• 专利附录
  • 专利说明
  • 权利要求
  • 类似技术
  • 同族专利
  • 引用文献
  • 法律状态
  • 优先权
    • 专利摘要:
    The present invention relates to a system that combines behavioral therapy and aversion therapy for use in the treatment of impulse control disorder. The computer-implemented system keeps track of the progress a user has made in treatment, gives tips and gives instructions on how to use a complementary self-care device. The invention also relates to a method and kit.
    公开号:BE1023002B1
    申请号:E2015/5339
    申请日:2015-06-03
    公开日:2016-10-31
    发明作者:Bart Rossel
    申请人:Oystershell Nv；
    IPC主号:
    专利说明:

    System, method and kit for use in the treatment of an impulse control disorder
    TECHNICAL DOMAIN
    The invention relates to the technical domain of self-care treatments for disorders in impulse control. More specifically, the invention relates to the combination of behavioral therapy and aversion therapy for the treatment of impulse control disorder. A system, method and kit are provided for this purpose.
    BACKGROUND
    Training gadgets and methods designed to help stop impulse control disorders such as nail biting or thumb sucking are known in the art. These known methods and gadgets are based on behavioral therapy, and provide tips and an overview of a person's progress. US 2002/0072959 provides a method and a system for modifying recognized unwanted behavior. The system uses a combination of manual operator input and history to determine the timing of future prompt signals. It does not provide users with planned schedules of future events, but instead calculates the timing of each future incentive signal based on the most recent operator response that indicates whether the user was engaging in undesirable behavior at the time the incentive signal is generated . US 2012/0141961 provides a system and method for motivating a user to achieve a goal based on video sequences adapted to the user. Adapting to the user is done by integrating personal elements (images, expressions, voice, ...) into a video carrier that is suitable for the purpose. The user views the video adapted to the user according to a fixed timetable depending on the type of goal and his personal characteristics. The visual effect triggers a moment of emotional impact, which is preserved in the long term by periodic visualization of modified videos adapted to the user, according to the user's progress.
    These methods only offer behavioral therapy. Although behavioral therapy has proven that it is efficient to overcome impulse control disorder, it is still a long process and many users are giving up therapy due to a lack of rapid results and interim guidance,
    There remains a need for improved systems and methods for treating impulse control disorder that overcome at least some of the problems mentioned above. In particular, there is a need for methods and systems that shorten the treatment of impulse control disorders.
    SUMMARY OF THE INVENTION
    In a first aspect, the invention provides a computer-implemented method for use in the treatment of an impulse control disorder of a user in need thereof, comprising the steps of: - providing tips and / or dirty facts regarding the disorder in the impulse control by means of the computer; - photographic recording of data on the computer of a part of the body that is affected by the impulse control disorder before and after the treatment and therefore the monitoring of progress.
    Providing tips and dirty facts is part of behavioral therapy. Along with tracking a user's progress in treatment, it will keep the user motivated to continue treatment. This will ensure the success of the treatment.
    In a second aspect, the invention provides a kit comprising a self-care device, a computer-implementable application, a manual for installing the application on a mobile device suitable for receiving the computer-implementable application, and the mobile device, with the characterized in that the mobile device is a mobile phone or a computer tablet, and the instructions for implementation and implementation on the mobile device support the use of the self-care device interactively.
    In a third aspect, the invention provides a system for use in treatment of a disorder in impulse control of a user in need thereof, comprising: signal generating means configured to generate usage signals, the usage signals include instructions for using a self-care device , requests for user response signals and behavioral therapy communication to the user; - user response means configured to be able to communicate the generated usage signals to the user and to receive the user response signals; data storage means configured to store the user response signals; microprocessor means, at least configured to interpret the user response signals and generate one or more progress diagrams.
    FIGURES
    Figure 1 shows an image of a user response means that communicates a dirty fact.
    Figure 2 shows an image of a user response means that communicates a tip.
    Figure 3 shows an image of a user response means requesting user response signals.
    Figure 4 depicts an image of a user response means that provides instructions for using a self-care device.
    Figure 5 shows an image of a user response means that provides a progress diagram.
