WO2023209830A1 - Adjustment system, adjustment method, and program - Google Patents

Adjustment system, adjustment method, and program Download PDF

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Publication number
WO2023209830A1
WO2023209830A1 PCT/JP2022/018989 JP2022018989W WO2023209830A1 WO 2023209830 A1 WO2023209830 A1 WO 2023209830A1 JP 2022018989 W JP2022018989 W JP 2022018989W WO 2023209830 A1 WO2023209830 A1 WO 2023209830A1
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patient
pattern
digital media
behavioral
computer
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PCT/JP2022/018989
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French (fr)
Japanese (ja)
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幸 浦野
俊巳 山崎
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Everstoria株式会社
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Priority to PCT/JP2022/018989 priority Critical patent/WO2023209830A1/en
Publication of WO2023209830A1 publication Critical patent/WO2023209830A1/en

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    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/70ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mental therapies, e.g. psychological therapy or autogenous training

Definitions

  • the present invention relates to a technique effective for cognitive therapy or behavioral therapy performed on patients.
  • Patent Document 1 when the situation and evaluation scores are sent to a database, they are classified by keyword, and the evaluation points for each classification are analyzed by recording, calculating, comparing, etc., and counseling is automatically performed based on the results.
  • Technology has been provided that automatically performs cognitive behavioral therapy using algorithms to improve cognitive distortions and behavior.
  • Patent Document 2 discloses a sleep management system that implements a session based on cognitive behavioral therapy including a question-and-answer process regarding sleep between an information processing server and an information processing terminal device, the question-and-answer process
  • each question is advanced page by page on the screen of the information processing terminal device, and until the question and answer process is completed, the previous question and answer record is scrolled in accordance with the user's instruction operation on the information processing terminal device.
  • Techniques are provided for controlling the display.
  • Cognitive therapy or behavioral therapy is a type of psychotherapy that works on cognition to make people feel better. Advances in technology have made it possible to obtain data and life logs that can be used to promote health, and digital media (e.g., VR (Virtual Reality), AR (Augmented Reality), applications) to provide cognitive therapy or behavioral therapy to patients are now available. , web content). Through this digital media, patients receive cognitive or behavioral therapy to improve their disease status. Therefore, it is important to appropriately customize digital media for each patient. In order to maximize the effects of cognitive therapy or behavioral therapy using digital media, it is necessary to adjust the digital media to correct disturbances in physiological response patterns, perceptual patterns, or behavioral patterns for each patient.
  • VR Virtual Reality
  • AR Augmented Reality
  • the present invention aims to provide appropriate cognitive therapy or behavioral therapy to patients by adjusting digital media to correct disturbances in the patient's physiological response patterns, perceptual patterns, or behavioral patterns.
  • the purpose is to provide an adjustment system, adjustment method, and program that make it possible.
  • the present invention is a coordination system for performing cognitive therapy or behavioral therapy on a patient, comprising: an acquisition unit that acquires the disease status of the patient; a generation unit that generates digital media that distributes content according to the acquired disease state; a collection unit that collects logs regarding physiological reactions, perceptions, or behaviors of the patient in real space or in the generated digital media; a detection unit that analyzes the collected logs and detects a disturbance in the patient's physiological reaction pattern, perceptual pattern, or behavioral pattern; an adjustment unit that adjusts the generated digital media to correct disturbances in the patient's physiological reaction pattern, perceptual pattern, or behavioral pattern, based on the detection result; Provides an adjustment system comprising:
  • a coordination system that performs cognitive therapy or behavioral therapy on a patient acquires the disease state of the patient and generates digital media that distributes content according to the acquired disease state. Collect logs regarding the patient's physiological reactions, perceptions, or behaviors in real space or the generated digital media, analyze the collected logs, and analyze the patient's physiological reaction patterns, perceptual patterns, or , a disturbance in the behavioral pattern is detected, and based on the detection result, an adjustment is made to the generated digital media to correct the disturbance in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient.
  • FIG. 1 is a diagram illustrating an overview of an adjustment system 1.
  • FIG. 1 is a diagram showing a functional configuration of an adjustment system 1.
  • FIG. 3 is a diagram showing a flowchart of a generation process executed by the adjustment system 1.
  • FIG. 3 is a diagram showing a flowchart of adjustment processing executed by the adjustment system 1.
  • FIG. 1 is a schematic diagram for explaining the outline of the adjustment system 1. As shown in FIG. The adjustment system 1 realizes processing in which a computer 10 having a server function performs cognitive therapy or behavioral therapy on a patient 2.
  • the adjustment system 1 may be any system as long as it includes a computer 10 having at least a server function.
  • This computer 10 may be realized by, for example, one computer, or may be realized by a plurality of computers such as a cloud computer.
  • a cloud computer refers to one that uses any computer in a scalable manner to perform a certain function, or one that includes multiple functional modules to realize a certain system, and whose functions can be freely combined. It can be anything.
  • the adjustment system 1 includes a computer 10, a patient terminal 20 managed by a patient 2, and a medical facility terminal 30 managed by a medical facility.
  • the terminals, devices, etc. that make up the adjustment system 1 are merely examples, and the number, types, and functions of each terminal other than the computer 10 can be changed as appropriate.
  • the premise of the present invention is that the patient 2 receives cognitive therapy or behavioral therapy using digital media.
  • the computer 10 acquires the disease status of the patient 2 (step S1).
  • Disease status is the severity and/or progression of the disease.
  • the patient terminal 20 detects various data detected or input by itself (for example, the cycle of biological signals detected by a wearable device (for example, pulse, body temperature, respiration, eye movements) and deviations in the device position, and the deviations detected by the input device).
  • the computer 10 determines the change in the input frequency, the gesture and/or voice detected by the gesture/speech recognition system, the disease state of the patient 2 whose mobile terminal or personal computer has accepted the input, as the disease state of the patient 2.
  • the medical facility terminal 30 transmits the disease status of the patient 2 who has been examined at the medical facility 3 to the computer 10.
  • the computer 10 receives the disease states of these patients 2 and acquires the disease states of the patients 2.
  • the computer 10 generates digital media that distributes content according to the acquired disease state (step S2).
  • the content includes, for example, weather effects (e.g., changes in weather such as a change from sunny to cloudy, a change from cloudy to sunny, and a change from cloudy to rain), and architectural effects (e.g., drawings of buildings, (deletion of buildings, addition of buildings, architectural scenery of buildings), rendering of topography (e.g., drawing of various landforms such as mountains, oceans, plains, grasslands, plateaus, etc.), patient 2 has never experienced it in the past (has never actually visited or virtually visited)) .
  • digital media is, for example, VR, AR, applications, and web content.
  • This digital media can be used to record various responses from the patient 2 (for example, shifts in the cycle of biological signals detected by the wearable device and the position of the device, changes in the input frequency detected by the input device, and signals detected by the gesture/voice recognition system).
  • Contents are provided to the patient 2 according to the gesture and/or voice, the disease state of the patient 2 whose input is accepted by the mobile terminal or the personal computer.
  • the computer 10 selects necessary content for the patient 2 from among the content stored in advance by itself or received input from the administrator of the adjustment system 1, etc., according to the acquired disease state.
  • Computer 10 generates digital media that distributes the selected content.
  • the computer 10 collects logs regarding the physiological reactions, perceptions, or behaviors of the patient 2 in real space or in the generated digital media (step S3).
  • a physiological response is, for example, a response of the patient 2 to an external stimulus received by the patient 2 (eg, a stimulus received by real space, a stimulus received by digital media).
  • Perceptions include, for example, the five senses such as vision, hearing, smell, taste, and antennae, as well as organic spacing, balance, muscle movement sensation, and the like.
  • the behavior is, for example, all the activities and actions performed by the patient 2.
  • the computer 10 collects logs regarding the physiological reactions, perceptions, or behaviors of the patient 2 based on the patient's 2 responses to content in real space or digital media.
  • the computer 10 acquires various data similar to the data acquired as the above-mentioned state of the patient 2 with respect to each content as a log regarding the physiological reaction, perception, or behavior of the patient 2 in the real space or output digital media. do.
  • the patient terminal 20 transmits various data detected or input by itself to the computer 10 as a response from the patient 2.
  • the computer 10 receives these various data and collects logs regarding the physiological reactions, perceptions, or behaviors of the patient 2 in real space or in generated digital media.
  • the computer 10 analyzes the collected logs and detects a disturbance in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient 2 (step S4).
  • the computer 10 compares various data in the collected logs with the real space or content, and detects a first parameter indicating what kind of experience is "provided” and "perceived” by the patient 2.
  • the computer 10 identifies the cognitive/psychological effect that the content is having on the patient 2 based on this first parameter.
  • the computer 10 detects a disturbance in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient 2 based on the cognitive/psychological effects brought about on the identified patient 2.
  • the computer 10 makes adjustments to the generated digital media to correct disturbances in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient 2 (step S5).
  • the computer 10 generates a second parameter that produces a certain cognitive/psychological effect on the patient 2 based on the identified cognitive/psychological effect.
  • the computer 10 adjusts the generated digital media by creating new content that takes into account the generated second parameter, or by adding this parameter to the content of the generated digital media.
  • the computer 10 generates the second parameter and adjusts the digital media based on the second parameter, and detects disturbances in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient 2 with respect to the generated digital media. Make adjustments to adjust the situation.
  • FIG. 2 is a block diagram showing the configuration of the adjustment system 1.
  • the adjustment system 1 is a system that implements processing for performing cognitive therapy or behavioral therapy on a patient 2, and is composed of at least a computer 10.
  • the adjustment system 1 further includes a patient terminal 20 managed by a patient 2 and a medical facility terminal 30 managed by a medical facility 3.
  • the adjustment system 1 is a system in which a computer 10, a patient terminal 20, and a medical facility terminal 30 are connected to enable data communication via a network 5 such as a public line network.
  • a network 5 such as a public line network.
  • the terminals, devices, etc. that make up the adjustment system 1 are merely examples, and the number, types, and functions of each terminal other than the computer 10 can be changed as appropriate.
  • the computer 10 has a server function, and may be implemented by, for example, one computer or multiple computers such as a cloud computer.
  • the computer 10 includes a CPU (Central Processing Unit), a GPU (Graphics Processing Unit), a RAM (Random Access Memory), a ROM (Read Only Memory), etc. as a control unit, and a communication unit. as a connection with other terminals, devices, etc.
  • the device includes a device for enabling communication, an acquisition unit 11 that acquires the disease state of the patient 2, a collection unit 12 that collects logs regarding the physiological reactions, perceptions, or behaviors of the patient 2, and the like.
  • the computer 10 includes, as processing units, various devices that execute various processes, a generation unit 13 that generates digital media, a detection unit 14 that detects disturbances in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient 2, and a digital An adjustment unit 15 and the like is provided for adjusting the media to correct disturbances in the physiological reaction pattern, perceptual pattern, or behavior pattern of the patient 2.
  • control section reads a predetermined program, thereby realizing an acquisition module, an output module, and a collection module in cooperation with the communication section. Further, in the computer 10, the control section reads a predetermined program, thereby realizing a generation module, a detection module, and an adjustment module in cooperation with the processing section.
  • the patient terminal 20 includes, for example, a head mounted display (HMD), a wearable device such as smart glasses, an input device such as a mouse and a controller, a gesture/speech recognition system that recognizes gestures and/or voice of the patient 2, a mobile phone, and a smartphone. , mobile terminals such as tablet terminals, and terminals such as personal computers.
  • the patient terminal 20 includes a CPU, GPU, RAM, ROM, etc. as a terminal control section, a device etc. for enabling communication with other terminals, devices, etc. as a communication section, and various information as an input/output section. Equipped with devices, etc. for executing input/output.
  • the patient terminal 20 may be capable of direct data communication with the computer 10, or may be capable of data communication via another device such as a router.
  • the medical facility terminal 30 is, for example, a mobile terminal such as a mobile phone, a smartphone, or a tablet terminal, or a terminal such as a personal computer or a computer having a server function.
  • the medical facility terminal 30 includes a CPU, GPU, RAM, ROM, etc. as a terminal control unit, a device etc. for enabling communication with other terminals and devices as a communication unit, and various types of input/output units as an input/output unit. It is equipped with devices, etc. for inputting and outputting information.
  • the medical facility terminal 30 may be capable of direct data communication with the computer 10, or may be capable of data communication via another device such as a router.
  • each process executed by the adjustment system 1 will be explained together with the processes executed by each of the modules described above.
  • each module may execute its processing content as its own function, or may execute it via a predetermined application.
  • the premise of the present invention is that the patient 2 receives cognitive therapy or behavioral therapy using digital media.
  • the acquisition module acquires the disease state of patient 2 (step S10).
  • the disease state is the severity and/or progress of the disease, as described above.
  • the patient terminal 20 transmits various data detected or input by itself to the computer 10 as the state of the patient 2.
  • the medical facility terminal 30 transmits various data inputted thereto to the computer 10 as the status of the patient 2.
