WO2016178276A1 - 禁煙患者のためのプログラム、装置、システム及び方法 - Google Patents
禁煙患者のためのプログラム、装置、システム及び方法 Download PDFInfo
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- WO2016178276A1 WO2016178276A1 PCT/JP2015/063128 JP2015063128W WO2016178276A1 WO 2016178276 A1 WO2016178276 A1 WO 2016178276A1 JP 2015063128 W JP2015063128 W JP 2015063128W WO 2016178276 A1 WO2016178276 A1 WO 2016178276A1
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- patient
- information
- smoking
- interpretation
- electronic device
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Images
Classifications
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Definitions
- the present invention relates to a program, apparatus, system and method for non-smoking patients.
- Nicotine dependence caused by continuous smoking can be divided into physical dependence and psychological dependence.
- pharmacotherapy with smoking cessation aids such as varenicline and nicotine preparations is performed
- behavioral therapy, cognitive behavioral therapy and coaching are performed by medical workers Is.
- behavioral therapies a therapy that avoids the act of smoking by performing other acts instead of smoking when a desire to smoke is generated is called compensatory behavioral therapy.
- Cognitive behavioral therapy is a therapy that changes patient behavior by correcting patient interpretation (cognition) and deviations of facts from a scientific point of view (cognitive deviation).
- Coaching means providing and educating, encouraging, and giving up knowledge about a disease to patients.
- Prior Document 1 proposes a system that sends messages daily to assist individuals trying to improve bad health behaviors such as smoking cessation, weight control and stress management.
- varenicline The treatment result of varenicline is about 65% of successful smoking cessation for 3 months, but there are many people who resume smoking after that, and the smoking cessation rate for one year is only about 35%. It is considered that the reason why many people resume smoking after drug smoking cessation once is because psychological dependence has not been resolved. Psychological dependence is a mental illness and requires daily meticulous care by medical workers, etc., but medical workers can only intervene during outpatient visits. In many cases, the number, frequency, duration, etc. of outpatient treatments that can be received within the scope of insurance treatment are limited. For example, in Japan, the number of outpatient treatments that can be received within the scope of insurance treatment is only five, and the frequency is only once every two weeks to one month.
- Prior Literature 1 discloses a system that provides an individual with a daily behavior change message for improving bad behaviors related to health based on data collected from an individual.
- the behavior change message can be received once a day, so that the patient can understand the behavior to be taken that day.
- the behavioral change message sent once a day is not sufficient and is suitable for the mental state of each patient The therapy cannot be performed in a timely manner. Further, the problem that the patient cannot consult when the patient wants to consult a doctor cannot be solved.
- the program in one embodiment of the present invention is a program used for a non-smoking patient, and information indicating the current physical condition of the patient from a patient-side electronic device, which is an electronic device used by the patient, to a computer.
- Patient interpretation information indicating patient's interpretation of smoking-related items input to the patient-side electronic device by the patient at the patient interpretation information acquisition timing determined based on at least one of the input of smoking and non-smoking medical history information And determining whether the interpretation of the item related to smoking of the patient is an error based on the received patient interpretation information and correct answer information about the item related to smoking And, if it is determined that the patient's interpretation is incorrect, based on the correct answer information, And transmitting cognitive behavioral therapy information including information that is arbitrarily into the patient electronic apparatus, thereby executing.
- Reading out the non-smoking medical history information from the database, and requesting the patient-side electronic device to transmit patient interpretation information including the patient's interpretation of the items related to the predetermined smoking based on the received non-smoking medical history information Determining a request timing and, at the request timing, transmitting a patient interpretation information request to the patient-side electronic device requesting to transmit patient interpretation information including a patient's interpretation of the matter related to the predetermined smoking
- the patient interpretation acquisition information timing may be a timing at which patient interpretation information is received as a response to the patient interpretation information request.
- the patient interpretation acquisition information timing is determined based on the timing at which information indicating a patient's current physical condition is input to the patient-side electronic device, and information indicating the patient's current physical condition is input to the patient-side electronic device.
- the computer further executes a step of acquiring information indicating the current physical condition of the patient at a physical condition information acquisition timing determined based on the determined timing. Information indicating the relationship between physical condition and smoking may be included.
- the computer may further execute the step of transmitting first behavior therapy information indicating a behavior to be taken by the patient in relation to the current physical condition of the patient.
- the information indicating the current physical condition of the patient may include the cause of the current physical condition considered by the patient.
- the program according to an embodiment of the present invention further includes a step of transmitting effect inquiry information indicating a message asking whether or not the physical condition has improved after transmitting the first behavior therapy information to the computer, and the effect A step of receiving effect response information indicating an answer inputted by the patient in response to the inquiry information; and if the effect response information indicates that the physical condition is not improved, the patient is related to the physical condition. Transmitting second behavioral therapy information indicating an action to be taken.
- the step of transmitting the cognitive behavioral therapy information may be performed after the step of transmitting the first behavioral therapy information is performed.
- Coaching information indicating a message for encouraging the patient in relation to the physical condition of the patient is transmitted at a coaching timing determined based on a timing at which information indicating the current physical condition of the patient is input to the electronic device on the patient side. This step may be further executed by a computer.
- the step of transmitting the cognitive behavioral therapy information may be performed after the step of transmitting the coaching information is performed.
- the program according to an embodiment of the present invention determines a second behavioral therapy execution timing based on at least one of input of information indicating a patient's current physical condition and non-smoking medical history information to a computer, and Determining the third behavioral therapy information indicating the behavior to be taken by the patient, and transmitting the third behavioral therapy information to the patient-side electronic device at the second behavioral therapy execution timing;
- the step of updating smoking cessation medical history information may be executed based on at least one of the cognitive behavioral therapy information and the third behavioral therapy information.
- the program in one embodiment of the present invention described above can also be stored in a computer-readable storage medium.
- a computer is a computer including a processing device, a communication device, and a storage device that stores a program used for non-smoking patients.
- the patient acquisition information acquisition timing determined based on at least one of the input of information indicating the current physical condition of the patient and the non-smoking medical history information from the patient side electronic device which is an electronic device used by the patient, the patient side electronic device Receiving patient interpretation information input to the device indicating patient interpretation of smoking related items, and based on the received patient interpretation information and correct answer information on the smoking related items, Determining whether the patient's interpretation of smoking-related matters is incorrect, and that the patient's interpretation is incorrect If it is determined, based on the correct answer information, transmitting cognitive behavioral therapy information including correct information about matters related to smoking of the patient to the patient-side electronic device. .
- a computer is a computer used for a non-smoking patient, and inputs information indicating a patient's current physical condition from a patient-side electronic device that is an electronic device used by the patient. And patient interpretation information indicating the patient's interpretation of the smoking-related items input by the patient to the patient-side electronic device at the patient interpretation information acquisition timing determined based on at least one of the non-smoking medical history information If it is determined that the patient's interpretation is incorrect, based on the correct answer information, cognitive behavioral therapy information including correct information about matters related to smoking of the patient is sent to the patient's electronic Based on the communication part to be transmitted to the device, and the received correct answer information about the patient interpretation information and the matters related to smoking, Interpretation of the and a control unit that determines whether an error.
- a program used for a non-smoking patient in one embodiment of the present invention is determined based on at least one of input of information indicating the current physical condition of the patient and information on non-smoking medical history of the patient to an electronic device used by the patient.
