WO2011000901A1 - Système et procédé d'amélioration de la santé - Google Patents

Système et procédé d'amélioration de la santé Download PDF

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Publication number
WO2011000901A1
WO2011000901A1 PCT/EP2010/059343 EP2010059343W WO2011000901A1 WO 2011000901 A1 WO2011000901 A1 WO 2011000901A1 EP 2010059343 W EP2010059343 W EP 2010059343W WO 2011000901 A1 WO2011000901 A1 WO 2011000901A1
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WIPO (PCT)
Prior art keywords
health
person
user
computer
information
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PCT/EP2010/059343
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English (en)
Inventor
Michael David Tarino
Nicolaas Hendrik Wilhelmus Bevers
Timothy Anton Morck
Original Assignee
Dsm Ip Assets B.V.
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Publication date
Application filed by Dsm Ip Assets B.V. filed Critical Dsm Ip Assets B.V.
Publication of WO2011000901A1 publication Critical patent/WO2011000901A1/fr

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Classifications

    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H80/00—ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/30—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/60—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to nutrition control, e.g. diets
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation

Definitions

  • the present invention is directed to a system and method for improving health and, more particularly, to a system and method for assessing current health status, defining probable future health status and providing information, strategies, tools and guidance for improving health, especially through nutrition.
  • An unhealthy diet can lead to problems like obesity, diabetes, high cholesterol and triglycerides and/or high blood pressure, for example.
  • Unhealthy behavior choices like smoking or physical inactivity can lead to other health problems like emphysema, lung cancer, heart attack, and stroke, for example.
  • Health can be enhanced, and many health problems can be reduced, or even eliminated altogether, by making and following good life style choices.
  • the present invention is directed to a system and method for improving health.
  • the system and method of the present invention can include an initial assessment and analysis of a person's current health and an evidence-based prediction of their future well being, follow-on strategies and guidance to improve the person's health using recommendations for improved nutrition and activity, motivation techniques to increase the probability of success for the person to achieve his or her health goals, the monitoring of the person's health, and the provision of education to assist him or her in meeting his or her stated health goals, which may include, for example, weight reduction to achieve optimal weight, the control of diabetes, improving cholesterol, decreasing high blood pressure or other health-related goals, such as, for example, improvement of a person's ability to perform in life through the creation of health assets and the reduction of health risk factors.
  • a person's health can be assessed using a survey or questionnaire that, preferably, is answered interactively on-line.
  • the questionnaire covers a wide range of health and lifestyle questions, covering subjects like diet and nutrition, exercise and activity levels, stress, smoking and alcohol use, for example.
  • the questionnaire may cover eating habits and schedule, food consumed with respect to satisfying nutritional needs, an analysis of the nutrients consumed and information about a person's body mass index (BMI).
  • BMI body mass index
  • the health assessment also preferably includes psychological questions covering subjects like a person's health goals and willingness to meet these goals.
  • the health assessment may also include biometric, metabolic and genetic testing data.
  • the assessment information can be used to predict probable health status on a number of dimensions, like probability to contract health conditions like diabetes or Alzheimer's disease, or experience health events, like a stroke or heart attack.
  • an optimized health improvement plan is developed for the person.
  • the plan may include many factors, but will always include a nutritional plan.
  • the optimized menu and dietary schedule can be automatically created based upon analyzed health metrics.
  • Nutrition therapy using a nutritional data base is provided in addition to the menu optimization and dietary schedule.
  • Recommendations to users of the present invention on how to use nutrition, activity and exercise to achieve health can be automated, or partially automated, so as to also be delivered by humans. In the human delivery case, heuristics (Ae., experience- based techniques) or protocols are developed for this purpose.
  • a health coordinator assigns each person a dietician and one or more coaches and/or advisors who provide the person with the personalized diet and exercise regimen, and support to help the person follow the regimen.
