift the user's bottom. As a second step, it is preferable to include instructions for encouraging the user to move to the toilet and using a wall or handrail to change direction. As a third step, it is preferable to include instructions for encouraging the user to put on and take off clothes and instructions for supporting the user's lower back to put on clothes. As a fourth step, it is preferable to include instructions for encouraging the user to sit on the toilet seat or lean forward. As a fifth step, it is preferable to further include instructions for encouraging the user to wipe themselves after defecation and return their clothes to their original position.

[0287] As a result, the training assistance device 1 can assist in training by systematically guiding the manipulation of each body part required for defecation.

[0288] [Information explaining the assistance judgment process] The information preferably includes an index for classifying assistance based on the following reactions: An index for classifying a patient as requiring supervision when they are able to move, handle their clothes, and maintain a sitting position stably; an index for classifying a patient as requiring partial assistance when they are unstable when handling their clothes or maintaining a sitting position; an index for classifying a patient as requiring full assistance when it is difficult for them to carry out a series of tasks on their own, from preparing to defecate to cleaning up afterwards.

[0289] As a result, the training assistance device 1 can assist training in the assistance determination process using an assistance classification index based on the degree of physical stability in each process before and after defecation.

[0290] [Explanatory information for execution support process] The explanatory information preferably includes procedures for each of the following assistance categories as support procedures based on assistance judgment. Watchful support: A procedure in which the support recipient takes the lead in carrying out a series of actions before and after defecation, with the supporter providing minimal assistance to ensure safety. Partial assistance: A procedure in which support is provided for some of the actions of handling clothing, maintaining a sitting position, or wiping, to encourage independent movements. Full assistance: A procedure in which the supporter takes the lead in carrying out a series of steps from preparing to defecate to cleaning up afterwards, while encouraging the support recipient to take charge of some of the steps, such as wiping or restoring clothing.

[0291] As a result, the training assistance device 1 can classify the content of the assistance actions related to defecation and assist in the training of assistance according to each stage.

[0292] [Repetitive Assistance Process Explanation Information] The explanation information preferably includes procedures for repeating the preparatory actions leading to defecation, rather than defecation itself, which is a physiological action. The first step is a procedure for repeating the action of standing up from a chair or toilet seat. The second step is a procedure for moving a short distance to the toilet and changing direction. The third step is a procedure for repeating dexterous actions such as putting down or pulling up clothes. Furthermore, it is desirable to include procedures for mastering each action by gradually decreasing the level of assistance from full assistance to partial assistance and supervision.

[0293] As a result, the training assistance device 1 can encourage repeated practice of the basic actions that precede defecation, and can assist in relearning of actions aimed at supporting independence.

[0294] [Feedback Process Explanation Information] The explanation information should preferably include procedures for recording and evaluating the results of training on the series of preparatory actions required for defecation and reflecting them in the next support policy. The procedures should preferably include recording the content and number of support steps for each step, the percentage of independent actions, safety (e.g., falls, fatigue, time delays), and / or the maintenance of concentration. Furthermore, it should preferably further include procedures for identifying candidates for support termination, reviewing environmental factors (e.g., adjusting handrails or toilet seat height), and targeting repetition of actions where there was failure or hesitation.

[0295] As a result, the training assistance device 1 can grasp the level of proficiency in the actions preceding defecation, and can assist in training in a feedback process that enables the next training session to be redesigned to be optimized for the support recipient.

[0296] [Activities of Daily Living: Transfer] The following is an example of explanatory information when "Transfer" is specified as an activity of daily living. Transfer includes the movement from a bed to a chair or vice versa, and is composed of the elements of getting up, maintaining a sitting position, standing up, changing direction, and sitting down.

[0297] [Intention Confirmation Process Explanation Information] The explanation information preferably includes an explanation of the procedure in which the support person asks the support recipient, such as "Mr. / Ms. △△, shall we move from the bed to a chair?", and confirms the support recipient's intention to transfer by observing the support recipient's eye movement, forward trunk lean, arm movement, etc. The explanation information preferably further includes a response procedure that makes it easier to elicit a non-verbal response by presenting a specific destination, such as "I'll sit in △△."

[0298] As a result, the training assistance device 1 can assist in training to determine the intention to transfer by non-verbal signs and environmental presentation.

