JP7111393B2 - Programs, devices, systems and methods for obese patients - Google Patents

Description

The present invention relates to programs, devices, systems and methods for obese patients.

“Obesity” is a state in which body fat is excessively accumulated in the body, and refers to a state in which the BMI is 25 or more. The term “obesity” refers to a disease among “obesity” that refers to a medical condition that requires weight loss treatment. According to the Japan Society for the Study of Obesity, obesity is defined as "a condition in which excess fat accumulates due to overnutrition and lack of exercise, and a disease caused by obesity that requires weight loss." ing. Specifically, obesity (BMI 25 or ^more ) and visceral fat area 100 cm disease, coronary artery disease, stroke, fatty liver (NAFLD), menstrual disorders, obesity-related kidney disease, orthopedic disease, sleep apnea syndrome (SAS)) there is Dietary therapy, exercise therapy, psychological therapy (behavioral therapy, cognitive therapy and coaching), drug therapy, surgical therapy, and the like are generally performed for this disease. Behavioral therapy is a therapy in which a medical professional encourages a patient to practice behavior (=therapeutic behavior) that is thought to have a therapeutic effect. Compensatory behavioral therapy is a behavioral therapy that avoids eating and drinking by performing other actions instead of eating and drinking when an appetite urge to eat and drink occurs. Cognitive-behavioral therapy is a therapy that changes the patient's behavior by correcting the discrepancy between the patient's interpretation (cognition) and facts from a scientific point of view (cognition discrepancy). Coaching is the provision of knowledge about a disease, education, encouragement, and praise to a patient.

In prior document 1, a system is proposed that sends daily messages to assist individuals in trying to improve bad health behaviors such as smoking cessation, weight control, and stress management.

Japanese Patent Application Laid-Open No. 2001-92876

Behavioral therapy, cognitive therapy, and coaching for obesity are performed by medical professionals when patients visit hospitals, but currently, in most cases, the frequency and time of outpatient care are limited. For example, the frequency of outpatient treatment for obesity is generally once every one to three months, and the treatment time is about three to ten minutes. In addition, even when an obese patient wants to consult a doctor, it often takes a long time to see a doctor because he/she has to go to the hospital. Since the outpatient hours are limited, it is not possible to see a doctor outside the outpatient hours in the first place. Thus, there is a problem that the time that medical staff can spend on behavioral therapy, cognitive therapy and coaching is extremely limited, and obese patients cannot consult with medical staff when they want to. In other words, it cannot be said that sufficient behavioral therapy, cognitive therapy and coaching are being carried out at present. There is also the problem that the quality of obesity care varies among medical institutions or medical practitioners. Persons who are simply obese and have not yet reached obesity have a high risk of developing obesity in the future, and need to be improved. However, since obesity is not subject to medical treatment, there is also the problem that sufficient treatment cannot be provided.

The system disclosed in Prior Document 1 is a system that sequentially provides individuals with behavior modification messages for improving bad behaviors related to health on a daily basis based on data collected from individuals. With such a system, a behavior modification message can be received once a day so that the patient understands what actions to take for the day. However, it is not possible to meticulously change the therapy to be carried out according to the obesity treatment status of patients, which changes from moment to moment. In addition, for obese patients who cannot properly control their appetite impulses, a behavior modification message sent once a day is insufficient, and it is not possible to timely implement therapy suitable for the patient's mental state each time. . In addition, the problem of being unable to see a doctor when the patient wants to consult is not resolved.

The present invention has been made in view of the above problems, and has the following features. In other words, the program in one embodiment of the present invention is a program used for obese patients, in which information indicating the patient's current physical condition is transmitted from the patient's electronic device, which is an electronic device used by the patient, to the computer. and patient interpretation information indicating the patient's interpretation of matters related to obesity, which is input by the patient into the patient-side electronic device at the patient interpretation information acquisition timing determined based on at least one of the input of obesity and obesity medical history information. and determining whether the patient's interpretation of the obesity-related matter is incorrect based on the received patient interpretation information and correct answer information about the obesity-related matter. and, if it is determined that the patient's interpretation is erroneous, based on the correct answer information, the patient side provides cognitive behavioral therapy information including information that is believed to be correct about matters related to obesity of the patient and transmitting to an electronic device.

retrieving obesity medical history information from a database; and requesting the patient-side electronic device to transmit patient interpretation information including the patient's interpretation of a predetermined obesity-related matter based on the received obesity medical history information. determining a request timing; and, at the request timing, transmitting a patient-interpretation information request to the patient-side electronic device requesting transmission of patient-interpretation information including the patient's interpretation of the predetermined obesity-related matter. and and may be further executed by a computer, wherein the patient-interpretation acquisition information timing is the timing of receiving patient-interpretation information in response to the patient-interpretation information request.

The patient interpretation acquisition information timing is determined based on the timing at which the information indicating the patient's current physical condition is input to the patient's electronic device, and the information indicating the patient's current physical condition is input to the patient's electronic device. further causes the computer to acquire information indicating the patient's current physical condition at the physical condition information acquisition timing determined based on the timing, wherein the patient interpretation information is the patient's current physical condition as considered by the patient; It may also include information indicating the relationship between physical condition and obesity.

When the acquired information indicating the current physical condition of the patient indicates an appetite urge, the cause of the current physical condition considered by the patient, the obesity medical history information, and the current physical condition of the patient at what point in time. determining whether the patient's appetite should be suppressed based on at least one of the time indicating whether the patient's appetite should be suppressed; and sending a patient interpretation input request prompting entry of patient interpretation information indicative of the patient's interpretation of the obesity-related matter.

The step of sending the patient interpretation input request may be performed when the determination of whether the patient's appetite should be suppressed determines that the patient's appetite should be suppressed.

Based on the information indicating the current physical condition of the patient, the patient at a first behavior therapy execution timing determined based on the timing at which the information indicating the patient's current physical condition is input to the patient-side electronic device The computer may be further caused to transmit first behavioral therapy information indicative of actions to be taken by the patient in relation to the current physical condition of the patient.

The information indicating the current physical condition of the patient may include the cause of the current physical condition considered by the patient.

After transmitting the first behavior therapy information, transmitting effect inquiry information indicating a message inquiring whether or not the physical condition has improved; Receiving response information; and transmitting second behavioral therapy information indicating actions to be taken by the patient in relation to the physical condition when the effect response information indicates that the physical condition has not improved. and may be further computer-implemented.

If the acquired information indicating the patient's current physical condition indicates an appetite urge, the step of determining whether or not the patient's appetite urge should be suppressed based at least on the effect answer information is further performed by a computer. and transmitting the second behavioral therapy information may be performed based on at least a determination based on the effect answer information.

The step of transmitting cognitive behavioral therapy information may be performed after the step of transmitting the first behavioral therapy information is performed.

Sending coaching information indicating a message for encouraging the patient in relation to the patient's physical condition at a coaching timing determined based on the timing at which the information indicating the patient's current physical condition is input to the patient-side electronic device. The step of performing may also be performed by a computer.

The step of sending the cognitive behavioral therapy information may be performed after the step of sending the coaching information is performed.

The timing of executing the second behavioral therapy is determined based on at least one of input of information indicating the patient's current physical condition and obesity medical history information, and third behavioral therapy information indicating the behavior that the patient should take to treat obesity. and transmitting the third behavioral therapy information to the patient-side electronic device at the second behavioral therapy execution timing; and at least the cognitive behavioral therapy information and the third behavioral therapy information and updating the obesity medical history information based on the one.

After transmitting the cognitive behavioral therapy information, updating obesity medical history information based on the patient interpretation information and the cognitive behavioral therapy information; and providing information on medication adjustment based on the updated obesity medical history information. to at least one of a doctor's electronic device used by a doctor and the patient's electronic device.

The program in one embodiment of the present invention described above can also be stored in a computer-readable storage medium.

A computer in one embodiment of the present invention comprises a processing device, a communication device, and a storage device for storing a program for use with an obese patient. input from the patient-side electronic device by the patient to the patient-side electronic device at the patient interpretation information acquisition timing determined based on at least one of the input of information indicating the patient's current physical condition and obesity medical history information receiving patient-interpreted information indicating a patient's interpretation of the obesity-related matter; and, based on the received patient-interpreted information and correct answer information about the obesity-related matter, and determining whether the patient's interpretation is erroneous; and sending cognitive-behavioral therapy information to the patient-side electronic device, including information that is believed to be correct.

Further, the computer of another embodiment of the present invention is a computer used for an obese patient, wherein information indicating the patient's current physical condition is input from a patient-side electronic device, which is an electronic device used by the patient. and receiving patient interpretation information indicating the patient's interpretation of matters related to obesity, which is input by the patient into the patient-side electronic device at a patient interpretation information acquisition timing determined based on at least one of the obesity medical history information. and if it is determined that the patient's interpretation is incorrect, based on the correct answer information, the patient electronically transmits cognitive behavioral therapy information including information about the patient's obesity-related matters. Determining whether the patient's interpretation of the obesity-related matter is incorrect based on the communication unit that transmits to the device and the received patient interpretation information and correct answer information on the obesity-related matter. and a control unit.

According to one embodiment of the present invention, a program used for an obese patient is stored in an electronic device used by the patient. receiving input of patient interpretation information indicating the patient's interpretation of matters related to obesity at the patient interpretation information acquisition timing; transmitting the input patient interpretation information to a server device; If the interpretation is determined to be incorrect, receiving cognitive-behavioral therapy information from the server device, the received cognitive-behavioral therapy information including information indicative of information about the patient's obesity-related subject that is being validated; presenting the patient with purported information about matters related to obesity in the patient based on the cognitive-behavioral therapy information obtained.