    DETAILED DESCRIPTION OF THE INVENTION
    The term "impulse control disorder" refers to a class of disorders characterized by impulsivity or failure to resist temptation, urge, or impulse. Examples of disorders recognized as impulse control disorders are bite eating disorder, nail biting or onychophagy, periodic explosive disorder, pathological gambling, attention deficit hyperactivity disorder, trichotillomania, thumb sucking, or skin scratching. "Recognized unwanted behavior" is synonymous.
    The term "behavioral therapy" refers to a technique for gradually changing behavior. Behavioral therapy hardly ever works with a system of penalties to stop a certain type of behavior. Instead, a system of rewards is used to help learn how to change behavior. Punishment only makes it clear what one should not do, but not what the desired behavior is. That is why behavioral therapy uses tips, dirty facts and offers progress views to support good behavior. For example, applied to nail biters, this means agreeing on a time period when they won't bite their nails. If they come through this period, they can claim a reward.
    The term "aversion therapy" is a technique primarily used to treat unhealthy impulses that satisfy a person. Version therapy involves learning to have a negative reaction or aversion to something that was previously a source of satisfaction.
    By the term "self-care facility" is meant a facility in a context of personal care with a physical action intended for use by the public itself without the intervention of a professional social worker. This definition refers to tools for personal care; liquids such as capsules, tablets, creams, ointments, shampoos, lotions, sprays, powders; a physical action. The operating principle distinguishes self-care devices from medicines. Medications have a pharmacological, immunological or metabolic effect. A self-care device can be an electrical device, but also a holder for a composition or an object with a purely mechanical action. Therefore, the treatment described in the present invention is a non-medical treatment.
    The term "precursor" refers to something that is turned into an unpleasant or negative feeling. The precursor can be a chemical, for example a bitter-tasting ingredient. When applied to nails, no unpleasant or negative feeling is felt. But when a user bites his nails, the bitter-tasting ingredient causes an unpleasant taste. Another example is a chemical compound that causes a bad taste when a user smokes or drinks alcohol. An example of the latter compound is disulfiram.
    In a first aspect, the invention provides a computer-implemented method for use in the treatment of an impulse control disorder of a user in need thereof, comprising the steps of: - providing tips and / or dirty facts regarding the disorder in the impulse control by means of the computer; - photographic recording of data on the computer of a part of the body affected by the impulse control disorder before and after treatment and progress monitoring.
    Providing tips and dirty facts is part of behavioral therapy. Along with keeping track of the progress that a user made in the treatment, it will keep the user motivated to continue the treatment. This increases the success rate.
    In a preferred embodiment, the treatment comprises the steps of: - providing a self-care device that is a precursor to an unpleasant or negative feeling; - changing the precursor to an unpleasant or negative feeling by performing undesirable behavior related to impulse control disorder.
    Providing a self-care device that is a precursor to an unpleasant or negative feeling is part of aversion therapy. The self-care device or a direct consequence of the use of the self-care device, such as a bitter-tasting ingredient, will cause a negative response to a behavior that otherwise ensures user satisfaction. The combination of behavioral and aversion therapy will shorten the time needed for a user to stop the unwanted behavior.
    In a preferred embodiment, the method is implemented on a mobile device, preferably a mobile phone.
    This has the advantage that in most cases a user has his mobile device with him. In this way he will receive support in the form of tips and / or dirty facts when he needs them, or he can consult the tips and dirty facts when he feels the need for this. Progress monitoring can also be carried out more easily and more at the desired time since the user carries his mobile device in most cases.
    In a preferred embodiment, the method comprises the steps of: - alerting the user that a self-care device should be used by means of user response means; - providing tips through the user response means; - requests for user response signals; - giving a score to the user response signals by means of microprocessor means by comparing the user response signals with an internal standard; - calculating progress diagrams by microprocessor means based on the user response signals.
    The steps of providing tips and requesting user response signals all fit with behavioral therapy and thus also calculating progress diagrams from these user response signals. Alerting the user that a self-care device should be used is consistent with aversion therapy. The use of the self-care device will trigger a negative reaction or aversion to something that was previously a source of satisfaction. The combination of aversion therapy and behavioral therapy leads to an efficient treatment of the impulse control disorder.