  • the coaches and/or advisors may contact the person via e-mail, Internet, telephone, etc. to give guidance and
  • Alerts may be provided as an intervention tool to change the person's behavior in the areas of nutrition and diet and physical activity and exercise.
  • the alerts can be rules driven and delivered via various media, such as text messages, e-mails, automated telephone calls, etc.
  • Reports are provided to the person's coaches and/or advisors, which track the person's activities and results, establish trends, and describe an individual's success.
  • the support provided a user by his or her coaches and/or advisors may be modified or expanded in light of the reports received.
  • Detailed reports are provided to users, providing analysis based on the assessment data collected from the health assessments, dietary analysis, attitudinal questions and biometric values.
  • Figure 1 is a block diagram of a web-based system for carrying out the health improvement system and method of the present invention.
  • Figures 2a-2c are a flow diagram for a first time user of the health improvement system and method of the present invention.
  • Figures 3a-3g are a flow diagram for on-going use of the home page for the health improvement system and method of the present invention.
  • the present invention is directed to a system and method for improving health.
  • the system and method of the present invention may include an initial assessment and analysis of a person's current health and an evidence-based prediction of their future well being, follow-on strategies and guidance to improve the person's health using recommendations for improved nutrition and activity, motivation techniques to increase the probability of success for the person to achieve his or her health goals, the monitoring of the person's health, and the provision of education to assist him or her in meeting his or her stated health goals.
  • FIG. 1 is a block diagram illustrating a web-based system 10 for carrying out the health improvement system and method of the present invention. Shown in Figure 1 are server computers 11 and 12 connected to the Internet 14. Stored in the memory 16 of server computer 12 is a web server program 18, the health improvement system's application program and its plurality of web pages 20, and user files 22, relating to the health improvement system and method of the present invention.
  • FIG. 1 Also shown in Figure 1 are several user computer systems 24, and health coordinator/coach/advisor computer systems 26, each of which can be, for example, a personal computer with a high speed modem and/or Wifi connection 28 for connecting the computer systems 24 and 26 to the Internet 14.
  • Stored in the memory 29 of each computer 24 and 26 is a web browser program 30 for requesting information from, or providing information to, web server computers, such as server computers 11 and 12, and an e-mail program 33 for sending and receiving e-mails.
  • the computer systems 24 are each typically operated by a user 32 desiring to improve his or her health by using the health improvement system and method of the present invention.
  • the computer systems 26 are each typically operated by a health coordinator 35 or a coach or advisor 36 providing information and/or support to users 32 of the health improvement system and method.
  • computers 11 , 12, 24 and 26 would typically include central processing units (CPUs) and may include system buses that would couple various computer components to the CPUs. These system buses may be any of several types of bus structures, including a memory bus or memory controller, a peripheral bus, and a local bus using any of a variety of bus architectures.
  • the memory used by computers 11 , 12, 24 and 26 would also typically include random access memory (RAM) and may include one or more hard disk drives that read from, and write to, (typically fixed) magnetic hard disks and other storage media.
  • RAM random access memory
  • a basic input/output system (BIOS) containing the basic routines that help to transfer information between elements within a personal computer system, such as during start-up, may also be stored in read only memory (ROM).
  • Computers 1 1 , 12, 24 and 26 might also include other types of drives for accessing other computer-readable media, such as read/write optical disk.
  • the hard disk and optical disk drives are typically connected to a system bus by a hard disk drive interface and an optical drive interface, respectively.
  • the drives and their associated computer-readable media provide nonvolatile storage of computer- readable instructions, data structures, program modules, and other data used by machines, such as computers 1 1 , 12, 24 and 26.
  • Server computers 11 and 12 may also include a communications device 38 for connecting to the Internet 14.
  • Such a communications device 38 for connecting to the Internet 14.
  • communications devices 38 and modems 28 may be internal or external, and are typically connected to the computer's system bus via a serial port interface.
  • Computers 11 , 12, 24 and 26 may also include other typical peripheral devices, such as printers, displays and keyboards.