The patient-side electronic device used by the patient in one embodiment of the present invention is an electronic device comprising a processing device, a communication device, an output device, and a storage device storing a program used for obese patients. The program causes the electronic device to provide information about obesity-related matters at a patient interpretation information acquisition timing determined based on at least one of input of information indicating the patient's current physical condition and patient's obesity medical history information. receiving input of patient interpretation information indicating the patient's interpretation of the patient; transmitting the input patient interpretation information to a server device; receiving cognitive-behavioral therapy information from the server device that includes information indicative of the persuaded information about obesity-related matters of the patient; presenting the patient with purported information about what to do.

A patient-side electronic device according to another embodiment of the present invention is an electronic device used for an obese patient, based on at least one of input of information indicating the patient's current physical condition and patient's obese medical history information. An input unit for accepting input of patient interpretation information indicating the patient's interpretation of matters related to obesity at the patient interpretation information acquisition timing determined by the patient, and transmitting the input patient interpretation information to the server device, is determined to be incorrect, the communication unit receives cognitive behavioral therapy information from the server device, the cognitive behavioral therapy information including information indicating information about the patient's obesity-related matter that is believed to be correct; an output for presenting the patient with validated information about the patient's obesity-related issues based on the received cognitive-behavioral therapy information.

A system in one embodiment of the present invention comprises a server device, which is a computer as described above, at least one electronic device used by a patient as described above, and a database storing obesity medical history information of the patient.

The method to be used for obese patients is determined based on at least one of input of information indicative of the patient's current physical condition and obese medical history information from the patient-side electronic device, which is the electronic device used by the patient, to the computer. receiving patient-interpreted information indicating the patient's interpretation of obesity-related matters entered by the patient into the patient-side electronic device at the patient-interpreted information acquisition timing; determining whether the patient's interpretation of the obesity-related matter is incorrect based on the correct answer information about the obesity-related matter; and determining that the patient's interpretation is incorrect. optionally, sending cognitive-behavioral therapy information including validated information about obesity-related issues of the patient to the patient-side electronic device based on the correct answer information.

A method for use with an obese patient includes providing an electronic device with information related to obesity at a patient interpretation information acquisition timing determined based on at least one of the input of information indicative of the patient's current physical condition and the patient's obese medical history information. receiving input of patient interpretation information indicating the patient's interpretation of the matter to be performed; transmitting the input patient interpretation information to a server device; and determining that the patient's interpretation is incorrect. receives from the server device cognitive behavioral therapy information including information indicative of the patient's obesity-related subject matter; and based on the received cognitive behavioral therapy information, presenting the patient with purported information about matters related to obesity.

By adopting the configuration of the present invention, it is possible to finely change the selection of an appropriate therapy and the execution timing of the selected therapy in accordance with the patient's obesity treatment situation that changes from moment to moment. It is possible to carry out therapy in a timely manner. By using their own electronic devices such as smart phones, patients can receive obesity treatment constantly and long-term via electronic devices. By setting up the system to select and implement appropriate therapy, consistent and appropriate obesity guidance can be achieved at all times. In addition, obesity that does not lead to obesity can also receive appropriate therapy in the same manner as obesity treatment.

The patient can enter information indicative of the patient's current physical condition, such as appetite urges, via their electronic device. On the basis of this information, therapy selection and implementation should immediately identify and correct the patient's interpretation of the condition and its causes and obesity-related issues. By doing so, they will improve their current physical condition and have correct knowledge related to obesity treatment. As a result, the patient's erroneous train of thought can be corrected, and when the patient is in a similar physical condition, the patient can think based on the correct interpretation. For example, based on correct knowledge, when an appetite urge arises, it becomes possible to skillfully control the appetite urge. Further, if the cause of the current physical condition is further specified, therapy suitable for the cause can be performed. If the current physical condition is an appetite urge, behavioral therapy such as compensatory behavioral therapy suitable for the identified cause of the appetite urge and coaching are also performed to more effectively and immediately eliminate the appetite urge. can be done.

1 is a configuration diagram of a system according to one embodiment of the present invention; FIG. 3 is a hardware configuration diagram of a server device according to one embodiment of the present invention; FIG. 3 is a hardware configuration diagram of a database according to one embodiment of the present invention; FIG. 1 is a hardware configuration diagram of a patient-side electronic device according to an embodiment of the present invention; FIG. It is a hardware block diagram of the doctor side electronic device which concerns on one Embodiment of this invention. 3 is a functional block diagram of a server device according to one embodiment of the present invention; FIG. It is a functional block diagram of a database according to one embodiment of the present invention. 1 is a functional block diagram of a patient-side electronic device according to an embodiment of the present invention; FIG. 1 is a functional block diagram of a doctor's electronic device according to an embodiment of the present invention; FIG. It is a patient information table according to one embodiment of the present invention. 1 is a therapy list according to one embodiment of the present invention; 1 is a therapy list according to one embodiment of the present invention; 4 is a flow chart according to the first embodiment of the present invention; 4 is a flow chart according to the first embodiment of the present invention; 4 is a flow chart according to the first embodiment of the present invention; 4 is a flow chart according to the first embodiment of the present invention; 4 is a flow chart according to the first embodiment of the present invention; 4 is a flow chart according to the first embodiment of the present invention; 4 is a flow chart according to the first embodiment of the present invention; It is a flow chart concerning a 2nd embodiment of the present invention. It is a flow chart concerning a 2nd embodiment of the present invention.

As used herein, the term "patient" refers to a person who attempts to improve (treat) or treat obesity using the present invention, and does not necessarily need to undergo obesity treatment under the guidance of a medical professional. In the following embodiments, obesity patients will be described as examples, but the same applies to patients who are trying to improve their obesity.

FIG. 1 shows an example of a system configuration diagram of the present invention. The system 100 is intended for use with bariatric patients and includes a server 102, a database 103, one or more patient-side electronic devices 104-1 to 104-N which are electronic devices used by the patient and electronic devices used by the physician. One or more physician electronic devices 105-1 through 105N are provided. Although these are connected to each other by a network 101, they may be individually connected as necessary. For example, database 103 is not connected to network 102, but directly to server 102, and patient electronic devices 104-1 to 104-N and physician electronic devices 105-1 to 105N connect to database 103 through server 102. It is good also as a structure connected.

FIG. 2 shows an example of a hardware configuration diagram of the server 102. As shown in FIG. The server 102 is a computer comprising a processing device 201 , a display device 202 , an input device 203 , a storage device 204 and a communication device 205 . These constituent devices are connected by a bus 210, but they may be individually connected as needed. The display device 202 has a function of displaying information to the user. The input device 203 has a function of receiving input from the user, such as a keyboard or mouse. A server program 206 is stored in the storage device 204 . The storage device 204 may be a hard disk, non-volatile memory, volatile memory, or any other device that can store information. The communication device 205 performs wired communication using an Ethernet (registered trademark) cable or the like, mobile communication, or wireless communication such as a wireless LAN, and connects to the network 101 .

FIG. 3 shows an example of a hardware configuration diagram of the database 103. As shown in FIG. The database 103 is a computer comprising a processing device 301 , a display device 302 , an input device 303 , a storage device 304 and a communication device 305 . These constituent devices are connected by a bus 310, but they may be individually connected as needed. The display device 302 has a function of displaying information to the user. The input device 303 has a function of receiving input from the user, such as a keyboard or mouse. The storage device 304 may be a hard disk, a non-volatile memory, a volatile memory, or any other device that can store information. A database (DB) program 306 is stored in the storage device 304 . The communication device 305 performs wired communication using an Ethernet (registered trademark) cable or the like, mobile communication, or wireless communication such as a wireless LAN, and connects to the network 101 .

In this embodiment, the server 102 and the database 103 are realized by different computers, but they may be realized by one computer.

FIG. 4 shows an example of a hardware configuration diagram of a patient-side electronic device 104, which is an electronic device used by a patient. The patient-side electronic device 104 comprises a processing device 401 , a display device 402 , an input device 403 , a storage device 404 and a communication device 405 . These constituent devices are connected by a bus 410, but they may be individually connected as needed. The patient-side electronic device 403 may be a desktop computer or a notebook computer, a portable information terminal, a mobile phone, a smart phone, a tablet terminal, or a dedicated portable electronic device. A portable communication terminal is preferable for the patient to immediately input the current physical condition. The display device 402 has a function of displaying information to the user. The input device 403 has a function of receiving input from the user, such as a keyboard or mouse. When the patient-side electronic device 104 is a smart phone or a tablet terminal, a touch panel in which the display device 402 and the input device 403 are integrated can be used. A storage device 404 stores a patient program 406 for the patient-side electronic device. The storage device 404 may be a hard disk, a non-volatile memory, a volatile memory, or any other device that can store information. The communication device 405 performs wired communication using an Ethernet (registered trademark) cable or the like, mobile communication, or wireless communication such as a wireless LAN, and connects to the network 101 .

FIG. 5 shows an example of a hardware configuration diagram of a doctor-side electronic device 105, which is an electronic device used by a doctor. The physician electronic device 105 comprises a processing device 501 , a display device 502 , an input device 503 , a storage device 504 and a communication device 505 . These constituent devices are connected by a bus 510, but they may be individually connected as needed. The doctor's electronic device 104 may be a desktop computer or a notebook computer, a portable information terminal, a mobile phone, a smart phone, a tablet terminal, or a dedicated portable electronic device. The display device 502 has a function of displaying information to the user. The input device 503 has a function of receiving input from the user, such as a keyboard or mouse. When the doctor-side electronic device 104 is a smart phone or a tablet terminal, a touch panel in which the display device 502 and the input device 503 are integrated can be used. A storage device 504 stores a doctor's program 506 for the doctor's electronic device. The storage device 504 may be any device that can store information, such as a hard disk, non-volatile memory, or volatile memory. The communication device 505 performs wired communication using an Ethernet (registered trademark) cable or the like, mobile communication, or wireless communication such as a wireless LAN, and connects to the network 101 .

