1
|
Chen CH, Lee WI. Exploring Nurses' Behavioural Intention to Adopt AI Technology: The Perspectives of Social Influence, Perceived Job Stress and Human-Machine Trust. J Adv Nurs 2024. [PMID: 39340769 DOI: 10.1111/jan.16495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2024] [Revised: 09/12/2024] [Accepted: 09/16/2024] [Indexed: 09/30/2024]
Abstract
AIM This study examines how social influence, human-machine trust and perceived job stress affect nurses' behavioural intentions towards AI-assisted care technology adoption from a new perspective and framework. It also explores the interrelationships between different types of social influence and job stress dimensions to fill gaps in academic literature. DESIGN A quantitative cross-sectional study. METHODS Five hospitals in Taiwan that had implemented AI solutions were selected using purposive sampling. The scales, adapted from relevant literature, were translated into Chinese and modified for context. Questionnaires were distributed to nurses via snowball sampling from May 15 to June 10, 2023. A total of 283 valid questionnaires were analysed using the partial least squares structural equation modelling method. RESULTS Conformity, obedience and human-machine trust were positively correlated with behavioural intention, while compliance was negatively correlated. Perceived job stress did not significantly affect behavioural intention. Compliance was positively associated with all three job stress dimensions: job uncertainty, technophobia and time pressure, while obedience was correlated with job uncertainty. CONCLUSION Social influence and human-machine trust are critical factors in nurses' intentions to adopt AI technology. The lack of significant effects from perceived stress suggests that nurses' personal resources mitigate potential stress associated with AI implementation. The study reveals the complex dynamics regarding different types of social influence, human-machine trust and job stress in the context of AI adoption in healthcare. IMPACT This research extends beyond conventional technology acceptance models by incorporating perspectives on organisational internal stressors and AI-related job stress. It offers insights into the coping mechanisms during the pre-adaption AI process in nursing, highlighting the need for nuanced management approaches. The findings emphasise the importance of considering technological and psychosocial factors in successful AI implementation in healthcare settings. PATIENT OR PUBLIC CONTRIBUTION No Patient or Public Contribution.
Collapse
Affiliation(s)
- Chin-Hung Chen
- College of Management, National Kaohsiung University of Science and Technology, Kaohsiung City, Taiwan
| | - Wan-I Lee
- Department of Marketing and Distribution Management, National Kaohsiung University of Science and Technology (First Campus), Kaohsiung City, Taiwan
| |
Collapse
|
2
|
Hardy MS, Fanaki C, Savoie C. The use of technology by seniors with neurocognitive disorders in long-term care: a scoping review. BMC Geriatr 2024; 24:573. [PMID: 38961323 PMCID: PMC11220951 DOI: 10.1186/s12877-024-05174-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2024] [Accepted: 06/25/2024] [Indexed: 07/05/2024] Open
Abstract
BACKGROUND To map the current state of knowledge about the use of technology with seniors with neurocognitive disorders in long-term care to foster interactions, wellness, and stimulation. METHODS Cumulative Index to Nursing and Allied Health Literature (CINAHL Plus); MEDLINE; PsycINFO; Embase and Web of Science were searched in eligible literature, with no limit of time, to describe the current use of technology by seniors with neurocognitive disorders in long-term care. All types of literature were considered except for theses, editorial, social media. This scoping review was built around the recommendations of Peters et al. (2020 version). Three researchers collaborated on the selection of articles and independently reviewed the papers, based on the eligibility criteria and review questions. RESULTS The search yielded 3,605 studies, of which 39 were included. Most technology type reported was robotics. Included studies reports different positive effects on the use of such technology such as increase of engagement and positive. CONCLUSION The study highlights different types and potential benefits of technology for long-term care residents with neurocognitive disorders, emphasizing the crucial need for additional research to refine interventions and their use.
Collapse
Affiliation(s)
- Marie-Soleil Hardy
- Faculty of Nursing Science, Université Laval, Québec, QC, G1V 0A6, Canada.