  • the acquisition module receives these various data and acquires the disease status of the patient 2 from the patient terminal 20 managed by the patient 2 and/or the medical facility terminal 30 managed by the medical facility 3 where the patient 2 visited.
  • the disease state of the patient 2 that the acquisition module acquires from the patient terminal 20 will be explained for each type of patient terminal 20.
  • the patient terminal 20 detects the biological signals of the patient 2 and detects their cycles.
  • the patient terminal 20 detects pulse values, body temperature values, respiration values, fluctuations in eye movement, etc., and also detects the cycles of these values, fluctuations, etc.
  • the patient terminal 20 detects its own position and detects any deviation in its position.
  • the patient terminal 20 detects the movement of the patient 2 wearing the patient 2 in each direction of front and back, up and down, left and right, pitch, yaw, and roll, and detects its own position.
  • the patient terminal 20 Based on the detected position of the patient terminal 20, the patient terminal 20 detects a deviation from the position of the patient terminal 20 assumed in advance. The patient terminal 20 transmits the period of this biological signal and its own positional deviation to the computer 10 as the disease state of the patient 2.
  • the acquisition module receives the period of this biological signal and its own positional deviation, and acquires the disease state of the patient 2.
  • the patient terminal 20 is an input device used by the patient 2 will be described.
  • the patient terminal 20 receives input from the patient 2, and detects the frequency of this input as the input frequency.
  • the patient terminal 20 detects a change in input frequency based on the detected input frequency.
  • the patient terminal 20 transmits this change in input frequency to the computer 10 as the disease state of the patient 2.
  • the acquisition module receives this change in input frequency and acquires the disease status of the patient 2.
  • the patient terminal 20 is a gesture/speech recognition system
  • the patient terminal 20 recognizes the gesture and/or voice of the patient 2 toward itself, and detects the recognized gesture and/or voice.
  • the patient terminal 20 transmits this gesture and/or voice to the computer 10 as the disease state of the patient 2.
  • the acquisition module receives this gesture and/or voice and acquires the disease status of the patient 2.
  • a case where the patient terminal 20 is a mobile terminal or a personal computer will be described.
  • the patient terminal 20 accepts input of the disease state of the patient 2 using a predetermined input method (for example, an application, a UI (User Interface) with an input form set, email, message).
  • a predetermined input method for example, an application, a UI (User Interface) with an input form set, email, message.
  • the patient terminal 20 receives input of the disease state of the patient 2 based on the patient's 2 self-report.
  • the patient terminal 20 transmits the disease status of the patient 2 to the computer 10.
  • the acquisition module receives the disease status of this patient 2 and acquires the disease status of the patient 2.
  • the various data that the patient terminal 20 detects or receives input is not limited to the example described above. Further, the patient terminal 20 is not limited to the devices, equipment, systems, terminals, apparatuses, etc. described above. Further, the data communication method by which the acquisition module acquires various data from the patient terminal 20 is not particularly limited.
  • the disease state of the patient 2 that the acquisition module acquires from the medical facility terminal 30 will be described.
  • the medical facility terminal 30 receives input of the disease state of the patient 2 from a medical worker or the like who belongs to the medical facility 3 where the patient 2 has been examined.
  • the medical facility terminal 30 transmits the disease status of the patient 2 to the computer 10.
  • the acquisition module receives the disease status of this patient 2 and acquires the disease status of the patient 2.
  • the various data that the medical facility terminal 30 accepts as input is not limited to the example described above. Further, the data communication method by which the acquisition module acquires various data from the medical facility terminal 30 is not particularly limited.
  • the disease state of the patient 2 that the acquisition module acquires from the patient terminal 20 and/or the medical facility terminal 30 may be any one of the above, or a combination of a plurality of them.
  • the generation module generates digital media that distributes content according to the acquired disease state of the patient 2 (step S11).
  • the content is, for example, a weather presentation, a building presentation, or a terrain presentation.
  • the digital media are, for example, VR, AR, applications, and web content, and provide content to the patient 2 according to various responses from the patient 2.
  • the generation module generates one or more contents necessary for the patient 2 from among the contents stored by itself or received input from the administrator of the adjustment system 1, etc., according to the acquired disease state of the patient 2. Select multiple content.
  • the generation module uses the selected content or content to generate digital media that serves this content.
  • the output module outputs the generated digital media to the patient 2 (step S12).
  • the output module transmits the generated digital media to the patient terminal 20.
  • the patient terminal 20 to which the output module transmits the digital media may be at least one capable of displaying digital media, such as a wearable device, a mobile terminal, or a personal computer.
  • the patient terminal 20 receives this digital media and displays it on its own display.
  • the patient 2 views digital media displayed on the patient terminal 20.
  • the output module outputs the generated digital media to the patient 2 by displaying the generated digital media on the patient terminal 20.
  • Adjustment process executed by computer 10 The adjustment process executed by the computer 10 will be explained based on FIG. 4.
  • This figure is a diagram showing a flowchart of the adjustment process executed by the computer 10.
  • This adjustment process includes a collection process (step S3) that collects logs regarding the physiological reactions, perceptions, or behaviors of the patient 2 described above, and detects disturbances in the physiological reaction patterns, perceptual patterns, or behavioral patterns of the patient 2.
  • This adjustment process is a process executed after the generation process described above.
  • the collection module collects logs regarding the physiological reactions, perceptions, or behaviors of the patient 2 in the real space or in the generated digital media (step S20).
  • the physiological response is the response of the patient 2 to an external stimulus that the patient 2 receives.
  • perception includes the five senses such as sight, hearing, smell, taste, and antennae, as well as organic spacing, balance sense, muscle movement sense, and the like.
  • the actions are all the activities and actions performed by the patient 2.
  • the collection module collects logs regarding the physiological reactions, perceptions, or behaviors of the patient 2 based on the patient's 2 responses to content in real space or output digital media.
  • the collection module acquires various data similar to the data acquired as the state of the patient 2 described above for each content in the real space or output digital media as a log regarding the physiological reaction, perception, or behavior of the patient 2. do.
  • the patient terminal 20 is an HMD
  • the digital media is a VR space
  • the content is changes in the weather, drawings of buildings, and drawings of terrain
  • the collection module collects the periodicity of the eye movement data of the patient 2. and the positional deviation of the patient terminal 20 are collected as a log regarding the physiological reaction, perception, or behavior of the patient 2.
  • the patient terminal 20 transmits various data detected or input by itself to the computer 10 as a response from the patient 2.
  • the collection module receives these various data and collects logs regarding the physiological reactions, perceptions, or behaviors of the patient 2 in real space or in generated digital media.
  • the detection module analyzes the collected logs and detects a disturbance in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient 2 (step S21).
  • the detection module compares various data in the collected logs with the real space or content, and detects a first parameter indicating what kind of "experience is provided” and "perceived” by the patient 2.
  • the method for detecting the first parameter is such that in the log example described above, in a certain topographical scene, elements resulting from changes in weather and elements resulting from drawings of buildings promote psychological transformation.
  • the detection module specifies the cognitive/psychological effects that the content has on the patient 2 by analyzing usage scenes and response history of the patient 2.
  • the detection module detects a disturbance in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient 2 based on the cognitive/psychological effects brought on the identified patient 2.
  • the adjustment module makes adjustments to the generated digital media to correct disturbances in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient 2 (step S22).
  • the adjustment module generates a second parameter that produces a certain cognitive/psychological effect on the patient 2 based on the identified cognitive/psychological effect.
  • the second parameter is one that promotes psychological transformation to normal cognitive and psychological effects in a certain topographical scene, and includes information on changes in topography, changes in weather, and changes in buildings. This is the content of the drawing.
  • the adjustment module generates second parameters for adjustable content.
  • the adjustment module adjusts the generated digital media by creating new content that takes the generated second parameter into consideration, or by adding this parameter to the content of the generated digital media.
  • the adjustment module generates the second parameter and adjusts the digital media based on the second parameter, and detects disturbances in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient 2 with respect to the generated digital media. Make adjustments to adjust the situation.
  • the output module outputs the adjusted digital media to the patient 2 (step S23).
  • the output module transmits the adjusted digital media to the patient terminal 20.
  • the patient terminal 20 to which the output module transmits the digital media may be at least one capable of displaying digital media, such as a wearable device, a mobile terminal, or a personal computer.
  • the patient terminal 20 receives this digital media and displays it on its own display.
  • the patient 2 views digital media displayed on the patient terminal 20.
  • the output module outputs the adjusted digital media to the patient 2 by displaying the adjusted digital media on the patient terminal 20. Note that when the output module outputs the adjusted digital media to the patient 2,
  • the health of the patient 2 may be managed in accordance with the first parameter detected by the process of step S21 described above.
  • the purpose is to provide appropriate cognitive therapy or behavioral therapy to the patient, but it may also be applied to the purpose of medical examination or health checkup as appropriate.
  • the computer 10 can also be configured to execute a part or all of the above-mentioned processes in combination. Further, the computer 10 can also be configured to execute each process at a timing other than the timing described above.
  • the means and functions described above are realized by a computer (including a CPU, an information processing device, and various terminals) reading and executing a predetermined program.
  • the program may be provided from a computer via a network (SaaS: Software as a Service) or in a cloud service.
  • the program may be provided in a form recorded on a computer-readable recording medium.
  • the computer reads the program from the recording medium, transfers it to an internal recording device or an external recording device, records it, and executes it.
  • the program may be recorded in advance on a recording device (recording medium) and provided to the computer from the recording device via a communication line.
  • a coordination system that performs cognitive therapy or behavioral therapy for a patient, an acquisition unit (for example, acquisition unit 11, acquisition module) that acquires the disease state of the patient; a generation unit (for example, generation unit 13, generation module) that generates digital media that distributes content according to the acquired disease state; a collection unit (e.g., collection unit 12, collection module) that collects logs regarding physiological reactions, perceptions, or behaviors of the patient in the real space or the generated digital media; a detection unit (e.g., detection unit 14, detection module) that analyzes the collected logs and detects a disturbance in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient; an adjustment unit (e.g., adjustment unit 15, adjustment module) that adjusts the generated digital media to correct disturbances in the patient's physiological reaction pattern, perceptual pattern, or behavioral pattern, based on the detection result; , Adjustment system with.
  • an acquisition unit for example, acquisition unit 11, acquisition module
  • a generation unit for example, generation unit 13, generation module
  • digital media that distributes content according to
  • the state of the disease is the severity and/or progress of the disease; The adjustment system described in (1).
  • the acquisition unit acquires, as the disease state, a period of the patient's biosignal detected by a wearable device worn by the patient and a shift in the position of the wearable device due to the patient's behavior.
  • the adjustment system described in (1) The adjustment system described in (1).
  • the acquisition unit acquires, as the disease state, a change in input frequency detected by an input device used by the patient; The adjustment system described in (1).
  • the acquisition unit acquires the patient's gesture and/or voice detected by a gesture/speech recognition system used by the patient as the disease state.
  • the adjustment system described in (1) The adjustment system described in (1).
  • the acquisition unit acquires the disease state from the patient;
  • the adjustment system described in (1) The adjustment system described in (1).
  • the acquisition unit acquires the state of the disease from the medical facility where the patient visited.
  • the adjustment system described in (1) The adjustment system described in (1).
  • a computer-executed adjustment method for performing cognitive therapy or behavioral therapy on a patient comprising: obtaining the patient's disease status (e.g., step S10); a step of generating digital media that distributes content according to the acquired disease state (for example, step S11); Collecting logs regarding physiological reactions, perceptions, or behaviors of the patient in real space or in the generated digital media (e.g., step S20); Analyzing the collected logs to detect disturbances in the patient's physiological reaction pattern, perceptual pattern, or behavioral pattern (for example, step S21); Based on the detection result, adjusting the generated digital media to correct disturbances in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient (for example, step S22); Adjustment method with.
  • a computer that performs cognitive therapy or behavioral therapy on a patient; obtaining the patient's disease status (e.g., step S10); a step of generating digital media that distributes content according to the acquired disease state (for example, step S11); collecting logs regarding physiological reactions, perceptions, or behaviors of the patient in real space or in the generated digital media (e.g., step S20); analyzing the collected logs and detecting disturbances in the patient's physiological reaction pattern, perceptual pattern, or behavioral pattern (e.g., step S21); Based on the detection result, adjusting the generated digital media to correct disturbances in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient (for example, step S22); A computer readable program for executing.
  • Adjustment System 2 Patient 3 Medical Facility 5 Network 10 Computer 11 Acquisition Unit 12 Collection Unit 13 Generation Unit 14 Detection Unit 15 Adjustment Unit 20 Patient Terminal 30 Medical Facility Terminal

