A behavioral change system and method using life logs

Abstract

Utilizing gamification theory, we provide a highly versatile operational system for behavioral change that supports the improvement of lifestyle-related diseases and health and safety management for various occupations, including professional drivers. [Solution] The present invention is a system for behavioral change using a subject's life log, comprising the steps of: sending data concerning the subject, who has set specific behavioral goals he / she desires regarding his / her health status or safety, to the system's operating headquarters via one or more media; scoring and recording the subject's behavior at the headquarters based on the data; providing feedback to the subject from the headquarters to the subject in the form of a report including the total score recorded for a certain period based on the scoring; and sending a cheer email from the headquarters to the subject regarding the next behavioral goal set by the subject based on the report.

Description

Technical Field

[0001] The present invention relates to a behavior modification system using life log or peer support. Specifically, by two approaches of individual and group, it utilizes the Gamification Theory (GMT) and relates to an operation system for highly versatile behavior modification to support the improvement of lifestyle diseases and the health management and safety management of various occupations including professional drivers.

Background Art

[0002] To improve lifestyle diseases such as diabetes, hypertension, and hypercholesterolemia, it is necessary to review daily lifestyle habits (diet, exercise, sleep, etc.) and change them to healthier behaviors (behavior modification). Improving lifestyle habits is a useful means that can lead to long-term health maintenance and prevention of frailty and dementia if continued because it is less costly and has no side effects compared to drug therapy.

[0003] However, the current medical education does not sufficiently incorporate elements of behavioral science and behavioral psychology, and explanation and consent from patients are required for doctors to provide appropriate guidance. Moreover, individual program creation, monitoring, and directive feedback are required to maintain motivation, but it is difficult to incorporate and record this in daily medical practice. Therefore, it is not yet fully popular in actual medical fields.

[0004] In addition, occupations such as bus, taxi, train drivers, and truck drivers play an important role in safely transporting many people and goods. However, in these occupations, if the health condition of the driver deteriorates, it may lead to serious accidents and endanger not only the driver himself but also the lives of many people.

[0005] Currently, to ensure safe operation, alcohol checks and blood pressure measurements are mandatory, and tests for sleep apnea syndrome (SAS) and stroke checks using MRI are also conducted. However, visualization of health conditions, sleep and stress levels, and temperature checks immediately before driving are not performed, and the current situation relies on self-reporting.

[0006] While older drivers face an increased risk of cerebrovascular and cardiovascular diseases due to the progression of lifestyle-related illnesses, their accumulated driving experience often leads them to self-assess their condition as "not a problem," resulting in an increase in unsafe behavior. Furthermore, younger dispatch managers, influenced by authority hierarchies, may find it difficult to point out the self-reported health problems of veteran drivers, and may allow them to continue driving duties. As a result, there have been cases of accidents caused by health problems.

[0007] In the event of an accident, if there are no problems with the vehicle, the driver is often held responsible, as it is assumed that their health management was inadequate. In particular, drivers who do not regularly visit a doctor (including those who do not seek medical attention despite needing it) have no choice but to self-report their health condition immediately before the accident. Since there are no quantified records, they have no way to prove their health management or sleep habits. As a result, if a lawsuit arises in connection with an accident, they are almost always found guilty, and if the driver dies, the consequences can extend to their family. Thus, there are challenges in health management in certain occupations.

[0008] As an industrial physician working for a bus company and conducting interviews with trucking companies and other organizations, the following issues became clear regarding the actual situation and problems on the ground. Firstly, there is the problem of safety inspections becoming meaningless, as some drivers deviate from their safety management obligations by having others take tests such as sleep apnea syndrome (SAS) tests on their behalf because they would incur driving suspension penalties or the time and cost of medical treatment. Secondly, there is a problem of inadequate evaluation and incentives, such as the lack of a system for praising and rewarding drivers who diligently manage their health and strive for safe operation. Thirdly, in group safety meetings, older drivers with more driving experience tend to take the lead, resulting in a problem of suppression of safety recommendations due to an authority gradient. This means that suggestions from younger drivers, who may have less driving experience but have made safe behaviors a habit and reduced health and stress risks, are less likely to be adopted.

[0009] To address these challenges, it is necessary to implement visualization and real-time monitoring of health conditions, sleep, and stress levels before driving.