6-9 show examples of functional block diagrams of the server 102, database 103, patient electronic device 104 and doctor electronic device 105 of the present invention. The server 102 includes a control unit 601, a display unit 602, an input unit 603, a storage unit 604, and a communication unit 605. The database 103 includes the control unit 701, the display unit 702, the input unit 703, the storage unit 704, and the communication unit 705. The patient-side electronic device 104 includes a control unit 801, a display unit 802, an input unit 803, a storage unit 804, and a communication unit 805, and the doctor-side electronic device 105 includes a control unit 901, a display unit 902, an input unit 903, and a storage unit. 904 and a communication unit 905 . Each control unit has a function of executing control such as information processing. Each display unit has a function of displaying information so that the user can visually recognize it. Each input unit has a function of receiving input from the user. Each storage unit has a function of storing data and the like. The communication unit has a function of transmitting and receiving information to and from another device. In this embodiment, these functions are realized by executing each program in the hardware shown in FIGS. It can also be realized by hardware.

In this embodiment, patient information is stored in the storage unit 704 of the database 103 . Patient information is information about an obese patient associated with the patient's identification number (ID). The patient-related information includes patient's personal information, obesity medical history information, and the like. In the present invention, medical care does not have to be an action performed by a medical professional, and may be performed using the present invention. In this embodiment, the patient's personal information is basically fixed information, and the obesity medical history information is information that can change from moment to moment. The patient's personal information includes information such as the patient's name, date of birth, sex, appropriate weight, start date of obesity treatment, and appropriate calorie intake. The obesity treatment history information includes information related to obesity treatment history, such as treatment days, patient's physical condition history information, weight history information, calorie intake history information, medication history information, and therapy history information. The patient's physical condition history information is, for example, information recording the patient's daily physical condition, and can also be called diary information. The physical condition history information includes, for example, information on daily physical conditions such as headache, irritability, feeling good, nausea, blood data (AST (aspartate aminotransferase)/ALT (alanine aminotransferase)) and CT values. including. AST and ALT have standard values of about 9 to 32 and 4 to 37, respectively, and values exceeding these standard values are determined to be abnormal values. For example, when obesity leads to fatty liver, it often rises to around 50 to 100. The CT value is about 50 to 70 in a normal case, but often becomes 50 or less in obesity leading to fatty liver. Weight history information includes the patient's weight on a daily basis from the start of bariatric treatment. The calorie intake history information is information indicating the calorie intake. The date and time of ingestion may be included. The calories consumed by the patient and the date and time can be recorded by entering them into the patient electronic device 104 . For example, "2014/3/11/0815:524" shown in the calorie intake item of patient AAAA in FIG. . The medication history information includes information on the dosage and date of medication for obesity treatment. The therapy history information includes cognitive behavioral therapy performed by the system, the date and time of the therapy, the date and time when the behavioral therapy was recommended, information indicating whether the patient actually performed therapeutic actions such as behavioral therapy, coaching that was performed, etc. It contains historical information about the therapy given to the patient.

The patient information in the present embodiment may be input by the doctor-side electronic device 105 used by the doctor, registered in the database 103, or may be used by the patient. The information may be registered in the database 103 by being input by the patient using the patient-side electronic device 104, or may be input by combining these. These methods may also be renewed after obesity treatment has begun.

In the embodiment described below, patient information is stored in the database storage unit 704 in the format shown in FIG. 10 in association with an identification number (ID) that identifies the patient. Other necessary information may be added as appropriate, and unnecessary information may not be used. Personal information includes name, age, sex, proper weight and proper calorie intake. Appropriate weight is determined by sex, height, age, etc., and has a certain range. Appropriate calorie intake indicates the appropriate daily calorie intake determined by sex, height, weight, age, etc., and has a certain range. Obesity treatment history information includes treatment days, calorie intake, blood data (AST/ALT) as physical condition history, CT value, weight history, medication history, and therapy history. The obesity medical history information may be stored together with the date and time. The medication history indicates daily medication status, where 1 means taking medication and 0 means not taking medication. Therapy history indicates the history of therapy given to the patient. Each therapy is identified by a therapy ID and the identification number (ID) of the therapy performed is recorded.

Further, in this embodiment, the therapies are stored in storage 604 of server 102 in association with an identification number (ID) that identifies the therapy in the form of a therapy list shown in FIGS. 11A and 11B. It may be stored in the database storage unit 704 and read by the server 102 as appropriate. The therapy list includes message, answer options, correct answer information, therapy type, condition/cause, follow-up, appetite suppression, and score. These are just examples, and a form that does not include these items or a form that includes these other items may be used. The messages are to be displayed on the patient-side electronic device 104 and include messages for obesity treatment. Answer options are the answer options to be displayed on the patient-side electronic device 104 if the message is a query for the patient and requires an answer. The patient query is a query of patient interpretation information that indicates the patient's interpretation of obesity related matters. The correct answer information includes correct answer branches and guidance information. The correct answer branch is the number of the option that is considered correct for the answer option. Guidance information indicates information that is considered correct about an inquiry to a patient as a message. Also, the instructional information may be a moving image such as an educational video instead of a mere textual message. In this case, the instructional information of the therapy list may include instructions to play the instructional video and information specifying the storage location of the instructional video. If the message is not an inquiry to the patient, answer options and correct answer information are not necessarily required. Such information may be presented to the patient not only by being displayed on the display unit 802 of the patient-side electronic device 104, but also by being output as sound from an audio output unit such as a speaker. The display unit may be an output unit that includes a display unit and an audio output unit.

The therapy type is information indicating whether each therapy is cognitive behavioral therapy, behavioral therapy, or coaching. In this embodiment, "1" means cognitive behavioral therapy, "2" means behavioral therapy, and "3" means coaching. Condition/cause means the condition and its cause that triggers the therapy of that ID. Here, the part before "/" means the physical condition, and the part after "/" means the cause. In this embodiment, the cause is set in combination with physical condition. As for the physical condition, "1" means a state of having an appetite urge, and "2" means a state of being irritated. ``1'' means that there is food on the desk, ``2'' is stress, ``3'' is hunger, and ``4'' is recommended by an acquaintance. means. In other words, "1/1" means that the person has an appetite urge and thinks that the cause is that the food caught his eye and made him want to eat it. Also, "0" for the cause means that the patient has not specified the cause. Cause information is not necessarily required in the present invention. It is also possible to specify a therapy to be performed based on the physical condition alone, and the present invention can be implemented even in embodiments that do not include cause information. Multiple conditions/causes can be assigned to a therapy. In that case, if it corresponds to any of the physical conditions/causes, the therapy can be carried out. The follow-up indicates whether a follow-up process needs to be performed after the therapy is delivered and, if so, when the follow-up process should be performed. For example, follow-up observations with ID=1 to 4 are set to "5". This means that a follow-up is required and that the follow-up treatment will be performed 5 minutes after the therapy has been performed. Appetite suppression is information indicating whether a therapy can be performed to suppress appetite. Here, a "1" indicates a therapy that can be performed to suppress appetite, and a "0" otherwise.

In creating the therapy list, therapies can be assigned to conditions/causes according to various criteria. For example, a therapy for suppressing the appetite drive and other therapy are classified, and conditions/causes showing appetite drive to be suppressed are assigned to therapy for suppressing the appetite drive, and other conditions/causes are otherwise. can be assigned to therapy. Some therapies have an appetite suppressing effect, while others are also used, for example, to relieve irritability. Such therapy, even therapy for suppressing appetite urges, can be assigned to both conditions/causes that exhibit appetite urges to be suppressed and conditions/causes that are not. Hunger that causes appetite is classified into psychological hunger and physical hunger, and it can be considered that the appetite urge caused by psychological hunger should be suppressed. It is believed that physical hunger does not need to be suppressed when the right range of calories is ingested at the right time, but it does need to be suppressed otherwise.

In this embodiment, conditions/causes exhibiting appetite urges to be suppressed are assigned to therapies for suppressing appetite urges, and other conditions/causes are assigned to other therapies. For example, as shown in FIGS. 11A and 11B, therapy ID=1 to 6 are therapies that can be performed to suppress appetite urges, so appetite suppression=1. In addition, the current physical condition is in a state of causing an appetite impulse (physical condition = 1), and the cause of the appetite impulse is "1: food is on the desk", "2: stress" and "4: acquaintance In the case of "recommendation of", it is considered that it is caused by psychological hunger, so it can be judged that it is an appetite that should be suppressed. Assign to ~6. At that time, it is preferable to select and assign a therapy suitable for the condition/cause. For example, if the cause is "2: stress", it is assigned to therapy ID=3, 5, which is a therapy related to stress. Moreover, since therapy ID=3 and 5 are also effective when the physical condition is "irritable", physical condition/cause=2/0 can also be assigned.

On the other hand, if the cause of the appetite urge is "3: Hunger", it is possible that the appetite urge is caused by physical hunger and psychological hunger. It cannot be determined whether or not it should be suppressed. Therefore, in this case, the ID=1/3 indicating appetite/hunger may be randomly assigned to the therapy ID, or may be assigned to the therapy ID for appetite suppression as an appetite urge to be suppressed. However, it may be considered not an appetite urge to be suppressed and assigned to a therapy ID other than for appetite suppression. It can also be assigned by other predetermined methods. It is considered here as an appetite urge to be suppressed and is assigned a therapy ID=4 for appetite suppression. With such a configuration, it becomes possible to select and implement an effective therapy for the appetite urge to be suppressed.