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Abstract

The present invention provides suitable cognitive therapy or behavioral therapy to a patient. An adjustment system for providing cognitive therapy or behavioral therapy to a patient acquires the state of a disease from which the patient is suffering, generates digital media for distributing content in accordance with the acquired state of the disease, collects a log relating to the physiological responses, perception, or behavior of the patient in a real space or in the generated digital media, analyzes the collected log, detects a disturbance in a physiological response pattern, a perception pattern, or a behavioral pattern of the patient, and uses the detection result as a basis to perform adjustment of the generated digital media for correcting the disturbance in the physiological response pattern, the perception pattern, or the behavioral pattern of the patient.

Description

調整システム、調整方法及びプログラムAdjustment system, adjustment method and program
 本発明は、患者に対して行う認知療法又は行動療法に有効な技術に関する。 The present invention relates to a technique effective for cognitive therapy or behavioral therapy performed on patients.
 近年、認知療法又は行動療法に関する技術が注目されている。
 例えば、特許文献1では、状況と評価点とをデータベースに送信すると、キーワードで分類し、その分類毎の評価点を記録、計算、比較する等の分析を行い、その結果に基づき自動的にカウンセリングを行うことで、認知の歪みや行動を改善する認知行動療法をアルゴリズム化して自動的に行う技術が提供されている。
 また、他には、特許文献2では、情報処理サーバと、情報処理端末装置との間で睡眠に関する質疑応答過程を含む認知行動療法に基づくセッションを実施する睡眠管理システムであって、質疑応答過程は、質問毎に情報処理端末装置の画面上の頁単位で進行させ、質疑応答過程が終了するまでは、情報処理端末装置に対するユーザの指示操作に応じてそれまでの質疑応答記録をスクロール形式で表示させるよう制御する技術が提供されている。
In recent years, techniques related to cognitive therapy or behavioral therapy have attracted attention.
For example, in Patent Document 1, when the situation and evaluation scores are sent to a database, they are classified by keyword, and the evaluation points for each classification are analyzed by recording, calculating, comparing, etc., and counseling is automatically performed based on the results. Technology has been provided that automatically performs cognitive behavioral therapy using algorithms to improve cognitive distortions and behavior.
In addition, Patent Document 2 discloses a sleep management system that implements a session based on cognitive behavioral therapy including a question-and-answer process regarding sleep between an information processing server and an information processing terminal device, the question-and-answer process In this system, each question is advanced page by page on the screen of the information processing terminal device, and until the question and answer process is completed, the previous question and answer record is scrolled in accordance with the user's instruction operation on the information processing terminal device. Techniques are provided for controlling the display.
特開2015-153413号公報Japanese Patent Application Publication No. 2015-153413 特開2018-186362号公報Japanese Patent Application Publication No. 2018-186362
 認知に働きかけて気持ちを楽にする精神療法(心理療法)の一種に、認知療法又は行動療法がある。
 テクノロジーの進歩により、健康促進に使えるデータやライフログが取得できるようになり、患者に対して、認知療法又は行動療法を行うデジタルメディア(例えば、VR(Virtual Reality)、AR(Augmented Reality)、アプリケーション、Webコンテンツ)がある。患者は、このデジタルメディアを通して、認知療法又は行動療法を受け、疾患の状態の改善を図る。そのため、患者毎に、デジタルメディアを適切にカスタマイズすることが肝要である。デジタルメディアによる認知療法又は行動療法の効果を最大化するためには、デジタルメディアに対して、患者毎に生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを整える調整を行う必要がある。
 そのため、デジタルメディアに対して、患者の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを整える調整を行う技術が求められている。
 しかしながら、特許文献1及び2に記載の技術では、デジタルメディアに対して、患者の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを整える調整を行うことが出来なかった。
 そこで、本発明者らは、デジタルメディアに対して、患者の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを整える調整を行う仕組みに着目した。
Cognitive therapy or behavioral therapy is a type of psychotherapy that works on cognition to make people feel better.
Advances in technology have made it possible to obtain data and life logs that can be used to promote health, and digital media (e.g., VR (Virtual Reality), AR (Augmented Reality), applications) to provide cognitive therapy or behavioral therapy to patients are now available. , web content). Through this digital media, patients receive cognitive or behavioral therapy to improve their disease status. Therefore, it is important to appropriately customize digital media for each patient. In order to maximize the effects of cognitive therapy or behavioral therapy using digital media, it is necessary to adjust the digital media to correct disturbances in physiological response patterns, perceptual patterns, or behavioral patterns for each patient.
Therefore, there is a need for a technology that can adjust digital media to correct disturbances in a patient's physiological response pattern, perceptual pattern, or behavioral pattern.
However, with the techniques described in Patent Documents 1 and 2, it was not possible to make adjustments to correct disturbances in a patient's physiological reaction pattern, perceptual pattern, or behavioral pattern with respect to digital media.
Therefore, the present inventors focused on a mechanism for adjusting digital media to correct disturbances in a patient's physiological reaction pattern, perceptual pattern, or behavioral pattern.
 本発明は、デジタルメディアに対して、患者の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを整える調整を行うことにより、患者に対して適切な認知療法又は行動療法を提供することを可能にする調整システム、調整方法及びプログラムを提供することを目的とする。 The present invention aims to provide appropriate cognitive therapy or behavioral therapy to patients by adjusting digital media to correct disturbances in the patient's physiological response patterns, perceptual patterns, or behavioral patterns. The purpose is to provide an adjustment system, adjustment method, and program that make it possible.
 本発明は、患者に対して、認知療法又は行動療法を行う調整システムであって、
 前記患者の疾患の状態を取得する取得部と、
 取得した前記疾患の状態に応じて、コンテンツを出し分けるデジタルメディアを生成する生成部と、
 現実空間又は生成した前記デジタルメディアにおいて、前記患者の生理学的反応、知覚、又は、行動に関するログを収集する収集部と、
 収集した前記ログを解析し、前記患者の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを検出する検出部と、
 検出結果に基づいて、生成した前記デジタルメディアに対して、前記患者の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを整える調整を行う調整部と、
 を備える調整システムを提供する。
The present invention is a coordination system for performing cognitive therapy or behavioral therapy on a patient, comprising:
an acquisition unit that acquires the disease status of the patient;
a generation unit that generates digital media that distributes content according to the acquired disease state;
a collection unit that collects logs regarding physiological reactions, perceptions, or behaviors of the patient in real space or in the generated digital media;
a detection unit that analyzes the collected logs and detects a disturbance in the patient's physiological reaction pattern, perceptual pattern, or behavioral pattern;
an adjustment unit that adjusts the generated digital media to correct disturbances in the patient's physiological reaction pattern, perceptual pattern, or behavioral pattern, based on the detection result;
Provides an adjustment system comprising:
 本発明によれば、患者に対して、認知療法又は行動療法を行う調整システムは、前記患者の疾患の状態を取得し、取得した前記疾患の状態に応じて、コンテンツを出し分けるデジタルメディアを生成し、現実空間又は生成した前記デジタルメディアにおいて、前記患者の生理学的反応、知覚、又は、行動に関するログを収集し、収集した前記ログを解析し、前記患者の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを検出し、検出結果に基づいて、生成した前記デジタルメディアに対して、前記患者の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを整える調整を行う。 According to the present invention, a coordination system that performs cognitive therapy or behavioral therapy on a patient acquires the disease state of the patient and generates digital media that distributes content according to the acquired disease state. Collect logs regarding the patient's physiological reactions, perceptions, or behaviors in real space or the generated digital media, analyze the collected logs, and analyze the patient's physiological reaction patterns, perceptual patterns, or , a disturbance in the behavioral pattern is detected, and based on the detection result, an adjustment is made to the generated digital media to correct the disturbance in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient.
 本発明は、システムのカテゴリであるが、方法及びプログラムであっても同様の作用、効果を奏する。 Although the present invention is in the category of systems, similar actions and effects can be achieved even in methods and programs.
 本発明によれば、患者に対して適切な認知療法又は行動療法を提供することが可能となる。 According to the present invention, it is possible to provide appropriate cognitive therapy or behavioral therapy to patients.
調整システム1の概要を説明する図である。1 is a diagram illustrating an overview of an adjustment system 1. FIG. 調整システム1の機能構成を示す図である。1 is a diagram showing a functional configuration of an adjustment system 1. FIG. 調整システム1が実行する生成処理のフローチャートを示す図である。3 is a diagram showing a flowchart of a generation process executed by the adjustment system 1. FIG. 調整システム1が実行する調整処理のフローチャートを示す図である。3 is a diagram showing a flowchart of adjustment processing executed by the adjustment system 1. FIG.
 以下、添付図面を参照して、本発明を実施するための形態(以下、実施形態)について詳細に説明する。以降の図においては、実施形態の説明の全体を通して同じ要素には同じ番号又は符号を付している。 Hereinafter, modes for carrying out the present invention (hereinafter referred to as embodiments) will be described in detail with reference to the accompanying drawings. In the subsequent figures, the same numbers or symbols are given to the same elements throughout the description of the embodiments.
 [調整システム1の概要]
 図1は、調整システム1の概要を説明するための模式図である。
 調整システム1は、サーバ機能を有するコンピュータ10が、患者2に対して、認知療法又は行動療法を行う処理を実現する。
[Overview of adjustment system 1]
FIG. 1 is a schematic diagram for explaining the outline of the adjustment system 1. As shown in FIG.
The adjustment system 1 realizes processing in which a computer 10 having a server function performs cognitive therapy or behavioral therapy on a patient 2.
 調整システム1を構成する端末及び装置について説明する。
 調整システム1は、少なくともサーバ機能を有するコンピュータ10を備えるシステムであれば良い。このコンピュータ10は、例えば、1台のコンピュータで実現されても良いし、クラウドコンピュータのように、複数のコンピュータで実現されても良い。
 本明細書におけるクラウドコンピュータとは、ある特定の機能を果たす際に、任意のコンピュータをスケーラブルに用いるものや、あるシステムを実現するために複数の機能モジュールを含み、その機能を自由に組み合わせて用いるものの何れであっても良い。
 本明細書において、調整システム1は、コンピュータ10に加え、患者2が管理する患者端末20、医療施設が管理する医療施設端末30により構成される。
 調整システム1を構成する端末や装置類等は、あくまでも一例であり、コンピュータ10を除く各端末については、その数、種類及び機能については、適宜変更可能である。
The terminals and devices that make up the adjustment system 1 will be explained.
The adjustment system 1 may be any system as long as it includes a computer 10 having at least a server function. This computer 10 may be realized by, for example, one computer, or may be realized by a plurality of computers such as a cloud computer.
In this specification, a cloud computer refers to one that uses any computer in a scalable manner to perform a certain function, or one that includes multiple functional modules to realize a certain system, and whose functions can be freely combined. It can be anything.
