JP2022100179A - Application software for supporting medical chart creation for efficiently and effectively advancing 1on1 meeting or the like in mental health measures including mental counseling, psychological therapy and stress reduction and people management, and effective utilization of stored information - Google Patents

Abstract

To provide a computer program for supporting medical chart creation for efficiently and effectively advancing mental counseling or the like performed to a person by a person.SOLUTION: A Web application supports medical chart creation by inquiring assessment (computational evaluation) executed to create a medical chart in various kinds of counseling from both "tendencies of words and actions in a public place of an individual" and "tendencies of words and actions in a private place" and "the existence/nonexistence and the degree of unpleasantness/discomfort/pain or the like due to respective words and actions", and visualizing their answer results as a graph, a list, or the like for clarifying "differences between official and private words and actions" and "the existence/nonexistence and the degree of unpleasantness/discomfort/pain or the like due to respective words and actions" at a glance.SELECTED DRAWING: Figure 1

Description

The present invention supports and accumulates the creation of charts for efficiently and effectively promoting 1on1 meetings in mental health measures such as psychological counseling, psychotherapy and stress reduction, and people management performed by humans. It is related to application software that realizes support for effective utilization of information.

Various psychological tests, personality tests, behavioral tendency tests, etc. used in clinical psychology and various counseling, personality aptitude tests, behavioral / social tests, etc. used for recruiting human resources and making personnel decisions, and so-called popular psychology. Psychological tests and personality tests used in.

Various computer-based diagnostic systems and counseling systems using the above-mentioned techniques (particularly various diagnostic systems and counseling systems using telecommunication networks such as the Internet).

Patent No. 4872141 Patent No. 4960766 Japanese Unexamined Patent Publication No. 2005-334205 Japanese Patent Application Laid-Open No. 2003-108674 Utility model registration No. 3220569

Among the above-mentioned prior arts, "Patent Document 5" was devised for the purpose of improving the accuracy of the existing character diagnosis method egogram, and "Patent Document 1" and "Patent Document 2" provide psychological counseling based on an original theory. "Patent Document 3" provides mental healthcare services using a cloud system, and "Patent Document 4" provides counseling services by mental health experts. It is intended to be facilitated by using.

The object of the present invention is to realize a new idea for solving the problem themed by "Patent Document 5" at a higher level by the Web application software implemented in the cloud system provided by the cloud computing service. Support for creating charts and effective utilization of accumulated information to efficiently and effectively promote 1on1 meetings in mental health measures such as psychological counseling, psychological therapy and stress reduction for people, and people management. Is to support.

In addition, "Patent Document 1", "Patent Document 2", "Patent Document 3", and "Patent Document 4" are all systems that provide counseling services using a cloud system provided by cloud computing, and in recent years, such types of web counseling. Systems and various Web diagnostic systems are being embodied and provided one after another, but even in such a situation, there are few counselors who are aware of themselves as users, and those whose main purpose is to support counselors ( The role of counselors is so great that their support is a very important issue). An object of the present invention is to realize support for creating a medical record for efficient and effective counseling and support for effective utilization of various accumulated information, that is, it solves the above-mentioned problem of counselor support. It also means that.

The present invention is a cloud computer program described using almost the same technology as the software development technology described on pages 17 to 28 of "Development of Web Counseling System and Visualization of Psychological Data" in "Non-Patent Document 1". Web application software configured by implementing it in a cloud system provided by a computing service, but in the present invention, the problems listed in the final chapter "Summary and Issues" (pages 109 to 112) of the same document. It is also a big issue to solve one of them, "human interface centered on GUI (Graphical User Interface)" (making GUI easy to use for both subjects and responders).

The novel idea in the present invention is that the assessment (computational evaluation) carried out for creating a medical record in various counseling is "a tendency of words and actions in an individual's public place" and "in a private place". Ask from both sides of "the tendency of words and actions" and "the presence and degree of discomfort / discomfort / pain etc. associated with each word and action", and answer those answers as "difference in words and actions in public and private" and "each word and action". The idea of visualizing "discomfort / discomfort / presence / absence and degree of pain, etc." as a graph or list that can be seen at a glance is not only to improve the accuracy of various existing diagnoses, but also to improve them. It was conceived to solve the difficulty of understanding the diagnosis of the patient and the difficulty of grasping the whole picture and details of the person to be diagnosed.