In addition, the score is information used when selecting a therapy to be performed for a patient, and reference scores are set for body weight, AST, ALT, CT value, medication history, therapy history, and number of treatment days. . For example, a therapy history of "-1" in therapy ID=1 means do not run for a patient who has already received the therapy with ID=1 (ie, this therapy itself). Also, the weight of therapy ID=7 is set to "Tu<". This means that the patient's current weight is higher than the upper limit Tu of the target appropriate weight range (Tb to Tu), which is a requirement for performing this therapy. The AST, ALT and CT values for ID=7 are set to "32<", "37<" and "<50". This is meant to be done when AST, ALT and CT values are outliers. Medication history=“1*3” means that taking the prescribed medicine for 3 consecutive days up to now is a requirement for execution. Therapy history=“12” means that therapy with ID=12 has already been performed is a requirement for performing this therapy. Days of treatment=“<14” means less than 14 days since treatment initiation is a requirement for implementation. Here, a therapy that satisfies all the requirements defined by these scores is selected, but it may be executed if any of the requirements are met, or it is possible to prioritize and weight each requirement. .

[First embodiment]
The operation of the system in the first embodiment will be described. In this embodiment, a smart phone is used as the electronic device 104 on the patient side, and a notebook computer is used as the electronic device 105 on the doctor side. In the following embodiments, the operation of one patient-side electronic device 104 and one doctor-side electronic device 105 will be described for the sake of explanation, but in this system two or more patient-side electronic devices 104 and two or more doctor-side electronic devices Side electronics 105 may also be included.

In the present embodiment, as shown in FIG. 12A, the patient operates the patient-side electronic device 104, which is a smart phone of the patient, to input information indicating the patient's current physical condition, and behavioral therapy, cognitive behavioral therapy. and at least one of coaching is performed.

Assume that the patient is AAAA with patient ID=0. If the patient believes that a physical problem related to obesity treatment, such as an appetite urge, has occurred after the obesity treatment has started, the patient's electronic device 104, the smartphone display unit 802, is displayed. The nurse call button is touched (step 1201). Then, a physical condition input screen for inquiring about the current physical condition is displayed on the display unit 802 of the electronic device 104 on the patient side (step 1202). Here, a display is provided to prompt the patient to select one of two physical conditions, "How are you feeling? 1: I want to eat, 2: I'm irritated." In addition, options representing other physical conditions such as inability to concentrate and inability to sleep can be displayed. In response to this, the patient inputs an option indicating the current physical condition that the patient considers to the patient side input unit 803 (step 1204).

When the patient-side electronic device 104 receives an input of an answer, which is information indicating the current physical condition from the patient, the control unit 801 detects this and whether or not to input the cause of the physical condition based on the answer. is determined, and if necessary, a cause input screen matching the physical condition is displayed (step 1206). Here, it is predetermined to inquire about the cause for "1: I want to eat" and not to inquire about the cause for "2: I am irritated." The inquiry message "1: I want to eat" is also prepared in advance. For example, it is assumed here that the patient's current physical condition is a state of having an appetite to eat and drink, and "1: I want to eat" is selected in step 1202 . In response to this, the control unit 801 displays on the display unit 802 "Why did you want to eat? 1: There is food on the desk, 2: Stress, 3: Hunger, 4: Recommended by an acquaintance." , prompt the patient (step 1206). Suppose the patient believes that the appetite is due to stress. Therefore, the patient selects "2: stress" and inputs an answer via the input section 803 (step 1208). Information indicating the current appetite urge as the patient's current physical condition and the input cause is transmitted to the server 102 via the communication unit 805 together with the patient ID (0) for identifying this patient (step 1210). ). In steps 1201 to 1206, for example, the patient's electronic device 104 transmits to the server 102 that the nurse call button has been touched, and the server 102 sends information for physical condition input display to the patient's electronic device. 104 by interaction.

When the communication unit 605 of the server 102 receives the patient ID, the patient's current physical condition and the information indicating the cause thereof (step 1212), based on the received patient ID, a transmission request for patient information for the patient is sent to the database. 103 via the communication unit 605 (step 1214). When the communication unit 705 of the database 103 receives the transmission request (step 1216), the control unit 701 searches for patient information of the patient in the storage unit 704 based on the patient ID received together with the patient information transmission request, It is fetched (step 1218), and the communication section 705 transmits it to the server 102 (step 1220).

When the server communication unit 605 receives the patient information from the database 103 (step 1222), the server control unit 601 selects the current patient information from the therapy list stored in the storage unit 604 based on the received patient information and the cause of the appetite urge. choose the appropriate therapy for We believe that patient AAAA is developing an appetite urge and stress is the cause. The therapy history in the patient information indicates that therapy ID=1 has not been performed. In this embodiment, appetite suppression is not used. Therefore, therapy ID=1 and 3-5 are selectable in this case. All may be performed, or the number of therapies may be limited to a predetermined number. In this embodiment, the maximum is one for each of cognitive-behavioral therapy, behavioral therapy, and coaching. Here, ID=1 is selected as cognitive behavioral therapy, ID=3 as behavioral therapy, and ID=5 as coaching. Behavioral therapy, applicable to ID=3 and 4, was randomly selected. Other predetermined criteria may also be used to select therapy.

The server control unit 601 further determines the execution order of the three selected therapies based on predetermined criteria. Here, based on the standard that behavioral therapy, coaching, and cognitive behavioral therapy are performed in this order, behavioral therapy with ID=3, coaching therapy with ID=5, and cognitive behavioral therapy with ID=1 are performed in this order. By performing these steps in this order, it is possible to effectively improve the current physical condition and treat obesity. For example, the current appetite urge can be eliminated or diminished by implementing compensatory behavioral therapy appropriate to the current appetite urge and its cause. In addition, coaching can encourage patients to bring them into a state of mind in which the urge to eat does not increase again. Then, after the appetite subsides, cognitive-behavioral therapy can be used to correct the patient's misinterpretation of the previous appetite-related issues. Patients' understanding and realization is higher than when cognitive-behavioral therapy is given long after the appetite urge has occurred. For this reason, it corrects the misinterpretation of matters related to physical condition and appetite urge, effectively prevents people from actually eating when a similar appetite urge occurs, and It can effectively prevent falling again.

The server control unit 601 resets the counter N to 0 (step 1226) and counts up N (step 1228). Then, the therapy (ID=3), which is the determined first (Nth) therapy, is executed.

An implementation protocol for behavioral therapy and coaching is shown in FIG. First, the server control unit 601 transmits behavior therapy information or coaching information indicating the selected Nth therapy to the patient-side electronic device 104 via the communication unit 605 (step 1301). Behavioral therapy information and coaching information includes messages in therapy lists. Here, since N=1, the case where therapy (ID=3) is performed will be described. Since therapy (ID=3) is behavioral therapy (2), it is executed according to the procedure in FIG. The server control unit 601 reads out the therapy list from the storage unit 604, inserts the message of therapy ID=3 into the behavioral therapy information, and transmits it to the patient-side electronic device 104 (step 1301). The communication section 805 of the electronic device on the patient side receives this (step 1302), and based on this behavior therapy information, displays a message "Let's take a shower to relieve stress" on the display section 802 (step 1304). This behavioral therapy is a compensatory behavioral therapy, and the appetite urge can be relieved by having the patient perform other behaviors other than eating and drinking to relieve the appetite urge currently occurring. Here, the patient's appetite urge can be effectively eliminated by immediately identifying the cause of the patient's urge to eat and by performing compensatory behavioral therapy suitable for the cause. The patient-side electronic device 104 transmits therapy execution confirmation information indicating that the therapy execution processing in the patient-side electronic device 104 has ended (step 1306).

When receiving the therapy execution confirmation information (step 1308), the server control unit 601 sends an update command to the database 103 together with the patient ID to record and update the fact that the therapy (ID=3) has been performed in the therapy history. 605 (step 1310). Database 103 receives this (step 1312) and updates the patient history based on the patient ID and therapy ID (step 1314). After that, a follow-up observation execution setting process is executed to set up the follow-up observation (step 1316). The update process may be performed after the behavioral therapy information or coaching information is transmitted from the server 102 to the patient electronic device 104 without transmitting and receiving the therapy execution confirmation information. Also, the update process may be performed after the follow-up observation execution setting process (step 1316).

The follow-up observation execution setting process (step 1316) will be described with reference to FIG. First, the server control unit 601 determines whether or not the performed therapy requires follow-up based on the therapy list stored in the storage unit 604 (step 1401). Referring to the therapy list, the follow-up parameter for the therapy (ID=3) that was performed is "5". Therefore, the server controller 601 determines that the therapy requires follow-up and that the predetermined timing for follow-up is 5 minutes later (steps 1401, 1402). The server control unit 601 reserves execution of follow-up observation processing in 5 minutes (step 1404). Such processing can be executed, for example, as a periodically running process such as a cron job.