In this specification, the adjustment system 1 includes a computer 10, a patient terminal 20 managed by a patient 2, and a medical facility terminal 30 managed by a medical facility.
The terminals, devices, etc. that make up the adjustment system 1 are merely examples, and the number, types, and functions of each terminal other than the computer 10 can be changed as appropriate.
 調整システム1が、患者2に対して、認知療法又は行動療法を行う際の処理ステップの概要について説明する。
 本発明は、その前提として、患者2が、デジタルメディアを用いて、認知療法又は行動療法を受けるものである。
An overview of processing steps when the adjustment system 1 performs cognitive therapy or behavioral therapy on the patient 2 will be explained.
The premise of the present invention is that the patient 2 receives cognitive therapy or behavioral therapy using digital media.
 コンピュータ10は、患者2の疾患の状態を取得する(ステップS1)。
 疾患の状態は、疾患の重症度及び/又は進行状況である。
 患者端末20は、自身が検出又は入力を受け付けた各種データ(例えば、ウェアラブルデバイスが検出する生体信号(例えば、脈拍、体温、呼吸、眼球運動)の周期及びデバイス位置のズレや、入力機器が検出する入力頻度の変化や、ジェスチャー・音声認識システムが検出するジェスチャー及び/又は音声、携帯端末又はパーソナルコンピュータが入力を受け付けた患者2の疾患の状態)を、患者2の疾患の状態として、コンピュータ10に送信する。また、医療施設端末30は、医療施設3で受診した患者2の疾患の状態を、コンピュータ10に送信する。
 コンピュータ10は、これらの患者2の疾患の状態を受信し、患者2の疾患の状態を取得する。
The computer 10 acquires the disease status of the patient 2 (step S1).
Disease status is the severity and/or progression of the disease.
The patient terminal 20 detects various data detected or input by itself (for example, the cycle of biological signals detected by a wearable device (for example, pulse, body temperature, respiration, eye movements) and deviations in the device position, and the deviations detected by the input device). The computer 10 determines the change in the input frequency, the gesture and/or voice detected by the gesture/speech recognition system, the disease state of the patient 2 whose mobile terminal or personal computer has accepted the input, as the disease state of the patient 2. Send to. Furthermore, the medical facility terminal 30 transmits the disease status of the patient 2 who has been examined at the medical facility 3 to the computer 10.
The computer 10 receives the disease states of these patients 2 and acquires the disease states of the patients 2.
 コンピュータ10は、取得した疾患の状態に応じて、コンテンツを出し分けるデジタルメディアを生成する(ステップS2)。
 コンテンツは、例えば、天気の演出(例えば、晴れから曇りへ変化、曇りから晴れへ変化、曇りから雨への変化等の天気の変化)、建築物の演出(例えば、建築物の描画、建築物の削除、建築物の追加、建築物の建築風景)、地形の演出(例えば、山、海、平原、草原、台地等の様々な地形の描画、患者2が過去に体験した(実際に訪問したことがある又は仮想的に訪問したことがある)地形の描画、患者2が過去に体験していない(実際に訪問したことがない又は仮想的に訪問したことがない)地形の描画)である。
 デジタルメディアは、上述した通り、例えば、VR、AR、アプリケーション、Webコンテンツである。このデジタルメディアは、患者2からの様々な応答(例えば、ウェアラブルデバイスが検出する生体信号の周期及びデバイス位置のズレや、入力機器が検出する入力頻度の変化や、ジェスチャー・音声認識システムが検出するジェスチャー及び/又は音声、携帯端末又はパーソナルコンピュータが入力を受け付けた患者2の疾患の状態)に応じたコンテンツを、患者2に提供するものである。
 コンピュータ10は、取得した疾患の状態に応じて、予め自身が記憶する、又は、調整システム1の管理者等から入力を受け付けたコンテンツの内、患者2に対して必要なコンテンツを選択する。コンピュータ10は、この選択したコンテンツを出し分けるデジタルメディアを生成する。
The computer 10 generates digital media that distributes content according to the acquired disease state (step S2).
The content includes, for example, weather effects (e.g., changes in weather such as a change from sunny to cloudy, a change from cloudy to sunny, and a change from cloudy to rain), and architectural effects (e.g., drawings of buildings, (deletion of buildings, addition of buildings, architectural scenery of buildings), rendering of topography (e.g., drawing of various landforms such as mountains, oceans, plains, grasslands, plateaus, etc.), patient 2 has never experienced it in the past (has never actually visited or virtually visited)) .
As mentioned above, digital media is, for example, VR, AR, applications, and web content. This digital media can be used to record various responses from the patient 2 (for example, shifts in the cycle of biological signals detected by the wearable device and the position of the device, changes in the input frequency detected by the input device, and signals detected by the gesture/voice recognition system). Contents are provided to the patient 2 according to the gesture and/or voice, the disease state of the patient 2 whose input is accepted by the mobile terminal or the personal computer.
The computer 10 selects necessary content for the patient 2 from among the content stored in advance by itself or received input from the administrator of the adjustment system 1, etc., according to the acquired disease state. Computer 10 generates digital media that distributes the selected content.
 コンピュータ10は、現実空間又は生成したデジタルメディアにおいて、患者2の生理学的反応、知覚、又は、行動に関するログを収集する(ステップS3)。
 生理学的反応は、例えば、患者2が受ける外部刺激(例えば、現実空間により受ける刺激、デジタルメディアにより受ける刺激)に対する患者2の応答である。知覚は、例えば、視覚、聴覚、嗅覚、味覚、触角といった五感や、有機間隔、平衡感覚、筋運動感覚等である。行動は、例えば、患者2が行う活動や行い全般である。
 コンピュータ10は、現実空間又はデジタルメディアにおけるコンテンツに対する患者2の応答に基づいて、患者2の生理学的反応、知覚、又は、行動に関するログを収集する。コンピュータ10は、現実空間又は出力されたデジタルメディアにおいて、各コンテンツに対する上述した患者2の状態として取得した各種データと同様のデータを、患者2の生理学的反応、知覚、又は、行動に関するログとして取得する。
 患者端末20は、自身が検出又は入力を受け付けた各種データを、患者2の応答として、コンピュータ10に送信する。
 コンピュータ10は、これらの各種データを受信し、現実空間又は生成したデジタルメディアにおいて、患者2の生理学的反応、知覚、又は、行動に関するログを収集する。
The computer 10 collects logs regarding the physiological reactions, perceptions, or behaviors of the patient 2 in real space or in the generated digital media (step S3).
A physiological response is, for example, a response of the patient 2 to an external stimulus received by the patient 2 (eg, a stimulus received by real space, a stimulus received by digital media). Perceptions include, for example, the five senses such as vision, hearing, smell, taste, and antennae, as well as organic spacing, balance, muscle movement sensation, and the like. The behavior is, for example, all the activities and actions performed by the patient 2.
The computer 10 collects logs regarding the physiological reactions, perceptions, or behaviors of the patient 2 based on the patient's 2 responses to content in real space or digital media. The computer 10 acquires various data similar to the data acquired as the above-mentioned state of the patient 2 with respect to each content as a log regarding the physiological reaction, perception, or behavior of the patient 2 in the real space or output digital media. do.
The patient terminal 20 transmits various data detected or input by itself to the computer 10 as a response from the patient 2.
The computer 10 receives these various data and collects logs regarding the physiological reactions, perceptions, or behaviors of the patient 2 in real space or in generated digital media.
 コンピュータ10は、収集したログを解析し、患者2の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを検出する(ステップS4)。
 コンピュータ10は、収集したログにおける各種データと、現実空間又はコンテンツとを照らし合わせ、患者2にとってどんな「体験が提供されている」と「認知されている」かを示す第1パラメータを検出する。コンピュータ10は、この第1パラメータに基づいて、コンテンツが患者2にもたらしている認知・心理効果を特定する。
 コンピュータ10は、特定した患者2にもたらしている認知・心理効果に基づいて、患者2の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを検出する。
The computer 10 analyzes the collected logs and detects a disturbance in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient 2 (step S4).
The computer 10 compares various data in the collected logs with the real space or content, and detects a first parameter indicating what kind of experience is "provided" and "perceived" by the patient 2. The computer 10 identifies the cognitive/psychological effect that the content is having on the patient 2 based on this first parameter.
The computer 10 detects a disturbance in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient 2 based on the cognitive/psychological effects brought about on the identified patient 2.
 コンピュータ10は、検出結果に基づいて、生成したデジタルメディアに対して、患者2の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを整える調整を行う(ステップS5)。
 コンピュータ10は、特定した認知・心理効果に基づいて、患者2に対して、一定の認知・心理効果を生み出す第2パラメータを生成する。
 コンピュータ10は、この生成した第2パラメータを加味したコンテンツを新たに作成する、又は、生成したデジタルメディアにおけるコンテンツに、このパラメータを加味する等を行い、生成したデジタルメディアの調整を行う。
 コンピュータ10は、この第2パラメータの生成及びこの第2パラメータに基づいたデジタルメディアの調整を行い、生成したデジタルメディアに対して、患者2の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを整える調整を行う。
Based on the detection results, the computer 10 makes adjustments to the generated digital media to correct disturbances in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient 2 (step S5).
The computer 10 generates a second parameter that produces a certain cognitive/psychological effect on the patient 2 based on the identified cognitive/psychological effect.
The computer 10 adjusts the generated digital media by creating new content that takes into account the generated second parameter, or by adding this parameter to the content of the generated digital media.
The computer 10 generates the second parameter and adjusts the digital media based on the second parameter, and detects disturbances in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient 2 with respect to the generated digital media. Make adjustments to adjust the situation.
 以上が、調整システム1の概要である。
 本調整システム1によれば、患者に対して適切な認知療法又は行動療法を提供することが可能となる。
The above is an overview of the adjustment system 1.
According to the present adjustment system 1, it becomes possible to provide appropriate cognitive therapy or behavioral therapy to the patient.
 [装置構成]
 図2は、調整システム1の構成を示すブロック図である。調整システム1は、患者2に対して、認知療法又は行動療法を行う処理を実現するシステムであり、少なくともコンピュータ10から構成される。本実施形態では、調整システム1は、更に、患者2が管理する患者端末20、医療施設3が管理する医療施設端末30を備える。
 調整システム1は、コンピュータ10と、患者端末20及び医療施設端末30とが、公衆回線網等のネットワーク5等を介して、データ通信可能に接続されたシステムである。
 なお、調整システム1を構成する端末や装置類等は、あくまでも一例であり、コンピュータ10を除く各端末については、その数、種類及び機能については、適宜変更可能である。
[Device configuration]
FIG. 2 is a block diagram showing the configuration of the adjustment system 1. As shown in FIG. The adjustment system 1 is a system that implements processing for performing cognitive therapy or behavioral therapy on a patient 2, and is composed of at least a computer 10. In this embodiment, the adjustment system 1 further includes a patient terminal 20 managed by a patient 2 and a medical facility terminal 30 managed by a medical facility 3.
The adjustment system 1 is a system in which a computer 10, a patient terminal 20, and a medical facility terminal 30 are connected to enable data communication via a network 5 such as a public line network.
Note that the terminals, devices, etc. that make up the adjustment system 1 are merely examples, and the number, types, and functions of each terminal other than the computer 10 can be changed as appropriate.
 コンピュータ10は、サーバ機能を有し、例えば、1台のコンピュータで実現されても良いし、クラウドコンピュータのように、複数のコンピュータで実現されても良い。
 コンピュータ10は、制御部として、CPU(Central Processing Unit)、GPU(Graphics Processing Unit)、RAM(Random Access Memory)、ROM(Read Only Memory)等を備え、通信部として、他の端末や装置等と通信可能にするためのデバイス、患者2の疾患の状態を取得する取得部11、患者2の生理学的反応、知覚、又は、行動に関するログを収集する収集部12等を備える。
 コンピュータ10は、処理部として、各種処理を実行する各種デバイス、デジタルメディアを生成する生成部13、患者2の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを検出する検出部14、デジタルメディアに対して、患者2の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを整える調整を行う調整部15等を備える。