- Receiving patient interpretation information indicating the patient's interpretation of smoking-related matters at a patient interpretation information acquisition timing transmitting the input patient interpretation information to a server device, and If it is determined that the interpretation is incorrect, receiving cognitive behavioral therapy information from the server device including information indicating information that is considered correct about a matter related to smoking of the patient; Presenting the patient with correct information about matters related to the patient's smoking based on the cognitive behavioral therapy information.
- a patient-side electronic device used by a patient includes a processing device, a communication device, an output device, and a storage device that stores a program used for a non-smoking patient.
- the patient interprets information related to smoking at the patient interpretation information acquisition timing determined based on at least one of the input of information indicating the current physical condition of the patient and the non-smoking medical history information of the patient into the electronic device.
- a patient-side electronic device relates to smoking at a patient interpretation information acquisition timing determined based on at least one of input of information indicating a patient's current physical condition and smoking cessation medical history information.
- An input unit that accepts input of patient interpretation information indicating the patient's interpretation of the matter, and transmits the input patient interpretation information to the server device, and when it is determined that the patient's interpretation is incorrect, Based on the received cognitive behavioral therapy information and the communication unit that receives information indicating correct information about matters related to the patient's smoking from the server device, the patient's smoking
- An output unit that presents the patient with correct information about the matter related to
- a system includes a server device that is the above-described computer, at least one electronic device used by the above-described patient, and a database that stores non-smoking medical history information of the patient.
- a method used for a non-smoking patient based on at least one of input of information indicating a patient's current physical condition and non-smoking medical history information from a patient-side electronic device, which is an electronic device used by the patient, to a computer
- a patient-side electronic device which is an electronic device used by the patient
- receives patient interpretation information indicating the patient's interpretation of smoking-related matters which is input to the patient-side electronic device by the patient at the patient interpretation information acquisition timing determined by the patient, and the received patient interpretation Determining whether the patient's interpretation of smoking-related matters is incorrect based on the information and correct answer information about the smoking-related matters, and determining that the patient's interpretation is incorrect If it is determined, based on the correct answer information, the cognitive behavioral therapy information including correct information about matters related to smoking of the patient is transmitted to the patient side And transmitting to the device, it is executed.
- the method used for smoking cessation patients in one embodiment of the present invention is a patient interpretation determined on the electronic device based on at least one of input of information indicating a patient's current physical condition and smoking cessation medical history information. Accepting input of patient interpretation information indicating the patient's interpretation of smoking-related matters at the information acquisition timing, transmitting the input patient interpretation information to a server device, and interpreting the patient in error If it is determined that there is a cognitive behavioral therapy information including information indicating information that is considered correct about matters related to smoking of the patient from the server device, and the received cognitive behavioral therapy Based on the information, presenting the patient with correct information about the patient's smoking related matters is performed.
- the selection of appropriate therapy and the timing of execution of the selected therapy are finely changed according to the status of smoking cessation treatment for smoking cessation patients, which change from moment to moment, and necessary when necessary It is possible to carry out appropriate therapy in a timely manner.
- an electronic device such as his / her smartphone
- the patient can receive smoking cessation treatment constantly and for a long time via the electronic device. Therefore, it is possible to effectively treat non-smoking patients who are mentally dependent on smoking.
- appropriate non-smoking guidance that is always consistent can be realized.
- the patient can input information indicating the patient's current physical condition, such as a desire for smoking and withdrawal symptoms, through his electronic device. Based on this information, when selecting and performing therapies, immediately identify the patient's interpretation of physical condition, its cause and smoking-related matters, and correct this if it is incorrect To improve the current physical condition and to have correct knowledge related to smoking. Thereby, when a patient's erroneous thinking circuit is corrected and the same physical condition is reached, thinking based on a correct interpretation can be taken. For example, it is possible to effectively prevent smoking from occurring due to misinterpretation and smoking. Moreover, if the cause of the present physical condition is further specified, the therapy suitable for the cause can be performed.
- the smoking craving should be resolved more effectively and immediately by conducting behavioral therapy and coaching, such as compensatory behavior therapy, suitable for the cause of the smoking craving. Can do. It is possible to effectively prevent a non-smoking patient from smoking due to a temporary strong desire for smoking and returning to the state before quitting.
- FIG. 1 is a configuration diagram of a system according to an embodiment of the present invention. It is a hardware block diagram of the server apparatus which concerns on one Embodiment of this invention. It is a hardware block diagram of the database which concerns on one Embodiment of this invention. It is a hardware block diagram of the patient side electronic apparatus which concerns on one Embodiment of this invention. It is a hardware block diagram of the doctor side electronic device which concerns on one Embodiment of this invention. It is a functional block diagram of the server apparatus which concerns on one Embodiment of this invention. It is a functional block diagram of the database concerning one embodiment of the present invention. It is a functional block diagram of a patient side electronic device concerning one embodiment of the present invention.
- FIG. 1 shows an example of a system configuration diagram of the present invention.
- the system 100 is used for non-smoking patients, and includes a server 102, a database 103, one or more patient-side electronic devices 104-1 to 104-N that are electronic devices used by the patient, and an electronic device used by a doctor. Are provided with one or more doctor-side electronic devices 105-1 to 105N. These are connected to each other by the network 101, but may be individually connected as necessary.
- the database 103 is not connected to the network 102, but is directly connected to the server 102.
- the patient-side electronic devices 104-1 to 104-N and the doctor-side electronic devices 105-1 to 105N are connected to the database 103 via the server 102. It is good also as a structure connected.
- FIG. 2 shows an example of a hardware configuration diagram of the server 102.
- the server 102 is a computer that includes a processing device 201, a display device 202, an input device 203, a storage device 204, and a communication device 205. Each of these component devices is connected by a bus 210, but each may be individually connected as necessary.
- the display device 202 has a function of displaying information to the user.
- the input device 203 has a function of accepting input from the user, such as a keyboard and a mouse.
- the storage device 204 stores a server program 206.
- the storage device 204 may be any device that can store information such as a hard disk, a nonvolatile memory, and a volatile memory.
- a communication device 205 performs wireless communication such as wired communication using an Ethernet (registered trademark) cable, mobile communication, and wireless LAN, and connects to the network 101.
- Ethernet registered trademark
- FIG. 3 shows an example of a hardware configuration diagram of the database 103.
- the database 103 is a computer including a processing device 301, a display device 302, an input device 303, a storage device 304, and a communication device 305. Each of these component devices is connected by a bus 310, but each of them may be individually connected as necessary.
- the display device 302 has a function of displaying information to the user.
- the input device 303 has a function of receiving input from the user, such as a keyboard and a mouse.
- the storage device 304 may be any device that can store information such as a hard disk, a nonvolatile memory, and a volatile memory.
- the storage device 304 stores a database (DB) program 306.
- the communication device 305 performs wired communication using an Ethernet (registered trademark) cable, mobile communication, wireless communication such as a wireless LAN, and connects to the network 101.
- Ethernet registered trademark
- the server 102 and the database 103 are realized by different computers, but may be realized by one computer.
- FIG. 4 shows an example of a hardware configuration diagram of the patient-side electronic device 104 which is an electronic device used by the patient.
- a patient means a person who attempts to quit smoking using the present invention, and does not necessarily have to be given smoking cessation under the guidance of a healthcare professional.