  • printers, displays and keyboards typically, at least computers 24 and 26 would include a display monitor (not shown) on which various web pages are displayed.
  • Figures 2a-2c are a flow diagram for a first time user of the health improvement system 10 and method of the present invention.
  • the first step 40 in the flow diagram shown in Figures 2a-2c may be the user 32 receiving an e-mail that may ask the user 32 to provide answers to questions before accessing the health improvement system website.
  • the user e-mail may include a user name and a default password for accessing the health improvement system 10.
  • the e-mail can be generated by web server computer 12 and sent via e-mail programs 33 from computer 12 to the user's computer 24.
  • the user 32 clicks on a link embedded in the user e-mail and is brought to a preliminary screen of the health improvement system website.
  • the user 32 enters the user name and the default password provided in the e- mail to gain access to the health improvement website.
  • the user 32 may be required, at step 44, to click on a check box by which the user 32 agrees to the terms and conditions of the health improvement website to continue using the website.
  • the user 32 may be asked to agree that the health improvement system Personal Support Team may view his or her information. If the user 32 does not click on this first check box within the terms and conditions, at step 46, typically, the flow diagram stops and the user 32 is denied further access to the health improvement website.
  • the user 32 If the user 32 does click on the check box within the terms and conditions, typically, the user is then prompted, at step 48, to change his or her password, and, at step 50, the user 32 is prompted to answer security questions that are used to verify a person accessing the health improvement website as a valid user.
  • the user may be prompted to click on a link that opens a new browser and brings him or her to a health risk assessment ("HRA") web page, preferably in the form of a health risk profile survey or questionnaire that may be used to assess the current health, and probable future health, of the system user 32.
  • HRA health risk assessment
  • the person's health may be assessed using a survey or questionnaire that, preferably, is answered interactively on-line.
  • the questionnaire covers a wide range of health and lifestyle questions, covering subjects like diet and nutrition, exercise and activity levels, stress, smoking and alcohol use, for example.
  • the health risk assessment may also ask a series of questions directed to the user's family health history (e.g., the health of the user's parents and siblings).
  • the questionnaire could cover eating habits and schedule, food consumed with respect to satisfying nutritional needs, an analysis of the nutrients consumed and information about a person's body mass index (BMI).
  • BMI body mass index
  • health risk assessments can be obtained using commercially available products, such as those provided by InfoTech, for example.
  • a commercial health risk assessment service the user 32 would, using the web browser 30 resident on his or her computer 24, be brought, at step 54, to the commercial provider's website generated by the web server program 18 stored in the memory 13 of the web server computer 11 used by the commercial provider. The user 32 may then be asked to perform certain tasks or answer certain questions required by the commercial provider's health assessment program 15. Once the assessment is complete, the user 32 would close the commercial provider's browser and return to the last screen of the health improvement website at step 60. Any results or reports generated by commercial health risk assessment program 15 are stored in user files 22, also resident in the memory 13 of the web-server computer 11 used by the commercial provider.
  • the commercial assessment questions could be integrated into the health improvement system's website.
  • the health assessment may also preferably include psychological questions covering subjects like a person's health goals and willingness to meet these goals.
  • Insignia Health provides a web-based product for assessing a person's knowledge, skills and confidence for managing his or her own health and healthcare.
  • the health assessment may also include biometric, metabolic and genetic testing data.
  • a user e- mail may be sent, at step 62, to the health improvement system 10 so that, at step 64, data collected as part of the health risk assessment are transferred to the health improvement application program 20 and stored in the user files 22 resident in the memory 16 of server computer 12.
  • step 66 the user 32 clicks on a health improvement system link, whereby the user 32 is brought to the health
  • step 68 the user may be prompted to answer additional baseline questions that are nutritional and psychological in nature.
  • Nutritional questions may include detailed questions about the types and quantities of food a person eats.
  • the psychological questions may include questions about knowledge skills and confidence and readiness and willingness to change.