The computer 10 has a server function, and may be implemented by, for example, one computer or multiple computers such as a cloud computer.
The computer 10 includes a CPU (Central Processing Unit), a GPU (Graphics Processing Unit), a RAM (Random Access Memory), a ROM (Read Only Memory), etc. as a control unit, and a communication unit. as a connection with other terminals, devices, etc. The device includes a device for enabling communication, an acquisition unit 11 that acquires the disease state of the patient 2, a collection unit 12 that collects logs regarding the physiological reactions, perceptions, or behaviors of the patient 2, and the like.
The computer 10 includes, as processing units, various devices that execute various processes, a generation unit 13 that generates digital media, a detection unit 14 that detects disturbances in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient 2, and a digital An adjustment unit 15 and the like is provided for adjusting the media to correct disturbances in the physiological reaction pattern, perceptual pattern, or behavior pattern of the patient 2.
 コンピュータ10において、制御部が所定のプログラムを読み込むことにより、通信部と協働して、取得モジュール、出力モジュール、収集モジュールを実現する。
 また、コンピュータ10において、制御部が所定のプログラムを読み込むことにより、処理部と協働して、生成モジュール、検出モジュール、調整モジュールを実現する。
In the computer 10, the control section reads a predetermined program, thereby realizing an acquisition module, an output module, and a collection module in cooperation with the communication section.
Further, in the computer 10, the control section reads a predetermined program, thereby realizing a generation module, a detection module, and an adjustment module in cooperation with the processing section.
 患者端末20は、例えば、HMD(Head Mounted Display)、スマートグラス等のウェアラブルデバイス、マウス、コントローラ等の入力機器、患者2のジェスチャー及び/又は音声を認識するジェスチャー・音声認識システム、携帯電話、スマートフォン、タブレット端末等の携帯端末やパーソナルコンピュータ等の端末である。
 患者端末20は、端末制御部として、CPU、GPU、RAM、ROM等を備え、通信部として、他の端末や装置等と通信可能にするためのデバイス等を備え、入出力部として、各種情報の入出力を実行するためのデバイス等を備える。
 なお、患者端末20は、コンピュータ10と直接データ通信可能であっても良いし、ルータ等の他の機器を介してデータ通信可能であっても良い。
The patient terminal 20 includes, for example, a head mounted display (HMD), a wearable device such as smart glasses, an input device such as a mouse and a controller, a gesture/speech recognition system that recognizes gestures and/or voice of the patient 2, a mobile phone, and a smartphone. , mobile terminals such as tablet terminals, and terminals such as personal computers.
The patient terminal 20 includes a CPU, GPU, RAM, ROM, etc. as a terminal control section, a device etc. for enabling communication with other terminals, devices, etc. as a communication section, and various information as an input/output section. Equipped with devices, etc. for executing input/output.
Note that the patient terminal 20 may be capable of direct data communication with the computer 10, or may be capable of data communication via another device such as a router.
 医療施設端末30は、例えば、携帯電話、スマートフォン、タブレット端末等の携帯端末やパーソナルコンピュータやサーバ機能を有するコンピュータ等の端末である。医療施設端末30は、端末制御部として、CPU、GPU、RAM、ROM等を備え、通信部として、他の端末や装置等と通信可能にするためのデバイス等を備え、入出力部として、各種情報の入出力を実行するためのデバイス等を備える。
 なお、医療施設端末30は、コンピュータ10と直接データ通信可能であっても良いし、ルータ等の他の機器を介してデータ通信可能であっても良い。
The medical facility terminal 30 is, for example, a mobile terminal such as a mobile phone, a smartphone, or a tablet terminal, or a terminal such as a personal computer or a computer having a server function. The medical facility terminal 30 includes a CPU, GPU, RAM, ROM, etc. as a terminal control unit, a device etc. for enabling communication with other terminals and devices as a communication unit, and various types of input/output units as an input/output unit. It is equipped with devices, etc. for inputting and outputting information.
Note that the medical facility terminal 30 may be capable of direct data communication with the computer 10, or may be capable of data communication via another device such as a router.
 以下、調整システム1が実行する各処理について、上述した各モジュールが実行する処理と併せて説明する。
 本明細書において、各モジュールは、その処理内容を、自身が有する機能として実行するものであっても良いし、所定のアプリケーションを介して実行するものであっても良い。
 本発明は、その前提として、上述した通り、患者2が、デジタルメディアを用いて、認知療法又は行動療法を受けるものである。
Hereinafter, each process executed by the adjustment system 1 will be explained together with the processes executed by each of the modules described above.
In this specification, each module may execute its processing content as its own function, or may execute it via a predetermined application.
As described above, the premise of the present invention is that the patient 2 receives cognitive therapy or behavioral therapy using digital media.
 [コンピュータ10が実行する生成処理]
 図3に基づいて、コンピュータ10が実行する生成処理について説明する。同図は、コンピュータ10が実行する生成処理のフローチャートを示す図である。本生成処理は、上述した患者2の疾患の状態を取得する取得処理(ステップS1)、疾患の状態に応じて、コンテンツを出し分けるデジタルメディアを生成する生成処理(ステップS2)の詳細である。
[Generation process executed by computer 10]
The generation process executed by the computer 10 will be described based on FIG. 3. This figure is a flowchart of the generation process executed by the computer 10. This generation process is the details of the acquisition process (step S1) for acquiring the disease status of the patient 2 mentioned above, and the generation process (step S2) for generating digital media for distributing content according to the disease status.
 取得モジュールは、患者2の疾患の状態を取得する(ステップS10)。
 疾患の状態は、上述した通り、疾患の重症度及び/又は進行状況である。
 患者端末20は、自身が検出又は入力を受け付けた各種データを、患者2の状態として、コンピュータ10に送信する。また、医療施設端末30は、自身が入力を受け付けた各種データを、患者2の状態としてコンピュータ10に送信する。
 取得モジュールは、これらの各種データを受信し、患者2が管理する患者端末20及び/又は患者2が受診した医療施設3が管理する医療施設端末30から、患者2の疾患の状態を取得する。
The acquisition module acquires the disease state of patient 2 (step S10).
The disease state is the severity and/or progress of the disease, as described above.
The patient terminal 20 transmits various data detected or input by itself to the computer 10 as the state of the patient 2. Further, the medical facility terminal 30 transmits various data inputted thereto to the computer 10 as the status of the patient 2.
The acquisition module receives these various data and acquires the disease status of the patient 2 from the patient terminal 20 managed by the patient 2 and/or the medical facility terminal 30 managed by the medical facility 3 where the patient 2 visited.
 取得モジュールが患者端末20から取得する患者2の疾患の状態について、患者端末20の種類毎に説明する。
 初めに、患者端末20が、患者2が装着するウェアラブルデバイスである場合について説明する。
 患者端末20は、患者2の生体信号を検出し、その周期を検出する。患者端末20は、脈拍の数値、体温の数値、呼吸の数値、眼球運動の変動等を検出するとともに、これらの数値や変動等の周期を検出する。加えて、患者端末20は、自身の位置を検出し、その位置のズレを検出する。患者端末20は、自身を装着する患者2の前後、上下、左右、ピッチ、ヨー及びロールの各方向に対する動きを検出し、自身の位置を検出する。患者端末20は、検出した自身の位置に基づいて、予め想定された自身の位置との間のズレを検出する。
 患者端末20は、この生体信号の周期と、自身の位置ズレとを、患者2の疾患の状態として、コンピュータ10に送信する。
 取得モジュールは、この生体信号の周期と、自身の位置ズレとを受信し、患者2の疾患の状態を取得する。
 次に、患者端末20が、患者2が使用する入力機器である場合について説明する。
 患者端末20は、患者2からの入力を受け付け、この入力の頻度を入力頻度として検出する。患者端末20は、検出した入力頻度に基づいて、入力頻度の変化を検出する。
 患者端末20は、この入力頻度の変化を、患者2の疾患の状態として、コンピュータ10に送信する。
 取得モジュールは、この入力頻度の変化を受信し、患者2の疾患の状態を取得する。
 次に、患者端末20が、ジェスチャー・音声認識システムである場合について説明する。
 患者端末20は、自身に対する患者2のジェスチャー及び/又は音声を認識し、認識したジェスチャー及び/又は音声を検出する。
 患者端末20は、このジェスチャー及び/又は音声を、患者2の疾患の状態として、コンピュータ10に送信する。
 取得モジュールは、このジェスチャー及び/又は音声を受信し、患者2の疾患の状態を取得する。
 次に、患者端末20が、携帯端末又はパーソナルコンピュータである場合について説明する。
 患者端末20は、所定の入力方法(例えば、アプリケーション、入力フォームが設定されたUI(User Interface)、メール、メッセージ)により、患者2の疾患の状態の入力を受け付ける。この時、患者端末20は、患者2の自己申告に基づいて、患者2の疾患の状態の入力を受け付ける。
 患者端末20は、この患者2の疾患の状態を、コンピュータ10に送信する。
 取得モジュールは、この患者2の疾患の状態を受信し、患者2の疾患の状態を取得する。
 なお、患者端末20が、検出又は入力を受け付ける各種データは、上述した例に限定されるものではない。また、患者端末20は、上述したデバイス、機器、システム、端末や装置類等に限定されるものでもない。また、取得モジュールが、患者端末20から各種データを取得するデータ通信方法は、特に限定されるものではない。
The disease state of the patient 2 that the acquisition module acquires from the patient terminal 20 will be explained for each type of patient terminal 20.
First, a case where the patient terminal 20 is a wearable device worn by the patient 2 will be described.
The patient terminal 20 detects the biological signals of the patient 2 and detects their cycles. The patient terminal 20 detects pulse values, body temperature values, respiration values, fluctuations in eye movement, etc., and also detects the cycles of these values, fluctuations, etc. In addition, the patient terminal 20 detects its own position and detects any deviation in its position. The patient terminal 20 detects the movement of the patient 2 wearing the patient 2 in each direction of front and back, up and down, left and right, pitch, yaw, and roll, and detects its own position. Based on the detected position of the patient terminal 20, the patient terminal 20 detects a deviation from the position of the patient terminal 20 assumed in advance.
The patient terminal 20 transmits the period of this biological signal and its own positional deviation to the computer 10 as the disease state of the patient 2.
The acquisition module receives the period of this biological signal and its own positional deviation, and acquires the disease state of the patient 2.
Next, a case where the patient terminal 20 is an input device used by the patient 2 will be described.
The patient terminal 20 receives input from the patient 2, and detects the frequency of this input as the input frequency. The patient terminal 20 detects a change in input frequency based on the detected input frequency.
The patient terminal 20 transmits this change in input frequency to the computer 10 as the disease state of the patient 2.
The acquisition module receives this change in input frequency and acquires the disease status of the patient 2.
Next, a case where the patient terminal 20 is a gesture/speech recognition system will be described.
The patient terminal 20 recognizes the gesture and/or voice of the patient 2 toward itself, and detects the recognized gesture and/or voice.
The patient terminal 20 transmits this gesture and/or voice to the computer 10 as the disease state of the patient 2.
The acquisition module receives this gesture and/or voice and acquires the disease status of the patient 2.
Next, a case where the patient terminal 20 is a mobile terminal or a personal computer will be described.
The patient terminal 20 accepts input of the disease state of the patient 2 using a predetermined input method (for example, an application, a UI (User Interface) with an input form set, email, message). At this time, the patient terminal 20 receives input of the disease state of the patient 2 based on the patient's 2 self-report.
The patient terminal 20 transmits the disease status of the patient 2 to the computer 10.
The acquisition module receives the disease status of this patient 2 and acquires the disease status of the patient 2.
Note that the various data that the patient terminal 20 detects or receives input is not limited to the example described above. Further, the patient terminal 20 is not limited to the devices, equipment, systems, terminals, apparatuses, etc. described above. Further, the data communication method by which the acquisition module acquires various data from the patient terminal 20 is not particularly limited.