- the patient-side electronic device 104 includes a processing device 401, a display device 402, an input device 403, a storage device 404, and a communication device 405. Each of these component devices is connected by a bus 410, but each may be individually connected as necessary.
- the patient-side electronic device 403 may be a desktop computer or a notebook computer, a portable information terminal, a mobile phone, a smartphone, a tablet terminal, or a dedicated portable electronic device.
- the display device 402 has a function of displaying information to the user.
- the input device 403 has a function of accepting input from the user, such as a keyboard and a mouse.
- a touch panel in which the display device 402 and the input device 403 are integrated can be used.
- the storage device 404 stores a patient program 406 for the patient-side electronic device.
- the storage device 404 may be any device that can store information such as a hard disk, a nonvolatile memory, and a volatile memory.
- the communication device 405 performs wired communication using an Ethernet (registered trademark) cable, mobile communication, wireless communication such as a wireless LAN, and connects to the network 101.
- FIG. 5 shows an example of a hardware configuration diagram of the doctor-side electronic device 105 which is an electronic device used by the doctor.
- the doctor-side electronic device 105 includes a processing device 501, a display device 502, an input device 503, a storage device 504, and a communication device 505. Each of these component devices is connected by a bus 510, but each may be individually connected as necessary.
- the doctor-side electronic device 104 may be a desktop computer or a notebook computer, a portable information terminal, a mobile phone, a smartphone or a tablet terminal, or a dedicated portable electronic device.
- the display device 502 has a function of displaying information to the user.
- the input device 503 has a function of receiving input from the user, such as a keyboard and a mouse.
- the doctor-side electronic device 104 When the doctor-side electronic device 104 is a smartphone or a tablet terminal, a touch panel in which the display device 502 and the input device 503 are integrated can be used.
- the storage device 504 stores a doctor program 506 for the doctor-side electronic device.
- the storage device 504 may be any device that can store information such as a hard disk, a non-volatile memory, and a volatile memory.
- the communication device 505 connects to the network 101 by performing wired communication using an Ethernet (registered trademark) cable, wireless communication such as mobile communication, and wireless LAN.
- the server 102 includes a control unit 601, a display unit 602, an input unit 603, a storage unit 604, and a communication unit 605.
- the database 103 includes a control unit 701, a display unit 702, an input unit 703, a storage unit 704, and a communication unit 705.
- the patient-side electronic device 104 includes a control unit 801, a display unit 802, an input unit 803, a storage unit 804, and a communication unit 805.
- the doctor-side electronic device 105 includes a control unit 901, a display unit 902, an input unit 903, and a storage unit.
- Each control unit has a function of executing control such as information processing.
- Each display unit has a function of displaying information so that the user can visually recognize the information.
- Each input unit has a function of receiving input from the user.
- Each storage unit has a function of storing data and the like.
- the communication unit has a function of transmitting / receiving information to / from other devices. In the present embodiment, these functions are realized by executing each program in the hardware described in FIGS. 2 to 5, but by configuring an electronic circuit or the like for realizing each function. It can also be realized by hardware.
- patient information is stored in the storage unit 704 of the database 103.
- Patient information is information relating to a non-smoking patient associated with a patient identification number (ID).
- ID patient identification number
- the information regarding the patient includes the patient's personal information and non-smoking medical history information.
- the medical treatment does not have to be an action performed by a medical worker, and may be performed using the present invention.
- the patient personal information is basically determined information, and the non-smoking medical history information is information that can change from moment to moment.
- the patient's personal information includes information such as the patient's name, date of birth, smoking history, smoking cessation treatment start date, and smoking trigger.
- the smoking cessation medical history information includes information related to the history of smoking cessation medical treatment such as patient physical condition history information, smoking history information, medication history information, and therapy history information.
- the patient's physical condition history information is, for example, information that records the patient's daily physical condition, and can also be referred to as diary information.
- the physical condition history information includes, for example, information on daily physical conditions such as headache, irritation, feeling good, and nausea, and an index that indicates a feeling that one wants to suck.
- the index you want to suck can be represented by a number from 0 to 5, for example, 0 means you don't want to suck at all, 5 means you want the strongest feeling, It is determined, entered and input.
- the smoking history information includes information regarding whether or not smoking has been performed after smoking cessation treatment. For example, when smoking is performed, information on the number of smoking and the date of smoking is included.
- the medication history information includes information on the amount of medication for smoking cessation treatment and the date of medication.
- the therapy history information includes the cognitive behavioral therapy performed by the system, the date and time when the behavioral therapy was recommended, information indicating whether the patient actually performed the therapeutic action such as behavioral therapy, the coaching performed, etc. It contains historical information about the therapy performed on the patient.
- the patient information in the present embodiment is heard by medical treatment of a patient by a doctor, and may be input by the doctor-side electronic device 105 used by the doctor and registered in the database 103, or the patient-side electronic device 104 used by the patient. May be registered in the database 103 by being input by the patient, or may be input in combination. In addition, after the start of smoking cessation treatment, it may be updated by these methods.
- patient information is stored in the database storage unit 704 in association with an identification number (ID) for identifying a patient in the format shown in FIG. If necessary, other necessary information may be added as appropriate, or unnecessary information may not be used.
- ID identification number
- personal information includes name, age, and smoking history (year).
- the non-smoking medical history information includes the number of treatment days, an index that the patient wants to suck as a physical condition history, a smoking history, a medication history, and a therapy history. The non-smoking medical history information may be stored together with the date and time.
- the index that the user wants to suck means that the index 5 that the user wants to suck has the highest desire to suck, and 0 that has the lowest desire to suck.
- the medication history means the daily medication situation, where 1 means that the medication has been taken and 0 means that the medication has not been taken.
- the therapy history indicates a history of therapy performed on the patient. Each therapy is identified by therapy ID and the identification number (ID) of the therapy performed is recorded.
- the therapy is stored in the storage unit 604 of the server 102 in association with an identification number (ID) for identifying the therapy in the format of the therapy list described in FIGS. 11A and 11B. It may be stored in the database storage unit 704 and read by the server 102 as appropriate.
- ID identification number
- the therapy list includes messages, answer options, correct answer information, therapy type, physical condition / cause, follow-up and score.
- the message is displayed on the patient electronic device 104 and includes a message for smoking cessation treatment.
- the answer option is an option for an answer to be displayed on the patient-side electronic device 104 when the message is an inquiry to the patient and requests an answer.
- the inquiry to the patient is an inquiry of patient interpretation information indicating the patient's interpretation of matters related to smoking.
- Correct answer information includes correct answer branches and guidance information.
- the correct answer branch is an option number that is correct for the answer option.
- Guidance information shows the information considered correct about the inquiry with respect to the patient as a message.
- the guidance information may be a moving image such as an educational video instead of a simple message.
- the instruction information of the therapy list may include an instruction to reproduce the instructional video and information specifying the storage location of the instructional video.
- the answer option and correct answer information are not necessarily required.
- These pieces of information are not only displayed on the display unit 802 of the patient-side electronic device 104, but may be presented to the patient by being output as audio from an audio output unit such as a speaker.
- the display unit may be an output unit including a display unit and an audio output unit.
- the therapy type is information indicating whether each therapy is cognitive behavior therapy, behavior therapy, or coaching.
- “1” means cognitive behavioral therapy
- “2” means behavioral therapy
- “3” means coaching.