Next, follow-up observation execution processing will be described based on FIG. 15A. When the time reserved in the follow-up observation execution setting process has come, the server control unit 601 transmits to the patient-side electronic device 104 an effect inquiry message indicating a message inquiring whether or not the physical condition has improved. (Step 1501). The patient-side electronic device 104 receives this (step 1502 ) and displays it on the display section 802 . Here, the message "Did you feel like eating? 1: Yes, 2: No" is displayed. On the other hand, on the input unit 603, which is a touch panel of the smartphone, the patient touches either the "1: Yes" or "2: No" button to input the effect response, and the input effect response is displayed. is sent (step 1506). The server communication section 605 receives this (step 1508), and the server control section 601 determines whether or not the effect reply is "1". If the effect response is 1, the follow-up observation process is terminated because the appetite urge that has just occurred has disappeared. If the effect response is 2, the appetite urge that has just occurred has not been resolved, so another therapy is selected to resolve this (step 1512), and the selected therapy is executed (step 1514). . The selection of therapy may be associated with a therapy that has already been performed, or the same therapy that has been performed may be performed again, using procedures similar to steps 1214 to 1232 described above. Accordingly, one or more therapies may be selected and implemented. In this embodiment, the ID=4 therapy, which is another therapy for relieving the stress that is the cause of the current appetite urge, is selected, and steps 1301 to 1316 shown in FIG. 13 above are performed. , and the follow-up observation execution process ends. In this way, after implementing the selected therapy, the effect is checked at an appropriate time as necessary, and if the physical condition has not improved yet, the appropriate therapy is implemented to further improve the physical condition. It becomes possible to The follow-up process may be repeated at predetermined intervals until the physical condition improves. In addition, the patient side electronic device 104 can autonomously display an effect inquiry message after a predetermined period of time has elapsed, prompt the user to enter an answer, and transmit the answer to the server 102 .

When the follow-up observation execution setting process (step 1316) ends, the behavior therapy and coaching execution process in FIG. 13 ends, the therapy execution process in 1230 in FIG. 12A ends, and whether or not the therapy to be executed has been selected. is determined (step 1232). Note that K indicates the number of therapies selected. The set follow-up observation process is a process that is performed at a reserved predetermined timing, and there is no need to wait for the completion of this follow-up observation process in order to perform the next therapy selected in step 1224.

Also, after confirming that the behavioral therapy has been performed in the patient-side electronic device in step 1310, the server 102 sends a message asking whether the patient has actually performed the behavioral therapy, and sends it to the patient-side electronic device 104. may be presented to the patient and inquired about. In response to this, the patient selects an answer as to whether or not it has been executed, and the answer is transmitted to the server 102 via the patient-side input device 105 . Server 102 sends this information to database 103 . For example, in the therapy history item of the obesity treatment history, in addition to the ID of the therapy performed, an item as to whether or not the therapy was actually performed by the patient is provided, and based on the information from the server 102, this can be updated. The process of confirming whether the patient has actually performed the therapy may be performed as a cron job, for example, five minutes after the therapy is performed, like the follow-up observation process. Information about when to perform the therapy may be stored in the therapy list. A similar process can be performed in coaching as needed.

In this embodiment, K=3 since three therapies have been selected, and K=3 and N=1 since the first process has been performed so far. Therefore, K>N holds and the process returns to step 1228 where N=2 and execution of the second selected therapy (ID=5) is performed (steps 1228, 1230). As described above, the therapy with ID=5 is coaching, which is executed in the same manner as the behavioral therapy according to steps 1301 to 1316 shown in FIG. In step 1304 , instead of the behavioral therapy information, a coaching message for encouraging the patient, “Mr. This can further encourage and mentally stabilize patients whose appetite has been eliminated or diminished by compensatory behavioral therapy. When the coaching execution process is finished, since K (=3)>N (=2), the process returns to step 1228, the counter N is counted up to 3, and the cognitive behavioral therapy (ID =1) is executed.

The procedure of therapy execution processing (step 1230) for cognitive behavioral therapy will be described based on FIG. First, in step 1601, server control 601 issues a patient interpretation information request requesting that patient interpretation information be sent, including the patient's interpretation of the obesity-related matter specified by the selected Nth therapy. Send to the patient-side electronic device 104 . The patient interpretation information request contains a therapy list message. Patient-side electronic device 104 receives this (step 1602) and displays a message on display 802 based on the received patient-interpreted information request (step 1604). Here, based on the message information of the selected cognitive behavioral therapy (ID = 1), ``How long do you think the current feeling of wanting to eat will last? 2: Display a message that asks the patient's interpretation of the urge to eat and its elimination, which is a matter related to obesity.

In response to this, the patient inputs an answer that he/she thinks is correct to the patient-side electronic device 104 via the input unit 803, and the entered answer is transmitted to the server 102 (step 1606). The server communication unit 605 receives this, and when the server control unit 601 receives this (step 1608), it compares the correct answer information described in the therapy list with the answer information entered by the patient, and determines whether the patient is overweight. A determination is made as to whether the interpretation of the matter associated with is incorrect (step 1610). Then, if it is correct, it is correct, and if it is incorrect, based on the correct answer information, cognitive behavioral therapy information including guidance information indicating correct information is transmitted (step 1612). The patient-side electronic device 104 receives this cognitive-behavioral therapy information (step 1614), and based on this received cognitive-behavioral therapy information, displays information indicating correct answers and information that is considered correct on the display unit 802 (step 1616). ).

Here, regarding the item related to obesity that the appetite urge persists for a long time and can only be relieved by eating and drinking, the patient answers in step 1606, "1: It continues unless I eat, and I feel that I need to eat. ” is entered as an answer and sent to the server 102 . The server control unit 601 refers to the correct answer information of ID=1 in the therapy information list, and reads correct answer information "2". The patient's answer "1" is compared with the correct answer information "2", it is determined that the two are different, and the patient's interpretation is erroneous (step 1610). Then, the cognitive-behavioral therapy information including the guidance information indicating the guidance information included in the correct answer information of the therapy list is transmitted (step 1612). The patient-side electronic device 104 receives the cognitive-behavioral therapy information, and based on the guidance information contained therein, says, "Actually, the feeling of wanting to eat subsides in about five minutes. There is no need to be particular about this.” is displayed on the display unit 802 . This not only identifies the cause of the appetite urge when it occurs, but also identifies and corrects the patient's misinterpretation of the appetite urge, its causes, and obesity-related matters, thereby reducing the appetite urge. In addition to eliminating the desire to eat, you will be able to control similar appetite urges well in the future. The closer the time when the appetite urge occurs and the timing of the implementation of cognitive-behavioral therapy, the easier it is for patients to recognize their own misinterpretation as a real feeling, and the more effective the cognitive-behavioral therapy can be.

If the patient's interpretation is correct, for example, it can be displayed as "Correct. You understand very well!" The message for the correct answer may be included in the therapy list, or a message list for the correct answer may be provided separately, selected from there according to a predetermined criterion, included in the cognitive behavioral therapy, and transmitted to the electronic device 104 on the patient side. may In addition, any method may be used as long as it can be displayed to the patient in a form that the correct answer can be understood.

After performing the cognitive behavioral therapy in step 1616, the patient electronic device 104 transmits therapy execution confirmation information indicating that the therapy has been completed (step 1618). The server control unit 601 having received this (step 1620) transmits to the database 103 an update command for recording and updating the therapy history that the Nth therapy has been performed (step 1622). Database 103 receives this (step 1624) and updates the therapy history based on the update instructions (step 1626). Follow-up run settings are then executed (step 1628). The update process may be executed without transmitting/receiving the therapy execution confirmation information after the cognitive behavioral therapy information is transmitted from the server 102 to the patient-side electronic device 104, or the follow-up execution setting (step 1628) is executed. It may be executed after Follow-up execution settings (step 1628) are similar to those described with reference to FIG.

In step 1622, the patient electronic device 104 confirmed that cognitive-behavioral therapy was performed, similar to the process for whether the patient actually performed the behavioral therapy in relation to the behavioral therapy. Later, the patient may send an inquiry message to see if the cognitive-behavioral therapy has corrected the misinterpretation into a correct understanding and obtain a response from the patient. Server 102 can send this information to database 103 to update the bariatric medical history.

Once the follow-up delivery settings (step 1628) are complete, the cognitive behavioral therapy delivery process ends and, in step 1232, checks to see if the selected therapy remains. Here, K=3, N=3, and K>N is false, so it is determined that all of the selected therapies have been performed, and the procedure initiated by the patient's act of touching the nurse call button is completed. do.

The selected multiple therapies may be such that after one therapy is performed, the next therapy is performed after a certain amount of time has passed.

In the above example, a case has been described in which one each of the three therapies of behavioral therapy, coaching, and cognitive behavioral therapy is selected as therapy, and the three therapies are performed as a whole. However, any one of these or any combination thereof may be used, and it is possible to operate similarly even if a plurality of therapies, for example, three behavioral therapies are selected from each therapy, it is obvious.

The entire process of this embodiment can be performed repeatedly, and when information indicating an appetite urge from the patient is input at a certain timing, only cognitive-behavioral therapy is performed, and then another appetite from the patient at another timing. Behavioral therapy alone can also be performed when information indicative of urges is entered.

According to the above-described embodiment according to the present invention, when a patient develops a predetermined physical condition related to obesity, the physical condition and cause are identified, and an appropriate obesity therapy for the physical condition and cause is timed. Effective obesity treatment can be performed because it can be performed in a relatively short period of time. A combination of behavioral therapy, coaching and cognitive-behavioral therapy can be even more effective. For example, by performing compensatory behavioral therapy suitable for the appetite urge that is currently occurring, the appetite urge is eliminated or reduced, and the patient's motivation for obesity is mentally supported by coaching, and the patient is in a mentally stable state. By implementing cognitive-behavioral therapy, the patient's erroneous understanding of the urge to eat, its cause, and obesity that had occurred just a short time ago can be corrected, and when a similar urge to eat arises, it can be corrected. You can control your appetite well, and you can help prevent similar appetite urges from occurring again. Similar effects are obtained by combining behavioral therapy with cognitive behavioral therapy, or by combining coaching with cognitive behavioral therapy.

In addition, a notebook computer, which is a doctor's electronic device 105 used by the doctor, is also connected to the server 102 via the network 101 . Then, an information transmission request accompanied by the patient's identification information is transmitted from the doctor's electronic device 105, and when the server 102 receives this, it is stored in the database 103 based on the information transmission request. The patient information associated with the patient's identification information is retrieved and transmitted to the physician's electronic device 105 . This enables the doctor to check the patient's obesity medical history information that is updated from moment to moment.