| | - Chaimaa Fanaki
- Faculty of Nursing Science, Université Laval, Québec, QC, G1V 0A6, Canada
| | - Camille Savoie
- Faculty of Nursing Science, Université Laval, Québec, QC, G1V 0A6, Canada
| |
Collapse
|
3
|
Atta MHR, Shaala RS, Mousa EFS, El-Monshed AH, Fatah NKAE, Khalil MIM. Exploring the mediating influence of acceptance of change: A study on gerontechnology acceptance, mental well-being, and urban-rural disparities among older adults. Geriatr Nurs 2024; 58:324-335. [PMID: 38870598 DOI: 10.1016/j.gerinurse.2024.06.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2024] [Revised: 05/27/2024] [Accepted: 06/03/2024] [Indexed: 06/15/2024]
Abstract
BACKGROUND The global aging population necessitates leveraging technology for older adults' independence and mental well-being. Gerontechnology, tailored for older users, thrives when accessible and accepted, with the pivotal role of acceptance of change shaping its adoption. AIMS This study investigates the mediating role of acceptance of change in the relationship between gerontechnology acceptance and mental well-being among older adults and explores disparities in urban and rural settings DESIGN & METHODS: A cross-sectional, correlational design adhering to STROBE guidelines collected data through an interview survey from 802 older adults. Instruments included the Older Adult Structured Survey, Short Version of Senior Technology Acceptance, Acceptance of Change Scale, and the World Health Organization Well-Being Index. RESULTS The results underscore a significant correlation between technology adoption, adaptability, and mental well-being among 60-year-olds and older. Notably, an individual's openness to change significantly influences the technology-mental well-being relationship, emphasizing its impact on overall health. Urban areas exhibit a stronger positive correlation between technology acceptance and mental well-being, whereas rural regions demonstrate a more pronounced negative correlation. CONCLUSION This research contributes valuable knowledge for addressing the unique challenges older adults face in diverse geographic settings, paving the way for targeted and effective initiatives. IMPLICATIONS Nurses should prioritize understanding the nexus between gerontechnology acceptance, change adaptability, and mental wellness, integrating technology education and culturally sensitive interventions to enhance care strategies for older adults in diverse geographic settings. This study lays the groundwork for developing person-centered geriatric nursing care plans, underscoring the importance of harnessing technology for improved mental well-being.
Collapse
Affiliation(s)
- Mohamed Hussein Ramadan Atta
- Lecturer of Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Alexandria University, Alexandria City, Egypt.
| | - Reem Said Shaala
- Lecturer of Internal Medicine, Geriatric Unit, Faculty of Medicine, Alexandria University, Egypt
| | - Enas Fouad Sayed Mousa
- Lecturer of Geriatric Medicine and Gerontology, Faculty of Medicine, Helwan University, Egypt
| | - Ahmed Hashem El-Monshed
- Department of Nursing, College of Health and Sport Sciences, University of Bahrain, Manama, Bahrain; Department of Psychiatric and Mental Health Nursing, Faculty of Nursing-Mansoura University, Egypt.
| | | | | |
Collapse
|
4
|
Watanabe K, Miwa H, Wakui T, Kajitani I. Adopting the service system view toward successful implementation of assistive technologies. Geriatr Gerontol Int 2024; 24 Suppl 1:74-80. [PMID: 38221515 DOI: 10.1111/ggi.14797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Revised: 11/26/2023] [Accepted: 12/14/2023] [Indexed: 01/16/2024]
Abstract
This study aims to provide an overview of the service system view (SSV), and the current status of its adoption for the development and implementation of assistive technology (AT). The role of ATs in the global aging scenario is anticipated; however, their diffusion is cumbersome. The SSV captures stakeholders, technologies, and their interactions as integrated systems. Based on this perspective, several approaches for designing long-term care services have been proposed that would be helpful for the successful implementation of ATs. However, the existing geriatrics and gerontology literature seldom addresses these topics. Based on a literature review, this study first illustrates the challenges of using ATs in the real world. The existing literature highlights the sociotechnical challenges of utilizing ATs, such as the changes required in care work and resistance to them. To overcome the challenges, three approaches associated with the SSV have been introduced: service design, service engineering and living labs. This paper also introduces recent national projects in Japan that have adopted these approaches. As the importance of the SSV is growing for the successful implementation of ATs, the ability to adopt the SSV and its approaches is anticipated. In relation to geriatrics and gerontology studies, the impact on older adults' quality of life, as well as the economic effect, needs to be analyzed in future research. Geriatr Gerontol Int 2024; 24: 74-80.