  • step 70 the user either answers the questions and clicks on a "submit" link or refuses to answer the additional questions by clicking on a different link indicating his or her refusal to answer the questions. If the user refuses to answer the questions, at step 78, a starting point is populated with user information that is transformed into a baseline report generated by the web-server computer 12 from the questions answered as part of the health risk assessment.
  • the report is generated and made available that is used by a health coordinator 35 to assign a dietician and/or coaches and/or advisors 36 to the user 32. These reports are also available to users.
  • this provided information and the health risk assessment questionnaire answers are applied to a suitable stratification algorithm and scored, preferably in real time, to ascertain where, in a strata of considered health risks and goals, the user falls.
  • This stratification information of the user is used to develop a recommended course of action for the user to reach desired health objectives of the user.
  • the stratification information is made available to the health coordinator 35 and coaches 36 via an e-mail sent to the health coordinator 35.
  • this same information is provided to the user 32 by an e-mail.
  • the results of the assessment can be analyzed in light of a nutritional knowledgebase 23 that includes current developments and indexes for matching of information with customers' health profiles.
  • the information in the nutritional knowledgebase will include (1 ) generally accepted principles, (2) less conclusive findings, with an assessment of the confidence of the findings, and (3) those ideas that the science has shown to be false.
  • the nutritional knowledgebase may be constructed in whole or part from commercially available tools.
  • the user 32 Whether or not a user 32 answers, at step 70, the additional nutritional and psychological baseline questions, at step 72, the user 32 is brought to the health improvement home page. If the user 32 is a first-time user, then, at step 74, the home page displays a "thank you" for the user's participation in using the system and instructions for the user 32 to use the health improvement website, which instructions may include a check-off list of tasks that the user should perform to get started using the health improvement system. At this point, the user 32 is then brought to step 120, discussed below, where the user sees a community bulleting board with challenges, community support programs and announcements that can be used by the user to help the user achieve his or her health goals.
  • the health coordinator 35 assigns the user 32 a dietician and/or one or more coaches and/or advisors 36 who provide the user with the personalized health improvement plan with specific nutritional strategies, and support to help the user follow the regimen.
  • the coaches and/or advisors may contact the user 32 via e-mail, Internet, telephone, etc. to give guidance and
  • Contacts can be initiated by either the coach or advisor or the person, and would be done using either their computers 26 or a telephone 25.
  • the optimized menu and dietary schedule can also be automatically created by the health improvement application program 20 based upon analyzed health metrics.
  • Nutrition therapy using the nutritional data base is provided in addition to the menu optimization and dietary schedule.
  • Recommendations to the user 32 on how to use nutrition in conjunction with other health creation strategies to achieve health can be automated, or partially automated so as to also be delivered by the coaches and/or advisors 36. In this case, heuristics (Ae., experience-based techniques) or protocols are developed for this purpose.
  • the coach/advisor 36 After receiving any health assessment package that may have been prepared for a user, at step 90, the coach/advisor 36 also follows documented protocols that instruct the coach/advisor to incorporate the health assessment and nutritional analysis data into a decision process that identifies the most productive health creation strategies for the individual.
  • the protocols ensure that the best nutritional evidence basis is used in the construction of the recommendations. Further, the protocols help the coach customize the plan based on attitudinal orientation of the user, and thereby to decide which level of support will be provided to the user.
  • Alerts may be provided as an intervention tool to change a user's behavior in the areas of nutrition and diet and physical activity and exercise.
  • the alerts are preferably rules driven. Based on particular health status, nutritional behavior combinations, personal preferences and interaction history, the rules preferably identify the best recommendation for health creation.
  • the alerts can be delivered via various media, such as text messages or automated telephone calls via phones 25, or e-mail via computers 24 and 26, etc.
  • Reports are preferably provided using tools available in the system to collect a user's activities vis-a-vis their health creation plan. The reports show a user 32 and his or her coach 36 the user's progress. Aggregate reports are available to employers of a group of users to see population progress. The reports track the user's activities and results, establish trends, and describe the user's success.