Further, when the obesity medical history information is updated after behavioral therapy, cognitive behavioral therapy, and coaching are performed, or when the obesity medical history information is updated by the patient, the server control means 601 detects this. Then, the medication adjustment process may be executed. For example, when the server control unit 601 detects an update of the obesity medical history information, the obesity medical history information is received from the database 103 based on the identification ID that identifies the patient in the updated history information, and the received obesity medical history information is received. Based on the medical history information, information regarding medication adjustment can be determined and transmitted to the doctor's electronic device 105 and the patient's electronic device 104 used by the doctor.

According to this embodiment, appropriate therapy is carried out in accordance with the ever-changing condition of the patient, so that the progress of obesity treatment tends to vary greatly depending on the patient. Patients who are taking appropriate actions according to the implementation of appropriate therapy show a large effect of obesity treatment, but patients who eat and drink without pressing the nurse call even if they have an appetite urge. is not very effective. Therefore, when this embodiment is used, individual differences in the effect of obesity treatment become greater than in the past. Therefore, if medication is adjusted based on obesity treatment history information that changes from moment to moment, medication can be taken according to the progress of obesity treatment for each patient, and the effect of obesity treatment can be enhanced. . In addition, by including drug side effect history information in obesity treatment history information and adjusting medication based on this information, it is possible to minimize the risk of side effects.

Moreover, it is not necessary to specify the cause of the physical condition. For example, if the physical condition "2: Irritated" is selected in the physical condition input step 1204, steps 1206 to 1208 for specifying the cause are not performed. In this case, in step 1210 , only the current physical condition information indicating that the person is irritated is transmitted to the server 102 . Then, in step 1224, a therapy to be executed is selected based on the physical condition information indicating that the patient is irritated and the patient information. For example, if the physical condition is irritable and the cause is not specified, the indication in the executable therapy list is "2/0" in the "condition/cause" item. Therefore, the corresponding behavioral therapy with ID=3 is executed, and the message "Let's take a shower to relieve stress" is displayed on the patient-side electronic device 104, and the behavioral therapy can be executed. Cognitive-behavioral therapy and coaching can also be performed by a similar procedure without specifying the cause.

[Second embodiment]
In this embodiment, when it is detected that the patient's physical condition is in a state of causing an appetite urge, it is determined whether or not the appetite urge should be suppressed based on the nurse call time and patient information. However, it differs from the first embodiment in that the therapy to be performed is selected based on the result of this determination in addition to the cause of the appetite urge and patient information. Other points are the same as the first embodiment. Only the differences from the first embodiment will be described below with reference to FIG. 12B.

First, in step 1201, the patient-side electronic device 104 acquires the time when the touch on the nurse call button is detected as the nurse call time. Next, in step 1202, on the physical condition input screen for inquiring about the current physical condition displayed on the display unit 802 of the patient-side electronic device 104, "1: I want to eat" is selected, and the patient's It is detected that the current physical condition is in a state of having an appetite urge (step 1204). Furthermore, as a response to the cause input display for the appetite urge (step 1206), "2: stress" is input (step 1208), and information indicating the patient's current physical condition and cause is transmitted along with the nurse call time (step 1210). ). Here, the nurse call time is the time when the nurse call button is touched, but any information may be used as long as it indicates when the current physical condition of the patient is. good. For example, in step 1204 or 1210, it may be the time at which the patient inputs an answer, or at step 1210, it may be the time at which information indicating the patient's current physical condition and cause is transmitted. It can also be the time when the server 102 receives information indicating the patient's current condition and cause.

In this embodiment, when the server communication unit 605 receives patient information from the database 103 (step 1222), it detects that the current physical condition is an appetite urge, and based on the cause of the appetite urge and the received patient information, to determine whether the patient's current appetite urges should be suppressed (step 1223). As described above, hunger that causes appetite is classified into psychological hunger and physical hunger, and it is considered that the appetite drive caused by psychological hunger should be suppressed. In addition, physical hunger does not need to be suppressed when a calorie amount within an appropriate range is ingested at an appropriate timing, but it is thought to need to be suppressed in other cases. When the cause of the appetite urge is "1: food is on the desk", "2: stress" and "4: recommended by an acquaintance" as in the case of allocating therapy in the first embodiment is thought to be caused by psychological hunger, it is determined to be an appetite that should be suppressed.

On the other hand, if the cause of the appetite urge is "3: Hunger", it is possible that the appetite urge is caused by physical hunger and psychological hunger. It cannot be determined whether or not it should be suppressed. Therefore, in the present embodiment, the calorie intake for the day stored in the nurse call time and the patient information is less than the upper limit of a predetermined appropriate range, and the nurse call time is within the appropriate time range for eating. It is determined whether or not it is within For example, the upper limit of calorie intake and the range of meal times can be determined in advance by a doctor and included in the patient information. From the patient information received in step 1222, the calorie intake for the day, the appropriate calorie intake, and the mealtime range are obtained. If it is determined that the calorie intake is less than the upper limit value and the nurse call time is within the appropriate mealtime range, it is determined that the appetite urge is appropriate and does not need to be suppressed. If the calorie intake for the day exceeds the prescribed range, or if the nurse's call time is not within the appropriate time range for eating, this appetite urge is not appropriate and should be suppressed. It is judged that it is a thing. For example, patient AAAA's proper meal time is until 20:00, and the upper limit of prescribed calorie intake per day is 2700 kilocalories. If the nurse call time is 23:45 and the calorie intake so far on the day is 2900 kilocalories, it is determined that the appetite should be suppressed.

Next, at step 1225, one or more (K) therapies to be performed are selected from the therapy list based on the appetite suppression judgment result, cause and patient information, and the order of execution is determined. If the result of the appetite suppression determination in step 1223 is the determination result that this appetite should be suppressed, the first embodiment is selected from among the therapies of appetite suppression=1 in the therapy list. Therapy is selected and implemented based on cause and patient information as well. Subsequent processing is the same as in the first embodiment.

On the other hand, if it is determined that the appetite urge does not need to be suppressed, then at step 1225, a message such as "Your appetite is appropriate. Therefore, it is not necessary to allow meals and not perform other therapies, and based on physical condition / cause = 1/3 and this determination result, therapy other than therapy for suppressing appetite impulses, that is, physical condition / Appetite suppression = 0 therapy may be selected and executed among therapies for cause = 1/3. In the example of patient AAAA described above, if the nurse call time is 18:00 and the calorie intake for the day is 1500 kcal, the nurse call time is within the appropriate time range for meals, Since the calorie intake is equal to or less than the predetermined reference value, it is determined that the appetite urge is appropriate and does not need to be suppressed. In this case, behavior therapy ID=10 is selected as behavior therapy with appetite suppression=0, and a message is displayed that says, "You may eat, but when you do eat, chew it slowly and thoroughly." It may be displayed in section 802 . Also, the content of the message may be changed based on the difference between the upper limit of calorie intake and the calorie intake for the day. For example, it is possible to display a message such as "You can eat only XX calories, but when you eat, chew your food slowly and thoroughly." In addition, taking the difference from the lower limit, it is also possible to execute behavioral therapy such as alerting patients who are not taking necessary calorie intake due to excessive dietary restrictions and taking meals.

By using this embodiment, even if it is not possible to sufficiently determine whether the current appetite should be suppressed only by the physical condition and cause obtained from the patient's input, the nurse call time and the day Based on the calorie intake, it is possible to make a more accurate determination and select an appropriate therapy. Appetite-suppressing therapy alone, in the face of adequate appetite urges, can lead to over-restrictive diets and adverse health effects. By using this embodiment, an appropriate appetite urge can be accurately grasped.

In the present embodiment, the physical condition, cause, nurse call time, and calorie intake were used to determine whether or not the appetite should be suppressed. elements can be used.

[Third embodiment]
In this embodiment, in the follow-up observation execution process, it is determined whether the appetite urge should be suppressed, and based on the determination result, the therapy after follow-up is selected and executed. different from the embodiment of Other points are the same as the first embodiment. Only points different from the first embodiment will be described below with reference to FIG. 15B.

In the follow-up observation execution process of the present embodiment, when the response to the inquiry about the effect of the executed therapy is "1", that is, when the current physical condition has not improved, the appetite urge should be suppressed. A step of determining whether or not is executed. According to the example shown in FIG. 15B, the current physical condition is a state of having an appetite urge, and in step 1504, in response to the question "Did you feel the desire to eat?" is entered, in step 1511 a step is performed to determine if the current appetite urge is to be suppressed.

As mentioned above, the appetite urge caused by psychological hunger should basically be suppressed, and it is thought that physical hunger other than the appetite urge caused by appropriate hunger should be suppressed. In general, psychological hunger is thought to disappear after a certain period of time without eating, and if hunger does not disappear after a certain period of time, it is based on physical hunger. It is likely to be an appetite urge. Therefore, if one of the therapies is executed and a reply is obtained that the appetite urge has not been resolved in response to an effect inquiry message after a predetermined period of time has passed, the appetite urge that is occurring will not be resolved by the body. It is likely that it is based on a feeling of hunger.