    In a preferred embodiment, the user response signals are one or more photos, preferably photos of relevant body parts affected by the impulse control disorder.
    Photos can be used to track progress compared to older photos. These photos can be presented graphically to the user to show him the progress he made during the treatment. This use of the photos fits into behavioral therapy. The photos can also be used to show the user what the relevant body part was at a certain point during the treatment, for example at the start, to act as a deterrent to perform the unwanted behavior.
    In a preferred embodiment, the method comprises analyzing the user response signals by means of the microprocessor means to determine the further course of the treatment.
    The result of the analysis of the user response signals will determine a further sequence of treatment. The same treatment can be completed, or one or more treatment parameters may change, for example, more frequent use of the self-care device. In an even more preferred embodiment, the analysis can diagnose a condition based on the user response signals. Treatment based on the diagnosed condition will be proposed. For example, when the photo is taken from a fingernail, analysis of this photo could determine that the user has a fungal infection or onychomycosis, whether or not in combination with an impulse control disorder. Based on the results, treatment can be proposed, in this case, treatment specific for onychomycosis.
    In a preferred embodiment, the method includes the step of setting the user objectives and giving rewards when those objectives are achieved.
    This step also fits into behavioral therapy, it rewards good behavior, and is complementary to the negative response caused by the aversion therapy that is also used in the method.
    In a preferred embodiment, the self-care device communicates user data to the microprocessor means. Preferably, the user data is the time of use of the self-care device, the amount used and / or the time that the self-care device has been used.
    In a still more preferred embodiment, the self-care device comprises a sensor that registers when the self-care device is used. Preferably, the sensor is attached to a cap of the self-care device that detects when the self-care device has been opened. This generates user data.
    In a preferred embodiment, the self-care device comprises a sensor that registers how much or how long the self-care device has been used. Preferably, when the self-care device includes a composition, the sensor will record how much of the composition remains and generates user data.
    The user data received from the self-care device comprises accurate information about the use of the self-care device. This user data can be used to calculate the progress diagrams and to calculate the influence of the use of the self-care device on the progress of the treatment of the disorder in impulse control. In a more preferred embodiment, the self-care device may also receive information, and more preferably, the self-care device may display that information. In this way the self-care device can indicate when it is to be used, how much is to be used or it can even indicate the progress of the user in the treatment of the impulse control disorder.
    In a preferred embodiment, the impulse control disorder is nail biting.
    Nail biting is a condition that results in damaged nails. Photos can be taken of the nails to check the progress. Tips and dirty facts about nail biting can be communicated by the system to meet the requirements of behavioral therapy. A self-care device can be designed to assist with treatment and to meet the requirements of aversion therapy.
    The effects of nail biting or onychophagy are initially cosmetically unpleasant. People who bite their nails are often embarrassed by the appearance of their nails and fingers. Cosmetic reasons are the main reason why people want to stop nail biting.
    In a preferred embodiment, the impulse control disorder is thumb sucking.
    Thumb sucking is a condition that results in damaged fingernails and can have an impact on the orientation of the teeth. Photos can be taken from the fingernail to monitor progress, tips and dirty facts about thumb sucking can be communicated by the system to meet the requirements of behavioral therapy. A self-care device can be designed to assist with treatment and to meet the requirements of aversion therapy.
    In a preferred embodiment, the impulse control disorder is binge eating or smoking.
    In a preferred embodiment, the self-care device is a pen, preferably a marker pen, preferably filled with a topical composition.
    A pen can easily be stowed away and used discreetly. Because nail biting is more common in children and young adults, a pen can be stored in their pencil case that these children and young adults use at school. The pen has the advantage over, for example, a bottle with a brush that the composition inside the pen cannot be spilled. A composition in a bottle can easily be knocked over and the composition can be lost. A pen has the advantage that the composition can be accurately applied to the nails.