In order to realize the new idea (above), we devised the mechanism of "Claim 1" that uses the cloud system provided by the cloud computing service. The results of the answers to the question group for assessing the tendency of words and actions in private places, the difference in words and actions in public and private, and the presence and degree of discomfort / discomfort / pain etc. associated with each word and action. Web application software (hereinafter, "Web") that implements "an important reference information sheet consisting of visualized graphs and lists" in a cloud system (hereinafter abbreviated as "cloud") that subjects use using their own Web browser. Created and provided by "App" (abbreviated as) ".

In addition, the installation version application software (hereinafter abbreviated as "instrument version application") used by installing it on information devices such as computers and mobile terminals (tablet type terminals, smartphones, etc.) possessed by the subject in "Claim 2". Is intended to enable use in areas where the telecommunications network is underdeveloped.

The question group used for the assessment is the personality diagnosis devised by his disciple John M. Dusey based on the theory of "transactional analysis" proposed by egogram (American psychiatrist Eric Berne around 1957). It is an application of the question group of the law), and after giving an arbitrary numerical value to the answer item (multiple choices) of each question, it is incorporated into the question master of the Web application to be implemented in the cloud. The question group that applies the egogram based on the theory of transactional analysis is a basic specification, and depending on the type of subject, other psychological tests, personality tests, behavioral tendency tests, and personality aptitude tests used for recruitment and personnel judgment. We also use a question master that incorporates questions that apply to questions such as behavioral and social tests.

Egogram is named from the meaning of "Ego = ego" + "Gram = chart", and the human ego state is CP (Critical Parent = critical parent, strict heart = dominance), NP. (Nurturing Part = Nurturing Parent / Gentle Heart = Tolerance), A (Adult = Adult / Rational Heart = Logic), FC / NC (Free Child / Natural Child = Free Child / Bohemian Heart = Freewheeling) After classifying into 5 types of models, AC (Adapted Child = Adapted Child / Obedient Mind = Adaptability), multiple questions for each model (generally 10 questions for each ego model, 5) A total of 50 questions for each type) and multiple choices for each question (generally, "yes / no / neither") are set, and the answer results are bundled for each model visually. Although it is summarized in a graph that can be grasped, in the present invention, in order to realize the idea of visualizing the difference in behavior between public and private, the content of each question of the egogram is divided into the situation of each public place and private place. Incorporate the question group and options arranged to suit the question master of the Web application.

Further, in the present invention, in order to improve the accuracy of the assessment (calculation evaluation), the answer options regarding the presence / absence and degree of discomfort / discomfort / pain, etc. associated with each question of the egogram and each behavior are "Yes (quite / sometimes /)". In addition to the two categories of "rarely) and no (almost / always)", the numerical values given to each option are "Yes (quite =)" in order to make it easier to distinguish the difference between public and private behavior in graphs and lists. 10 / Sometimes = 7 / Rarely = 4, No (almost = 1 / Always = 0). These values are among the combinations of values used in the test to graph and list the response results of the assessment. In any graph or list, the visual effect was good.

Regarding the choices regarding the presence / absence and degree of discomfort / discomfort / pain, etc. associated with each behavior, the answer results are divided into 2 categories and 5 levels: "Yes (quite / sometimes / rarely), No (almost / always)". A numerical value "yes (quite = 5 / sometimes = 4 / rarely = 3), no (almost = 1 / always = 0)" is given to identify. The answer results are visualized as "stress risk signals" color-coded into "yes (quite = red / sometimes = orange / rarely = yellow), no (almost = green / always = green)" by a computer program implemented in the cloud. To.

The results of the assessment (computational evaluation) are of course an overall picture of the subject's behavioral tendencies by means of a computer program that implements the numerical values given to the answer options of each question in the cloud and automatically aggregates and visualizes them immediately. It is compiled as an "important reference information sheet", which is a physical component for facilitating systematic analysis and understanding of details, and stored in a database in the cloud.

