Optimizing behavioral change based on a patient statistical profile

• US 8,540,516 B2
• Filed: 11/27/2006
• Issued: 09/24/2013
• Est. Priority Date: 11/27/2006
• Status: Active Grant

• Current Assignee: Digital Care Advisors LLC
• Original Assignee: Pharos Innovations, Inc.
• Inventors: Heuer, Timothy J., Pitocco, John Anthony, Williams, Randall E., Fulling, Russell
• Primary Examiner(s): Yip, Jack
• Application Number:
  US11/604,569
• Publication Number:
  US 20080126277A1
• Time in Patent Office: 2,493 Days
• Field of Search: 434/238, 434/236, 706/14, 600/300, 600/301, 705/2, 705/3, 705 711- 719, 705 721- 726
• US Class Current: 434/236
• CPC Class Codes: G09B 19/00 Teaching not covered by other main groups of this subclass teaching or practice apparatus for gun-aiming or gun-laying F41G3/26
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/70 relating to mental therapies, e.g. psychological therapy or autogenous training

Abstract

A system for directing behavior of a first patient of a plurality of patients towards a behavioral objective includes a patient behavioral path calculator, a patient goal calculator, and a patient monitoring processor. The system also includes an information communication processor and a statistical processor. The patient behavioral path calculator calculates a patient behavioral path based on a statistical profile. The patient goal calculator calculates patient goals along the patient behavioral path toward a behavioral objective. The statistical processor can modify the statistical profile based on a response to a targeted message sent by the information communication processor.

Claims

1. A computer-implemented method for directing behavior of a first patient of a plurality of patients towards a behavioral objective, the method comprising:

calculating, with a statistical processor, a first statistical profile of the first patient, the first statistical profile being operative, for an input of the first patient, to produce the most likely output from among a modeled patient-population, based on a comparison of the input of the first patient with the modeled patient-population, to allow the system to determine types of behavior modification treatments that are successful in achieving a particular behavioral goal based at least in part on a statistical distribution indicating a likelihood of a predicted outcome;

calculating, with a patient behavioral path calculator, a first behavioral path to the behavioral objective for the first patient based on an initial state of the first patient and the first statistical profile of the first patient;

determining an upper fault limit and a lower fault limit based on a statistical profile of the modeled patient-population, each of the upper fault limit and the lower fault limit comprising a variability estimate with respect to the first behavioral path;

selecting, with a patient monitoring processor, a type of targeted message, wherein the type of targeted message includes a positive reinforcement targeted message or a negative reinforcement targeted message;

generating, with the patient monitoring processor, a first targeted message based on the calculated behavioral path and the selected type of targeted message;

establishing a first session;

sending, with an information communication processor, the first targeted message during the first session to motivate the first patient to achieve the behavioral objective and elicit a first response representative of a result thereof;

determining a relationship between the first response and the upper fault limit and the lower fault limit;

triggering, based on the determination of the relationship, an intervention when the upper fault limit or the lower fault limit is crossed;

modifying, with the statistical processor, the first statistical profile based on the first response, the modified first statistical profile being further operative, for the first response, to produce the most likely output from among a modeled patient-population, updated based on the first response, to allow the system to redetermine the types of behavior modification treatments that are successful in achieving a particular behavioral goal based at least in part on a statistical distribution indicating a likelihood of the predicted outcome;

re-calculating prior to the first patient achieving the behavioral objective, with the patient behavioral path calculator, the first behavioral path to the behavioral objective for the first patient based on the modified first statistical profile of the first patient;

re-selecting, with the patient monitoring processor, the selected type of targeted message based on the effectiveness of the first targeted message;

generating, with the patient monitoring processor, a second targeted message based on the re-calculated first behavioral path and the re-selected type of targeted message;

establishing a second session;

sending, with the information communication processor, the second targeted message during the second session to motivate the first patient to achieve the behavioral objective and elicit a second response representative of a result thereof, and

modifying, with the statistical processor, based on the second response, the modified first statistical profile based on the second response.