- the physical condition / cause means a physical condition that triggers execution of the therapy of the ID and the cause thereof.
- the part before “/” means physical condition
- the part after “/” represents the cause.
- the cause is set in combination with the physical condition.
- “1” means a state where a desire for smoking has occurred
- “2” means a headache
- “3” means a state of irritation.
- “1” as the cause of the desire for smoking means stress
- “2” means recommended by an acquaintance.
- “1/1” means that a desire for smoking has occurred, and that the cause is thought to be stress.
- “1” as a cause for headache means nicotine cut and “2” means cold.
- the cause “0” means that the cause is not specified by the patient.
- cause information is not always necessary. It is also possible to specify a therapy to be performed only by physical condition, and the present invention can be implemented even in an embodiment that does not include cause information. Multiple physical conditions / causes can be assigned to a single therapy. In that case, if any physical condition / cause is met, the therapy can be performed.
- the score is information used when selecting the therapy to be performed for the patient, and a reference score is set for each of the physical condition history (index to suck), smoking history, medication history, therapy history, and treatment days. Is done.
- Medication history “1 * 3” means that it is a requirement for execution that the medicine prescribed to date has been taken for three consecutive days.
- the number of treatment days “28 >> 21” means that the number of days from the start of treatment is longer than 21 days and shorter than 28 days is a requirement for execution.
- therapies that meet all of the requirements defined by these scores are selected, but they can be executed if any of the requirements is met, and priorities, weights, etc. can be assigned for each requirement. .
- a smartphone is used as the patient-side electronic device 104
- a laptop computer is used as the doctor-side electronic device 105.
- the operation of one patient-side electronic device 104 and one doctor-side electronic device 105 will be described for the sake of explanation.
- two or more patient-side electronic devices 104 and two or more doctors are used.
- a side electronic device 105 may be included.
- a physical condition related to smoking cessation treatment such as a desire to smoke or withdrawal symptoms occurs after the smoking cessation treatment starts
- the display unit 802 of the smartphone which is the patient-side electronic device 104
- the nurse call button displayed on the screen is touched (step 1201).
- a physical condition input screen for inquiring about the current physical condition is displayed on the display unit 802 of the patient-side electronic device 104 (step 1202).
- a display is made to allow the patient to select one of the three physical conditions: “What did you do? 1: I want to smoke” : 2: I have a headache 3: I'm irritated.
- options representing other physical conditions such as inability to concentrate and sleep cannot be displayed.
- the patient inputs an option indicating the current physical condition he / she is thinking to the patient-side input unit 803 (step 1204).
- the control unit 801 detects this and then determines whether or not to input the cause of the physical condition based on the answer. If necessary, a cause input screen adapted to the physical condition is displayed (step 1206).
- the cause is inquired about “1: I want to smoke” and “2: I have a headache”, and the cause is not inquired for “3: Annoyed”. Inquiry messages are also prepared in advance for “1: I want to smoke” and “2: I have a headache”, respectively.
- the control unit 801 displays on the display unit 802 “Why did you want to smoke ?? 1: Stress, 2: Recommendation of an acquaintance”, and prompts the patient to input (step 1206).
- a patient considers a smoking craving due to stress.
- the patient selects “1: Stress” and inputs an answer via the input unit 803 (step 1208).
- Information indicating the current smoking desire as the current physical condition of the patient and the input cause is transmitted to the server 102 via the communication unit 805 together with the patient ID (0) for identifying the patient (step 1210). ).
- the patient-side electronic device 104 transmits to the server 102 that the nurse call button has been touched, and the server 102 sends information for physical condition input display to the patient-side electronic device. It may be executed by an interaction such as sending to 104.
- a request for transmitting patient information for the patient is stored in the database based on the received patient ID. It transmits to 103 via the communication part 605 (step 1214).
- the control unit 701 searches the patient information of the patient in the storage unit 704 based on the patient ID received together with the patient information transmission request, Extraction (step 1218), the communication unit 705 transmits to the server 102 (step 1220).
- the server control unit 601 determines the current patient from the therapy list stored in the storage unit 604 based on the received patient information and the cause of smoking desire. Choose the right therapy for the patient.
- the server control unit 601 further determines the execution order of the selected three therapies based on a predetermined criterion.
- ID 3 behavior therapy
- ID 5 coaching therapy
- the current physical condition can be effectively improved and smoking cessation treatment can be performed.
- current smoking cravings can be eliminated or reduced by performing compensatory behavioral therapy appropriate to the smoking craving and cause that is currently occurring.
- coaching can encourage the patient and lead to a mental state in which the desire to quit smoking does not increase again.
- the server control unit 601 transmits behavior therapy information or coaching information indicating the selected Nth therapy to the patient-side electronic device 104 via the communication unit 605 (step 1301).
- Behavior therapy information and coaching information include messages in the therapy list.
- the communication unit 805 of the patient-side electronic device receives this (step 1302), and displays a message “let's relieve stress by light exercise” on the display unit 802 based on this behavioral therapy information (step 1304).
- This behavioral therapy is a compensatory behavioral therapy, and the desire to smoke can be resolved by having the patient perform other behaviors other than smoking in order to eliminate the current desire for smoking.
- the cause of smoking is identified immediately when the patient's desire for smoking occurs, and the desire for smoking can be effectively eliminated by executing compensation behavior therapy suitable for the cause.
- the patient-side electronic device 104 transmits therapy execution confirmation information indicating that the therapy execution process in the patient-side electronic device 104 has been completed (step 1306).
- the database 103 receives this (step 1312), and updates the patient history based on the patient ID and the therapy ID (step 1314).
- a follow-up observation execution setting process for performing a setting process for executing follow-up observation is executed (step 1316).
- the update process may be executed without transmitting / receiving therapy execution confirmation information after behavior therapy information or coaching information is transmitted from the server 102 to the patient-side electronic device 104.
- the update process may be after the follow-up observation execution setting process (step 1316).
- the follow-up observation execution setting process (step 1316) will be described with reference to FIG.
- the server control unit 601 reserves execution of the follow-up observation process after 5 minutes (step 1404). Such processing can be executed as a periodic execution process such as a coulomb job.
- the server control unit 601 transmits to the patient electronic device 104 an effect inquiry message indicating a message asking whether or not the physical condition that has occurred has been improved when the time reserved in the follow-up execution setting process is reached. (Step 1501).
- the patient-side electronic device 104 receives this (step 1502) and displays it on the display unit 802.
- the message “Did you want to smoke? Did you cancel? 1: Yes 2: No” is displayed.
- the input unit 603 that is a touch panel of a smartphone, the patient inputs an effect answer by touching one of the buttons “1: Yes” or “2: No”, and the input effect answer Is transmitted (step 1506).
- the server communication unit 605 receives this (step 1508), and the server control unit 601 determines whether or not the effect answer is “1”. When the effect answer is 1, since the smoking desire that occurred earlier has been resolved, the follow-up observation process is terminated. If the effect answer is 2, the smoking desire that has just occurred is not resolved, so another therapy is selected to resolve this (step 1512), and the selected therapy is executed (step 1514). .
- the therapy may be selected from the ones associated with the therapy already performed, or the same therapy as the performed therapy may be performed again, or the procedure similar to the above-described steps 1214 to 1232 is used. Depending on the situation, one or more therapies may be selected and executed.