  • the level of support provided to a user may be varied or not. If, at step 92, the health coordinator 35, using the documented protocols, decides to provide the user 32 with Level 1 or basic support, the health coordinator 35, at step 94, typically performs the following steps. First, on initiation day, the health coordinator 35 sends a welcome e-mail to the user 32. This welcome e-mail can, if desired, be automatically generated and sent by web-server computer 12. After initial contact with the user 32, the health coordinator 35 is prompted, via automated e-mails, to contact the user 32, for example, four times weekly, then five times monthly, then bi-monthly thereafter. These frequencies of contact can be changed to fewer or more per period.
  • the health coordinator can, for example, negotiate a higher frequency of contact with the user, as is necessary or desired.
  • the health coordinator 35 responds promptly to user-initiated contact to provide the specified support level.
  • a user 32 can request not to be contacted by his or her coach 36.
  • the health coordinator 35 chooses to provide the user 32 with Level
  • the health coordinator will typically perform all the steps provided in the basic support plus the additional steps identified at step 98.
  • the health coordinator preferably will, on initiation day, e-mail the user 32 to schedule a call with the user and with the dietician and/or coaches 36.
  • the call between the health coordinator 35 and the user 32 will typically be scheduled within the first week that the user begins using the health improvement website.
  • the health coordinator 35 determines what, if any, additional consulting services need to be provided to the user 32.
  • the health coordinator will typically receive automated e-mails four times weekly, then monthly thereafter, to remind him or her to contact the user 32.
  • the health coordinator 35 can negotiate a higher frequency of contact with the user 32, as necessary or desired, and the health coordinator 35 will respond promptly to user-initiated contact.
  • the health coordinator 35 decides, at step 100, to provide Level 3 intensive support to the user 32, then the health coordinator 35 will typically perform all the steps provided in the Level 1 basic support, plus the additional services identified at step 102 of the flow diagram. Specifically, the health coordinator 35 will typically, on initiation day, e-mail the user 32 to schedule a call with the user and the dietician and/or coaches 36, call the user within the first week of the user using the health improvement website. The health coordinator assigns a dietician and/or coaches 36 to the user 32. The health coordinator 35 also receives automated e-mails four times weekly, then four times biweekly, then monthly reminder, reminding him or her to contact the user 32.
  • the health coordinator can negotiate a higher or lower frequency of contact with the user as necessary or desired; and the health coordinator will respond to user-initiated contact. No matter what level of support is provided to a user 32, in all cases, the health coordinator 35 will implement, at step 104, a Personal Support Team ("PST")
  • PST Personal Support Team
  • a coach may choose to engage a particular expert in the support of a health improvement program for a user 32.
  • the experts become part of the PST.
  • goals of the user 32, and recommendations to the user 32 are logged by the health coordinator 35 or the user 32 and dashboards showing information related to achieving the goals and carrying out the recommendations are updated with relevant information.
  • Calls, e-mails and other contacts are logged into the PST Management System.
  • the system also includes reminder functionality to alert the health coordinator 35 and other coaches/advisors 36 of appointments with the user 32. This reminder function can be handled by off-the-shelf third party master scheduling and tracking software.
  • Figures 3a-3g are a flow diagram depicting the ongoing use of the health improvement system's home page by a user 32.
  • a user 32 accesses the health improvement system's website home page by typing the site's URL into the user's browser 30.
  • the user 32 enters his or her user name and password to gain access to the health improvement website.
  • the user 32 sees the community bulletin board that posts the challenges, the community support programs and the announcements that can be used by the user 32 to help him or her achieve his or her health goals.
  • step 122 If the user 32 decides, at step 122, to view his or her health and nutrition information, then, at step 124, the user clicks on a health and nutrition information link on the health improvement webpage. Then, at step 126, the user is brought to another web page where the health and nutrition information is posted for review by the user 32.