Collapse
Affiliation(s)
- Kentaro Watanabe
- Human Augmentation Research Center, National Institute of Advanced Industrial Science and Technology, Kashiwa, Japan
| | - Hiroyasu Miwa
- Human Augmentation Research Center, National Institute of Advanced Industrial Science and Technology, Kashiwa, Japan
| | - Tomoko Wakui
- Human Care Research Team, Tokyo Metropolitan Institute of Geriatrics and Gerontology, Itabashi-ku, Japan
- Research & Development Center for Health Services, University of Tsukuba, Tsukuba, Japan
| | - Isamu Kajitani
- Human Augmentation Research Center, National Institute of Advanced Industrial Science and Technology, Kashiwa, Japan
| |
Collapse
|
5
|
Cho E, Yang M, Jang J, Cho J, Kang B, Jang Y, Kim MJ. A mobile app to predict and manage behavioral and psychological symptoms of dementia: Development, usability, and users' acceptability. Digit Health 2024; 10:20552076241249277. [PMID: 38698833 PMCID: PMC11064751 DOI: 10.1177/20552076241249277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2023] [Accepted: 04/08/2024] [Indexed: 05/05/2024] Open
Abstract
Objective: Non-pharmacological interventions are considered the first-line treatment for behavioral and psychological symptoms of dementia (BPSD); however, traditional approaches have shown only small effect sizes. Mobile technology offers an opportunity to improve BPSD assessment and management in people living with dementia (PLWD). We aimed (1) to develop a mobile application (app) featuring a real-time BPSD diary, machine-learning-based BPSD prediction, and individualized non-pharmacological care programs, including therapeutic use of music and reminiscent content, and (2) to test its usability, acceptability, and preliminary efficacy among PLWD and caregivers. Methods: An Android-based app was developed through the following three phases: (1) needs assessment, (2) software development and initial testing with experts, and (3) beta-testing with end users who were dyads of PLWD and caregivers. The preliminary efficacy, usability, and acceptability of the app were assessed using validated BPSD questionnaires and face-to-face interviews with the dyads. Logs of the dyads' program participation (i.e., types, time, and duration), BPSD diaries, and engagement levels of PLWD were also collected through the app. Results: Five dyads created BPSD diaries (range: 22-48) over 3 weeks. Overall, the BPSD symptoms decreased after the beta-testing period. Each dyad participated in the care programs for 106-204 min, during which music alone was most frequently used. Engagement levels ranged from 3.38 to 4.94 (out of 5). Conclusions: The app was deemed usable, acceptable, and feasible for PLWD and caregivers. The upgraded app will be further tested and can be easily implemented at home or in the community.
Collapse
Affiliation(s)
- Eunhee Cho
- Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul, Korea
| | - Minhee Yang
- College of Nursing and Brain Korea 21 FOUR Project, Yonsei University, Seoul, Korea
| | - Jiyoon Jang
- College of Nursing and Brain Korea 21 FOUR Project, Yonsei University, Seoul, Korea
| | - Jungwon Cho
- College of Nursing, Yonsei University, Seoul, Korea
| | - Bada Kang
- Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul, Korea
- Institute for Innovation in Digital Healthcare, Yonsei University, Seoul, Korea
| | | | - Min Jung Kim
- Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul, Korea
- College of Nursing, Gachon University, Seoul, Korea
| |
Collapse
|
6
|
Figliano G, Manzi F, Tacci AL, Marchetti A, Massaro D. Ageing society and the challenge for social robotics: A systematic review of Socially Assistive Robotics for MCI patients. PLoS One 2023; 18:e0293324. [PMID: 38033146 PMCID: PMC10688856 DOI: 10.1371/journal.pone.0293324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Accepted: 10/10/2023] [Indexed: 12/02/2023] Open
Abstract
The aging population in Western countries has led to a rise in predementia conditions like Mild Cognitive Impairment (MCI). Social Assistive Robotics (SAR) interventions, among novel technological tools, offer a promising interdisciplinary approach to mitigate cognitive and social symptoms' progression in this clinical group. This systematic review aims to identify existing clinical protocols employing social robots for treating cognitive and social cognition skills in individuals with MCI. The review protocol adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. From six databases, we retrieved and analyzed 193 articles, of which 19 met the inclusion criteria, featuring samples diagnosed with MCI and subjected to cognitive and/or social interventions through SAR. The review encompasses both qualitative and quantitative studies, with a focus on assessing bias risk. Articles were categorized into four primary areas: study participants' samples, types of robots and programming used, assessment of cognitive abilities, and the nature of interventions (i.e., cognitive and and social cognition skills). While the findings highlight the potential benefits of using SAR for MCI interventions in both cognitive and social cognition domains, the studies primarily emphasized robot acceptability rather than intervention outcomes. Methodological limitations such as clinical heterogeneity, absence of control groups, and non-standardized assessments restrict the generalizability of these findings. This review underscores the promising role of Social Assistive Robotics in MCI interventions, emphasizing the importance of social cognition skills interventions and advocating for increased collaboration between clinicians and robotic researchers to overcome current limitations and enhance future outcomes.