- a therapy with ID 5 which is another therapy for relieving the stress that is currently causing smoking desire, is selected, and steps 1301 to 1316 shown in FIG. 13 are selected.
- This is executed according to the procedure described above, and the follow-up observation execution process ends.
- the follow-up observation process may be repeated at predetermined intervals until the physical condition improves.
- the patient-side electronic device 104 can autonomously display an effect inquiry message after a predetermined period of time, and can input the answer and transmit it to the server 102.
- the therapy execution process of 1230 in FIG. 12 ends, and whether or not a therapy to be executed is selected. Is determined (step 1232).
- K indicates the number of selected therapies.
- the set follow-up execution process is a process executed at a reserved predetermined timing, and it is not necessary to wait for the end of this follow-up process in order to execute the next therapy selected in Step 1224.
- step 1310 after confirming that the behavioral therapy has been executed in the patient-side electronic device, the server 102 transmits a message asking whether or not the patient actually performed the behavioral therapy. May be presented to the patient for inquiry. In response to this, the patient selects an answer as to whether or not it has been executed, and transmits it to the server 102 via the patient-side input device 105. Server 102 sends this information to database 103. For example, in addition to the ID of the therapy executed in the therapy history item of the non-smoking medical history, an item about whether or not the patient actually performed the therapy is also provided, and this is based on the information from the server 102. Can be updated.
- the confirmation process of whether or not the patient has actually performed therapy may be executed as a coulomb job, for example, five minutes after the therapy is executed, as in the follow-up execution process. Information on when to execute in the therapy list may be stored. In the coaching, similar processing can be performed as necessary.
- a coaching message for encouraging the patient “If Mr. XX, will not lose stress!” Is displayed on the display unit 802 of the patient-side electronic device 104. This can further encourage and mentally stabilize patients whose comprehension behavior therapy has eliminated or reduced their desire for smoking.
- step 1601 the server control unit 601 sends a patient interpretation information request for requesting transmission of patient interpretation information including patient interpretation of items related to smoking designated by the selected Nth therapy.
- the patient interpretation information request includes a therapy list message.
- the patient-side electronic device 104 receives this (step 1602), and displays a message on the display unit 802 based on the received patient interpretation information request (step 1604).
- the patient inputs the option that he / she thinks is correct as an answer to the patient-side electronic device 104 via the input unit 803, and the input answer is transmitted to the server 102 (step 1606).
- the server communication unit 605 receives this, and when the server control unit 601 receives this (step 1608), the correct answer information described in the therapy list is compared with the answer information input by the patient, and the patient is allowed to smoke. It is determined whether or not the interpretation of related matters is incorrect (step 1610). Then, cognitive behavioral therapy information including guidance information indicating correct information is transmitted based on correct information if correct and based on correct answer information if incorrect (step 1612).
- the patient-side electronic device 104 receives this cognitive behavior therapy information (step 1614), and displays information indicating the correct answer and correct information on the display unit 802 based on the received cognitive behavior therapy information (step 1616). ).
- step 1606 the patient inputs the patient's interpretation that “1: all stress is relieved” as an answer, and the server 102 Send to.
- the patient's answer “1” is compared with the correct answer information “3”, and it is determined that they are different, and the patient's interpretation is determined to be incorrect (step 1610).
- the cognitive behavior therapy information containing the guidance information which shows the guidance information contained in the correct answer information of a therapy list is transmitted (step 1612).
- the patient-side electronic device 104 receives the cognitive behavioral therapy information, and based on the guidance information contained therein, the stress that is eliminated by smoking is only the stress due to lack of nicotine.
- the stress caused by fatigue is eliminated by smoking.
- the correct answer message may be included in the therapy list, or a correct message list may be provided separately, selected from a predetermined criterion, included in the cognitive behavior therapy, and transmitted to the patient-side electronic device 104. May be.
- any method may be used as long as it can be displayed to the patient in a format that shows that the answer is correct.
- the patient side electronic device 104 transmits therapy execution confirmation information indicating that the therapy execution has been completed (Step 1618).
- the server control unit 601 transmits to the database 103 an update command for recording and updating that the Nth therapy has been executed in the therapy history (step 1622).
- the database 103 updates the therapy history based on the update command (step 1626).
- the follow-up observation execution setting is executed (step 1628).
- the update process may be executed without transmitting / receiving therapy execution confirmation information after the cognitive behavioral therapy information is transmitted from the server 102 to the patient-side electronic device 104, or the follow-up observation execution setting (step 1628) is executed. It may be executed after being done.
- the follow-up observation execution setting (step 1628) is the same as that described with reference to FIG.
- step 1622 the cognitive behavioral therapy was performed in the patient-side electronic device 104.
- the patient may receive an answer from the patient by sending an inquiry message to confirm that the misinterpretation has been corrected by the cognitive behavioral therapy and the understanding is correct.
- the server 102 can send this information to the database 103 to update the non-smoking medical history.
- step 1628 the cognitive behavior therapy execution processing ends, and in step 1232, it is confirmed whether the selected therapy still remains.
- the plurality of selected therapies may be configured such that the next therapy is performed after a certain time has elapsed after one therapy is performed.
- the entire processing of this embodiment can be repeated, and when information indicating a desire for smoking from a patient is input at a certain timing, only cognitive behavioral therapy is performed, and then another smoking is performed from the patient at another timing.
- information indicating the desire is input, it is possible to execute only behavioral therapy.
- the physical condition and cause are identified, and an appropriate smoking cessation therapy for the physical condition and cause is timely performed. Because it can be carried out, effective smoking cessation treatment can be performed. Even higher effects can be obtained by performing a combination of behavioral therapy, coaching and cognitive behavioral therapy. For example, compensatory behavioral therapy appropriate to the current smoking craving will eliminate or reduce the smoking craving, and coaching will mentally support the patient's willingness to quit and become mentally stable When cognitive behavioral therapy is performed, correct the patient's misunderstanding about the smoking cravings that had just occurred, the relationship between the cause and smoking, so that the same smoking cravings do not occur again. Can be encouraged. Similar effects can be obtained by a combination of behavioral therapy and cognitive behavioral therapy, or a combination of coaching and cognitive behavioral therapy.
- a notebook computer which is a doctor-side electronic device 105 used by a doctor, is also connected to the server 102 via the network 101. Then, an information transmission request accompanied by patient identification information from the doctor-side electronic device 105 is transmitted from the doctor-side electronic device 105, and when this is received by the server 102, it is stored in the database 103 based on the information transmission request. The patient information associated with the patient identification information is extracted and transmitted to the doctor-side electronic device 105. Thereby, it becomes possible for the doctor to check the smoking cessation medical history information of the patient updated every moment.
- the server control unit 601 detects this, You may perform a medication adjustment process. For example, when the server control unit 601 detects the update of the non-smoking medical history information, the non-smoking medical history information is received from the database 103 based on the identification ID for identifying the patient in the updated historical information, and the received non-smoking medical history information is received. Based on the information, information on medication adjustment can be determined and transmitted to the doctor-side electronic device 105 and the patient-side electronic device 104 used by the doctor.