[0010] Furthermore, in the medical field, a treatment support system using gamification technology has been proposed to improve patient compliance among patients using treatment devices, particularly CPAP machines (Patent Document 1). However, there has been no technology that utilizes such gamification technology to improve lifestyle-related diseases or to promote health management and safety management for various occupations, including professional drivers. [Prior art documents] [Patent Documents]

[0011] [Patent Document 1] Special Publication No. 2016-537112 [Overview of the project] [Problems that the invention aims to solve]

[0012] The present invention aims to provide a highly versatile operational system for behavioral change that utilizes gamification theory (GMT) to support the improvement of lifestyle-related diseases and the health and safety management of various occupations, including professional drivers. [Means for solving the problem]

[0013] As a result of diligent research to solve the aforementioned problems, the inventors have found that an operational system primarily consisting of the following components can achieve the aforementioned objectives as an operational model for promoting behavioral changes for the prevention of safety, lifestyle-related diseases, etc., or for maintaining health: (1) motivation is increased through an incentive system rather than a penalty system, so that the more the participant does it, the more beneficial it is to the participant; (2) it can be maintained over a long period of time based on gamification theory; and (3) evaluation is conducted by people in the same team or workplace as anonymous peer support to address privacy concerns.

[0014] This invention is based on the aforementioned findings and achieves its objective by providing the following invention.

[0015] 1. A system for behavioral change that utilizes the life logs of the target individuals, The steps include sending data concerning the subject, who has set specific behavioral goals regarding their health or safety, to the system's operations headquarters via one or more media, Based on the aforementioned data, the headquarters scores and records the actions of the subject, A report containing the total score for a certain period recorded by the scoring process is fed back to the subject from the headquarters, A behavioral change system, including the step of sending a cheer email from headquarters to the subject regarding the following behavioral goals set by the subject based on the report.

[0016] 2. The behavioral change system according to claim 1, further comprising the step of creating a diary and chart for a certain period based on the scoring record.

[0017] 3. A system for behavioral change that utilizes the life logs of the target individuals and peer support from a group, In an anonymous group consisting of multiple participants, data regarding the subject who has set specific behavioral goals desired for health status or safety is sent to the operation headquarters of the system by one or more media. Based on the data, the behavior of the subject is scored and recorded at the headquarters and shared within the group as the total score over a certain period. Based on the evaluation results obtained by the participants within the group praising and evaluating each other for the total score, the subject obtains a predetermined number of points. An action modification system including these steps.

[0018] 4. A system for behavior modification using peer support by a group including a subject, In an anonymous group consisting of multiple participants, works consisting of events that the subject wants to appeal to or alert the participants regarding the subject's health status or safety are sent to the operation headquarters of the system by one or more media. On an application or website opened within the group operated by the headquarters, the works are presented or published anonymously. On the application or website, anonymous participants evaluate the anonymously presented works. An action modification system including these steps.

[0019] 5. The behavior modification system according to item 4 above, further including the step of diverting the evaluation of the work to the lifestyle diary of the subject based on the analysis and aggregation of the evaluation results.

[0020] 6. The behavior modification system according to any one of items 1 to 5 above, where the media includes paper media, email, facsimile, an application for sending photos, an application capable of real-time transmission and reception, and a cloud-type application that can use multiple functions integrally.

[0021] 7. An action modification system according to any one of claims 1, 3, or 4, which is used for health management, wherein the subject is a medical patient or a person who prevents lifestyle-related diseases, and the operation headquarters is a medical or nursing care worker or a safety and health management institution, care station, medical or nursing care institution.

[0022] 8. An action modification system according to any one of claims 1, 3, or 4, which is used for traffic safety management, wherein the subject is a professional driver, and the operation headquarters is a traffic operation manager or a traffic operation management institution.

[0023] That is, the main features of the present invention are as follows. (1) Using two approaches, namely, individual and group, to habituate Using two methods, namely, behavioral science (individual) and peer support (group, group dynamics). The individual approach uses the behavioral science theory of dividing behavioral goals and setting small goals that can be quantified, and the gamification theory (GMT) for continuity. To maintain goal achievement in a group, a small group of five people with a high effect of peer support is set, and each of the other group participants praises and evaluates the participants other than themselves to lead to the continuation of the target behavior.