Collapse
Affiliation(s)
- Giusi Figliano
- Department of Psychology, Research Unit on Theory of Mind, Università Cattolica del Sacro Cuore, Milan, Italy
| | - Federico Manzi
- Department of Psychology, Research Unit on Theory of Mind, Università Cattolica del Sacro Cuore, Milan, Italy
- Department of Psychology, Research Unit on Robopsychology in the Lifespan, Università Cattolica del Sacro Cuore, Milan, Italy
| | - Andrea Luna Tacci
- Department of Psychology, Research Unit on Theory of Mind, Università Cattolica del Sacro Cuore, Milan, Italy
| | - Antonella Marchetti
- Department of Psychology, Research Unit on Theory of Mind, Università Cattolica del Sacro Cuore, Milan, Italy
- Department of Psychology, Research Unit on Robopsychology in the Lifespan, Università Cattolica del Sacro Cuore, Milan, Italy
| | - Davide Massaro
- Department of Psychology, Research Unit on Theory of Mind, Università Cattolica del Sacro Cuore, Milan, Italy
- Department of Psychology, Research Unit on Robopsychology in the Lifespan, Università Cattolica del Sacro Cuore, Milan, Italy
| |
Collapse
|
7
|
Haltaufderheide J, Lucht A, Strünck C, Vollmann J. Increasing efficiency and well-being? a systematic review of the empirical claims of the double-benefit argument in socially assistive devices. BMC Med Ethics 2023; 24:106. [PMID: 38037080 PMCID: PMC10687833 DOI: 10.1186/s12910-023-00984-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Accepted: 11/17/2023] [Indexed: 12/02/2023] Open
Abstract
BACKGROUND Socially assistive devices (care robots, companions, smart screen assistants) have been advocated as a promising tool in elderly care in Western healthcare systems. Ethical debates indicate various challenges. One of the most prevalent arguments in the debate is the double-benefit argument claiming that socially assistive devices may not only provide benefits for autonomy and well-being of their users but might also be more efficient than other caring practices and might help to mitigate scarce resources in healthcare. Against this background, we used a subset of comparative empirical studies from a comprehensive systematic review on effects and perceptions of human-machine interaction with socially assistive devices to gather and appraise all available evidence supporting this argument from the empirical side. METHODS Electronic databases and additional sources were queried using a comprehensive search strategy which generated 9851 records. Studies were screened independently by two authors. Methodological quality of studies was assessed. For 39 reports using a comparative study design, a narrative synthesis was performed. RESULTS The data shows positive evidential support to claim that some socially assistive devices (Paro) might be able to contribute to the well-being and autonomy of their users. However, results also indicate that these positive findings may be heavily dependent on the context of use and the population. In addition, we found evidence that socially assistive devices can have negative effects on certain populations. Evidence regarding the claim of efficiency is scarce. Existing results indicate that socially assistive devices can be more effective than standard of care but are far less effective than plush toys or placebo devices. DISCUSSION We suggest using the double-benefit argument with great caution as it is not supported by the currently available evidence. The occurrence of potentially negative effects of socially assistive devices requires more research and indicates a more complex ethical calculus than suggested by the double-benefit argument.
Collapse
Affiliation(s)
- Joschka Haltaufderheide
- Medical Ethics with a Focus on Digitization, Joint Faculty for Health Sciences Brandenburg, University of Potsdam, Am Mühlenberg 9, 14476, Potsdam, Germany.
- Institute for Medical Ethics and History of Medicine, Ruhr-University Bochum, Bochum, Germany.
| | - Annika Lucht
- Institute for Medical Ethics and History of Medicine, Ruhr-University Bochum, Bochum, Germany
| | - Christoph Strünck
- School of Life Sciences, University of Siegen, Siegen, Germany
- Institute of Gerontology at Technical University Dortmund, Dortmund, Germany
| | - Jochen Vollmann
- Institute for Medical Ethics and History of Medicine, Ruhr-University Bochum, Bochum, Germany
| |
Collapse
|
8
|
Ma K, Gao M, Guida FE, He R. Understanding the influencing factors and mechanism of social compensation for Chinese older adults using social media in the context of smart home: a qualitative analysis. Front Public Health 2023; 11:1174920. [PMID: 37900045 PMCID: PMC10613092 DOI: 10.3389/fpubh.2023.1174920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Accepted: 08/07/2023] [Indexed: 10/31/2023] Open
Abstract
As a new generation of necessary terminals for future homes, smart homes have become one of the essential mediums for smart aging at home. This paper aims to explore how older adults who age at home can overcome the digital divide of the new medium and achieve social participation in the home context to realize active aging. Based on the theory of social compensation, we select the smart-home smart screen, a representative new medium product in China, and carry out open coding, spindle coding, selective coding, and theoretical construction of the original interview data through the grounded theory research method. The results show that the main factors affecting the social compensation of older adults to smart home social media include user interface quality, interaction quality, content quality, and service quality, and these four factors are used as external variables to compensate older adults socially, thereby stimulating the emotional experience and perception changes at the cognitive level of older adults and then affecting the adoption and acceptance of smart home social media by older adults. This study refines the factors influencing the older adults' use of smart home social media from the perspective of social compensation. It explains the mechanism of acceptable behavior of older adults, bridging the gap in previous literature on the influencing factors and behavioral mechanisms of older adults of smart home social media. This paper provides a theoretical basis and guidance for the subsequent academic research and software development practice of social media under new technological devices to further help older adults in China achieve active and healthy aging.