- the present embodiment since appropriate therapy is executed according to the situation of the patient that changes every moment, a large difference in the progress of smoking cessation treatment tends to occur depending on the patient. Patients who are taking appropriate actions according to the appropriate therapy will have a significant effect on smoking cessation, but those who quit smoking without pressing the nurse call even if they want to smoke. Not very effective. Therefore, when this embodiment is used, the individual difference of the effect of smoking cessation treatment becomes larger than before. Therefore, if the medication adjustment is performed based on the smoking cessation medical history information that changes from time to time, it is possible to perform the medication in accordance with the progress of each patient's smoking cessation treatment, and the effect of the smoking cessation treatment can be enhanced. It is also possible to minimize the risk of side effects by including drug side effect history information in smoking cessation medical history information and adjusting medication based on this information.
- the case where the patient's current physical condition is causing smoking desire has been described as an example.
- the symptom “2: headache” occurs due to withdrawal symptoms
- the same procedure is used.
- Can perform therapy That is, when the patient selects “2: I have a headache” from the physical condition displayed on the display unit 802 in Step 1202 and is input to the input unit 803, the patient-side electronic device 104 displays this condition.
- a cause inquiry is necessary, and a predetermined cause input message is displayed on the display unit 802 (step 1206). For example, “What causes the headache? 1: nicotine cut 2: cold” is displayed on the display unit 802 (step 1206).
- step 1210 only the current physical condition information indicating irritation is transmitted to the server 102.
- step 1224 the therapy which should be performed is selected based on the physical condition information and patient information which irritate. For example, the physical condition of being frustrated and the display in the therapy list that can be executed in a state where the cause is not specified is the case where the item of “physical condition / cause” is “3/0”.
- cognitive behavioral therapy and coaching can be performed without identifying the cause.
- the treatment execution process for smoking cessation is not started by the input of information indicating the current physical condition by the patient, but based on the timing determined by the server 102 based on the smoking cessation medical history information of the patient. It is different from the first embodiment in that it is started. The other points are the same as in the first embodiment. Only differences from the first embodiment will be described below.
- the server 102 transmits a patient information transmission request to the database 103 at a predetermined timing (step 1701).
- This predetermined timing may be performed every certain period, for example, every 24 hours, may be performed for a predetermined time, for example, midnight, or may be performed when patient information is updated. Or a combination thereof.
- the update of patient information is performed when some kind of therapy is performed as described above, or the patient sends information such as daily physical condition, smoking cessation status, medication status to the server 102, and based on this There are cases where it is executed by the database 103.
- the database control unit 701 Upon receiving this patient information transmission request, the database control unit 701 extracts patient information from the storage unit 704 and transmits it to the server 102. This extracted patient information may be performed for all patients at once, or may be performed for one or more patients specified by the patient ID transmitted from the server 102 together with the patient information transmission request.
- the server 102 receives the patient information (step 1708), based on this, the server 102 reserves execution of a predetermined therapy at a predetermined timing (step 1710), and the therapy reservation process ends.
- This reservation process can be set as a periodic execution process such as a coulomb job, similarly to the above-described progress process execution reservation (step 1404).
- the reserved therapy may be stored in the server storage unit 604 as a therapy reservation table.
- This reservation process is executed based on at least non-smoking medical history information in the patient information.
- smoking cessation history such as physical condition history, smoking history, medication history, therapy history, and medical treatment days that change from moment to moment.
- the reserved timing may be set to be executed immediately after 0 seconds, that is, immediately, or may be set one hour later, or may be set to 9:00 in the next morning.
- the therapy list may include information for determining appropriate timing and may be determined based on this.
- the server 102 Based on this update request, a request for updating the non-smoking medical history information of the patient AAAA recorded in the database 103 is transmitted.
- the server control unit 601 selects a therapy to be executed based on the received patient information and reserves execution at a predetermined timing.
- the patient's AAAA physical condition history index to suck
- the smoking number is 0 for 3 consecutive days
- a therapy that is not limited by the physical condition / cause item is selected. Therapy may be selected ignoring physical / causal items.
- the server control unit 601 waits until the time when the therapy is reserved (step 1801).
- the server control unit 601 determines L therapies whose execution is reserved at the reservation time. (Step 1802). For example, it can be determined based on a therapy reservation table stored in the server storage unit 604. Then, the execution order of the determined one or more therapies is determined according to a predetermined criterion. This can be determined by the same method as in the first embodiment. This order may also be determined in the reservation process. In that case, the first therapy is determined according to the determined order.
- the counter M is set to 0 (step 1804) and is incremented by one for execution of the first determined therapy (step 1806). Then, the determined first therapy is executed (step 1808).
- This therapy execution process is the same as the process described based on FIG. 13 for behavioral therapy and coaching, and the same process as described based on FIG. 16 for cognitive behavioral therapy.
- the number of the therapy L determined when the first therapy is performed is compared with the number M of the therapy performed (step 1808), and if there are more determined therapies, the process returns to step 1806 and the remaining therapy is performed. If M is equal to or more than the same number as L, it is determined that all the determined therapies have been performed, and the execution of the reserved therapy is terminated.
- the server control unit 601 uses the therapy ID reserved at that time from the therapy reservation table stored in the server storage unit 604.
- the counter M is counted up for execution of the first therapy (step 1806).
- the present embodiment it is possible to select an appropriate therapy in a timely manner based on the patient's condition that changes from moment to moment, and to execute it at an appropriate timing. It can.
- the index that the person wants to smoke gradually decreases and often becomes 0 after about 21 to 28 days.
- smoking cessation patients do not have a desire for smoking in normal times, but suddenly a desire for smoking may occur for some reason. And since these days patients have quit smoking for more than 20 days, there are many cases where they think that it is okay to smoke if they are about one. If you have a desire for smoking, you will smoke.
- the daily smoking cessation medical history of the patient is monitored, and the appropriate therapy is executed each time, whereby the fine smoking cessation treatment suitable for the patient's condition can be performed. .
- the effect of the behavior therapy can be enhanced.
- step 1206 the case where “2: recommendation by acquaintance” is selected as the cause of the patient's desire to smoke in step 1206 is taken as an example.
- Non-smoking patients who smoke at the recommendation of acquaintances often misrecognize that refusing the recommended cigarettes would offend the recommended acquaintance.
- therapy list add an item for the effect of the therapy that was executed to the therapy history, and in addition to the fact that the cognitive behavioral therapy was executed, if the effect of changing the cognition was confirmed according to the procedure described above, the change in the cognition
- the effects of behavioral therapy may be limited when performed alone, but this embodiment is suitable for changes in cognition after cognitive changes caused by cognitive behavioral therapy.
- the effect can be enhanced by performing the behavioral therapy.
- the system for smoking cessation patients in the present embodiment includes a procedure for determining a start timing for executing a therapy for smoking cessation treatment according to the first embodiment, and a procedure for determining a start timing according to the second embodiment. And a function for executing both.
- the first embodiment and the second embodiment are different in the method of determining the start timing for executing the therapy for smoking cessation treatment.
- the start timing determination process of any of these therapies can be performed, and the therapy can be executed at the timing determined by any of the start timing determination processes. It is.
- Other configurations are the same as those in the first and second embodiments.
- the therapy started at a certain timing is only cognitive behavioral therapy, for example, and the therapy performed at other timing is only behavioral therapy, and an appropriate therapy is selected and executed at each timing. May be.
- a patient inputs a sentence in the patient-side electronic device 104, transmits the sentence to the server 102, and analyzes and obtains the patient's answer by performing parsing processing or the like in the control unit 601 of the server 102. Then, by comparing with the correct answer information, the same information processing as in the first to third embodiments is executed.