As described in connection with the first embodiment, when the patient inputs that an appetite urge is occurring and the cause is "3: hunger", this appetite urge is caused by psychological hunger. It cannot be determined from the patient's perceived cause alone whether it is a physical hunger or a physical hunger. Therefore, in the first embodiment, for the time being, a therapy for suppressing the appetite urge, which is regarded as psychological hunger, is selected and executed. However, if the response to the effect inquiry message after a predetermined time has elapsed is that the appetite urge has not been resolved, the urge to eat is actually physical hunger. is likely to be based on

More specifically, in this embodiment, based on the effect response entered by the patient in response to the effect inquiry message, it is determined whether or not the urge to eat should be suppressed (step 1511). Here, the step of transmitting the effect inquiry message (step 1501) is executed after a certain period of time has passed after the psychological hunger is eliminated from the therapy, for example, after 5 minutes, which is the follow-up time for the therapy that has been performed. is set to Then, based on the results of the appetite suppression determination, a therapy to be performed is selected (step 1512). Here, if the answer to the effect inquiry message is "2: No", it is determined that the appetite urge is based on physical hunger and not an appetite urge to be suppressed (step 1511). Based on this determination result, a therapy other than the therapy for suppressing the appetite drive, ie, a therapy for the physical condition/cause=1/3 with an appetite suppression score ≠1 is selected and executed. For example, therapy ID=10 is executed, a message "You may eat, but let's chew slowly and thoroughly" is displayed on the display unit 802 of the patient-side electronic device 104, and behavior therapy is executed. to terminate the follow-up observation process. In addition, it may be determined whether there are any unimplemented therapies for curbing appetite urges selected in step 1224, and if so, the administration of those therapies may be discontinued.

In step 1511, it may be determined whether or not the appetite urge should be suppressed based on the nurse call time and the calorie intake in the received patient information, as in the second embodiment. This makes it possible to determine whether or not the appetite urge should be suppressed among the appetite urges based on physical hunger.

An appetite urge that does not need to be suppressed, but for which therapy for appetite suppression has been implemented based on the patient's interpretation of the cause of the appetite urge, is defined as an appetite urge that does not need to be suppressed. It is possible to re-determine correctly and perform appropriate therapy again. For example, in step 1206, the therapy for suppressing the appetite urge was selected because the patient's interpreted cause of the urge to eat was "1: There is food on the desk." However, in reality, there are cases in which the urge to eat is caused not only by the presence of food on the desk, but also by actual physical hunger. In such cases, therapy to suppress appetite is carried out, and even after a period of time, the urge to eat does not disappear. Therefore, the patient's response received at step 1508 will be "2: No", indicating that the appetite urge has not been resolved. At step 1511, it is determined again whether the current appetite urge should be suppressed based on this answer. For example, since the appetite urge is not resolved even after a certain period of time has passed, it is determined that it is not caused by psychological hunger but by physical hunger. Appetite urge to be suppressed or not is re-determined based on this.

[Fourth embodiment]
It is also possible to implement the present invention in a form in which the second embodiment and the third embodiment are combined. That is, before selecting the therapy to be executed, it is determined whether or not the appetite urge is to be suppressed (step 1223), and based on the result, the therapy is selected and executed (steps 1225-1232). ), and also in the follow-up observation process, it is determined whether or not the appetite urge should be suppressed (step 1511). By adopting such a configuration, it is possible to perform a more accurate determination for suppressing appetite.

[Fifth embodiment]
In this embodiment, therapy execution processing for obesity is not started by the input of information indicating the current physical condition of the patient, but at the timing determined by the server 102 based on the patient's obesity medical history information. It is different from the first embodiment in that it starts based on the Other points are the same as in the first embodiment. Only points different from the first embodiment will be described below.

A process for reserving execution of a predetermined therapy at a predetermined timing by the server 102 based on patient information will be described with reference to FIG. 17 . First, the server 102 transmits a patient information transmission request to the database 103 at a predetermined timing (step 1701). This predetermined timing may be performed for a certain period of time, for example, every 24 hours, or may be performed at a predetermined time, for example, at midnight, or may be performed when patient information is updated. and combinations thereof. Patient information is updated when some therapy is performed as described above, or when the patient transmits information such as daily physical condition, calorie intake, weight, medication status, etc. to the server 102, may be executed by the database 103 based on the

Upon receiving this patient information transmission request, the database control unit 701 extracts patient information from the storage unit 704 and transmits it to the server 102 . This patient information retrieval may be performed for all patients collectively, or may be retrieved for one or more patients identified by the patient IDs transmitted from the server 102 together with the patient information transmission request. When the server 102 receives the patient information (step 1708), based on this, it reserves the execution of a predetermined therapy at a predetermined timing (step 1710), and the therapy reservation process ends. This reservation process can be set as a periodical execution process such as a cron job like the above-described progress process execution reservation (step 1404). The reserved therapy may be stored in the server storage unit 604 as a therapy reservation table, for example. Multiple therapies may be scheduled to be performed at the same time. This appointment processing is executed based on at least obesity medical history information among the patient information. In other words, based on obesity treatment history information such as physical condition history, calorie intake history, weight history, medication history, therapy history, number of treatment days, etc., which change from moment to moment, the optimum therapy is executed at the optimum timing for the patient. becomes possible. In addition to this, it is also possible to take into account established personal information. Also, the timing of the reservation may be set to be executed immediately after 0 second, 1 hour later, or 9:00 in the morning of the next day. The therapy list contains information for determining the appropriate timing and may be determined on this basis.

For example, if AAAA with patient ID=1 updates via server 102 that the patient weighs 75 kg on March 13, 2014 as part of their daily bariatric diary updates, then server 102 transmits a request to update the obesity medical history information of patient AAAA recorded in the database 103 based on this update request. After completing the update in the database 103, the server control unit 601 requests the database 103 with patient ID=1 to transmit patient information about patient AAAA (step 1701). When the database 103 receives this (step 1702), it takes out the patient information of patient ID=1 (step 1704) and transmits it to the server 102 (step 1706). The server control unit 601 selects the therapy to be performed based on the received patient information and reserves the therapy to be performed at a predetermined timing.

In obesity practice, the stages of treatment can be divided into (1) a weight loss phase and (2) a weight maintenance phase. And the therapy to be performed in each phase is different. For example, at the stage of March 13, 2014, based on the fact that the weight of the patient AAAA is heavier than the target weight upper limit Tu (65 kg), the latest AST, ALT and CT values are out of the appropriate range, the patient The AAAA treatment phase is determined to be the weight loss phase. Then, if the number of treatment days is 3, then in the early stages of the weight loss phase, select active therapy ID=7 and schedule this therapy to run immediately after 1 minute. In this embodiment, since there is no input by the patient of the current condition and its cause, therapy is selected without restriction by the condition/cause item. Therapy may be selected by ignoring the condition/cause section.

As shown in FIG. 18, the server control unit 601 waits until the time when the therapy is scheduled to be performed (step 1801). (step 1802). For example, it can be determined based on a therapy reservation table stored in the server storage unit 604 . Then, the execution order of the determined one or more therapies is determined according to predetermined criteria. This can be determined by a method similar to that of the first embodiment. This order may also be determined in the reservation process. In that case, the first therapy is determined according to the determined order. A counter M is set to 0 (step 1804) and incremented by 1 for delivery of the first determined therapy (step 1806). Then, the determined first therapy is executed (step 1808). This therapy execution process is the same as the process described with reference to FIG. 13 for behavioral therapy and coaching, and the same as the process described with reference to FIG. 16 for cognitive behavioral therapy. When the first therapy is to be performed, the determined number of therapies L and the number of therapies performed are compared (step 1808), and if the determined number of therapies is greater, the process returns to step 1806 to perform the remaining therapies. If M is equal to or greater than L, it is determined that all the determined therapies have been performed, and the reserved therapy execution process ends.

For example, when it comes time to perform a therapy (ID=7) reserved for patient AAAA, the server control unit 601 retrieves the therapy ID reserved for that time from the therapy reservation table stored in the server storage unit 604. =7 and decides to perform therapy ID=7 (step 1802). Since there is one therapy performed, L=1. Then, after resetting the counter M (step 1804), it counts up for the first therapy delivery (step 1806). Then, in step 1808, the therapy identified by therapy ID=7 is performed. Since therapy ID=7 is cognitive behavioral therapy, it is executed by the processing described based on FIG. This cognitive-behavioral therapy, identified by therapy ID=7, obtains the patient's interpretation of obesity-related items as whether overeating is a bad sign, and If you're erroneously interpreting hoarding as a sign that you're not good enough, say, "It doesn't matter how much you eat and how much you're worth. You just need control and you're working on weight loss." At this point, you are much better than before!" is presented to the patient.

According to this embodiment, it is possible to timely select an appropriate therapy based on the ever-changing patient's condition and perform it at an appropriate timing, so that more effective obesity treatment can be performed. can be done. For example, if you start obesity treatment and successfully transition from the weight-loss phase to the weight-maintenance phase of your treatment, you may want to go beyond your healthy weight target weight range and try to lose more weight. Tend. Taking patient AAAA as an example, on April 3, 2015, patient AAAA's weight history was within the target weight range (63 kg to 65 kg), and the latest AST, ALT, and CT values were within the appropriate range. He was medically healthy and entered the weight maintenance phase. However, since patient AAAA had weighed 60 kg before becoming obese, she was motivated to lose weight beyond the target range of 63-65 kg set by her doctor. Based on the patient information received in step 1706, the server control unit 601 detects that the weight, AST, ALT, and CT values of the patient AAAA are within the appropriate ranges, and determines a therapy ID suitable for the weight maintenance phase. =8 and execute. In other words, it is detected whether or not the appropriate weight recognized by the patient AAAA is less than the lower limit of 63 kg of the appropriate weight set by the doctor, and if there is an erroneous recognition, "Your appropriate weight is between 63 and 63 kg" is detected. It is 65 kg.If you lose weight below 63 kg, the burden on your body will be heavy and you will be in an unhealthy state." is displayed. This can correct the patient's misinterpretation of matters related to obesity and effectively prevent obesity treatment based on the misinterpretation that patients are likely to make these days.