  • step 128 the user decides, at step 128, to contact technical support
  • step 130 the user clicks on a technical support link on the health improvement system home page.
  • step 132 the user is brought to another web page where there is a technical support e-mail link posted and a 1-800 number for contacting technical support by telephone.
  • Technical support provides assistance for using the online health improvement system.
  • Technical support will typically be trained experts, who can be either employees or commercial contractors.
  • the user 32 decides, at step 136, to log out of the health improvement webpage, then the user 32, at step 138, is logged out of the system. If the user 32 decides, at step 140, to view his or her initial health assessment report, then, at step 142, the user clicks on a starting point link on the health
  • step 144 the user's initial assessment report is displayed for perusal by the user 32.
  • step 146 If the user 32 decides, at step 146, to see and/or update his or her health goals, then, at step 148, the user clicks on a "Desired Destination" link on the health improvement home webpage.
  • a user's health goals may be separated into short-range goals and long-range goals. If short-range and long-range goals are used, at step 150, the user 32 is defaulted to his or her long-range destination goals, but also has the option of clicking on his or her short-range destination goals, if desired.
  • the user 32 selects one or more of the following long-range goals: reducing weight, getting better control of diabetes, improving cholesterol, decreasing high blood pressure, other, unsure.
  • the user 32 decides, at step 156, to see and/or update his or her short-range destination goals, then, at step 158, the user selects one or more of the following short-range goals: exercise more, eat better, feel better, other, unsure.
  • the goals identified in steps 154 and 158 could be constituted as a single set of goals not divided into short-term and long term goals.
  • the user 32 will be prompted to provide additional information or select additional options, depending on which goals are selected.
  • the user at step 160, decides to reduce his or her weight, then, at step 162, the user will be prompted to enter, at step 162, one or more of the following: his or her weight, in pounds or kilograms, and his or her waist circumference, in inches or centimeters.
  • the user's body mass index (“BMI") is automatically calculated by application program 20 based on the pounds or kilograms entered. The user may select the units of measure, i.e., metric or imperial, used.
  • the user is prompted to enter one or more of the following: fasting blood glucose and HbAI C. The user gets this information from the biometric testing that is offered as part of the solution. If the user, at step 170, decides to improve his or her cholesterol, then, at step 172, the user is prompted to enter one or more of the following: total cholesterol, HDL- cholesterol, LDL-cholesterol and Triglycerides. Again, the user gets this information from the biometric testing that is offered as part of the solution. Once the data is entered it is used in the calculation of current and future health status and is also available to the health coordinator 35 and/or coach 36.
  • the user decides to decrease his or her high blood pressure, then the user, at step 176, is prompted to enter his or her current blood pressure, e.g., 190 mmHg/125mmHg.
  • the symbol "mmHg” is a measure associated with determining blood pressure.
  • the user gets this information from the biometric testing that is offered as part of the solution, and once the data is entered it is used in the calculation of current and future health status and is also available to the health coordinator and/or coach.
  • step 178 If the user, at step 178, decides to improve some "other" long-range destination goal, then, at step 180, the user is prompted to select one or more of the following:
  • the health improvement application program 20 displays the following message: "Important to Choose a Long
  • TBD Range Destination
  • the user 32 has decided, at step 156, to update his or her short-range destination goals, and has selected, at step 158, one or more goals, depending on the goals selected, the user 32 will be prompted to provide additional information or select additional options, depending on which goals are selected.
  • the user 32 decides, at step 190, to be more active, then, at step 192, the user is prompted to select one or more of the following: by tracking how active the user is and/or by staying active whenever possible. If the user selects, by tracking how active the user is, then, at step 194, the user selects from a drop down box: the type of activity desired, and enters, as applicable: the minutes per week and per day, the distance per week, the steps per day, and/or the calories burned per day. If the user selects, by staying active whenever possible, then, at step 196, the user selects from a drop down box three or more of the following: take the stairs, instead of the elevator, parking the car far from work and walking, etc. Then, these commitments become part of the user's plan. The user can update their progress via the system, and the user and his or her coach can monitor progress over time this way.