    In a preferred embodiment, the self-care device comprises a precursor that is a component with a bad taste, preferably a bitter taste, more preferably the taste of grapefruit peels. In a more preferred embodiment, the bad taste component is an extract of citrus peel, denatonium or a combination thereof.
    When the self-care device is used, the bad-tasting ingredient remains on the nails or penetrates the nail. A user who bites his nails will taste the bad-tasting component and will learn to associate this bad-tasting component with nail biting. A similar situation will arise with thumb sucking. Citrus peel extract makes the treatment natural, and denatonium is sometimes referred to as the world's bitterest tasting product. Denatonium is a quaternary ammonium salt, in which it refers to any salt of this cation. The denatonium usually forms a salt with benzoate or a saccharide as anion.
    In a preferred embodiment, the progress diagrams are calculated by a microprocessor based on the user response signals and the user data.
    This results in a progress diagram that contains the contribution of the self-care institution. Progress should be in a rising trend in treatment and use of the self-care device should be in a downward trend toward the end of treatment. Once these two trends have been established, the user will be motivated to see that he can make progress with less use of the self-care device.
    In a second aspect, the invention provides a kit comprising a self-care device, a computer-implementable application, a manual for installing the application on a mobile device suitable for receiving the computer-implementable application and the mobile device, with the characterized in that the mobile device is a mobile phone or a computer tablet, and the instructions for implementation and implementation of the mobile device are provided to interactively support the use of the self-care device.
    In a preferred embodiment, the kit further comprises a package leaflet with a QR code or a web address for retrieving and installing the computer-implementable application.
    In a preferred embodiment, the kit comprises a pen suitable for the topical application of a composition, a mobile telephone or tablet application, and a package insert for a pen with a QR code, or a web address for retrieving and installing the application on a mobile telephone or tablet.
    In a third aspect, the invention provides a system for use in the treatment of the disorder in impulse control of a user in need thereof by combining behavioral therapy and aversion therapy.
    The system comprises signal generating means configured to generate usage signals. These usage signals carry important information and messages that are needed for behavioral therapy and aversion therapy.
    The usage signals include instructions for using a self-care device. These instructions are preferably about the frequency of use, the duration of use and instructions about the correct use of the self-care device.
    The self-care facility is involved in aversion therapy. It is the self-care device or a direct consequence of the use of the self-care device that will cause the negative reaction or aversion to something that was previously a source of satisfaction.
    The usage signals include requests for user response signals.
    The usage signals include behavioral therapy communication directed to a user of the system. More preferably, behavioral therapy communication includes tips and tricks, dirty facts and / or progress diagrams that help the user motivate himself in the treatment of impulse control disorder.
    The system comprises user response means configured to be able to communicate the generated usage signals to the user and receive the user response signals.
    These user response means act as a communication interface between the user and the system. This is also where the user response signals are generated, and these user response signals include information that can be used to monitor the user's progress in the treatment of the impulse control disorder.
    The system comprises data storage means configured to store the user response signals.
    By storing the user response signals, the system includes a history of all user response signals and this can be used to plot the progress of treatment over a period of time. Progress is an important incentive for behavioral therapy, when a user can see the progress he has made through his efforts, the user is motivated by his own good results.
    The system comprises microprocessor means, at least configured to interpret the user response signals, and to generate one or more progress diagrams.
    The term "progress diagram" refers to a graphical representation of the progress made by a user in the treatment of impulse control disorder. Examples can be a plot of a self-evaluation score on the behavior of the user as a function of time or an overview of photos of a relevant body part as a function of time.
    A combination of all these characteristics allows the system to be used effectively in the treatment of impulse control disorder. The system provides behavioral therapy that provides tips, dirty facts and progress diagrams based on information collected by the system about user behavior. In addition, the system allows the combination of behavioral therapy with aversion therapy, the use of a self-care device to provoke a negative response to an unhealthy impulse that would otherwise satisfy a user.
    In a preferred embodiment, the user response signals comprise numerical data related to the user's behavior. Preferably the user gives a score of his own behavior during a certain period or the user compares a relevant body part with a scale to give that body part a score. For example, in the case of nail biting, the user indicated how much he bit his nails during a certain period, or the user compares a nail with a series of photos of fingers with different amounts of bite damage to determine a score. This numerical data can easily be plotted on a graph as a function of time, thereby generating a progress diagram. This progress diagram can then be used in behavioral therapy. In another preferred embodiment, the user can indicate how much temptation he felt to perform the undesirable behavior.