2. The computer-implemented method of claim 1, further comprising defining, with a patient goal calculator, a first plurality of intermediate behavioral goals along the calculated first behavioral path for achieving the behavioral objective.

3. The computer implemented method of claim 2 further comprising re-defining, with a patient goal calculator, a previously defined first plurality of intermediate behavioral goals using the re-calculated first behavioral path for achieving the behavioral objective, where the previously defined first plurality of intermediate behavioral goals were previously based on the calculated first behavioral path.

4. The computer implemented method of claim 1, further comprising:

calculating, with the patient behavioral path calculator, a second behavioral path to the behavioral objective for a second patient of the plurality of patients based on an initial state of the second patient and a second statistical profile of the second patient, wherein the second statistical profile of the second patient is based on the first statistical profile of the first patient;

determining, with the patient monitoring processor, a targeted message based on the second behavioral path;

establishing a session with the second patient;

sending, with the information communication processor, the targeted message based on the second behavioral path to the second patient during the session with the second patient to motivate the second patient to achieve the behavioral objective of the second behavioral path and elicit a response from the second patient representative of a result thereof; and

modifying, with the statistical processor, the second statistical profile based on the response from the second patient.

5. The computer implemented method of claim 4, wherein the second patient is more likely to achieve a first intermediate behavioral goal than the first patient.

6. The computer implemented method of claim 1, further comprising:

calculating, with the statistical processor, the first statistical profile of the first patient based on provided statistical information.

7. The computer implemented method of claim 1, further comprising:

determining, with a patient goal analyzer, whether a first intermediate behavioral goal has been achieved based on the first response.

8. The computer implemented method of claim 7, further comprising:

intervening, with a failure prevention mechanism, when the first patient fails to achieve the first intermediate behavioral goal.

9. The computer-implemented method of claim 1, further comprising:

determining a trend with respect to the behavioral objective, the determining comprising comparing at least the first response and the second response with the behavioral objective; and

triggering the intervention or another intervention when the trend is away from the behavioral objective.

10. A system for directing behavior of a first patient of a plurality of patients towards a behavioral objective, the system comprising:

a statistical processor operative to calculate a first statistical profile of the first patient, the first statistical profile being operative, for an input of the first patient, to produce the most likely output from among a modeled patient-population, based on a comparison of the input of the first patient with the modeled patient-population, to allow the system to determine types of behavior modification treatments that are successful in achieving a particular behavioral goal based at least in part on a statistical distribution indicating a likelihood of a predicted outcome;

a patient behavioral path calculator operative to calculate a first behavioral path to the behavioral objective for the first patient based on an initial state of the first patient and the first statistical profile of the first patient, wherein the statistical processor is further operative to determine an upper fault limit and a lower fault limit based on a statistical profile of the modeled patient-population, each of the upper fault limit and the lower fault limit comprising a variability estimate with respect to the first behavioral path;

a patient monitoring processor coupled with the patient behavioral path calculator operative to select a type of targeted message, wherein the type of targeted message includes a positive reinforcement targeted message or a negative reinforcement targeted message, wherein the patient monitoring processor is further operative to generate a first targeted message based on the calculated first behavioral path and the selected type of targeted message;

an information communication processor coupled with the patient monitoring processor operative to send the first targeted message during a first session to motivate the first patient to achieve the behavioral objective and to receive a first response representative of a result thereof, wherein the statistical processor is further operative to determine a relationship between the first response and the upper fault limit and the lower fault limit, and to trigger, based on the determination of the relationship, an intervention when the upper fault limit or the lower fault limit is crossed;

wherein prior to the first patient achieving the behavioral objective,

the statistical processor is further operative to modify the first statistical profile of the first patient, the modified first statistical profile being further operative, for the first response, to produce the most likely output from among a modeled patient-population, updated based on the first response, to allow the system to redetermine the types of behavior modification treatments that are successful in achieving a particular behavioral goal based at least in part on a statistical distribution indicating a likelihood of the predicted outcome;