- Other configurations are the same as those of the first to third embodiments.
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Abstract
Description
第1の実施形態におけるシステムの動作について説明する。本実施形態においては、患者側電子装置104としてスマートフォンを用い、医師側電子装置105としてノートパソコンを用いる。以下の実施形態においては、説明のために1つの患者側電子装置104及び1つの医師側電子装置105の動作について説明するが、本システムにおいては2以上の患者側電子装置104及び2以上の医師側電子装置105を含んでもよい。
本実施形態は、患者による現在の体調を示す情報の入力によって禁煙のための療法実行処理が開始されるのではなく、患者の禁煙診療履歴情報に基づいてサーバ102によって決定されたタイミングに基づいて開始される点で、第1の実施形態と異なる。その他の点については、第1の実施形態と同様である。以下、第1の実施形態と異なる点のみを説明する。
本実施形態における禁煙患者のためのシステムは、第1の実施形態に従って禁煙治療のための療法を実行するための開始のタイミングを決定する手順と、第2の実施形態に従って開始タイミングを決定する手順との両方を実行する機能を備えたものである。第1の実施形態と第2の実施形態は、禁煙治療のための療法を実行するための開始のタイミングの決定の手法が異なる。しかしながら、第1及び第2の実施形態を組み合わせることで、これらのいずれの療法の開始タイミング決定処理も行うことができ、いずれかの開始タイミング決定処理によって決定されたタイミングで療法を実行できることは明らかである。その他の構成は、第1及び第2の実施形態と同様である。また、あるタイミングで開始される療法は、例えば、認知行動療法のみであり、他のタイミングで実行される療法が行動療法のみであるというように、それぞれのタイミングで適切な療法が選択され、実行されてもよい。
本実施形態においては、患者が患者側電子装置104において文章を入力し、サーバ102へ送信し、サーバ102の制御部601においてこれを構文解析処理等行うことによって、患者の回答を分析して取得し、正答情報と比較することにより、第1~第3の実施形態と同様の情報処理を実行する。その他の構成は第1~第3の実施形態と同様である。
101 ネットワーク
102 サーバ
103 データベース
104 患者側電子装置
105 医師側電子装置
201 処理装置
202 表示装置
303 入力装置
204 記憶装置
205 通信装置
206 サーバ用プログラム
301 処理装置
302 表示装置
303 入力装置
304 記憶装置
305 通信装置
306 DB用プログラム
401 処理装置
402 表示装置
403 入力装置
404 記憶装置
405 通信装置
406 患者用プログラム
501 処理装置
502 表示装置
503 入力装置
504 記憶装置
505 通信装置
506 医師用プログラム
601 処理部
602 表示部
603 入力部
604 記憶部
605 通信部
701 処理部
702 表示部
703 入力部
704 記憶部
705 通信部
801 処理部
802 表示部
803 入力部
804 記憶部
805 通信部
901 処理部
902 表示部
903 入力部
904 記憶部
905 通信部
Claims (20)
- 禁煙患者のために使用されるプログラムであって、コンピュータに、
患者が使用する電子装置である患者側電子装置から、患者の現在の体調を示す情報の入力及び禁煙診療履歴情報の少なくとも一方に基づいて決定される患者解釈情報取得タイミングで、患者によって前記患者側電子装置に入力された、喫煙に関連する事項についての患者の解釈を示す患者解釈情報を受信する段階と、
受信された前記患者解釈情報及び前記喫煙に関連する事項についての正答情報に基づいて、前記患者の喫煙に関連する事項についての解釈が誤りであるか否かを決定する段階と、
前記患者の解釈が誤りであると決定された場合には、前記正答情報に基づいて、前記患者の喫煙に関連する事項についての正しいとされる情報を含む認知行動療法情報を前記患者側電子装置へ送信する段階と、
を実行させるプログラム。 - 禁煙診療履歴情報をデータベースから読み出す段階と、
前記受信された禁煙診療履歴情報に基づいて、所定の喫煙に関連する事項についての患者の解釈を含む患者解釈情報の送信を患者側電子装置に要求する要求タイミングを決定する段階と、
前記要求タイミングにおいて、前記所定の喫煙に関連する事項についての患者の解釈を含む患者解釈情報を送信することを要求する患者解釈情報要求を患者側電子装置に送信する段階と、
をさらにコンピュータに実行させ、
前記患者解釈取得情報タイミングは、前記患者解釈情報要求への応答として患者解釈情報を受信するタイミングである、請求項1に記載のプログラム。 - 前記患者解釈取得情報タイミングは、患者の現在の体調を示す情報が前記患者側電子装置に入力されたタイミングに基づいて決定され、
患者の現在の体調を示す情報が前記患者側電子装置に入力されたタイミングに基づいて決定される体調情報取得タイミングで、前記患者の現在の体調を示す情報を取得する段階をさらにコンピュータに実行させ、
前記患者解釈情報は、患者が考えている前記患者の現在の体調と喫煙との関連性を示す情報を含む、
請求項1及び2のいずれか1項に記載のプログラム。 - 前記患者の現在の体調を示す情報が前記患者側電子装置に入力されたタイミングに基づいて決定される第1の行動療法実行タイミングで、前記患者の現在の体調を示す情報に基づいて、前記患者の現在の体調に関連して患者がとるべき行動を示す第1の行動療法情報を送信する段階を更にコンピュータに実行させる、
請求項3に記載のプログラム。 - 前記患者の現在の体調を示す情報は、患者が考えている現在の体調の原因を含む、請求項3及び4のいずれか1項に記載のプログラム。
- 前記第1の行動療法情報を送信した後に、体調が改善したか否かを問い合わせるメッセージを示す効果問合せ情報を送信する段階と、
前記効果問合せ情報に応答して患者によって入力された回答を示す効果回答情報を受信する段階と、
体調が改善していないことを前記効果回答情報が示している場合には、前記体調に関連して患者がとるべき行動を示す第2の行動療法情報を送信する段階と、
を更にコンピュータに実行させる請求項4及び5のいずれか1項に記載のプログラム。 - 前記認知行動療法情報を送信する段階は前記第1の行動療法情報を送信する段階が実行された後に実行される、
請求項6に記載のプログラム。 - 前記患者の現在の体調を示す情報が前記患者側電子装置に入力されたタイミングに基づいて決定されるコーチングタイミングで、前記患者の体調に関連して患者を励ますためのメッセージを示すコーチング情報を送信する段階を更にコンピュータに実行させる、
請求項3~7のいずれか1項に記載のプログラム。 - 前記認知行動療法情報を送信する段階は前記コーチング情報を送信する段階が実行された後に実行される、
請求項8に記載のプログラム。 - 患者の現在の体調を示す情報の入力及び禁煙診療履歴情報の少なくとも一方に基づいて第2の行動療法実行タイミングを決定し、禁煙治療のために患者がとるべき行動を示す第3の行動療法情報を決定する段階と、
前記第2の行動療法実行タイミングで、前記第3の行動療法情報を前記患者側電子装置へ送信する段階と、
前記認知行動療法情報及び前記第3の行動療法情報の少なくとも一方に基づいて、禁煙診療履歴情報を更新する段階と、
をさらにコンピュータに実行させる請求項1~9のいずれか1項に記載のプログラム。 - 前記認知行動療法情報を送信した後に、前記患者解釈情報及び前記認知行動療法情報に基づいて、禁煙診療履歴情報を更新する段階と、