The usage method is (common to subjects and responders). In the case of a Web application, the user owns an information device such as a computer or mobile terminal (tablet type terminal, smartphone, etc.) and the cloud, which is connected by an electric line communication network and used by himself / herself. In the case of an instrumental version application, the user installs the application on an information device such as his / her own computer or mobile terminal (tablet type terminal, smartphone, etc.) in the form of using it according to the instructions of the content displayed on the Web browser. Then, it will be activated and used (offline) according to the instructions on the screen displayed on the display.

The main functions executed by various computer programs that make up a Web application as a means to realize the desired step are as follows. The functions of the instrument version application are the same as those of the Web application, and are executed on the hardware of the information device such as the user's computer or mobile terminal (tablet type terminal, smartphone, etc.).

The subject uses his / her own web browser to access the TOP page of the web application implemented in the cloud and moves from the TOP page. The login ID provided by the person in charge on the business management side and any arbitrary form on the new registration page. Perform new registration procedure by entering the registered name (nickname is acceptable) and your own e-mail address (Function 1).

Immediately after the completion of the new registration procedure, an e-mail containing the temporary password is automatically sent to the subject (function 2).

The subject accesses the web application using his / her own web browser and enters the registered name used for new registration and the temporary password described in the automatic reply mail in the input form of the TOP page to enter his / her own page (hereinafter referred to as “the following”). (Notated as "My Page") can be secured on the cloud system. The temporary password used to secure the My Page can be changed to any password according to the instructions described in the My Page (Function 3).

Since the My Page is protected by the password associated with the registered name of the subject, only the registered person and the administrator of the cloud system on which the Web application is implemented should log in and browse. I can't. This is a measure for the protection of personal information in addition to the fact that the registration is limited to any registered name (nickname is acceptable) and e-mail address.

According to the guide described in My Page, the subjects were asked about the assessment (computational evaluation) questions regarding "the tendency and frequency of words and actions in public places and the degree of discomfort / discomfort / pain, etc. associated with each words and actions". You can arbitrarily select and answer any of the contents of the assessment (calculation evaluation) question group regarding the tendency and frequency of words and actions in a private place and the degree of discomfort / discomfort / pain etc. associated with each words and actions. (Function 4).

When the subject answers the assessment (computational evaluation) question, the numerical value given in advance to the answer options is automatically stored in the cloud database in real time (even if the subject interrupts the answer in the middle, it is up to that point. All answers are automatically stored in the database). Therefore, even if the subject logs out of the Web application, disconnects from the electric line communication network, or turns off the power of the computer or other information device, log in to the Web application My Page again and answer the unanswered questions. Can be done (function 5).

As soon as the subject answers all the questions in the assessment (computational evaluation) question group, the web application aggregation program aggregates the answer results (numbers given for each answer option) stored in the cloud database, and further. It is classified according to the nature of the question (ego model) and stored in the cloud database (function 6).

The data aggregated, classified, and retained in the above are immediately graphed, listed, and retained in the cloud database by the chart creation program of the Web application. The types of graphs created are: ▲ 1 ▼ Tendency of behavior in public places aggregated into five ego models ▲ 2 ▼ Tendency of behavior in private places aggregated into five ego models ▲ 3 ▼ 5 Differences in public and private behavior aggregated in two ego models (graphs of ▲ 1 ▼ and ▲ 2 ▼ are superimposed on the same axis) ▲ 4 ▼ Differences in public and private behavior for each ego model question (each behavior) The type of list created in the "stress risk signal" visualized based on the numbers given to the choices of the degree of discomfort / discomfort / pain associated with the above) is the content of the graph in ▲ 4 ▼ above. Is a list that can be comprehensively confirmed as a set with the items of each question in the assessment (computational evaluation) question group. (Function 7).

The contents of the "Important Reference Information Sheet" created and retained above are automatically displayed on the subject's My Page response result page as "Dashboard (combining multiple data into one and visualizing the data). It is displayed with the specifications of "(visualized as an easy-to-understand graph or list)". The subject can browse the dashboard by accessing My Page again even if he / she logs out from My Page once, as well as immediately after answering all the questions (step 1).

If the subject browses the above-mentioned "dash boat" and finds that there is a mistake in the answer (misunderstood answer, etc.), the subject can re-answer the question group (function 8).