  • the user is prompted to select one or more of the following: by improving what the user eats, and/or by improving how the user eats. If the user selects, by improving what the user eats, then, at step 202, the user selects from a drop down box: food choices, per day and per week. If the user selects, by improving how the user eats, then, at step 204, the user selects from a drop down box three or more of the following: choosing to eat healthy snacks, choosing to eat three meals a day and choosing to plan snacks. Again, as above, the user gets this information from the biometric testing that is offered as part of the solution, and once the data is entered it is used in the calculation of current and future health status and is also available to the health coordinator and/or coach.
  • the user 32 is also provided, at step 206, with a link to a program within the health improvement application program 20 that interactively questions the user 32 about his or her diet and foods consumed, from which a new diet is proposed, taking into account the nutritional value obtained by the user 32 from his or her diet.
  • this function can be provided by a commercial provider, such as Viocare, Inc., which offers a software tool, VioFFQ, that collects data on dietary behavior and food use patterns using a questionnaire, estimates nutrient intake, and delivers a dietary change report.
  • a link, at step 208, to "24-hour recall" is provided to the user by the health improvement system.
  • the system provides a tool for a user to determine if he or she is making the changes in diet they plan to. The 24-hour recall, which asks people what they ate yesterday, is used to do this task.
  • the user 32 decides, at step 210, to feel better, then the user is prompted, at step 212, to select one or more of the following: being more energetic, being less winded, concentrating better, being more relaxed and "Free Form".
  • the "Free Form" entry gives the user the option to express a "Feel Better" objective not specifically specified by the health improvement application program 20. As above, this becomes part of the user's plan and the user can use the system to track his or her progress.
  • step 214 If the user 32 decides, at step 214, that he or she is interested in attaining some "Other" short range destination goal not specifically specified by the health improvement system application program 20, then, at step 216, the user is prompted by the "Free Form” option to identify a particular goal that he or she is interested in attaining.
  • the health improvement application program 20 displays the following text: "Important to choose a short-range destination" ("TBD"), after which the system automatically sends an e-mail to the user 32 with a reminder regarding the need to make this choice.
  • TBD short-range destination
  • step 224 the user clicks on the "Route Options" link on the health improvement website home page.
  • step 226 the user 32 sees an explanation of each Route Option and can click on one or both options.
  • the system will track the user's weekly progress toward his or her long-term destination, the user's weekly achievement of activity and/or dietary goals, and how the user is feeling on his or her health "journey". As above, the user's weekly achievement of activity and/or dietary goals is based on the user's tracking of progress on activities in his or her plan. If the user, at step 234, clicks on the express option, then, at step 236, the system will track the user's weekly progress towards his or her long-term destination, the amount of the user's physical activity and the foods that the user eats.
  • the user decides, at step 238, to see and/or update his or her "Dashboard", then, at step 240, the user clicks on a "Personal Dashboard” link on the health improvement system's home page.
  • the dashboard contains key health information for the user, i.e., weight, blood pressure, etc., contained in the health improvement system.
  • the user can decide to see a summarized dashboard. If the user chooses this option, then, at step 244, the user is defaulted to an overview, which is a graphical display of the user's short and long-range destinations showing the user's destination, current reading and starting point. Preferably, this is a read-only display that the user is incapable of updating.
  • the user 32 can decide to see and/or update his or her long-range destinations. If the user chooses this option, then, at step 248, the user selects "Gauges and Tracking Long Range". At this point, at step 250, the user sees a drop down box with long-range destinations selected by the user in "Desired Destination" screens, which include: reducing weight, getting better control of diabetes, improving cholesterol, decreasing high blood pressure, other and unsure.
  • the user may view a graph and/or enter tracking information. As mentioned previously, the user updates progress against a goal.