    In a preferred embodiment, the user response signals comprise one or more photos. Preferably, the system comprises photographic means that allow the user to take photographs of relevant body parts affected by the impulse control disorder.
    The term "relevant body part" refers to a body part that is physically affected by the impulse control disorder. For example, fingernails in the case of nail biting or onychophagy, the hairline in the case of trichotillomania, a certain area of the skin in the case of scratching the skin or the thumb in the case of thumb sucking.
    The photo can be used to follow the progress. Photos taken at different times during the treatment can be stored on the storage means. These saved photos can be graphically displayed to the user to show the user the progress he made during the treatment. This use of the photos fits with behavioral therapy. The photos can also be used by the system to show the user what the relevant body part was at a certain point during the treatment, for example at the beginning, to act as a deterrent to perform the unwanted behavior.
    In a preferred embodiment, the microprocessor means determines a score for the object in the photograph preferably based on at least one of the following criteria: color, shape, edge sharpness and preferably in comparison with an internal standard.
    The microprocessor retrieves data from the photos and produces at least one score judging the subject of the photo, being the relevant body part, towards the progress of the treatment. Preferably, the microprocessor means will compare certain criteria of the photo with a set of values that are the internal standard, the value that best matches the photo will ultimately determine the score for those criteria. This makes giving the score less subjective, the system will score the progress made by the user, not the user himself. The user himself will be biased when giving a score to his own progress.
    In a preferred embodiment, the progress diagram is calculated by the microprocessor based on the score for different photos at different times, preferably the photos are stored on the system's data storage means.
    This will lead to an unbiased progress diagram based on information obtained from the photos and excludes biased user input.
    In a preferred embodiment, the previously determined scores will determine the further course of the treatment.
    The system will analyze the scores and, based on the analysis, the system will propose further treatment. The same treatment can be proposed, or the system can propose to change one or more of the parameters of the treatment, for example the more frequent use of the self-care device. In an even more preferred embodiment, the system can diagnose a condition based on the scores and information obtained from the photograph and propose a treatment based on the diagnosed condition. For example, when the photo is taken from a fingernail, the system may determine that the user has a fungal infection or onychomycosis, whether or not combined with an impulse control disorder. Based on the results, the system can propose the use of other treatments, in this case, specifically for the treatment of onychomycosis.
    In a preferred embodiment, the self-care device is in communicative communication with the microprocessor means and communicates user data about the use of the self-care device to the microprocessor means. Preferably, the user data is the time of use of the self-care device, the amount used and / or the time that the self-care device was used.
    In a still more preferred embodiment, the self-care device comprises a sensor that registers when the self-care device is used. Preferably, the sensor is attached to the cap of the self-care device that detects when the self-care device has been opened.
    In a preferred embodiment, the self-care device comprises a sensor that registers how much or how long the self-care device was used. Preferably, when the self-care device contains a composition, the sensor will record how much of the composition remains.
    In this way the system obtains the most accurate information about the use of the self-care device. This user data can be used to calculate the progress diagrams and to calculate the influence of the use of the self-care device on the progress of the treatment of the disorder in impulse control. In a more preferred embodiment, the self-care device may receive usage signals from the system and display the usage signals on the self-care device. In this way the self-care device can indicate when it is to be used, how much should be used or it can even indicate the progress of the user in the treatment of the impulse control disorder.
    In a preferred embodiment of the system, the system is for use in the treatment of nail biting.
    Nail biting is a condition that results in damaged nails. The system is equipped to take pictures of the nails to check the progress. It may be equipped to display messages. For example, tips and dirty facts about nail biting can be communicated by the system to meet the requirements of behavioral therapy. A self-care device can be designed to assist with treatment and to meet the requirements of aversion therapy.
    In a preferred embodiment of the system, the system is for use in the treatment of thumb sucking.