 取得モジュールが医療施設端末30から取得する患者2の疾患の状態について説明する。
 医療施設端末30は、患者2が受診した医療施設3に所属する医療従事者等から、この患者2の疾患の状態の入力を受け付ける。
 医療施設端末30は、この患者2の疾患の状態を、コンピュータ10に送信する。
 取得モジュールは、この患者2の疾患の状態を受信し、患者2の疾患の状態を取得する。
 なお、医療施設端末30が、入力を受け付ける各種データは、上述した例に限定されるものではない。また、取得モジュールが、医療施設端末30から各種データを取得するデータ通信方法は、特に限定されるものではない。
The disease state of the patient 2 that the acquisition module acquires from the medical facility terminal 30 will be described.
The medical facility terminal 30 receives input of the disease state of the patient 2 from a medical worker or the like who belongs to the medical facility 3 where the patient 2 has been examined.
The medical facility terminal 30 transmits the disease status of the patient 2 to the computer 10.
The acquisition module receives the disease status of this patient 2 and acquires the disease status of the patient 2.
Note that the various data that the medical facility terminal 30 accepts as input is not limited to the example described above. Further, the data communication method by which the acquisition module acquires various data from the medical facility terminal 30 is not particularly limited.
 取得モジュールが、患者端末20及び/又は医療施設端末30から取得する患者2の疾患の状態は、上述したもののうち、何れか一つであっても良いし、複数の組み合わせであっても良い。 The disease state of the patient 2 that the acquisition module acquires from the patient terminal 20 and/or the medical facility terminal 30 may be any one of the above, or a combination of a plurality of them.
 生成モジュールは、取得した患者2の疾患の状態に応じて、コンテンツを出し分けるデジタルメディアを生成する(ステップS11)。
 コンテンツは、上述した通り、例えば、天気の演出、建築物の演出、地形の演出である。デジタルメディアは、上述した通り、例えば、VR、AR、アプリケーション、Webコンテンツであり、患者2からの様々な応答に応じたコンテンツを、患者2に提供するものである。
 生成モジュールは、取得した患者2の疾患の状態に応じて、予め、自身が記憶する、又は、調整システム1の管理者等から入力を受け付けたコンテンツの内、患者2に対して必要な一又は複数のコンテンツを選択する。生成モジュールは、選択した一又は複数のコンテンツを用いて、このコンテンツを出し分けるデジタルメディアを生成する。
The generation module generates digital media that distributes content according to the acquired disease state of the patient 2 (step S11).
As described above, the content is, for example, a weather presentation, a building presentation, or a terrain presentation. As described above, the digital media are, for example, VR, AR, applications, and web content, and provide content to the patient 2 according to various responses from the patient 2.
The generation module generates one or more contents necessary for the patient 2 from among the contents stored by itself or received input from the administrator of the adjustment system 1, etc., according to the acquired disease state of the patient 2. Select multiple content. The generation module uses the selected content or content to generate digital media that serves this content.
 出力モジュールは、患者2に、生成したデジタルメディアを出力する(ステップS12)。
 出力モジュールは、生成したデジタルメディアを患者端末20に送信する。この時、出力モジュールがデジタルメディアを送信する患者端末20は、ウェアラブルデバイス、携帯端末、パーソナルコンピュータ等の少なくとも、デジタルメディアの表示を実行可能なものであれば良い。
 患者端末20は、このデジタルメディアを受信し、自身の表示部に表示する。患者2は、この患者端末20が表示するデジタルメディアを閲覧等する。
 出力モジュールは、生成したデジタルメディアを患者端末20に表示させることにより、患者2に、生成したデジタルメディアを出力する。
The output module outputs the generated digital media to the patient 2 (step S12).
The output module transmits the generated digital media to the patient terminal 20. At this time, the patient terminal 20 to which the output module transmits the digital media may be at least one capable of displaying digital media, such as a wearable device, a mobile terminal, or a personal computer.
The patient terminal 20 receives this digital media and displays it on its own display. The patient 2 views digital media displayed on the patient terminal 20.
The output module outputs the generated digital media to the patient 2 by displaying the generated digital media on the patient terminal 20.
 以上が、生成処理である。 The above is the generation process.
 [コンピュータ10が実行する調整処理]
 図4に基づいて、コンピュータ10が実行する調整処理について説明する。同図は、コンピュータ10が実行する調整処理のフローチャートを示す図である。本調整処理は、上述した患者2の生理学的反応、知覚、又は、行動に関するログを収集する収集処理(ステップS3)、患者2の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを検出する検出処理(ステップS4)、生成したデジタルメディアに対して、患者2の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを整える調整を行う調整処理(ステップS5)の詳細である。本調整処理は、上述した生成処理の後に実行される処理である。
[Adjustment process executed by computer 10]
The adjustment process executed by the computer 10 will be explained based on FIG. 4. This figure is a diagram showing a flowchart of the adjustment process executed by the computer 10. This adjustment process includes a collection process (step S3) that collects logs regarding the physiological reactions, perceptions, or behaviors of the patient 2 described above, and detects disturbances in the physiological reaction patterns, perceptual patterns, or behavioral patterns of the patient 2. The details of the detection processing (step S4) and the adjustment processing (step S5) for adjusting the generated digital media to correct disturbances in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient 2. This adjustment process is a process executed after the generation process described above.
 収集モジュールは、現実空間又は生成したデジタルメディアにおいて、患者2の生理学的反応、知覚、又は、行動に関するログを収集する(ステップS20)。
 生理学的反応は、上述した通り、患者2が受ける外部刺激に対する患者2の応答である。知覚は、上述した通り、視覚、聴覚、嗅覚、味覚、触角といった五感や、有機間隔、平衡感覚、筋運動感覚等である。行動は、上述した通り、患者2が行う活動や行い全般である。
 収集モジュールは、現実空間又は出力されたデジタルメディアにおけるコンテンツに対する患者2の応答に基づいて、患者2の生理学的反応、知覚、又は、行動に関するログを収集する。収集モジュールは、現実空間又は出力されたデジタルメディアにおいて、各コンテンツに対する上述した患者2の状態として取得した各種データと同様のデータを、患者2の生理学的反応、知覚、又は、行動に関するログとして取得する。例えば、患者端末20が、HMDであり、デジタルメディアがVR空間であり、コンテンツが、天気の変化、建築物の描画、地形の描画である場合、収集モジュールは、患者2の眼球運動データの周期及び患者端末20の位置のズレを、患者2の生理学的反応、知覚、又は、行動に関するログとして収集する。
 患者端末20は、自身が検出又は入力を受け付けた各種データを、患者2の応答として、コンピュータ10に送信する。
 収集モジュールは、これらの各種データを受信し、現実空間又は生成したデジタルメディアにおいて、患者2の生理学的反応、知覚、又は、行動に関するログを収集する。
The collection module collects logs regarding the physiological reactions, perceptions, or behaviors of the patient 2 in the real space or in the generated digital media (step S20).
The physiological response, as described above, is the response of the patient 2 to an external stimulus that the patient 2 receives. As mentioned above, perception includes the five senses such as sight, hearing, smell, taste, and antennae, as well as organic spacing, balance sense, muscle movement sense, and the like. As described above, the actions are all the activities and actions performed by the patient 2.
The collection module collects logs regarding the physiological reactions, perceptions, or behaviors of the patient 2 based on the patient's 2 responses to content in real space or output digital media. The collection module acquires various data similar to the data acquired as the state of the patient 2 described above for each content in the real space or output digital media as a log regarding the physiological reaction, perception, or behavior of the patient 2. do. For example, if the patient terminal 20 is an HMD, the digital media is a VR space, and the content is changes in the weather, drawings of buildings, and drawings of terrain, the collection module collects the periodicity of the eye movement data of the patient 2. and the positional deviation of the patient terminal 20 are collected as a log regarding the physiological reaction, perception, or behavior of the patient 2.
The patient terminal 20 transmits various data detected or input by itself to the computer 10 as a response from the patient 2.
The collection module receives these various data and collects logs regarding the physiological reactions, perceptions, or behaviors of the patient 2 in real space or in generated digital media.
 検出モジュールは、収集したログを解析し、患者2の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを検出する(ステップS21)。
 検出モジュールは、収集したログにおける各種データと、現実空間又はコンテンツとを照らし合わせ、患者2にとってどんな「体験が提供されている」と「認知されている」かを示す第1パラメータを検出する。第1パラメータの検出方法は、上述したログの例において、ある地形のシーンにおいて、天気の変化結果による要素及び建築物の描画結果による要素が、心理的変容を促しているといったものである。検出モジュールは、患者2の利用シーンや応答履歴等の解析により、コンテンツが患者2にもたらしている認知・心理効果を特定する。
 検出モジュールは、特定した患者2にもたらしている認知・心理効果に基づいて、患者2の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを検出する。
The detection module analyzes the collected logs and detects a disturbance in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient 2 (step S21).
The detection module compares various data in the collected logs with the real space or content, and detects a first parameter indicating what kind of "experience is provided" and "perceived" by the patient 2. The method for detecting the first parameter is such that in the log example described above, in a certain topographical scene, elements resulting from changes in weather and elements resulting from drawings of buildings promote psychological transformation. The detection module specifies the cognitive/psychological effects that the content has on the patient 2 by analyzing usage scenes and response history of the patient 2.
The detection module detects a disturbance in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient 2 based on the cognitive/psychological effects brought on the identified patient 2.
 調整モジュールは、検出結果に基づいて、生成したデジタルメディアに対して、患者2の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを整える調整を行う(ステップS22)。
 調整モジュールは、特定した認知・心理効果に基づいて、患者2に対して、一定の認知・心理効果を生み出す第2パラメータを生成する。第2パラメータは、例えば、上述したログの例において、ある地形のシーンにおいて、正常な認知・心理効果への心理的変容を促すものであり、地形の変化内容、天気の変化内容、建築物の描画内容である。調整モジュールは、コンテンツの内、調整可能なものについて、第2パラメータを生成する。
 調整モジュールは、この生成した第2パラメータを加味したコンテンツを新たに作成する、又は、生成したデジタルメディアにおけるコンテンツに、このパラメータを加味する等を行い、生成したデジタルメディアの調整を行う。
 調整モジュールは、この第2パラメータの生成及びこの第2パラメータに基づいたデジタルメディアの調整を行い、生成したデジタルメディアに対して、患者2の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを整える調整を行う。
Based on the detection results, the adjustment module makes adjustments to the generated digital media to correct disturbances in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient 2 (step S22).
The adjustment module generates a second parameter that produces a certain cognitive/psychological effect on the patient 2 based on the identified cognitive/psychological effect. For example, in the above-mentioned log example, the second parameter is one that promotes psychological transformation to normal cognitive and psychological effects in a certain topographical scene, and includes information on changes in topography, changes in weather, and changes in buildings. This is the content of the drawing. The adjustment module generates second parameters for adjustable content.
The adjustment module adjusts the generated digital media by creating new content that takes the generated second parameter into consideration, or by adding this parameter to the content of the generated digital media.
The adjustment module generates the second parameter and adjusts the digital media based on the second parameter, and detects disturbances in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient 2 with respect to the generated digital media. Make adjustments to adjust the situation.