Collapse
Affiliation(s)
- Ke Ma
- School of Design, Hunan University, Changsha, China
| | - Meng Gao
- School of Design, Hunan University, Changsha, China
| | | | - Renke He
- School of Design, Hunan University, Changsha, China
| |
Collapse
|
9
|
Noh D, Shim MS. Effectiveness of Robot Interventions for Cognitive and Psychological Outcomes among Older Adults with Cognitive Impairment: A Meta-Analysis. Healthcare (Basel) 2023; 11:2341. [PMID: 37628538 PMCID: PMC10454070 DOI: 10.3390/healthcare11162341] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Revised: 08/08/2023] [Accepted: 08/16/2023] [Indexed: 08/27/2023] Open
Abstract
This review was performed to evaluate the effects of robot interventions on cognitive and psychological outcomes among older adults with cognitive impairment. Three databases (PubMed, Embase, and Cochrane Central Register of Controlled Trials) were searched for studies published in English between January 2015 and August 2021. We included studies that involved older adults with cognitive impairment, interventions using robots, outcome measures related to cognitive and psychological status, and randomized controlled trials. Ten studies included in the systematic review, and nine studies derived from these ten articles were included in the meta-analyses. The meta-analyses revealed that robot interventions significantly decreased anxiety and agitation but exerted no significant effects on cognitive function, neuropsychiatric symptoms, and quality of life. The subgroup analyses according to robot types revealed that pet-type robot interventions reduced anxiety and agitation. In addition, subgroup analysis according to the intervention format of robot interventions found that individual intervention was effective for improving agitation, but a group-based intervention was effective for improving depression. We suggest using robot interventions to improve psychological outcomes such as anxiety and agitation; however, further research is needed to determine whether robot interventions affect symptoms such as cognitive function, neuropsychiatric symptoms, and quality of life.
Collapse
Affiliation(s)
- Dabok Noh
- College of Nursing, Eulji University, Seongnam 13135, Republic of Korea;
| | - Mi-So Shim
- College of Nursing, Keimyung University, Daegu 42601, Republic of Korea
| |
Collapse
|
10
|
Goda A, Shimura T, Murata S, Kodama T, Nakano H, Ohsugi H. Effects of Robot-Assisted Activity Using a Communication Robot on Neurological Activity in Older Adults with and without Cognitive Decline. J Clin Med 2023; 12:4818. [PMID: 37510933 PMCID: PMC10381845 DOI: 10.3390/jcm12144818] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2023] [Revised: 07/18/2023] [Accepted: 07/19/2023] [Indexed: 07/30/2023] Open
Abstract
Robot-assisted activity (RAA) using a communication robot (RAA-CR) has been proposed as a tool for alleviating behavioral and psychological symptoms accompanying dementia (BPSD) in patients with cognitive decline. This study aimed to clarify the effects of differences in cognitive function among older adults on changes in active brain areas induced by RAA-CR. Twenty-nine older adults were divided into a cognitive decline group (n = 11) and a control group (n = 18). The participants individually received a 5-minute RAA session, and their resting EEG activity was measured before and after the session. Brain spatial analysis was performed on recorded EEG data using standardized low-resolution brain electromagnetic tomography. In addition, statistical comparisons of neural activity in the brain were made before and after RAA-CR and between the cognitively impaired and control groups. These results suggest that RAA-CR stimulates neural activity in the region centered on the posterior cingulate gyrus and precuneus in cognitively healthy older adults but does not significantly alter brain neural activity in cognitively impaired older adults. Therefore, modifications to the implementation methods may be necessary to effectively implement RAA-CR in cognitively impaired individuals.