When the subject re-answers the question, the result is immediately and automatically re-aggregated by the web application's tabulation program, re-visualized by the web application's chart creation program, and described in the "important reference information sheet" and "dashboard". It is reflected in the graphs and lists that are created and is retained in the cloud database (Function 9).

A dedicated administrator page is assigned to each person in charge of mental health measures such as psychological counseling, psychotherapy and stress reduction, and 1on1 meetings in people management (hereinafter abbreviated as "persons"). (Installed in the cloud system). Correspondents connect information devices such as their own computers and mobile terminals (tablet terminals, smartphones, etc.) to the cloud via the electric line communication network, and use their own Web browser to create a Web application (TOP page for administrators). Access and secure your own administrator page by entering the identification ID and password provided by the business operator in the login form of the TOP page (function 10).

The responder can check the list of subjects he / she is in charge of on the above-mentioned personal administrator page, and browse / output the "important reference information sheet" of the specified subject (printed by a printer or converted into an electronic document such as PDF). Can be saved (step 2).

In addition, the responder can select an individual subject on the personal administrator page and create a medical record associated with the "important reference information sheet" of the subject. In this case, the medical record is created by selecting the "important reference information sheet" of the selected subject and then clicking the function selection button of the "medical record creation" to input text in the displayed format. The created medical record is immediately stored in the cloud database and can be viewed, revised, and modified later (function 11).

Of the charts created by methods other than the above, those in analog format (such as those with findings handwritten in the margins of the printed "Important Reference Information Sheet" and handwritten descriptions written on notepads, etc.) , The corresponding person takes a picture with his / her own digital camera etc. (makes it into a digital image) and uploads it to his / her own administrator page using the program implemented in the cloud system, and keeps it in the cloud database. For digital format (created using software such as a text editor of your own information device), use the program implemented in the cloud system on your own administrator page for the file. Keep it in the cloud database by uploading. In either case, the name of the file to be uploaded is linked to the documents of the subject by setting the registered name of the subject + an arbitrary number (function 12).

In addition, sharing the "important information reference sheet" in the instrument version application is "important" that the subject uses an information device such as his / her own computer or mobile terminal (tablet type terminal, smartphone, etc.) to print a printer or convert it into an electronic document such as a PDF. The "information reference sheet" is provided by the person in charge of mental health measures and people management of the subject, but the person in charge of the electronic documents and printed matter (photographed with a digital camera etc. and digitized) is in the cloud. By registering the subject on the page for personal administrator using the program implemented in the system and uploading it, it can be retained in the cloud database and viewed in the same way as the Web application, and the accumulated information can be effectively used. (Function 13).

From the images such as graphs and lists stored in the "important reference information sheet" stored in the database, similar ones are extracted by the AI image recognition program implemented in the cloud system, and those similar images are posted. The "important reference information sheet" can be used in clinical practice by means of specifying and providing the "important reference information sheet" together with the chart created with reference to the important reference information sheet (step 3).

In addition, regarding the effective utilization of the accumulated data, if the person who took the test using this Web application takes the test again using the same Web application after an arbitrary period, "Important reference information created in the previous test" "Important reference material for knowing changes in behavior and changes in the degree of stress risk that have changed due to the response taken based on the sheet" was tested in the past with the contents of the newly created and retained important reference information sheet. "Means to extract the difference in the contents of the important reference information sheet created and held by using the AI image recognition program implemented in the cloud system" and "The difference (data) extracted by the above means to the cloud system" By the step (step 4) of creating by "means for visualization (visualization as graphs, lists, etc.) using the implemented chart creation program" and holding it in the cloud database, users (subjects and responders) can use their own Web. It is also possible to browse and output the reference materials stored in the database of the cloud using a browser (printing with a printer or converting electronic documents such as PDF) "(step 5).

Effective utilization of these accumulated data is realized by AI image recognition technology, and it is necessary to extract data (graphs and lists with similar shapes or graphs and lists with different shapes) obtained by searching by images instead of text. It is characterized by. The important reference information sheet itself is an electronic document, but it is assumed that it will be difficult to accurately extract the required data by text search because the medical records created with reference to it have different language and sentence styles depending on the writer. To. On the other hand, since the graphs and lists created based on the aggregated results of the answers of the question group for assessment (computational evaluation) are in the form of numerical values, it is possible to accurately extract the desired cases. .. This is a reversal idea that has never existed before.