[0024] Here, the gamification theory (GMT) means applying game elements based on game development experience to things other than games, such as business and school lessons. It quantifies actions, incorporates incentives and competitive elements, and serves as a framework for maintaining motivation and enhancing continuity. Furthermore, it can be equipped with customizable level design and level-up functions. Regarding the group function, it has a mechanism in which participants can join the group anonymously, praise each other, and obtain points. Furthermore, the application of GMT theory in this invention is diverse and useful not only for various occupations and safety management but also differs from the aforementioned prior art in the following two points: (1) The roles that the group expects from other participants are different. In the prior art, the main role is that of a competitor to a goal, but in this system, participants present the behavioral results or ideas they want to be evaluated by other participants or managers of their choice, and compete to see how much positive evaluation they can receive in terms of whether the behavioral results are useful and impactful. (2) Goal setting can be changed according to the situation (life log function), and the content of the competition is chosen by the participant themselves (peer support function). Unlike the prior art, the participant has the right to decide whether to participate or continue, and it is designed so that they are free to stop at any time without suffering any disadvantage.

[0025] (2) Multipurpose It can be used not only for medical purposes, but also for maintaining positive behaviors within oneself, such as continuing safety-enhancing actions for safety purposes like driving. For example, if weight loss requires maintaining positive behaviors that combine multiple factors such as sleep, exercise, and diet, then these can be combined across these factors.

[0026] (3) Multi-method Since the same method can be used even without a smartphone or application (hereinafter simply referred to as "app"), there are no restrictions based on equipment or age, and it can be applied to comparisons between facilities and fields, as well as facility evaluations. Furthermore, since it does not use questionnaires, there is almost no need for localization. To take an extreme example, it can even be adapted for young children by using illustrations.

[0027] (4) Multifaceted evaluation A problem with psychological methods and cognitive behavioral therapy for habit formation is that their effectiveness depends on the advice given and the skills of the instructor (for example, nutritional guidance by a registered dietitian). However, with the method of the present invention, the individual autonomously sets small goals to reach their ultimate goal, and since the goal is quantifiable, the progress is visualized. Furthermore, the skills of the instructors within the group can be measured, allowing for confirmation of the instructor's suitability within the group, which is effective for appropriate placement and career advancement of instructors.

[0028] (5)Multi-purpose use • As a safety report As one example, let's consider its use not in the medical field, but in the field of professional drivers. The content will differ depending on whether the headquarters is a public third-party organization or the organization to which the member belongs. However, assuming that the headquarters is a public organization, such as the Professional Drivers' Safe Driving Association, if the lifestyle records can be composed of unbiased data that cannot be tampered with (such as sleep before driving, blood pressure, and stress levels), it will be possible to record and evaluate not only the safe driving behavior of the person in question but also how much attention they pay to health issues on a normal basis. This will not only improve drivers' safe driving habits but also enhance their health literacy.

[0029] If the headquarters were a bus company, fewer drivers might participate due to the impact on their employment relationships. However, it is conceivable that incentives could be used for drivers who participate and consistently maintain safe driving habits, such as subsidizing medical expenses for treatments like CPAP if they are receiving such treatment, or subsidizing the purchase of smartwatches or blood pressure monitors for healthy drivers. Furthermore, with the driver's consent, the results could be shared with their medical institutions, and if the submitted content is focused on safety-related points, it could be used for maintenance tips, areas to be careful of while driving, and near-miss reports. This could be used not only for daily logs and public awareness campaigns for safe driving management, but also for safe driving group championships during traffic safety week.

[0030] • Lifestyle diary = biography I can pass on to future generations how I have lived with my illness for over a year.

[0031] If you submit your work and obtain permission from the group participants, you can compile highly-rated recipes and restaurant recommendations within the group and publish them in the facility's newsletter or other publications, such as a collection of recommended recipes or introductions to favorite restaurants.

[0032] (6) Multi-division By modularizing the system, it becomes highly versatile, reducing errors caused by transcription by eliminating duplicate entries and automating processes as much as possible. Furthermore, new technologies can be used to streamline the process wherever possible. The modular design also provides expandability, allowing for improvements and cost reductions to measurement devices, and maintaining system operation even with device changes.

[0033] The present invention possesses the functions described in (1) to (6) above, and in particular, is adaptable to diverse operating methods. Specifically, it can be used with non-electronic media such as paper, and can be used even in situations where a digital environment is not available. Furthermore, it is possible to collect data written on paper or photographs in one place using an app for sending photos, etc. Clients upload data anonymously. In this case, the decision of whether or not to upload the data is made by the individual concerned.