Collapse
Affiliation(s)
- Akio Goda
- Department of Physical Therapy, Faculty of Health and Medical Sciences, Hokuriku University, 1-1 Taiyogaoka, Kanazawa 920-1180, Japan
| | - Takaki Shimura
- BME Research Laboratory, Sosei Ltd., Hamamatsu 432-8002, Japan
| | - Shin Murata
- Department of Physical Therapy, Faculty of Health Sciences, Kyoto Tachibana University, Kyoto 607-8175, Japan
| | - Takayuki Kodama
- Department of Physical Therapy, Faculty of Health Sciences, Kyoto Tachibana University, Kyoto 607-8175, Japan
| | - Hideki Nakano
- Department of Physical Therapy, Faculty of Health Sciences, Kyoto Tachibana University, Kyoto 607-8175, Japan
| | - Hironori Ohsugi
- Department of Physical Therapy, Faculty of Social Work Studies, Josai International University, Togane 283-8555, Japan
| |
Collapse
|
11
|
Maroto-Gómez M, Castro-González Á, Malfaz M, Salichs MÁ. A biologically inspired decision-making system for the autonomous adaptive behavior of social robots. COMPLEX INTELL SYST 2023:1-19. [PMID: 37361968 PMCID: PMC10225289 DOI: 10.1007/s40747-023-01077-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Accepted: 04/17/2023] [Indexed: 06/28/2023]
Abstract
The decisions made by social robots while they fulfill their tasks have a strong influence on their performance. In these contexts, autonomous social robots must exhibit adaptive and social-based behavior to make appropriate decisions and operate correctly in complex and dynamic scenarios. This paper presents a Decision-Making System for social robots working on long-term interactions like cognitive stimulation or entertainment. The Decision-making System employs the robot's sensors, user information, and a biologically inspired module to replicate how human behavior emerges in the robot. Besides, the system personalizes the interaction to maintain the users' engagement while adapting to their features and preferences, overcoming possible interaction limitations. The system evaluation was in terms of usability, performance metrics, and user perceptions. We used the Mini social robot as the device where we integrated the architecture and carried out the experimentation. The usability evaluation consisted of 30 participants interacting with the autonomous robot in 30 min sessions. Then, 19 participants evaluated their perceptions of robot attributes of the Godspeed questionnaire by playing with the robot in 30 min sessions. The participants rated the Decision-making System with excellent usability (81.08 out of 100 points), perceiving the robot as intelligent (4.28 out of 5), animated (4.07 out of 5), and likable (4.16 out of 5). However, they also rated Mini as unsafe (security perceived as 3.15 out of 5), probably because users could not influence the robot's decisions.
Collapse
Affiliation(s)
- Marcos Maroto-Gómez
- Systems Engineering and Automation, University Carlos III of Madrid, Butarque 15, 28911 Leganés, Madrid Spain
| | - Álvaro Castro-González
- Systems Engineering and Automation, University Carlos III of Madrid, Butarque 15, 28911 Leganés, Madrid Spain
| | - María Malfaz
- Systems Engineering and Automation, University Carlos III of Madrid, Butarque 15, 28911 Leganés, Madrid Spain
| | - Miguel Ángel Salichs
- Systems Engineering and Automation, University Carlos III of Madrid, Butarque 15, 28911 Leganés, Madrid Spain
| |
Collapse
|
12
|
Bradley L, Shanker S, Murphy J, Fenge LA, Heward M. Effectiveness of digital technologies to engage and support the wellbeing of people with dementia and family carers at home and in care homes: A scoping review. DEMENTIA 2023:14713012231178445. [PMID: 37235791 DOI: 10.1177/14713012231178445] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
Abstract
Use of digital technologies to support meaningful engagement of people with dementia and carers increased during the COVID-19 pandemic. The purpose of this scoping review was to determine the effectiveness of digital technologies in supporting the engagement and wellbeing of people with dementia and family carers at home and in care homes. Studies published in peer reviewed literature were identified across four databases (CINAHL, Medline, PUBMED, PsychINFO). Sixteen studies met the inclusion criteria. Findings indicate that digital technologies can potentially support the wellbeing of people with dementia and family carers, although only a few studies had measured impact on wellbeing, as many were reporting on technology at proof-of-concept stage rather than commercially ready products. Moreover, current studies lacked meaningful involvement of people with dementia, family carers, and care professionals in the design of the technology. Future research should bring together people with dementia, family carers, care professionals and designers to coproduce digital technologies with researchers and evaluate them using robust methodologies. Codesign should start early in the intervention development phase and continue until implementation. There is a need for real world applications that nurture social relationships by focusing on how digital technologies can support more personalised, adaptive forms of care. Developing the evidence base to identify what makes digital technologies effective in supporting the wellbeing of people with dementia is crucial. Future interventions should therefore consider the needs and preferences of people with dementia, their families, and professional carers, as well as the suitability and sensitivity of wellbeing outcome measures.