 出力モジュールは、患者2に、調整後のデジタルメディアを出力する(ステップS23)。
 出力モジュールは、調整後のデジタルメディアを患者端末20に送信する。この時、出力モジュールがデジタルメディアを送信する患者端末20は、ウェアラブルデバイス、携帯端末、パーソナルコンピュータ等の少なくとも、デジタルメディアの表示を実行可能なものであれば良い。
 患者端末20は、このデジタルメディアを受信し、自身の表示部に表示する。患者2は、この患者端末20が表示するデジタルメディアを閲覧等する。
 出力モジュールは、調整後のデジタルメディアを患者端末20に表示させることにより、患者2に、調整後のデジタルメディアを出力する
 なお、出力モジュールが、患者2に、調整後のデジタルメディアを出力する際、上述したステップS21の処理により検出した第1パラメータに則って、患者2の健康管理を行っても良い。
The output module outputs the adjusted digital media to the patient 2 (step S23).
The output module transmits the adjusted digital media to the patient terminal 20. At this time, the patient terminal 20 to which the output module transmits the digital media may be at least one capable of displaying digital media, such as a wearable device, a mobile terminal, or a personal computer.
The patient terminal 20 receives this digital media and displays it on its own display. The patient 2 views digital media displayed on the patient terminal 20.
The output module outputs the adjusted digital media to the patient 2 by displaying the adjusted digital media on the patient terminal 20. Note that when the output module outputs the adjusted digital media to the patient 2, The health of the patient 2 may be managed in accordance with the first parameter detected by the process of step S21 described above.
 以上が、調整処理である。 The above is the adjustment process.
 本実施形態においては、患者に対して適切な認知療法又は行動療法を提供することを目的としているが、診察や健康診断の目的に適宜適用しても良い。
 上述した各処理は、別個の処理として記載しているが、コンピュータ10は、上述した各処理の一部又は全部を組み合わせて実行する構成も可能である。また、コンピュータ10は、各処理において、説明したタイミング以外のタイミングであっても、その処理を実行する構成も可能である。
In this embodiment, the purpose is to provide appropriate cognitive therapy or behavioral therapy to the patient, but it may also be applied to the purpose of medical examination or health checkup as appropriate.
Although each of the above-mentioned processes is described as a separate process, the computer 10 can also be configured to execute a part or all of the above-mentioned processes in combination. Further, the computer 10 can also be configured to execute each process at a timing other than the timing described above.
 上述した手段、機能は、コンピュータ(CPU、情報処理装置、各種端末を含む)が、所定のプログラムを読み込んで、実行することによって実現される。プログラムは、例えば、コンピュータからネットワーク経由で提供される(SaaS:ソフトウェア・アズ・ア・サービス)形態やクラウドサービスで提供されて良い。また、プログラムは、コンピュータ読取可能な記録媒体に記録された形態で提供されて良い。この場合、コンピュータはその記録媒体からプログラムを読み取って内部記録装置又は外部記録装置に転送し記録して実行する。また、そのプログラムを、記録装置(記録媒体)に予め記録しておき、その記録装置から通信回線を介してコンピュータに提供するようにしても良い。 The means and functions described above are realized by a computer (including a CPU, an information processing device, and various terminals) reading and executing a predetermined program. For example, the program may be provided from a computer via a network (SaaS: Software as a Service) or in a cloud service. Further, the program may be provided in a form recorded on a computer-readable recording medium. In this case, the computer reads the program from the recording medium, transfers it to an internal recording device or an external recording device, records it, and executes it. Alternatively, the program may be recorded in advance on a recording device (recording medium) and provided to the computer from the recording device via a communication line.
 以上、本発明の実施形態について説明したが、本発明は上述したこれらの実施形態に限るものではない。また、本発明の実施形態に記載された効果は、本発明から生じる最も好適な効果を列挙したに過ぎず、本発明による効果は、本発明の実施形態に記載されたものに限定されるものではない。 Although the embodiments of the present invention have been described above, the present invention is not limited to these embodiments described above. Furthermore, the effects described in the embodiments of the present invention are merely a list of the most preferable effects resulting from the present invention, and the effects of the present invention are limited to those described in the embodiments of the present invention. isn't it.
 (1)患者に対して、認知療法又は行動療法を行う調整システムであって、
 前記患者の疾患の状態を取得する取得部(例えば、取得部11、取得モジュール)と、
 取得した前記疾患の状態に応じて、コンテンツを出し分けるデジタルメディアを生成する生成部(例えば、生成部13、生成モジュール)と、
 現実空間又は生成した前記デジタルメディアにおいて、前記患者の生理学的反応、知覚、又は、行動に関するログを収集する収集部(例えば、収集部12、収集モジュール)と、
 収集した前記ログを解析し、前記患者の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを検出する検出部(例えば、検出部14、検出モジュール)と、
 検出結果に基づいて、生成した前記デジタルメディアに対して、前記患者の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを整える調整を行う調整部(例えば、調整部15、調整モジュール)と、
 を備える調整システム。
(1) A coordination system that performs cognitive therapy or behavioral therapy for a patient,
an acquisition unit (for example, acquisition unit 11, acquisition module) that acquires the disease state of the patient;
a generation unit (for example, generation unit 13, generation module) that generates digital media that distributes content according to the acquired disease state;
a collection unit (e.g., collection unit 12, collection module) that collects logs regarding physiological reactions, perceptions, or behaviors of the patient in the real space or the generated digital media;
a detection unit (e.g., detection unit 14, detection module) that analyzes the collected logs and detects a disturbance in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient;
an adjustment unit (e.g., adjustment unit 15, adjustment module) that adjusts the generated digital media to correct disturbances in the patient's physiological reaction pattern, perceptual pattern, or behavioral pattern, based on the detection result; ,
Adjustment system with.
 (1)の発明によれば、患者に対して適切な認知療法又は行動療法を提供することが可能となる。 According to the invention (1), it is possible to provide appropriate cognitive therapy or behavioral therapy to a patient.
 (2)前記疾患の状態が、前記疾患の重症度及び/又は進行状況である、
 (1)に記載の調整システム。
(2) the state of the disease is the severity and/or progress of the disease;
The adjustment system described in (1).
 (2)の発明によれば、患者に対して適切な認知療法又は行動療法を提供することが可能となる。 According to the invention (2), it is possible to provide appropriate cognitive therapy or behavioral therapy to a patient.
 (3)前記取得部は、前記疾患の状態として、前記患者が装着するウェアラブルデバイスが検出する前記患者の生体信号の周期と、前記患者の行動に伴うウェアラブルデバイス位置のズレとを取得する、
 (1)に記載の調整システム。
(3) The acquisition unit acquires, as the disease state, a period of the patient's biosignal detected by a wearable device worn by the patient and a shift in the position of the wearable device due to the patient's behavior.
The adjustment system described in (1).
 (3)の発明によれば、患者に対して適切な認知療法又は行動療法を提供することが可能となる。 According to the invention (3), it is possible to provide appropriate cognitive therapy or behavioral therapy to a patient.
 (4)前記取得部は、前記疾患の状態として、前記患者が使用する入力機器が検出する入力頻度の変化を取得する、
 (1)に記載の調整システム。
(4) The acquisition unit acquires, as the disease state, a change in input frequency detected by an input device used by the patient;
The adjustment system described in (1).
 (4)の発明によれば、患者に対して適切な認知療法又は行動療法を提供することが可能となる。 According to the invention (4), it becomes possible to provide appropriate cognitive therapy or behavioral therapy to a patient.
 (5)前記取得部は、前記疾患の状態として、前記患者が使用するジェスチャー・音声認識システムが検出する前記患者のジェスチャー及び/又は音声を取得する、
 (1)に記載の調整システム。
(5) The acquisition unit acquires the patient's gesture and/or voice detected by a gesture/speech recognition system used by the patient as the disease state.
The adjustment system described in (1).
 (5)の発明によれば、患者に対して適切な認知療法又は行動療法を提供することが可能となる。 According to the invention (5), it is possible to provide appropriate cognitive therapy or behavioral therapy to a patient.
 (6)前記取得部は、前記患者から、前記疾患の状態を取得する、
 (1)に記載の調整システム。
(6) the acquisition unit acquires the disease state from the patient;
The adjustment system described in (1).
 (6)の発明によれば、患者に対して適切な認知療法又は行動療法を提供することが可能となる。 According to the invention (6), it is possible to provide appropriate cognitive therapy or behavioral therapy to a patient.
 (7)前記取得部は、前記患者が受診した医療施設から、前記疾患の状態を取得する、
 (1)に記載の調整システム。
(7) The acquisition unit acquires the state of the disease from the medical facility where the patient visited.
The adjustment system described in (1).
 (7)の発明によれば、患者に対して適切な認知療法又は行動療法を提供することが可能となる。 According to the invention (7), it is possible to provide appropriate cognitive therapy or behavioral therapy to a patient.
 (8)患者に対して、認知療法又は行動療法を行うコンピュータが実行する調整方法であって、
 前記患者の疾患の状態を取得するステップ(例えば、ステップS10)と、
 取得した前記疾患の状態に応じて、コンテンツを出し分けるデジタルメディアを生成するステップ(例えば、ステップS11)と、
 現実空間又は生成した前記デジタルメディアにおいて、前記患者の生理学的反応、知覚、又は、行動に関するログを収集するステップ(例えば、ステップS20)と、
 収集した前記ログを解析し、前記患者の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを検出するステップ(例えば、ステップS21)と、
 検出結果に基づいて、生成した前記デジタルメディアに対して、前記患者の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを整える調整を行うステップ(例えば、ステップS22)と、
 を備える調整方法。
(8) A computer-executed adjustment method for performing cognitive therapy or behavioral therapy on a patient, the method comprising:
obtaining the patient's disease status (e.g., step S10);
a step of generating digital media that distributes content according to the acquired disease state (for example, step S11);
Collecting logs regarding physiological reactions, perceptions, or behaviors of the patient in real space or in the generated digital media (e.g., step S20);
Analyzing the collected logs to detect disturbances in the patient's physiological reaction pattern, perceptual pattern, or behavioral pattern (for example, step S21);
Based on the detection result, adjusting the generated digital media to correct disturbances in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient (for example, step S22);
Adjustment method with.
 (9)患者に対して、認知療法又は行動療法を行うコンピュータに、
 前記患者の疾患の状態を取得するステップ(例えば、ステップS10)、
 取得した前記疾患の状態に応じて、コンテンツを出し分けるデジタルメディアを生成するステップ(例えば、ステップS11)、
 現実空間又は生成した前記デジタルメディアにおいて、前記患者の生理学的反応、知覚、又は、行動に関するログを収集するステップ(例えば、ステップS20)、
 収集した前記ログを解析し、前記患者の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを検出するステップ(例えば、ステップS21)、
 検出結果に基づいて、生成した前記デジタルメディアに対して、前記患者の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを整える調整を行うステップ(例えば、ステップS22)、
 を実行させるためのコンピュータ読み取り可能なプログラム。
(9) A computer that performs cognitive therapy or behavioral therapy on a patient;
obtaining the patient's disease status (e.g., step S10);
a step of generating digital media that distributes content according to the acquired disease state (for example, step S11);
collecting logs regarding physiological reactions, perceptions, or behaviors of the patient in real space or in the generated digital media (e.g., step S20);
analyzing the collected logs and detecting disturbances in the patient's physiological reaction pattern, perceptual pattern, or behavioral pattern (e.g., step S21);
Based on the detection result, adjusting the generated digital media to correct disturbances in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient (for example, step S22);
A computer readable program for executing.
 1 調整システム
 2 患者
 3 医療施設
 5 ネットワーク
 10 コンピュータ
 11 取得部
 12 収集部
 13 生成部
 14 検出部
 15 調整部
 20 患者端末
 30 医療施設端末