    The system can be equipped to take photos of the fingernail to monitor the progress. It may be equipped to display tips and dirty facts. A self-care device can be designed to assist with treatment and to meet the requirements of aversion therapy.
    In a preferred embodiment of the system, the system is for use in the treatment of binge eating or smoking.
    In a preferred embodiment of the system according to the invention, the self-care device is a pen, preferably a marker pen, preferably filled with a topical composition.
    A pen can easily be stowed away and used discreetly. Because nail biting is more common in children and young adults, a pen can be stored in their pencil case that these children and young adults use at school. The pen has the advantage over, for example, a bottle with a brush that the composition in the pen cannot be spilled. A composition in a bottle can easily be knocked over and the composition can be lost. A pen has the advantage that the composition can be accurately applied to the nails.
    In a preferred embodiment of the system according to the invention, the self-care device comprises a component with a bad taste, preferably a bitter taste, more preferably the taste of grapefruit peels. In a more preferred embodiment, the bad taste component is an extract of citrus peel, denatonium or a combination thereof.
    In a preferred embodiment of the system according to the invention, the poor-tasting component does not leave a film on the nail. This result in no extra shine or discoloration of the nail. This has the advantage that the treatment can be carried out without anyone noticing that a product has been applied to the nails. To this end, the composition comprises a penetrant, such as lactic acid.
    In a more preferred embodiment of the system according to the invention, the self-care device composition comprises vitamins and / or minerals that aid the growth and regrowth of the nails. Preferably these vitamins or minerals are vitamin H or biotin or vitamin B8. The addition of these vitamins or minerals leads to a faster growing and healthier nail once the user has stopped the unwanted behavior.
    In a preferred embodiment of the system according to the invention, the system is in communicative connection with a diary belonging to the user. The system integrates reminders for application in the calendar.
    The advantage of this is that the user gets the reminders sent by the system and can integrate into the daily routine. In this way, the reminders sent by the system are not handled separately from the reminders the user gets from his calendar.
    The present invention will now be described in more detail with reference to examples that are not limiting. EXAMPLES Example 1:
    Figure 1 shows an image of a user response means, in particular a mobile phone, communicating a nasty fact 1 to the user as part of behavioral therapy. As an example, the text 2 of the dirty fact 1 reads: "In one month a person who bites his nails swallows up to 4 grams of nails. In 2 years you swallow the equivalent of a muffin in nails."
    Example 2:
    Figure 2 shows an image of a user response means, in particular a mobile telephone, which communicates a tip 3 to the user as part of behavioral therapy. As an example, the text 4 of tip 3 reads: "Tell everyone in your area that you have stopped nail biting, this way you will not only disappoint yourself if you fail, but also the others."
    Example 3:
    Figure 3 shows an image of a user response means, in particular a mobile telephone, requesting a user for response signals 5 as part of behavioral therapy. As an example, the text 6 of the request 5 reads: "Give a score to your biting behavior on a scale of 1 to 10". The user can use the scale 7 to indicate the self-evaluation score.
    Example 4:
    Figure 4 shows an image of a user response means, in particular a mobile telephone, which gives instructions about the use of the self-care device towards the user as part of aversion therapy. As an example, instruction reads: "Use your self-care device now!". As an example, a figure indicated with reference 9, which indicates the proper use of the self-care device, is provided.
    Example 5:
    Figure 5 shows an image of a preferred user response means, in particular a mobile phone, which provides a progress diagram 10 as part of behavioral therapy. The progress diagram is a calendar starting from the day the treatment was started to day 18. The treatment should be over in 18 days. On the first day a photo 11 was made of a fingernail. The damage caused by biting the fingernail is clearly visible. During the treatment three more photos 12-14 were taken, so that the progress made by the user is easy to see and the progress can be viewed at any time via the buttons 15 at the bottom of the figure. Seeing the progress made by a user is used as a motivation to continue treatment and is part of behavioral therapy.