Collapse
Affiliation(s)
- Lyndsey Bradley
- Ageing and Dementia Research Centre, Faculty of Health & Social Sciences, Bournemouth University, Bournemouth, UK
| | - Shanti Shanker
- Ageing and Dementia Research Centre, Faculty of Health & Social Sciences, Bournemouth University, Bournemouth, UK
| | - Jane Murphy
- Ageing and Dementia Research Centre, Faculty of Health & Social Sciences, Bournemouth University, Bournemouth, UK
| | - Lee-Ann Fenge
- Centre for Seldom Heard Voices, Faculty of Health & Social Sciences, Bournemouth University, Bournemouth, UK
| | - Michelle Heward
- Ageing and Dementia Research Centre, Faculty of Health & Social Sciences, Bournemouth University, Bournemouth, UK
| |
Collapse
|
13
|
Leonardsen ACL, Hardeland C, Helgesen AK, Bååth C, del Busso L, Grøndahl VA. The Use of Robotic Technology in the Healthcare of People above the Age of 65-A Systematic Review. Healthcare (Basel) 2023; 11:904. [PMID: 36981561 PMCID: PMC10048377 DOI: 10.3390/healthcare11060904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Revised: 03/17/2023] [Accepted: 03/20/2023] [Indexed: 03/30/2023] Open
Abstract
AIM The integration of robots can help provide solutions in regards to the need for an increase in resources in healthcare. The aim of this review was to identify how robots are utilized in the healthcare of people who are over the age of 65 and how this population experiences interacting with healthcare robots. DESIGN A systematic literature review with an integrated design was conducted. METHODS A literature search was performed in the electronic databases CINAHL via EBSCO, EMBASE, and Medline via Ovid. Content analysis was performed to assess the studies that were included in this review. RESULTS A total of 14 articles were included. Participants in the studies included 453 older people ranging from 65 to 108 years of age. Nine of the studies focused on people with dementia or cognitive impairment. Seven studies included different types of socially assistive human-like robots, six of the studies included two different types of animal-like robots, and one study focused on a robotic rollator. The robots mainly served as social assistive- or engagement robots.
Collapse
Affiliation(s)
- Ann-Chatrin Linqvist Leonardsen
- Faculty of Health, Welfare and Organization, Ostfold University College, Postal Box Code 700, 1757 Halden, Norway
- Department of Anesthesia, Ostfold Hospital Trust, Postal Box Code 300, 1714 Grålum, Norway
| | - Camilla Hardeland
- Faculty of Health, Welfare and Organization, Ostfold University College, Postal Box Code 700, 1757 Halden, Norway
| | - Ann Karin Helgesen
- Faculty of Health, Welfare and Organization, Ostfold University College, Postal Box Code 700, 1757 Halden, Norway
| | - Carina Bååth
- Faculty of Health, Welfare and Organization, Ostfold University College, Postal Box Code 700, 1757 Halden, Norway
- Department of Health Sciences, Faculty of Health, Science, and Technology, Karlstad University, SE-651 88 Karlstad, Sweden
| | - Lilliana del Busso
- Faculty of Health, Welfare and Organization, Ostfold University College, Postal Box Code 700, 1757 Halden, Norway
| | - Vigdis Abrahamsen Grøndahl
- Faculty of Health, Welfare and Organization, Ostfold University College, Postal Box Code 700, 1757 Halden, Norway
| |
Collapse
|
14
|
Lee OEK, Nam I, Chon Y, Park A, Choi N. Socially Assistive Humanoid Robots: Effects on Depression and Health-Related Quality of Life among Low-Income, Socially Isolated Older Adults in South Korea. J Appl Gerontol 2023; 42:367-375. [PMID: 36326599 DOI: 10.1177/07334648221138283] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Using a mixed-method study design, we examined the effects of a socially assistive humanoid robot (SAHR), called Hyodol, on depressive symptoms and health-related quality of life (HRQOL) of low-income, socially isolated older adults (N = 180). Quantitative outcomes were assessed at baseline (before Hyodol deployment) and at 3 and 6 months after baseline. Results showed reduced depressive symptoms and improved HRQOL at 3 months; however, these positive effects did not extend to 6 months. Ten focus group participants perceived Hyodol to be a valuable companion especially during the COVID outbreak. These results suggest that while Hyodol may have provided companionship for some low-income, socially isolated older adults during home confinement, its effects on depression and HRQOL were limited. Further research is needed to assess long-term effects of SAHRs as appropriate tools for reducing social isolation and improving behavioral health among community-dwelling older adults.