The problem related to the "human interface centered on GUI (Graphical User Interface)" of the Web application is solved by the method of coding the graphic created by the designer in consideration of both functionality and design. In addition, the designer has designed the "Important Reference Information Sheet", which is a physical component, in order to make it easier for the designer to dramatically understand the overall picture and details of the subject's mind situation compared to conventional assessment materials. It is created and realized by a method in which a programmer codes a graphic that is configured in consideration of compatibility of sex.

The first effect of the present invention is to improve the accuracy and reliability of the assessment (computational evaluation) of a person's mind situation from the conventional "tendency of words, actions, thoughts, feelings, etc. in one situation". Do not just do it, but do it from both "the tendency of words and actions in the public place of the individual" and "the tendency of words and actions in the private place", and further, "discomfort / discomfort / pain etc. associated with each word and action" The solution is to use a new idea of asking "presence or absence and degree" as well.

The "Important Reference Information Sheet" created by the application software (hereinafter abbreviated as "App") developed based on the above-mentioned new idea and implemented on the cloud system provides an overall picture and details of the subject's mental state. Efficiently and effectively 1on1 meetings in mental health measures such as psychological counseling, psychotherapy and stress reduction, and people management, etc. It is useful for making a chart to proceed to.

In addition, assessment (calculation evaluation) in the psychological field usually takes a considerable amount of time in the first place, but the application of the present invention asks a subject to answer a question group for assessment (calculation evaluation) in advance, and the aggregated result. Since it has a function to automatically create an "important reference information sheet" immediately, it realizes a dramatic reduction in the time required for assessment.

Furthermore, inexperienced psychologists may not be able to make good assessments, but by leaving the assessment (computational evaluation) to the app, it will be possible to create accurate medical records beyond the barriers of assessment. It should be. In addition, since the "important reference information sheet" created by the application of the present invention "intuitively sees" the whole picture and the detailed grasp of the subject's mental state with graphs and lists, it is related to psychology other than psychology. Even people who do not have much knowledge (for example, the person in charge of mental health measures such as stress reduction and 1on1 meetings in people management in a company or organization) should be able to use it in practice.

The prototype of the Web application of the present invention (embodied in "Claim 1") was completed at the end of November 2020, and test operation and improvement have been continuously carried out since then. The clinical test has already been conducted with several collaborators as subjects, and the "important information reference sheet" provided by the present invention not only assists the respondents in making medical records, but also brings a lot of awareness to the subjects themselves. It has been confirmed that it is also useful for deepening the self-awareness and self-understanding of the subjects. It is a scientific fact that is recognized in the field of psychology that it is the awareness of nature that brings about true stress care (healing), but this is being followed up in the after-sales follow-up after the test. be.

Overview of Web application configuration and screen transitions Question list 1 to be incorporated into the question master of the Web application (question group that asks the tendency of words and actions in public places and the presence and degree of discomfort / discomfort / pain etc. associated with each words and actions) Question list 2 to be incorporated into the question master of the Web application (question group that asks the tendency of words and actions in a private place and the presence and degree of discomfort / discomfort / pain etc. associated with each words and actions) A graph that visualizes the difference in behavior between public and private for each ego model (a graph that visualizes the tendency of behavior in a public place and a graph that visualizes the tendency of behavior in a private place are superimposed on the same axis) Graph that visualizes the difference in behavior between public and private for each question of each ego model (stress risk signal estimated based on the numbers given to the degree of discomfort / discomfort / pain etc. associated with each behavior) A list that can be comprehensively confirmed by setting the difference in behavior between public and private with the items of each question in the assessment (calculation evaluation) question group (numbers given to the degree of discomfort / discomfort / pain etc. associated with each behavior Stress risk signal estimated based on An important reference information sheet in a dashboard format (combining multiple data into one and visualizing the data into a visually easy-to-understand graph or list). GUI (Graphical User Interface) of the page for displaying the question group of the assessment and acquiring the subject's answer. The color scheme of the question numbers is reversed for the questions that have already been answered.

Web application development is mainly performed using open source software, and information processing by various computer programs that make up the Web application is realized using the hardware resources provided by the cloud computing service. Specifically, application servers, database servers, mail servers, etc. will be constructed, and the systems will be integrated by linking them.

