Structured tailoring

Patent metadata

Field	Value
Publication number	US-10456036-B2
Application number	US-81893010-A
Country	US
Kind code	B2
Filing date	Jun 18, 2010
Priority date	Dec 23, 2008
Publication date	Oct 29, 2019
Grant date	Oct 29, 2019

Abstract

Embodiments related to a self-administered, behavior modification program facilitated through a structured tailoring method and system thereof which accelerates and enhances the internalization process of the individual, and which provides help when the individual begins to fail in adhering or continuing with the behavior modification are disclosed. Program instructions that when executed by a processor causes a processor to initiate automatically a schedule of events of a structured tailoring procedure upon entry criteria being met at some unknown time, provide intervention according to the intervention preferences when the adherence criteria for one of the events has not been met, and end automatically the structured collection procedure upon exit criteria being met at some unknown time.

First claim

What is claimed is:

1. A method of performing a self-administered, behavior modification program on a blood glucose meter which comprises facilitating a structured collection procedure for an individual which helps the individual change a current behavior to a target behavior and improves compliancy with the structured collection procedure, said method comprising:
providing the blood glucose meter loaded with the structured collection procedure and program instructions;
downloading the structured collection procedure from a server onto a client device, wherein software on the client computer serves as an interface between the server and the meter, wherein the server can only access information related to the installed version of the software and the server cannot access data in a database residing on the client device, wherein subsequent downloads of the particular structured collection procedure onto the client require access from an authorized client user;
measuring a biomarker comprising a blood glucose level with the blood glucose meter according to the structured collection procedure; and
executing the program instructions on the blood glucose meter causing a processor of the blood glucose meter to:
personalize the structured collection procedure by requesting goals from the individual to define for events to be accomplished in the structured collection procedure one or more adherence criteria that the processor uses to determine automatically whether each event was accomplished successfully and to define one or more exit criteria for ending the structured collection procedure, and requesting intervention preferences from the individual;
initiate automatically a schedule of the events defined in the structured collection procedure upon one or more entry criteria being met;
provide intervention automatically according to the intervention preferences when the one or more adherence criteria for one of the events is not met;
end automatically the structured collection procedure upon the one or more exit criteria being met, wherein the processor continues automatically with the next one of the events in the structured collection procedure until the one or more exit criteria is met; and
assign a unique identifier to the events, when the one or more adherence criteria are met, which corresponds to the events in the structured collection procedure; and wherein the unique identifier is not assigned when the biomarker measurement is determined by the processor as not being close enough in time to a data event request based on a prescheduled time so as to facilitate the structured collection procedure and improve the compliancy with the structured collection procedure of a management system; and
providing a microprocessor, a memory, a power source, and an indicator, the indicator connected to the processor and which can operate under the control of the processor to emit audible, tactile, or visual alerts to the individual of daily times for the biomarker measurement; and sending a message from the blood glucose meter to a physician when the individual fails to complete one of the one or more adherence criteria, wherein a communication link between a computer of the physician and the blood glucose meter can be established upon connection via the server.

2. The method according to claim 1 wherein the program instructions further cause the processor to perform an initial assessment of the individual to tailor both the events as well as the interventions provided by the structured collection procedure.

3. The method of claim 2 , wherein the initial assessment is based on answers to catalog questions provided to the individual.

4. The method according to claim 2 wherein the initial assessment cover areas of readiness for change, current health, and activity level of the individual.

5. The method according to claim 2 wherein the program instructions further cause the processor to provide a recommendation based on the input received from the individual concerning the initial assessment.

6. The method according to claim 5 wherein the program instructions further cause the processor to use the recommendation as the one or more entry criteria.

7. The method according to claim 5 wherein the program instructions further cause the processor permit the individual to tailor the recommendation to his or her individual abilities and availability.

8. The method according to claim 1 wherein the program instructions further cause the processor to permit the individual to define the goals as short term goals, midterm goals, and a long-term goal.

9. The method according to claim 8 wherein the program instructions further cause the processor to automatically cycle through each of the goals defined by the individual upon successful completion of a previous goal.

10. The method according to claim 2 wherein the program instructions further cause the processor to provide a recommendation based on the input received from the individual concerning the initial assessment, and to define one of the goals as a short-term goal that is based on the results from the assessment and the recommendation.

11. The method according to claim 1 wherein the program instructions further cause the processor to provide upon request an education module which provides education material.

12. The method according to claim 11 wherein the education material contains health and behavior education in relation to the targeted behavior.

13. The method according to claim 11 wherein the education material include a skill assessment and skill development activities.

14. The method according to claim 1 wherein the program instructions further cause the processor to assess if the individual possesses the proper level of skill before moving into a new structured collection procedure.

15. The method according to claim 14 wherein the program instructions further cause the processor to provide skill development activities for the individual to complete in order to gain the skill for the new structured collection procedure if assess by the processor as not have the proper level of skill.

16. The method according to claim 1 wherein the program instructions further cause the processor to provide a behavior support assessment to ascertain from the individual what barriers and motivators in the past have assisted in success or failures when it comes to performing the target behavior.

17. The method according to claim 16 wherein the program instructions further cause the processor to provide a behavior-support intervention module in which the individual picks one or more pre-defined interventions based on the barriers and motivators ascertained from the individual.

18. The method according to claim 17 wherein the pre-defined interventions are selected from electronic alarms, reminders, messages, and prompting social support networks for help.

19. The method according to claim 17 wherein the program instructions further cause the processor to provide a validation module which ascertains whether an appropriate level of intervention is assigned due to an associated risk if one of the events fail to meet the one or more adherence criteria.

20. The method according to claim 1 wherein the schedule of events define how often progress will be monitored by the procedure.

21. The method according to claim 20 wherein the program instructions further cause the processor to monitor compliancy of the individual with the events by assessing whether the one or more adherence

Assignees

• Wong Daniel
• Hasker David
• Brassington Glenn
• Weinert Stefan
• Soni Abhishek S
• Greenburg Alan
• Galley Paul J
• Porsch Ulrich
• Reinke Robert E
• De Polo Marco
• Roche Diabetes Care Inc

Inventors

• Wong Daniel
• Hasker David
• Brassington Glenn
• Weinert Stefan
• Soni Abhishek S
• Greenburg Alan
• Galley Paul J
• Porsch Ulrich
• Reinke Robert E
• De Polo Marco

Classifications

• A61B5/7275

  Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor · CPC title

• A61B5/14532

  for measuring glucose, e.g. by tissue impedance measurement · CPC title

• A61B5/0002 Primary

  Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network (endoradiosondes A61B5/07) · CPC title

• G06Q10/10

  Office automation; Time management · CPC title

• G16H10/20

  for electronic clinical trials or questionnaires · CPC title