the patient behavioral path calculator is further operative to recalculate the first behavioral path to the behavioral objective for the first patient based on the modified first statistical profile of the first patient;

the patient monitoring processor is further operative to re-select the selected type of targeted message based on the effectiveness of the first targeted message and generate a second targeted message based on the recalculated first behavioral path and the re-selected type of targeted message;

the information communication processor is further operative to send the second targeted message during a second session to motivate the first patient to achieve a first intermediate behavioral goal and to receive a second response representative of a result thereof; and

the statistical processor is further operative to modify the modified first statistical profile based on the received second response.

11. The system of claim 10, further comprising a patient goal calculator coupled with the patient behavioral path calculator and operative to calculate a first plurality of intermediate behavioral goals along the first behavioral path for achieving the behavioral objective.

12. The system of claim 11, wherein the patient monitoring processor selects the first targeted message based on the first intermediate behavioral goal of the first plurality of intermediate behavioral goals.

13. The system of claim 11, wherein the patient goal calculator is further operative to recalculate a previously calculated first plurality of intermediate behavioral goals along the recalculated first behavioral path for achieving the behavioral objective, wherein the previously calculated first plurality of intermediate behavioral goals were calculated based on the calculated first behavioral path.

14. The system of claim 10, wherein:

the patient behavioral path calculator is further operative to calculate a second behavioral path to the behavioral objective for a second patient of the plurality of patients based on an initial state of the second patient and a second statistical profile of the second patient, wherein the second statistical profile of the second patient is based on the first statistical profile of the first patient;

the patient monitoring processor is further operative to select a targeted message based on the calculated second behavioral path;

the information communication processor is further operative to send the targeted message based on the calculated second behavioral path to the second patient during a session with the second patient to motivate the second patient to achieve the behavioral objective and to receive a response from the second patient representative of a result thereof; and

,

the statistical processor is further operative to modify the second statistical profile based on the received second response.

15. The system of claim 10, wherein the second patient is more likely to achieve the first intermediate behavioral goal than the first patient.

16. The system of claim 10, wherein the statistical processor is operative to further calculate the first statistical profile of the first patient based on provided statistical information.

17. The system of claim 10, further comprising a patient goal analyzer coupled with the patient monitoring processor operative to determine whether the first intermediate behavioral goal has been achieved based on the first response.

18. The system of claim 10, further comprising a failure prevention mechanism coupled with the patient goal analyzer operative to intervene when the first patient fails to achieve the first intermediate behavioral goal.

19. The system of claim 10, wherein the first statistical profile of the first patient further comprises at least one of a mean, a standard deviation, and a percentile associated with the statistical distribution.

20. The system of claim 10, wherein the predicted outcome is based on predictive modeling, the predictive modeling comprising at least one of:

generalized linear modeling, generalized mixed effects modeling, generalized estimating equations, time series modeling, tree-structured regression, Bayesian modeling, near neighbor methods, clustering algorithms, scaling algorithms, neural networking, mixed effect modeling, and Markov modeling.

21. A computer implemented method for directing behavior of a first patient of a plurality of patients towards a behavioral objective, the method comprising:

calculating, with a statistical processor, a first statistical profile of the first patient, the first statistical profile being operative, for an input of the first patient, to produce the most likely output from among a modeled patient-population, based on a comparison of the input of the first patient with the modeled patient-population, to allow the system to determine types of behavior modification treatments that are successful in achieving a particular behavioral goal based at least in part on a statistical distribution indicating a likelihood of a predicted outcome;

calculating, with a patient behavioral path calculator, a first behavioral path for the first patient of the plurality of patients based on an initial state of the first patient and the first statistical profile of the first patient, wherein the first behavioral path comprises a first individual baseline outcome and a first predicted intervention outcome determined based on a statistical profile of the modeled patient-population;