    权利要求:
    Claims (26)
    [1]
    CONCLUSIONS
    A computer-implemented method for use in the treatment of an impulse control disorder of a user in need thereof comprising the steps of: - providing tips and / or foul facts regarding the impulse control disorder by means of the computer; - photographic recording of data on the computer of a part of the body that is affected by the impulse control disorder before and after the treatment and therefore the monitoring of progress.
    [2]
    The method of claim 1 implemented on a mobile device.
    [3]
    Method according to claim 1 or 2, wherein the treatment comprises the steps of: - providing a self-care device that is a precursor for an unpleasant or negative feeling; - changing the precursor to an unpleasant or negative feeling by performing undesirable behavior related to the impulse control disorder.
    [4]
    Method as claimed in claim 3, comprising the steps of: - warning the user that a self-care device must be used by means of user response means on the computer; - providing tips by means of user response means; - requests for user response resources; - giving a score to the user response signals by means of microprocessor means by comparing the user response signals with an internal standard; - calculating progress diagrams by a microprocessor based on the user response signals.
    [5]
    The method of claim 4, wherein the requested user response signals are one or more photos.
    [6]
    A method according to any one of claims 4-5, comprising the analysis of the user response signals by means of the microprocessor means to determine the further course of the treatment.
    [7]
    A method according to any one of claims 1-6, comprising the step of setting the user objectives and giving rewards when those objectives are achieved.
    [8]
    The method of any one of claims 4-7, wherein the self-care device communicates user data to the microprocessor means.
    [9]
    The method of any one of claims 3-8, wherein the self-care device comprises one or more sensors that register when the self-care device is used and / or how much or how long the self-care device has been used.
    [10]
    The method of any one of claims 4-9, wherein the progress diagrams are calculated by a microprocessor based on the user response signals and the user data.
    [11]
    A method according to any one of claims 1-10, wherein the impulse control disorder is nail biting, thumb sucking, binge eating or smoking.
    [12]
    The method of any one of claims 3-11, wherein the self-care device is a pen.
    [13]
    The method of any one of claims 3-12, wherein the precursor is a bitter-tasting ingredient.
    [14]
    14. Kit comprising a self-care device, a computer-implementable application, a manual for installing the application on a mobile device suitable for receiving the computer-implementable application, and the mobile device, characterized in that the mobile device device is a mobile phone or a computer tablet, and the instructions for implementation and implementation on the mobile device support the use of the self-care device interactively.
    [15]
    The kit of claim 14, further comprising a package insert with a QR code or a web address for retrieving and installing the computer-implementable application.
    [16]
    A kit according to claim 15, comprising a pen suitable for the topical application of a composition, a mobile telephone or tablet application, and a package leaflet with a QR code or a web address for retrieving and installing the application on a mobile phone or tablet.
    [17]
    A system for use in impulse control treatment of a user in need thereof, comprising: - signal generating means configured to generate usage signals, the usage signals include instructions on using a self-care device, requesting user response signals, and behavioral therapy communication to the user; - user response means configured to be able to communicate the generated usage signals to the user and to receive the user response signals; data storage means configured to store the user response signals; microprocessor means, at least configured to interpret the user response signals, and to generate one or more progress diagrams.
    [18]
    The system of claim 17, wherein the user response signals include numerical data relating to the user's behavior.
    [19]
    The system of any one of claims 17-18, wherein the user response signals include one or more photos.
    [20]
    The system of claim 19, wherein the microprocessor means determines a score for the object on the photo.
    [21]
    The system of claim 20, wherein the progress diagram is calculated by the microprocessor based on the score for different photos at different times.
    [22]
    The system according to claims 20 or 21, wherein the scores will determine the further course of the treatment.
    [23]
    The system of any one of claims 17-22, wherein the self-care device is in communicative communication with the microprocessor means and communicates user data about the use of the self-care device to the microprocessor means.
    [24]
    A system according to any of claims 17-23, wherein the self-care device comprises one or more sensors that register when the self-care device is used and / or how much or how long the self-care device has been used.
    [25]
    The system of any one of claims 17-24, wherein the impulse control disorder is nail biting, thumb sucking, binge eating or smoking.
    [26]
    The system of any one of claims 17-25, wherein the self-care device is a pen and / or comprises a component with a bitter taste.
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