  • the health improvement system uses this data to do the tracking. The data is transformed into a graph that shows a starting point and a desired end point for a user and the progress he or she has made towards the end point.
  • the user 32 can decide to see and/or update short-range
  • the user selects "Gauges and Tracking Short Range”.
  • the user 32 sees a drop down box with short-range destinations selected by the user in "Desired Destination" screens, which include: exercising more, eating better, feeling better, other and unsure.
  • the user may view a graph and/or enter tracking information.
  • the user updates progress against a goal.
  • the health improvement system uses this data to do the tracking. Again, the data is transformed into a graph that shows a starting point and a desired end point for a user and the progress he or she has made towards the end point.
  • step 258 If the user decides, at step 258, to view his or her "Six Week Rest Stop", then, at step 260, the user clicks on a "Rest Stop” link on the health improvement system's home page. At this point, at step 262, the user sees a six-week view of long-range and short- range goals graphs.
  • step 264 If the user decides, at step 264, to view contact information and/or e-mail someone in the Personal Support Team, then, at step 266, the user clicks on a "Road Services" link on the health improvement system's home page. At step 268, the user then sees personal support team information and can click on e-mail links to contact one or more members of his or her personal support team, which includes coaches and/or advisors 36.
  • the information submitted by a user 32 through the health improvement website is provided to the user's health coordinator 35, and coaches and/or advisors 36, who may then modify the person's personalized diet and exercise regimen according to the entered information.
  • the user's coaches and/or advisors use the information to provide support to help the person follow the modified regimen.
  • the coaches and/or advisors 36 will continue to contact the user 32 via e-mail, Internet, telephone, etc. to give guidance and encouragement to the person. Again, the contacts can be initiated by either the coach/advisor 36 or the user 32.

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Biophysics (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Pathology (AREA)
  • Nutrition Science (AREA)
  • Business, Economics & Management (AREA)
  • General Business, Economics & Management (AREA)
  • Medical Treatment And Welfare Office Work (AREA)

Abstract

L'invention concerne un système et un procédé d'amélioration de la santé. Le procédé et le système comprennent une estimation de la santé actuelle et de la santé future probable, des recommandations de stratégies et un guidage pour améliorer la santé par la nutrition et l'activité, une assistance et une motivation pour augmenter la probabilité qu'un utilisateur réussisse à atteindre des objectifs de santé, la surveillance de la santé d'un utilisateur, et la fourniture d'un enseignement pour aider les utilisateurs à atteindre les objectifs de santé formulés.
PCT/EP2010/059343 2009-07-02 2010-07-01 Système et procédé d'amélioration de la santé WO2011000901A1 (fr)

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US61/213,693 2009-07-02

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2015116879A1 (fr) * 2014-01-31 2015-08-06 Access Business Group International Llc Système et procédé pour une évaluation de santé
EP3016061A1 (fr) * 2014-11-03 2016-05-04 Google, Inc. Découverte de l'efficacité d'incitation

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
EPO: "Mitteilung des Europäischen Patentamts vom 1. Oktober 2007 über Geschäftsmethoden = Notice from the European Patent Office dated 1 October 2007 concerning business methods = Communiqué de l'Office européen des brevets,en date du 1er octobre 2007, concernant les méthodes dans le domaine des activités", JOURNAL OFFICIEL DE L'OFFICE EUROPEEN DES BREVETS.OFFICIAL JOURNAL OF THE EUROPEAN PATENT OFFICE.AMTSBLATTT DES EUROPAEISCHEN PATENTAMTS, OEB, MUNCHEN, DE, vol. 30, no. 11, 1 November 2007 (2007-11-01), pages 592 - 593, XP002498048, ISSN: 0170-9291 *

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2015116879A1 (fr) * 2014-01-31 2015-08-06 Access Business Group International Llc Système et procédé pour une évaluation de santé
EP3016061A1 (fr) * 2014-11-03 2016-05-04 Google, Inc. Découverte de l'efficacité d'incitation

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