[0034] As a condition for participants to provide data, for example, if the participant is a driver, they might not report to the operations officer during pre-shift roll call if both their stress score and sleep score on a wearable device are "poor" in relation to traffic safety while driving a train or bus. However, the inventor confirmed through interviews that the display of "poor" scores before driving served as a warning to the driver, and when a near-miss occurred during driving, the data was uploaded to the anonymous group as an example of missing a traffic signal, leading to improved safety management within the group. Rather than simply directly rewarding those with good stress and sleep scores on their wearable devices, the group members will evaluate how much the participant contributed to the group's safety behavior in the case of the warning incident. Here, the condition is that points are awarded for praise and positive evaluations, and no criticism or slander is allowed.

[0035] For those who receive the award, there are incentives such as being able to change the color of their watch band to show their high level of safety awareness, or receiving discount coupons, if they achieve a certain score.

[0036] Traditionally, pre-driving health checks mainly consisted of alcohol checks and blood pressure measurements before work. However, blood pressure measurement alone cannot prevent sudden death due to arrhythmias, and temporary checks during roll call make it difficult to predict sudden changes in health. While pre-driving sleep status was previously self-reported, this invention requires sleep status to be entered into a life log, leading to safer operational management. It can provide input methods that are suitable for each individual's lifestyle and occupation.

[0037] Minimize reliance on AI and reduce workload. Minimize AI-driven responses to prevent stagnation. Reduce the burden of third-party evaluations and manual data entry to ensure smooth operation without disrupting business processes. This system aims to streamline health and safety management for professional drivers and other occupations, and to support the formation of sustainable habits that can be maintained in the long term.

[0038] One of the features of this invention is its incentive system, which, instead of punishing those who do not act, motivates participants by rewarding them with money, goods, etc., when they do act. In other words, the more they act, the more beneficial it is for them. This employs what is known as gamification theory, a function that allows users to become engrossed in games and maintain their behavior for extended periods.

[0039] Another feature of this invention is its anonymous, pure support, which addresses privacy concerns. This involves mutual evaluation by individuals within the same team or professional field as the subject.

[0040] In this invention, the life log app "Fujisan 7," which records vital data and blood glucose levels of the subject on a device such as a smartphone, can be used as a digital log.

[0041] In a group consisting of multiple subjects, each subject's personal data is sent to a comprehensive exhibition site via a medium. Information such as photographs approved by one client is displayed and published on the bulletin board of the comprehensive exhibition site, and other subjects in the group can view it. Each subject participates in the group anonymously and praises each other.

[0042] By quantifying each client's behavior and incorporating incentives or competitive elements, motivation can be maintained. Clients can submit and upload data only when the numerical data is favorable.

[0043] If the medium is paper, the data regarding the subject may be sent to headquarters by collection by the subject's family, visiting nurse, or caregiver, or by fax.

[0044] Next, we will describe a specific method for operating the behavioral change system according to the present invention. One embodiment of the present invention is an operational model for behavioral change aimed at preventing lifestyle-related diseases and maintaining health.

[0045] 1) Instead of penalties, motivate participants through incentives, such as money or goods, so that the more they do, the more they benefit. 2) It can be sustained over a long period of time based on gamification theory. 3) Peer support should be anonymous due to privacy concerns and evaluated together with people in the same team or professional field.

[0046] It is possible to use a smartphone, take and send photos, or use paper documents. Self-control is also possible. Individuals can manage their own health and take safety precautions. Immediate feedback is most effective. It allows you to visualize your own story.

[0047] By copying and sending weekly data on paper, such as meal data, exercise data, step count data, and weight change data, this can also be applied to the behavioral change system of the present invention. With the consent of the elderly person and their family, a caregiver can take and send photos. This also serves as a way to check on their well-being.

[0048] In this invention, data is collected as described above, trained on machine learning, and compiled into a database. Once a sufficient amount of data has been collected (for example, if there are roughly three age distribution categories, four personality categories, and gender categories, there are about 240 examples, with 10 examples for each category), the system uses training data (database) that closely matches each condition to automate the creation of compliments in a chatbot format and provide responses.