calculating, with the patient behavioral path calculator, a first baseline fault tolerance limit based on a magnitude of difference between the first individual baseline outcome and the first predicted intervention outcome, the first baseline fault tolerance limit comprising a variability estimate;

selecting, with a patient monitoring processor, a type of targeted message, wherein the type of targeted message includes a positive reinforcement targeted message or a negative reinforcement targeted message;

generating, with the patient monitoring processor, a first survey based on the calculated first behavioral path and the selected type of targeted message;

sending, with an information communication processor, the first survey to motivate the first patient to achieve the first predicted intervention outcome and to elicit a first response indicative of a result thereof;

determining a relationship between the first response and the first baseline fault tolerance limit;

triggering, based on the determination of the relationship, an intervention when the first baseline fault tolerance limit is crossed;

calculating, with a patient goal calculator, a first interval outcome based on the elicited first response;

re-selecting, with the patient monitoring processor, the selected type of targeted message based on the effectiveness of the first survey;

generating prior to the first patient achieving the behavioral objective, with the patient monitoring processor, a second survey based on the calculated first behavioral path, the calculated first interval outcome, and the re-selected type of targeted message;

sending, with the information communication processor, the second survey to motivate the first patient to achieve the first predicted intervention outcome and to elicit a second response indicative of a result thereof;

calculating, with the patient goal calculator, a second interval outcome based on the elicited second response; and

calculating, with the patient behavioral path calculator, a second fault tolerance limit based on comparing the first interval outcome and the second interval outcome with the first baseline fault tolerance limit.

22. The computer implemented method of claim 21, further comprising:

determining, with the patient monitoring processor, a third survey for communicating to the first patient based on the calculated first behavioral path and the calculated second fault tolerance limit;

sending, with the information communication processor, the third survey to the first patient to motivate the first patient to achieve the first predicted intervention outcome and to elicit a third response from the first patient indicative of a result thereof; and

,

calculating, with the patient goal calculator, a third interval outcome based on the elicited third response.

23. The computer implemented method of claim 22, further comprising:

comparing, with a patient goal analyzer, the first interval outcome with the calculated first baseline fault tolerance limit; and

,

intervening, with a failure prevention mechanism, when the first interval outcome exceeds the calculated first baseline fault tolerance limit.

24. The computer implemented method of claim 21, further comprising:

modifying, with the statistical processor, the first statistical profile of the first patient based on the first interval outcome of the first patient;

calculating, with the patient behavioral path calculator, a second behavioral path for a second patient of the plurality of patients based on an initial state of the second patient and a second statistical profile of the second patient, wherein the second statistical profile of the second patient is based on the first statistical profile of the first patient, and the second behavioral path comprises a second individual baseline outcome and a second predicted intervention outcome;

calculating, with the patient behavioral path calculator, a second baseline fault tolerance limit based on a magnitude of difference between the second individual baseline outcome and the second predicted intervention outcome;

determining, with the patient monitoring processor, a survey for communicating to the second patient based on the calculated second behavioral path;

sending, with the information communication processor, the survey to the second patient to motivate the second patient to achieve the second predicted intervention outcome and to elicit a response from the second patient indicative of a result thereof; and

,

calculating, with the patient goal calculator, an interval outcome based on the elicited second response from the second patient.

25. The computer implemented method of claim 24, further comprising:

comparing, with a patient goal analyzer, the second interval outcome with the calculated second baseline fault tolerance limit;

calculating, with the patient behavioral path calculator, a third baseline fault tolerance limit based on the comparison of the interval outcome based on the elicited response from the second patient with the calculated second baseline fault tolerance limit;

determining, with the patient monitoring processor, a third survey for communicating to the second patient based on the calculated second behavioral path and the calculated third fault tolerance limit;

sending, with the information communication processor, the third survey to the second patient to motivate the second patient to achieve the second predicted intervention outcome and to elicit a third response from the second patient indicative of a result thereof; and

,

calculating, with the patient goal calculator, a third interval outcome based on the elicited third response.