[0299] [Movement Guidance Process Explanation Information] The explanation information should preferably include a procedure for step-by-step guidance of transfer movements in an order that allows them to be reproduced. The first step is for the assistant to encourage the patient to sit up by saying things like, "Turn your body to the side," "Put your elbows on the floor, put your hands on the floor," etc. The second step is for the assistant to guide the patient into a sitting position by saying things like, "Put your feet on the floor," and "Keep your back straight." The third step is for the assistant to encourage the patient to stand up by leaning their center of gravity forward by saying things like, "Lean forward, I'm going to stand up." The fourth step is for the assistant to guide the patient to turn and change direction by saying things like, "Turn around slowly," and "Face the chair." It is also preferable that the fifth step further includes a procedure for guiding the patient to sit down by saying things like, "Sit down slowly on the chair," and "Hold on to the handrail firmly." In addition, it is also preferable to include a procedure for using balance assistance to maintain a standing position or while transferring, if necessary.

[0300] As a result, the training assistance device 1 can assist in training in step-by-step guidance procedures that correspond to the entire transfer movement, from standing up, changing direction, and sitting down.

[0301] [Information explaining the assistance determination process] The information preferably includes the following classification indicators: an indicator for classifying as "watchful assistance" if the patient is able to stand up, turn around, and sit down independently; an indicator for classifying as "partial assistance required" if the patient is unstable in turning or sitting down; and an indicator for classifying as "full assistance required" if the patient has difficulty performing the entire process from standing up to turning around and sitting down.

[0302] As a result, the training assistance device 1 can assist in training to appropriately classify the need for assistance based on the breakdown of the transfer movement and the stability evaluation.

[0303] [Explanatory information for execution support process] The explanatory information preferably includes the following assistance procedures according to the classified level of support. Monitoring support: A procedure in which the support recipient is responsible for all movements from the bed to the chair, with the supporter only checking for safety and calling out to the support recipient. Partial assistance: A procedure in which the supporter lightly supports the pelvis when standing up, holds the shoulders when changing direction, and helps maintain balance when sitting down. Full assistance: The supporter takes the lead from standing up to changing direction and sitting down, but it is preferable to further include a procedure in which the support recipient is responsible for some of the movements of maintaining a sitting position or changing direction.

[0304] This allows the training assistance device 1 to assist in training of the execution procedure that reflects the assistance stage according to the assistance decision.

[0305] [Repetitive Assistance Process Explanation Information] The explanatory information should preferably include a training configuration in which the transfer action from bed to chair itself is used as a repetitive unit. One set of the training is defined as "bed → standing → change of direction → sitting → standing again → returning to bed," and the number of repetitions is preferably set at 5 to 30 times, with the procedure adjusted depending on the patient's condition. Furthermore, the explanatory information should preferably include an assistance design that gradually transitions the assistance level from full assistance at the beginning, partial assistance in the middle, and supervision assistance at the end, encouraging independence and movement learning.

[0306] As a result, the training assistance device 1 can assist in training that promotes physical coordination and relearning of movement sequences through the gradual repetition of transfer movements.

[0307] [Feedback Process Explanation Information] The explanation information should include procedures for observing and recording the results of the transfer movements, including the time required for standing up, turning, and sitting down, the accuracy of the movements, the amount of assistance, and the stability of the movement sequence. Furthermore, the explanation information should record the timing of the onset of fatigue or loss of concentration, the number of times for each level of assistance (e.g., 5 times of full assistance, 10 times of partial assistance, 5 times of supervision), and other information, and should further include procedures for clarifying movements that are candidates for cancellation, adjusting the environment (e.g., placement of chairs or handrails), redesigning the number of repetitions, and / or redesigning the number of steps as improvement guidelines for the next training session.

[0308] As a result, the training assistance device 1 can grasp the implementation tendency of the assistance recipient in the transfer motion and the transition of the assistance stage, and can assist in training in the feedback process to refine the training plan.

[0309] [Effect of output step] The training assistance device 1 outputs explanatory information for each step of each activity of daily living, configured as in the above example, in each output step from step S6 to step S11. This allows the training assistance device 1 to perform appropriate care actions based on the confirmation results of the support recipient's will and remaining ability, and more appropriately assist training in the independence support-type activity of daily living assistance method, which supports the support recipient's independence in independence support.

[0310] In particular, the training support device 1 executes an output step that outputs specific key points as described above for each of the essential steps of the movement guidance step, assistance decision step, and execution support step. Therefore, the training support device 1 can train the supporter to execute assistance procedures that confirm the support recipient's intentions, provide stimuli that elicit responses according to daily living activities, classify the responses based on indicators, and perform appropriate assistance actions according to the classification results. This prevents the training support device 1 from performing inappropriate care actions, such as full assistance, without fully confirming the support recipient's intentions or remaining abilities.