[0049] The data from the self-assessment by the subjects will be used as is, since it is on a 5-point scale. This will allow for significant labor savings and ensure fair responses that are not influenced by the evaluator's skills or level.

[0050] Similarly, regarding data entry, since voice recognition technology is currently well-developed, it will be possible to use this to have users speak to us like on a phone (called voice chat), classify the content, and reduce the effort required for data entry. [Effects of the Invention]

[0051] According to the present invention, it is possible to provide a highly versatile operational system for behavioral change that utilizes gamification theory through two approaches, individual and group, to support the improvement of lifestyle-related diseases and health and safety management for various occupations, including professional drivers. [Brief explanation of the drawing]

[0052] [Figure 1] This is an explanatory diagram showing the main components of a behavioral change system according to one embodiment of the present invention. [Figure 2] This is an explanatory diagram showing an example of a diary created in Example 3. [Figure 3] This is an explanatory diagram showing an example of a weekly chart created in Example 3. [Figure 4] This is a schematic diagram illustrating the system's steps in the personal page (life log) in Example 3. [Figure 5] This is a schematic diagram illustrating the system's steps in the shared page (peer support) in Example 3. [Modes for carrying out the invention]

[0053] The present invention will be described in detail below based on its preferred embodiments. As shown in Figure 1, the behavior change system according to one embodiment of the present invention is a system for behavior change that utilizes the life log (a record of daily life, activities, and behaviors as digital data) of client A, who is the target of behavior change, and peer support within the group.

[0054] Step 1 involves sending data about the health or safety of client A, who, along with other clients B, C, and D, has set a major goal (a goal to be achieved in one month) and associated smaller goals (a goal to be achieved in one week) within an anonymous group, to the system operations headquarters via media such as paper (N1), a photo-transmitting application (N2), or the Notion® app (N3). Step 2 involves the headquarters scoring and recording A's daily activities based on the data sent by A, and sharing this information as a weekly calendar. Step 3 involves classifying the total score recorded through scoring into multiple categories, and then classifying the daily progress (color-coding, etc.) on a monthly calendar, allowing clients A-D participating in the group and headquarters to confirm the increase or decrease in good habits. Step 4 includes a step in which A earns points based on evaluation results obtained through mutual praise and evaluation among participants within the group.

[0055] In Step 1, the data from A sent to headquarters is displayed on the main exhibition site (homepage), including photos. Then, in Step 2, feedback is provided regarding the shared weekly calendar.

[0056] Furthermore, in Step 3, the total score categories and daily classifications on the monthly calendar are reviewed by A-D and the headquarters. In Step 4, A earns points based on the evaluation results obtained from the praise and evaluation among participants. At this time, A receives feedback from the headquarters via fax (N1), email (N2), real-time (N3), etc., regarding the evaluation results, points, and acquired items (awards, prizes, etc.). In addition, the feedback received from the headquarters may be used by A as hospital data and safe driving data.

[0057] Other embodiments (A-E, behavioral change systems combining groups and individuals) This is a group of five individuals, consisting of the following A, B, C, D, and E (patients / users). A: If using paper (for people who don't have a smartphone) B: If you send only photos via the app and leave the data entry to the secretariat (for people who find the app too complicated to use, or who have a third party help them send the photos) C: People who can use the app D: Choose one of the ABC patterns E: Any of the ABC patterns

[0058] Form groups of five, labeled A through E, and praise each other's strengths (peer support). Regardless of how it's used, users can create and keep a record of their own actions, and this record is also kept by the secretariat (medical institutions or third-party evaluation organizations). Users can also rate (like) other members and see how highly they are being evaluated by others. Ultimately, this system leaves a record of the process of their own behavioral change since starting to use it.

[0059] Example 1 (Target audience: Ms. A, elderly people who do not own a smartphone, etc.) (1) Daily lifestyle Person A fills in their impressions, evaluation (on a 5-point scale), and goals for the following week (interview results) on the weekly record sheet shown in Figure 3, referring to the record sheet and the total score, and sends this to the system's operations headquarters. This process can also be substituted by collecting the completed record sheets from family members, visiting nurses, or caregivers, or by faxing them.

[0060] (2) Submit your work (such as a meal recipe, a restaurant, something you want to promote related to health, or a numerical score for an app), along with your thoughts on the work and submission (what you put effort into, and your level of attachment on a 5-point scale) to headquarters at appropriate times (at least once a week, for the purpose of checking on your well-being; this task can also be substituted by family members, visiting nurses, or caregivers creating interviews during their visits).