26. The computer implemented method of claim 21, wherein the first statistical profile of the first patient further comprises at least one of a mean, a standard deviation, and a percentile associated with the statistical distribution.

27. The computer implemented method of claim 21, wherein the predicted outcome is based on predictive modeling, the predictive modeling comprising at least one of:

generalized linear modeling, generalized mixed effects modeling, generalized estimating equations, time series modeling, tree-structured regression, Bayesian modeling, near neighbor methods, clustering algorithms, scaling algorithms, neural networking, mixed effect modeling, and Markov modeling.

28. A system for directing behavior of a first patient of a plurality of patients towards a behavioral objective, the system comprising:

means for calculating a first statistical profile of the first patient, the first statistical profile being operative, for an input of the first patient, to produce the most likely output from among a modeled patient-population, based on a comparison of the input of the first patient with the modeled patient-population, to allow the system to determine types of behavior modification treatments that are successful in achieving a particular behavioral goal based at least in part on a statistical distribution indicating a likelihood of a predicted outcome;

means for calculating a first behavioral path to the behavioral objective for the first patient based on an initial state of the first patient and the first statistical profile of the first patient;

means for determining an upper fault limit and a lower fault limit based on a statistical profile of the modeled patient-population, each of the upper fault limit and the lower fault limit comprising a variability estimate with respect to the first behavioral path;

means for selecting a type of targeted message, wherein the type of targeted message includes a positive reinforcement targeted message or a negative reinforcement targeted message;

means for generating a first targeted message based on the calculated behavioral path and the selected type of targeted message;

means for establishing a first session;

means for sending the first targeted message during the first session to motivate the first patient to achieve the behavioral objective and elicit a first response representative of a result thereof;

means for determining a relationship between the first response and the upper fault limit and the lower fault limit;

means for triggering, based on the determination of the relationship, an intervention when the upper fault limit or the lower fault limit is crossed;

means for modifying the first statistical profile based on the first response, the modified first statistical profile being further operative, for the first response, to produce the most likely output from among a modeled patient-population, updated based on the first response, to allow the system to redetermine the types of behavior modification treatments that are successful in achieving a particular behavioral goal based at least in part on a statistical distribution indicating a likelihood of the predicted outcome;

means for re-calculating, prior to the first patient achieving the behavioral objective, the first behavioral path to the behavioral objective for the first patient based on the modified first statistical profile of the first patient;

means for re-selecting the selected type of targeted message based on the effectiveness of the first targeted message;

means for generating a second targeted message based on the re-calculated first behavioral path and the re-selected type of targeted message;

means for establishing a second session;

means for sending the second targeted message during the second session to motivate the first patient to achieve a first intermediate behavioral goal and elicit a second response representative of a result thereof; and

means for modifying, based on the second response, the modified first statistical profile.

29. The system of claim 28, further comprising means for defining a first plurality of intermediate behavioral goals along the calculated first behavioral path for achieving the behavioral objective.

30. The system of claim 28, further comprising:

means for calculating a second behavioral path to the behavioral objective for a second patient of the plurality of patients based on an initial state of the second patient and a second statistical profile of the second patient, wherein the second statistical profile of the second patient is based on the first statistical profile of the first patient;

means for determining a targeted message based on the second behavioral path;

means for establishing a session with the second patient;

means for sending the targeted message based on the second behavioral path to the second patient during the session with the second patient to motivate the second patient to achieve the behavioral objective of the second behavioral path and elicit a response from the second patient representative of a result thereof, and means for modifying, based on the response from the second patient, the second statistical profile.

31. The system of claim 30, wherein the second patient is more likely to achieve the first intermediate behavioral goal than the first patient.

32. The system of claim 28, further comprising:

means for calculating the first statistical profile of the first patient based on provided statistical information.

33. The system of claim 28, further comprising:

means for determining whether the first intermediate behavioral goal has been achieved based on the first response.

34. The system of claim 33, further comprising:

means for intervening when the first patient fails to achieve the first intermediate behavior goal.