[0311] <Note> It should be noted that within the scope of the concept of the present invention, a person skilled in the art may conceive of various modifications and alterations, and it is understood that these modifications and alterations also fall within the scope of the present invention. For example, even if a person skilled in the art appropriately adds or deletes components or modifies the design of the above-described embodiment, or adds or modifies steps or conditions, these modifications are also included within the scope of the present invention as long as they include the gist of the present invention. [Explanation of symbols]

[0312] S System 1 Training aids 11 Control section 111 Designation Acquisition Department 112 Output section 113 Answer acquisition part 114 Scoring Department 13 Storage section 14 Communications Department 15 Display section 16 Input section 2 Server N Network

Claims

1. A designation acquisition unit that acquires designation information related to activities of daily living; an output unit that outputs explanatory information that explains an assistance procedure according to the activity of daily living related to the specified information; Equipped with the assistance procedure includes an intention confirmation step, a motion guidance step, an assistance determination step, an execution support step, and a repetition support step; The output unit an intention confirmation step output step having a procedure of observing the support recipient's reaction and confirming the support recipient's intention to perform the activities of daily living; a movement induction step output step for outputting movement induction step explanation information having a procedure in which a support person presents movement induction stimuli that elicit one or more reactions corresponding to the movement of daily living from the support recipient; an assistance determination process output step for outputting assistance determination process explanatory information having an index for classifying the response according to the movement-inducing stimulus for the assistance determination process; an execution support step outputting, with respect to the execution support step, assistance action instruction information having procedures for assistance actions according to the classification result of the reactions related to the activities of daily living; a repetitive assistance process output step having a procedure for repeatedly performing the assistance action within a range of a given upper limit number of times for the repetitive assistance process; At a minimum, A training aid device for independent support of daily living activities.

2. The assistance procedure further includes a feedback step, 2. The training assistance device according to claim 1, wherein the output unit further executes a feedback process output step having a procedure of recording observed reactions and implementation status regarding the assistance of the activities of daily living in the feedback process and reflecting the results in subsequent assistance content.

3. 2. The training assistance device according to claim 1, wherein the output unit is configured to output, in the assistance determination process output step, assistance determination process explanation information having an index for classifying the reaction based on responsiveness, attention maintenance, coordination of body movements, or presence or absence of gaze following.

4. The training assistance device according to claim 1, wherein the specification acquisition unit is configured to acquire specification information relating to any one of turning over, getting up and down, maintaining a sitting position, standing up and sitting down, walking, eating, grooming, changing clothes, bathing, urination, defecation, and transferring.

5. A designation acquisition step of acquiring designation information related to activities of daily living; an output step of outputting explanation information that explains an assistance procedure according to the activity of daily living related to the specified information; the assistance procedure includes an intention confirmation step, a motion guidance step, an assistance determination step, an execution support step, and a repetition support step; The output step includes: an intention confirmation step output step having a procedure of observing the support recipient's reaction and confirming the support recipient's intention to perform the activities of daily living; a movement induction step output step for outputting movement induction step explanation information having a procedure in which a support person presents movement induction stimuli that elicit one or more reactions corresponding to the movement of daily living from the support recipient; an assistance determination process output step for outputting assistance determination process explanatory information having an index for classifying the response according to the movement-inducing stimulus for the assistance determination process; an execution support step outputting, with respect to the execution support step, assistance action instruction information having procedures for assistance actions according to the classification result of the reactions related to the activities of daily living; a repetitive assistance process output step having a procedure for repeatedly performing the assistance action within a range of a given upper limit number of times for the repetitive assistance process; having program.

6. A designation acquisition step of acquiring designation information related to activities of daily living; an output step of outputting explanation information that explains an assistance procedure according to the activity of daily living related to the specified information; the assistance procedure includes an intention confirmation step, a motion guidance step, an assistance determination step, an execution support step, and a repetition support step; The output step includes: an intention confirmation step output step having a procedure of observing the support recipient's reaction and confirming the support recipient's intention to perform the activities of daily living; a movement induction step output step for outputting movement induction step explanation information having a procedure in which a support person presents movement induction stimuli that elicit one or more reactions corresponding to the movement of daily living from the support recipient; an assistance determination process output step for outputting assistance determination process explanatory information having an index for classifying the response according to the movement-inducing stimulus for the assistance determination process; an execution support step outputting, with respect to the execution support step, assistance action instruction information having procedures for assistance actions according to the classification result of the reactions related to the activities of daily living; a repetitive assistance process output step having a procedure for repeatedly performing the assistance action within a range of a given upper limit number of times for the repetitive assistance process; having Training assistance methods for independent support of activities of daily living.

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