[0061] Based on the data in (1) above, the headquarters will perform the following routinely every week. • Transcribing and displaying the daily score on the homepage. • Provide positive feedback and evaluations in the comments. Offer advice on setting goals for the next time, and send this back via fax or phone. • Upload the work anonymously to a website accessible to the group. The collected works for the week are faxed to Person A, who is asked to rate them (on a 5-point scale) and provide feedback (distribution to family members, visiting nurses, and caregivers is also possible), and this process is repeated regularly.

[0062] In addition, headquarters inputs a Daily Score once a week based on the data and feedback sent in weekly. • Create a 'Daily score' (approximately once a month, as personal data). Based on the data and feedback received weekly, a report will be sent to the institution to which the subject belongs (hospitals, clinics, nursing care service providers, bus companies, trucking companies, etc., with the subject's consent) or made available for viewing on the website (with a password).

[0063] • Provide support for games during anonymous competitions among patient groups in hospitals and clinics. This includes creating ranking tables, shops, and best recipe collections. • Utilize safety group meetings in each workplace. • Create the 'Output' (information combining personal data and evaluations from others). • If requested by the individual, a diary will be distributed periodically in diary format (either as an e-book or in print). • Prepare a report (requires the consent of the individual, such as family, medical institution, or workplace safety committee). • Add a supplement to the book as the author's own work and cooperate with its electronic publishing and sales. • Report on individual driver and group awards, and support safety campaigns.

[0064] This embodiment uses paper media for operation and cannot be operated in real time, but it allows for more sustained operation than in typical cases.

[0065] Example 2 (Target person: Person B, who owns a smartphone and can take and send photos using an app) Send photos and other data using an app on your smartphone (hereinafter sometimes simply abbreviated as "smartphone").

[0066] (1) Daily lifestyle Person B can either use a photo app (the photo app they created, Photo Connection) to take photos of their daily activities (meals, exercise records, dining out records, weight measurements, etc.) and send them along with their thoughts and ratings (on a 5-point scale), or they can take photos of their activities and write their thoughts and ratings on a record sheet using their smartphone, take a picture of it, and send it to headquarters. They also send their goals for the following week to headquarters once a week using one of the two methods. This task can be done or partially done by family members, visiting nurses, or caregivers (for example, the person can only take photos).

[0067] (2) Submit your work (such as a recipe, a restaurant, something you want to promote related to health, or a numerical score for an app), and send the work plus your thoughts on it (what you put effort into, your level of attachment on a 5-point scale) to headquarters as needed (more than once a week, but as many times as you like) via the app or smartphone. As with the above, this task can also be done by family members, visiting nurses, or caregivers during visits or partially on your behalf.

[0068] Based on the data in (1) above, the headquarters will routinely perform the following actions daily (by the next day): • Transfer the diary entries to the homepage. • Leave a positive comment praising the feedback and evaluation, and send it as a reply via the photo app Photo Connection, or email it directly to Person B. • The works are anonymized and uploaded to a website accessible to the group, categorized accordingly. The collected works are faxed to Person B each week, and their evaluation (on a 5-point scale) and feedback are requested (distribution to family members, visiting nurses, and caregivers is also possible), and the process of receiving responses is repeated.

[0069] Furthermore, the headquarters will regularly perform the following tasks (including automatically generating them using AI about once a month): Based on the data and feedback sent weekly, a diary will be distributed to Person B, if requested, in diary format on a regular basis (either as an e-book or in print). Prepare a report (requires the consent of person B, including family, medical institutions, and the workplace safety committee).

[0070] I will add supplementary information to the book as authored by Ms. B and cooperate with its electronic publishing and sales. Based on the data and feedback sent weekly, we provide support for games during anonymous competitions among patient groups at affiliated institutions (hospitals, clinics, bus companies, truck companies, etc., with the individual's consent). This includes supporting the creation of ranking tables, shops, and best recipe collections. Utilize safety group meetings in each workplace. Support safety campaigns by reporting on individual driver and group awards.

[0071] Example 3 (Target subject: Ms. C, who owns a smartphone and can operate the app, and whose family member also owns a smartphone and can operate the app, and lives with her.)