As described above, according to the present embodiment, by monitoring the patient's obesity treatment history on a daily basis and performing appropriate therapy each time, it is possible to perform detailed obesity treatment that matches the patient's condition. can be done.

Further, for example, after confirming that the patient's cognition has changed, behavior therapy can be performed in a state in which the change in cognition has occurred, thereby enhancing the effect of the behavior therapy.

For example, in step 1206, it is assumed that "4: Recommended by acquaintance" is selected as the cause of the patient's appetite urge. Obesity patients who eat and drink on the recommendation of acquaintances often misunderstand that if they refuse the recommended food, they will offend the acquaintance who recommended it. If cognitive-behavioral therapy with therapy ID = 2 is performed and it is confirmed in steps 1604 to 1610 that such erroneous cognition There are almost no people. If the fact that this cognitive-behavioral therapy (therapy ID=2) was performed was set in the therapy list as a condition for the therapy of therapy ID=9, then therapy ID=2 was performed at a predetermined timing thereafter. This is confirmed from the obesity medical history information, and therapy ID=9 is executed at that timing. In the therapy list, the item of the effect of the therapy performed in the therapy history was added, and in addition to the cognitive-behavioral therapy being performed, if the cognition change effect was confirmed according to the above procedure, the change in cognition Suitable behavioral therapy can also be implemented. After the cognitive-behavioral therapy therapy ID=2 has been performed and the patient understands that few people would be offended by a food offer being declined, in step 1304, select "When specifically offered food. A message for behavioral therapy is presented that says, "Prepare in advance how to refuse." As a result, based on correct cognition, it is possible to create an environment in which the other person can support you by politely refusing food when offered.

The effect of behavioral therapy may be limited when performed alone, but using this embodiment, after the change in cognition due to cognitive behavioral therapy has occurred, it is suitable for the change in cognition. Behavioral therapy can enhance its effectiveness.

[Sixth Embodiment]
The system for obese patients in this embodiment includes a procedure for determining the timing of initiation of therapy for treating obesity according to the first to fourth embodiments, and a procedure for determining the timing of initiation according to the fifth embodiment. It has the capability to perform both The first to fourth embodiments and the fifth embodiment differ in the method of determining the start timing for implementing therapy for treating obesity. However, by combining the first to fourth and fifth embodiments, any of these therapy start timing determination processes can be performed, and therapy can be performed at the timing determined by any of the start timing determination processes. is clear. Other configurations are the same as those of the first to fourth and fifth embodiments. Also, the therapy that is started at a certain timing is, for example, only cognitive behavioral therapy, and the therapy that is performed at another timing is only behavioral therapy. may be

[Seventh embodiment]
In this embodiment, the patient inputs sentences in the patient-side electronic device 104, transmits the sentences to the server 102, and the control unit 601 of the server 102 analyzes and acquires the patient's answers by performing parsing processing or the like. Then, by comparing it with the correct answer information, the same information processing as in the first to sixth embodiments is executed. Other configurations are the same as those of the first to sixth embodiments.

Each embodiment described above is an example for explaining the present invention, and the present invention is not limited to these embodiments. The present invention can be embodied in various forms without departing from the gist thereof.

100 System 101 Network 102 Server 103 Database 104 Patient Electronic Device 105 Doctor Electronic Device 201 Processing Device 202 Display Device 303 Input Device 204 Storage Device 205 Communication Device 206 Server Program 301 Processing Device 302 Display Device 303 Input Device 304 Storage Device 305 Communication device 306 DB program 401 Processing device 402 Display device 403 Input device 404 Storage device 405 Communication device 406 Patient program 501 Processing device 502 Display device 503 Input device 504 Storage device 505 Communication device 506 Doctor program 601 Processing unit 602 Display unit 603 input unit 604 storage unit 605 communication unit 701 processing unit 702 display unit 703 input unit 704 storage unit 705 communication unit 801 processing unit 802 display unit 803 input unit 804 storage unit 805 communication unit 901 processing unit 902 display unit 903 input unit 904 storage Part 905 Communication part

Claims (13)

A system for use with obese patients, comprising:
determining a request timing for requesting patient-interpreted information including a patient's interpretation of a given obesity-related item of the plurality of obesity-related items based on the obesity patient's medical history information;
requesting input by the patient of patient-interpreted information including the patient's interpretation of the predetermined obesity-related matter at the determined request timing;
receiving input of patient interpretation information indicating the patient's interpretation of obesity-related matters in response to the request ;
Determining whether the patient's interpretation of the obesity-related matters is incorrect based on the input patient interpretation information and the correct answer information on the obesity-related matters;
if it is determined that the patient's interpretation is erroneous, presenting the patient with information to correct the patient's erroneous interpretation of obesity-related matters;
Matters related to obesity include impaired glucose tolerance, dyslipidemia, hypertension, hyperuricemia, coronary artery disease, cerebral infarction, fatty liver (NAFLD), menstrual abnormality, obesity-related kidney disease, orthopedic disease, sleep A matter associated with at least one of apnea syndrome (SAS),
A system used for obese patients, characterized in that: Receiving the input of the patient interpretation information is determined based on the timing when the information indicating the patient's current physical condition is input to the computer used by the patient, in addition to the case of responding to the request. Executed at acquisition timing,
acquiring information indicating the patient's current physical condition at a physical condition information acquisition timing determined based on the timing at which the information indicating the patient's current physical condition was input;
The patient interpretation information includes information indicating the relationship between the patient's current physical condition and obesity that the patient thinks.
2. The system of claim 1, wherein: When the acquired information indicating the patient's current physical condition indicates an appetite urge, the patient's current physical condition cause, the patient's obesity medical history information, and the patient's current physical condition at what time determining whether the patient's appetite urge should be suppressed based on at least one of the times indicating whether
presenting information prompting input of patient interpretation information indicating the patient's interpretation of the obesity-related matter based on the determination result of whether the patient's appetite urge should be suppressed;
3. The system of claim 2 , wherein: Presenting information prompting input of the patient-interpreted information is performed when it is determined that the patient's appetite should be suppressed by determining whether the patient's appetite should be suppressed. 4. The system of claim 3 , wherein: Appetite urge currently occurring based on first behavioral therapy information indicating actions to be taken by the patient in relation to the patient's current physical condition, based on information indicative of the patient's current physical condition obtained by patient input. provide information to resolve
5. A system according to claim 3 or 4 , characterized in that: After presenting the information based on the first behavioral therapy information, presenting a message asking whether the physical condition has improved;
Receiving input of effect reply information by the patient in response to the message;
When the effect response information indicates that the physical condition has not improved, the current appetite urge is eliminated based on second behavioral therapy information indicating actions to be taken by the patient in relation to the physical condition. to provide information to
6. The system of claim 5 , wherein: determining whether or not the patient's appetite should be suppressed based on at least the effect response information when the acquired information indicating the patient's current physical condition indicates the appetite;
Presenting information for relieving the current appetite urge based on the second behavioral therapy information is performed based on at least a determination based on the effect response information,
7. The system of claim 6 , wherein: Presenting the patient with information for correcting the erroneous interpretation is performed after presenting information for resolving the current appetite urge based on the first behavioral therapy information is performed. 8. The system of claim 7 , wherein: The system according to any one of claims 2 to 8 , wherein the information indicative of the patient's current physical condition includes the patient's perceived cause of the current physical condition. Presenting coaching information indicating a message for encouraging the patient in relation to the patient's physical condition at a coaching timing determined based on the timing at which the information indicating the patient's current physical condition is input. A system according to any one of claims 2-9 . 11. The system of claim 10 , wherein presenting information to the patient to correct the misinterpretation is performed after presenting the coaching information is performed. A method for use with an obese patient, comprising:
determining a request timing for requesting patient-interpreted information including a patient's interpretation of a predetermined obesity-related item of the plurality of obesity-related items based on the obese patient's medical history information;
requesting input by the patient of patient-interpreted information including the patient's interpretation of the predetermined obesity-related matter at the determined request timing;
receiving input of patient interpretation information indicating the patient's interpretation of obesity-related matters in response to the request ;
determining whether the patient's interpretation of the obesity-related matter is incorrect based on the input patient interpretation information and correct answer information about the obesity-related matter;
if it is determined that the patient's interpretation is erroneous, presenting the patient with information to correct the patient's erroneous interpretation of obesity-related matters;
is executed and
Matters related to obesity include impaired glucose tolerance, dyslipidemia, hypertension, hyperuricemia, coronary artery disease, cerebral infarction, fatty liver (NAFLD), menstrual abnormality, obesity-related kidney disease, orthopedic disease, sleep A matter associated with at least one of apnea syndrome (SAS),
A method used for obese patients, characterized in that: A program for use with obese patients, comprising:
determining a request timing for requesting patient-interpreted information including a patient's interpretation of a predetermined obesity-related item of the plurality of obesity-related items based on the obese patient's medical history information;
requesting input by the patient of patient-interpreted information including the patient's interpretation of the predetermined obesity-related matter at the determined request timing;
receiving input of patient interpretation information indicating the patient's interpretation of obesity-related matters in response to the request ;
determining whether the patient's interpretation of the obesity-related matter is incorrect based on the input patient interpretation information and correct answer information about the obesity-related matter;
if it is determined that the patient's interpretation is erroneous, presenting the patient with information to correct the patient's erroneous interpretation of obesity-related matters;
and
Matters related to obesity include impaired glucose tolerance, dyslipidemia, hypertension, hyperuricemia, coronary artery disease, cerebral infarction, fatty liver (NAFLD), menstrual abnormality, obesity-related kidney disease, orthopedic disease, sleep A matter associated with at least one of apnea syndrome (SAS),
A program used for obese patients characterized by:

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