前記更新された禁煙診療履歴情報に基づいて、服薬調整に関する情報を医師が使用する医師側電子装置及び前記患者側電子装置の少なくとも一方に送信する段階と、
をさらにコンピュータに実行させる請求項1~10のいずれか1項に記載のプログラム。 - 請求項1~11のいずれか1項に記載のプログラムを格納したコンピュータ読み取り可能な記憶媒体。
- 処理装置と、通信装置と、禁煙患者のために使用されるプログラムを格納する記憶装置と、を備えるコンピュータであって、
前記プログラムは、前記コンピュータに、
患者が使用する電子装置である患者側電子装置から、患者の現在の体調を示す情報の入力及び禁煙診療履歴情報の少なくとも一方に基づいて決定される患者解釈情報取得タイミングで、患者によって前記患者側電子装置に入力された、喫煙に関連する事項についての患者の解釈を示す患者解釈情報を受信する段階と、
受信された前記患者解釈情報及び前記喫煙に関連する事項についての正答情報に基づいて、前記患者の喫煙に関連する事項についての解釈が誤りであるか否かを決定する段階と、
前記患者の解釈が誤りであると決定された場合には、前記正答情報に基づいて、前記患者の喫煙に関連する事項についての正しいとされる情報を含む認知行動療法情報を前記患者側電子装置へ送信する段階と、
を実行させる、コンピュータ。 - 禁煙患者のために使用されるコンピュータであって、
患者が使用する電子装置である患者側電子装置から、患者の現在の体調を示す情報の入力及び禁煙診療履歴情報の少なくとも一方に基づいて決定される患者解釈情報取得タイミングで、患者によって前記患者側電子装置に入力された、喫煙に関連する事項についての患者の解釈を示す患者解釈情報を受信し、前記患者の解釈が誤りであると決定された場合には、正答情報に基づいて、前記患者の喫煙に関連する事項についての正しいとされる情報を含む認知行動療法情報を前記患者側電子装置へ送信する通信部と、
受信された前記患者解釈情報及び前記喫煙に関連する事項についての正答情報に基づいて、前記患者の喫煙に関連する事項についての解釈が誤りであるか否かを決定する制御部と、を備えるコンピュータ。 - 禁煙患者のために使用されるプログラムであって、患者が使用する電子装置に、
患者の現在の体調を示す情報の入力及び患者の禁煙診療履歴情報の少なくとも一方に基づいて決定される患者解釈情報取得タイミングで喫煙に関連する事項についての当該患者の解釈を示す患者解釈情報の入力を受け付ける段階と、
前記入力された患者解釈情報をサーバ装置に送信する段階と、
前記患者の解釈が誤りであると決定された場合には、患者の喫煙に関連する事項についての正しいとされる情報を示す情報を含む認知行動療法情報を、前記サーバ装置から受信する段階と、
前記受信された認知行動療法情報に基づいて、患者の喫煙に関連する事項についての正しいとされる情報を患者に提示する段階と、
を実行させるプログラム。 - 処理装置と、通信装置と、出力装置と、禁煙患者のために使用されるプログラムを格納する記憶装置と、を備える電子装置であって、
前記プログラムは、前記電子装置に、
患者の現在の体調を示す情報の入力及び患者の禁煙診療履歴情報の少なくとも一方に基づいて決定される患者解釈情報取得タイミングで喫煙に関連する事項についての当該患者の解釈を示す患者解釈情報の入力を受け付ける段階と、
前記入力された患者解釈情報をサーバ装置に送信する段階と、
前記患者の解釈が誤りであると決定された場合には、患者の喫煙に関連する事項についての正しいとされる情報を示す情報を含む認知行動療法情報を、前記サーバ装置から受信する段階と、
前記受信された認知行動療法情報に基づいて、患者の喫煙に関連する事項についての正しいとされる情報を患者に提示する段階と、
を実行させる電子装置。 - 禁煙患者のために使用される電子装置であって、
患者の現在の体調を示す情報の入力及び患者の禁煙診療履歴情報の少なくとも一方に基づいて決定される患者解釈情報取得タイミングで喫煙に関連する事項についての当該患者の解釈を示す患者解釈情報の入力を受け付ける入力部と、
前記入力された患者解釈情報をサーバ装置に送信し、前記患者の解釈が誤りであると決定された場合には、患者の喫煙に関連する事項についての正しいとされる情報を示す情報を含む認知行動療法情報を、前記サーバ装置から受信する通信部と、
前記受信された認知行動療法情報に基づいて、患者の喫煙に関連する事項についての正しいとされる情報を患者に提示する出力部と、
を有する電子装置。 - 請求項13及び14のいずれか1項に記載されたコンピュータであるサーバ装置と、請求項16及び17のいずれか1項に記載された少なくとも1つの患者が使用する電子装置と、患者の禁煙診療履歴情報を記憶するデータベースと、を備える禁煙患者のために使用されるシステム。
- 禁煙患者のために使用される方法であって、コンピュータに、
患者が使用する電子装置である患者側電子装置から、患者の現在の体調を示す情報の入力及び禁煙診療履歴情報の少なくとも一方に基づいて決定される患者解釈情報取得タイミングで、患者によって前記患者側電子装置に入力された、喫煙に関連する事項についての患者の解釈を示す患者解釈情報を受信する段階と、
受信された前記患者解釈情報及び前記喫煙に関連する事項についての正答情報に基づいて、前記患者の喫煙に関連する事項についての解釈が誤りであるか否かを決定する段階と、
前記患者の解釈が誤りであると決定された場合には、前記正答情報に基づいて、前記患者の喫煙に関連する事項についての正しいとされる情報を含む認知行動療法情報を前記患者側電子装置へ送信する段階と、
を実行させる方法。 - 禁煙患者のために使用される方法であって、電子装置に、
患者の現在の体調を示す情報の入力及び患者の禁煙診療履歴情報の少なくとも一方に基づいて決定される患者解釈情報取得タイミングで喫煙に関連する事項についての当該患者の解釈を示す患者解釈情報の入力を受け付ける段階と、
前記入力された患者解釈情報をサーバ装置に送信する段階と、
前記患者の解釈が誤りであると決定された場合には、患者の喫煙に関連する事項についての正しいとされる情報を示す情報を含む認知行動療法情報を、前記サーバ装置から受信する段階と、
前記受信された認知行動療法情報に基づいて、患者の喫煙に関連する事項についての正しいとされる情報を患者に提示する段階と、
を実行させる方法。
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CN201580079560.3A CN107533744A (zh) | 2015-05-01 | 2015-05-01 | 用于戒烟患者的程序、装置、系统以及方法 |
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US10861595B2 (en) | 2020-12-08 |
JPWO2016178276A1 (ja) | 2017-05-18 |
US20230019848A1 (en) | 2023-01-19 |
EP3291169A1 (en) | 2018-03-07 |
US20180301214A1 (en) | 2018-10-18 |
CN107533744A (zh) | 2018-01-02 |
JP6116769B2 (ja) | 2017-04-19 |
US20210057066A1 (en) | 2021-02-25 |
US11462307B2 (en) | 2022-10-04 |
EP3291169A4 (en) | 2018-10-17 |
HK1248382A1 (zh) | 2018-10-12 |
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