[0072] In this example, we will explain the system, including the steps of life logging (personal page) and peer support (shared page), as shown in Figures 4 and 5, respectively. In the figures, the thin rectangles represent content performed by the individual or group participants, the thick rectangles represent parts automated by the AI ​​or other computer at headquarters, and the double rectangles represent content performed by the instructor (human) at headquarters.

[0073] A (1) Daily lifestyle record Record the information instructed by the app on your smartphone as needed (e.g., meals, exercise records, dining out records, weight measurements). The goals for the following week will also be sent to headquarters once a week using one of the two methods similar to those used in Example 2. This task can be performed or partially performed by family members, visiting nurses, or caregivers (for example, the subject only takes the photos).

[0074] B (3) Setting target items and setting small goals After entering data for a week (e.g., Sunday to the following Sunday, Saturday to the following Saturday), you set the target items in the app and weekly small goals (setting weekly objectives) based on the report automatically sent back from headquarters. You can only change one or two target items per week. When you make a change, you select the reason from five checkbox options.

[0075] C (4) Submit your work (such as a meal recipe, a restaurant, something you want to promote related to health, a quantified score for an app, or anything else you want to show the group how hard you've worked), and send your work + thoughts on the submission (points of ingenuity, level of attachment on a 5-point scale) to headquarters as appropriate (at least once a week, any number of times).

[0076] J (5) Work Evaluation Evaluate works submitted anonymously by other members of the group on a 5-point scale.

[0077] N (6) Evaluate Headquarters Instructors Rate your feelings and satisfaction level on a 5-point scale when you receive a cheer message on your personal page.

[0078] "Headquarters' AI function" D Based on the records in (1) above, the scores are tallied once a day's worth of logs have been recorded, and a stamp and score are recorded in the diary for each score. At the same time, cases that have changed by 2 points or more compared to the average score of the previous week are flagged as alerts (a profile including ID and name, along with the content of the alert, is added to the alert list. If there is no input for two days, an alert flag is set).

[0079] E (2) Automatically create a weekly report for setting weekly goals. Based on the records in (1) above, it calculates vertical summaries (monthly average from the previous month, comparison with the weekly average from the previous week, day of the week with the highest score, etc.), horizontal summaries (number of items achieved for each goal item), other quantified reports (average number of steps, highest number of steps and the day of the week, lowest number of steps and the day of the week), and sends standard comments and stamps (20 types in total + animal stamps) in comparison with the previous report. The report is automatically sent back to the user's app. If there are items that have not been entered for two or more days, an alert flag is set if there are three items with a score of 4 or less, two items with a score of 3 or less, or one or more items with a score of 2 or less in the total score.

[0080] F The function described in (3) above presents the goal setting items sent by subject C, whether or not they have been modified, and the content of the small goals, and the AI ​​assistant proposes and proofreads a cheer email optimized for that individual.

[0081] L. In the submission of works described in (4) above, submitted works are presented anonymously on the app or a closed website, and others, including instructors, anonymously rate them on a 5-point scale. The submitted works are then divided into categories (e.g., diet, exercise, sleep, safety), and each group's participants + evaluator group are displayed on the app so that they can rate them on a 5-point scale, such as "like".

[0082] O (5) (Diary: Figure 2, Weekly Chart: Figure 3) is automatically generated (Output 1).

[0083] P (6) Calculate the agreement rate between the average of the 5-point ratings of other evaluators in the group and the 5-point rating of the assigned instructor, and present the agreement rate for each instructor to the administrator.

[0084] "The instructors at headquarters (the staff members at headquarters who follow up with the participants)" F. Based on the data in (1) above, determine the cause of the plug malfunction, take appropriate action and provide advice, and contact the supervisor directly via daily report email or emergency phone call.

[0085] G. The results of (1) above will be compiled, and scoring and awards will be given in the case of group competition (creating articles for the hospital newsletter, including support results for games in anonymous competitions among patient groups in hospitals and clinics). With the consent of the individuals concerned, the results will be used by the Safety Management Department (e.g., utilization of safety group meetings in each workplace, individual driver awards, group awards, etc., and reporting on these and reporting to safety campaign support) (Output 2).

[0086] H. Identify the cause of the flagged item in the data from (2) above, take appropriate action and provide advice, and contact the supervisor directly via daily email or emergency phone call.