The instrument version application will be developed by utilizing the function of Excel, which is Microsoft's spreadsheet software (application development by Excel VBA).

For AI image recognition technology used to utilize accumulated data, deep learning, which has achieved remarkable results in fields such as image recognition and natural language processing in recent years, will be applied. Specifically, the subject of the invention is carried out by a task targeting a graph such as image feature extraction by "convolutional neural network" and "deep learning of graph".

The operation of the Web application of the present invention and the provision of services to users are carried out by cloud computing.

The prototype of the Web application of the present invention (embodied in "Claim 1") was completed at the end of November 2020, and test operation and improvement are currently being continuously carried out.

Mental health care has become an important issue in modern society, but many people living in Japan and other Asian countries "acknowledge that receiving mental counseling may have a mental illness." It is easy to get caught up in this idea, which is one of the major barriers to promoting mental health measures.

In recent years, as a business model to overcome such barriers, there has been increasing interest in counseling using the Internet regardless of time and place. It can be said that it is a phenomenon with the aspect of non-face-to-face security. However, no matter how easy a web counseling system is for both clients and counselors, it will be difficult to break the people-rooted formula of "getting counseling = you may have a mental illness." .. In fact, even at the site where the "stress check system" advocated and promoted by the Ministry of Health, Labor and Welfare is implemented, such a problem has become a major issue.

The present invention also solves the above-mentioned problems. The effects brought about by the present invention are as described in "Effects of the Invention" 0040 to 0043, but they are "effects exerted in the assessment stage that does not lead to counseling" and "mental health care one step before counseling". Enables. This should lead to the creation of completely new services in the area of mental health care.

Claims (4)

"Important reference information sheet that supports the creation of a chart to efficiently and effectively promote 1on1 meetings in mental health measures such as psychological counseling, psychotherapy and stress reduction performed by people and people management (People management) "Tendency of words and actions in individual public places" and "Tendency of words and actions in private places" and "Differences in words and actions in public and private" and "Presence or absence of discomfort / discomfort / pain etc. associated with each word and action" The above-mentioned important reference information incorporated in the question master of the cloud system executed by the computer program implemented in the device of the cloud system provided by the cloud computing service. "Means to obtain answers by displaying a group of questions for assessment (calculative evaluation) on the Web browser used by the subject", "Means to retain the results of the answers obtained above in the database of the cloud system", and "The above. The step of automatically creating and holding in the cloud system database by means of aggregating and visualizing (visualizing as a graph, list, etc.) the results of the subject's answers held in the cloud system database of the cloud system and the cloud in the above step Browsing and outputting the "important reference information sheet" stored in the system database (printing with a printer or converting PDF into electronic documents) "following the procedure displayed on the Web browser used by the user (subject and responder). Web application software characterized by including steps that can be performed. Installation format application software that executes various functions of the Web application software of "Claim 1" on the hardware of information devices such as computers and mobile terminals (tablet type terminals, smartphones, etc.). AI image recognition technology that implements similar images such as graphs and lists described in the important reference information sheet created by the Web application software of "Claim 1" and held in the database of the cloud system in the cloud system. All important reference information sheets in which similar images are described according to the means displayed on the Web browser used by the user (subject and corresponding person) are referred to the important reference information sheet by the means of extracting using A computer program characterized by including steps that can be specified, viewed and output (electronic document printing such as printer printing and PDF) together with a created chart. If the person who took the test using the Web application software of "Claim 1" takes the test again after an arbitrary period, "Measures for stress management implemented with reference to the important reference information sheet created in the previous test". "Reference materials for knowing the changes in behavior and the degree of stress risk" changed by "Contents of the newly created / retained important reference information sheet and important reference information created / retained in the past. Visualization (as graphs, lists, etc.) of "means for extracting differences in sheet contents using AI image recognition technology implemented in a cloud system" and "differences (data) extracted by the above means" using a chart creation program. Browse and output the reference materials stored in the cloud database according to the steps created by "means for visualization" and stored in the cloud database and the means displayed on the Web browser used by the user (subject and responder). A computer program characterized by including steps that can be "printed by a printer or converted into an electronic document such as a PDF)".

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