 
1 Adjustment System 2 Patient 3 Medical Facility 5 Network 10 Computer 11 Acquisition Unit 12 Collection Unit 13 Generation Unit 14 Detection Unit 15 Adjustment Unit 20 Patient Terminal 30 Medical Facility Terminal

Claims (9)

  1.  患者に対して、認知療法又は行動療法を行う調整システムであって、
     前記患者の疾患の状態を取得する取得部と、
     取得した前記疾患の状態に応じて、コンテンツを出し分けるデジタルメディアを生成する生成部と、
     現実空間又は生成した前記デジタルメディアにおいて、前記患者の生理学的反応、知覚、又は、行動に関するログを収集する収集部と、
     収集した前記ログを解析し、前記患者の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを検出する検出部と、
     検出結果に基づいて、生成した前記デジタルメディアに対して、前記患者の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを整える調整を行う調整部と、
     を備える調整システム。
    A coordination system for performing cognitive therapy or behavioral therapy on a patient, the adjustment system comprising:
    an acquisition unit that acquires the disease status of the patient;
    a generation unit that generates digital media that distributes content according to the acquired disease state;
    a collection unit that collects logs regarding physiological reactions, perceptions, or behaviors of the patient in real space or in the generated digital media;
    a detection unit that analyzes the collected logs and detects a disturbance in the patient's physiological reaction pattern, perceptual pattern, or behavioral pattern;
    an adjustment unit that adjusts the generated digital media to correct disturbances in the patient's physiological reaction pattern, perceptual pattern, or behavioral pattern, based on the detection result;
    Adjustment system with.
  2.  前記疾患の状態が、前記疾患の重症度及び/又は進行状況である、
     請求項1に記載の調整システム。
    The state of the disease is the severity and/or progress of the disease,
    Adjustment system according to claim 1.
  3.  前記取得部は、前記疾患の状態として、前記患者が装着するウェアラブルデバイスが検出する前記患者の生体信号の周期と、前記患者の行動に伴うウェアラブルデバイス位置のズレとを取得する、
     請求項1に記載の調整システム。
    The acquisition unit acquires, as the disease state, a cycle of the patient's biosignal detected by a wearable device worn by the patient and a shift in the position of the wearable device due to the patient's behavior.
    Adjustment system according to claim 1.
  4.  前記取得部は、前記疾患の状態として、前記患者が使用する入力機器が検出する入力頻度の変化を取得する、
     請求項1に記載の調整システム。
    The acquisition unit acquires, as the disease state, a change in input frequency detected by an input device used by the patient.
    Adjustment system according to claim 1.
  5.  前記取得部は、前記疾患の状態として、前記患者が使用するジェスチャー・音声認識システムが検出する前記患者のジェスチャー及び/又は音声を取得する、
     請求項1に記載の調整システム。
    The acquisition unit acquires the patient's gesture and/or voice detected by a gesture/speech recognition system used by the patient as the disease state.
    Adjustment system according to claim 1.
  6.  前記取得部は、前記患者から、前記疾患の状態を取得する、
     請求項1に記載の調整システム。
    The acquisition unit acquires the disease state from the patient.
    Adjustment system according to claim 1.
  7.  前記取得部は、前記患者が受診した医療施設から、前記疾患の状態を取得する、
     請求項1に記載の調整システム。
    The acquisition unit acquires the state of the disease from a medical facility where the patient visited.
    Adjustment system according to claim 1.
  8.  患者に対して、認知療法又は行動療法を行うコンピュータが実行する調整方法であって、
     前記患者の疾患の状態を取得するステップと、
     取得した前記疾患の状態に応じて、コンテンツを出し分けるデジタルメディアを生成するステップと、
     現実空間又は生成した前記デジタルメディアにおいて、前記患者の生理学的反応、知覚、又は、行動に関するログを収集するステップと、
     収集した前記ログを解析し、前記患者の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを検出するステップと、
     検出結果に基づいて、生成した前記デジタルメディアに対して、前記患者の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを整える調整を行うステップと、
     を備える調整方法。
    A computer-implemented adjustment method for performing cognitive or behavioral therapy on a patient, the method comprising:
    obtaining the patient's disease status;
    generating digital media that distributes content according to the acquired disease state;
    collecting logs regarding physiological reactions, perceptions, or behaviors of the patient in real space or in the generated digital media;
    analyzing the collected logs to detect disturbances in the patient's physiological response pattern, perceptual pattern, or behavioral pattern;
    Based on the detection result, adjusting the generated digital media to correct a disturbance in the physiological reaction pattern, perceptual pattern, or behavioral pattern of the patient;
    Adjustment method with.
  9.  患者に対して、認知療法又は行動療法を行うコンピュータに、
     前記患者の疾患の状態を取得するステップ、
     取得した前記疾患の状態に応じて、コンテンツを出し分けるデジタルメディアを生成するステップ、
     現実空間又は生成した前記デジタルメディアにおいて、前記患者の生理学的反応、知覚、又は、行動に関するログを収集するステップ、
     収集した前記ログを解析し、前記患者の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを検出するステップ、
     検出結果に基づいて、生成した前記デジタルメディアに対して、前記患者の生理学的反応パターン、知覚パターン、又は、行動パターンの乱れを整える調整を行うステップ、
     を実行させるためのコンピュータ読み取り可能なプログラム。

     
    A computer that performs cognitive or behavioral therapy on a patient.
    obtaining the patient's disease status;
    generating digital media that distributes content according to the acquired disease state;
    collecting logs regarding physiological reactions, perceptions, or behaviors of the patient in real space or in the generated digital media;
    analyzing the collected logs to detect disturbances in the patient's physiological response pattern, perceptual pattern, or behavioral pattern;
    making adjustments to the generated digital media to correct disturbances in the patient's physiological reaction pattern, perceptual pattern, or behavioral pattern, based on the detection result;
    A computer readable program for executing.

PCT/JP2022/018989 2022-04-26 2022-04-26 Adjustment system, adjustment method, and program WO2023209830A1 (en)

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Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021009412A1 (en) * 2019-07-12 2021-01-21 Orion Corporation Electronic arrangement for therapeutic interventions utilizing virtual or augmented reality and related method
JP2021192154A (en) * 2020-06-05 2021-12-16 株式会社ビジョナリー・デジタル・セラピューティクス Content for medical treatment generation system and method therefor
US20220096863A1 (en) * 2020-09-30 2022-03-31 University Of Rochester Virtual reality headset and system for delivering an individualized therapy session

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021009412A1 (en) * 2019-07-12 2021-01-21 Orion Corporation Electronic arrangement for therapeutic interventions utilizing virtual or augmented reality and related method
JP2021192154A (en) * 2020-06-05 2021-12-16 株式会社ビジョナリー・デジタル・セラピューティクス Content for medical treatment generation system and method therefor
US20220096863A1 (en) * 2020-09-30 2022-03-31 University Of Rochester Virtual reality headset and system for delivering an individualized therapy session

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