[0087] I. Using the chatbot function or AI function described in (3) above, send a cheer email (an email to boost motivation) to the target person, referring to the text provided by the response assistance function. If it is determined that it is difficult to send a cheer email yourself, send an email to the supervisor requesting the supervisor to create a cheer email.

[0088] K Regarding the evaluation of works in (4) above, K will compile a report of works selected as excellent by the group's participants according to each evaluation criterion, and will provide data, support, and publish summaries of highly-rated content for each group purpose (a recipe collection of meals that received "likes", a map of highly-rated restaurants for dining out, postings, and coupon creation). If C wishes, K will publish an autobiographical lifestyle diary (e-book or print) along with a diary-style journal, and provide support for this (Output 3).

[0089] Example 4 (Operation of life logging and peer support) Table 1 shows the breakdown of target achievers / total number and target achievement rate % for 45 outpatients who, after excluding 5 cases that dropped out during the 3-month period (10-12 weeks), showed that HbA1c improved by 0.3% or more from the start.

[0090] [Table 1]

[0091] Although these results are from a single medical facility, it was found that, when the goal is to improve behavioral change, life logging alone is more effective than peer support alone. Furthermore, when both are used together, the goal achievement rate is increased by about 20% compared to using either alone, although this is a comparison of the ratios. Therefore, if there is consent from the individual and no problems with the environment, it is conceivable that life logging and peer support (an approach in small, anonymized groups of about 5 people) should be used together, and if it becomes impossible to continue using both, the use of one of them should be continued. [Industrial applicability]

[0092] This invention, utilizing gamification theory through two approaches—individual and group—has industrial applicability as a highly versatile operational system for behavioral change that supports the improvement of lifestyle-related diseases and health and safety management in various occupations, including professional drivers.

Claims

1. A behavioral change system that utilizes the life logs of the subjects, The system is configured to include at least a subject terminal at the subject terminal and an operations headquarters terminal at the system's operations headquarters to which the life log is transmitted after it has been acquired at the subject terminal. The aforementioned operations headquarters terminal records the actions of the subject by scoring them based on the data recorded for multiple behavioral items related to the subject over a certain period of time, based on the life log of the subject, regarding their health status or safety related to their health status, and by aggregating scores for each item. The operations headquarters terminal automatically sends to the target user's terminal a report that includes the total score for the specified period recorded by the scoring, and which is automatically generated by comparing it with the report for the period immediately preceding the specified period, along with a standard comment. After the report automatically transmitted from the operations headquarters terminal reaches the subject, the operations headquarters terminal, based on the report, considers the points that the subject should improve and sets a goal for the next period immediately following the previous period, which is a goal in the application on the subject's terminal where the modification of the goal is limited to two out of three or more items in the application on the subject's terminal, and presents the goal for the next period set by the subject and the modifications to the instructor at the operations headquarters, and also proposes a cheer email message optimized for the subject to the instructor at the operations headquarters using the chatbot function as an assistance function on the operations headquarters terminal. The operations headquarters terminal sends the cheer email created by the instructor to the target person's terminal in order to increase the target person's motivation toward the goal in the following period. Behavior change system.

2. A method of behavioral change that utilizes the life logs of the subjects, A first step is to record the subject's behavior by having an operations terminal at the operations headquarters compile a score for each item based on the recording of data on multiple behavioral items related to the subject over a certain period of time based on the life log of the subject himself regarding his health status or safety related to his health status, The operations headquarters terminal automatically sends to the target person's terminal a report that includes the total score for a certain period recorded by the scoring, and which has been automatically generated by comparing it with the report for the period immediately preceding the certain period, along with a standard comment statement. A third step is that, after the report automatically sent from the operations headquarters terminal reaches the subject, the subject considers the points that need improvement based on the report and sets a goal for the next period immediately following the previous period, which is a goal in which the modification of the goal is limited to two out of three or more items in the application on the subject's terminal, and based on that goal, the operations headquarters terminal presents the goal for the next period set by the subject and the modifications to the instructor at the operations headquarters, and also proposes a cheer email message optimized for the subject to the instructor at the operations headquarters using the chatbot function as an assistance function on the operations headquarters terminal. A fourth step in which the operations headquarters terminal sends the cheer email created by the instructor to the target person's terminal in order to increase the target person's motivation toward the goal in the next period, Methods of behavioral change, including those mentioned above.

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