Collapse
Affiliation(s)
- Othelia E K Lee
- School of Social Work, 16135University of North Carolina Charlotte, Charlotte, NC, USA
| | - Ilsung Nam
- Department of Social Welfare, 56885Sungkonghoe University, Seoul, South Korea
| | - Yongho Chon
- Department of Social Welfare, 34958Incheon National University, Incheon, South Korea
| | - Albert Park
- 166300University of North Carolina at Cahrlotte, Charlotte, NC, USA
| | - Namkee Choi
- The University of Texas at Austin, Austin, TX, USA
| |
Collapse
|
15
|
Chen N, Liu X, Zhai Y, Hu X. Development and validation of a robot social presence measurement dimension scale. Sci Rep 2023; 13:2911. [PMID: 36807328 PMCID: PMC9939412 DOI: 10.1038/s41598-023-28817-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Accepted: 01/25/2023] [Indexed: 02/21/2023] Open
Abstract
Robots that can exhibit human-like behaviour, build social relationships with humans, and carry out social interaction that can be considered to have a social presence. Measuring the social presence of robots can provide an important basis for optimizing the design of robots' human-like behaviour, but until now, there has been no research and discussion on the presence of robots from the perspective of social interaction. Based on related studies, such as the theory of the presence of interpersonal interaction society, the mechanism of network social presence measurement and human-computer interaction, this study constructs a theoretical model of robot social presence, and develops corresponding measurement scales with five dimensions, namely, the presence, attention distribution, interactive expression and information understanding, perceived emotional interdependence, and interaction behaviour perception. The 5-dimensional robot social presence model was finalized, and a 17-question questionnaire scale was developed. The validation of the model and the development of the scale includes one expert assessment (involving three experts), one user interview (involving five interviewees), and two questionnaire surveys (involving 172 valid questionnaires and 494 valid questionnaires respectively). The final model shows good reliability of the measurement questionnaire, high inter-factor correlation, high model fit, high internal consistency of the dimensions, high reliability of the scale, and high convergent validity of all dimensions. This study provides a theoretical basis for the study of robot social presence and human-robot collaboration and provides a reference measurement tool for social robot-related development and research.
Collapse
Affiliation(s)
- Na Chen
- School of Economics and Management, Beijing University of Chemical Technology, Beijing, 100055, China.
| | - Xiaoyu Liu
- grid.48166.3d0000 0000 9931 8406School of Economics and Management, Beijing University of Chemical Technology, Beijing, 100055 China
| | - Yanan Zhai
- grid.48166.3d0000 0000 9931 8406School of Economics and Management, Beijing University of Chemical Technology, Beijing, 100055 China
| | - Xueyan Hu
- grid.48166.3d0000 0000 9931 8406School of Economics and Management, Beijing University of Chemical Technology, Beijing, 100055 China
| |
Collapse
|
16
|
Leung AYM, Zhao IY, Lin S, Lau TK. Exploring the Presence of Humanoid Social Robots at Home and Capturing Human-Robot Interactions with Older Adults: Experiences from Four Case Studies. Healthcare (Basel) 2022; 11:healthcare11010039. [PMID: 36611499 PMCID: PMC9818881 DOI: 10.3390/healthcare11010039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Revised: 12/14/2022] [Accepted: 12/20/2022] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND Social robots have the potential to bring benefits to aged care. However, it is uncertain whether placing these robots in older people's home is acceptable and whether human-robot interactions would occur or not. METHODS Four case studies were conducted to understand the experiences of older adults and family caregivers when humanoid social robot Ka Ka was placed in homes for two weeks. RESULTS Four older adults and three family caregivers were involved. Older adults interacted with the social robot Ka Ka every day during the study period. 'Talking to Ka Ka', 'listening to music', 'using the calendar reminder', and 'listening to the weather report' were the most commonly used features. Qualitative data reported the strengths of Ka Ka, such as providing emotional support to older adults living alone, diversifying their daily activities, and enhancing family relationships. The voice from Ka Ka (female, soft, and pleasing to the ear) was considered as 'bringing a pleasant feeling' to older adults. CONCLUSIONS In order to support aging-in-place and fill the gaps of the intensified shortage of health and social manpower, it is of prime importance to develop reliable and age-friendly AI-based robotic services that meet the needs and preferences of older adults and caregivers.
Collapse
Affiliation(s)
- Angela Y. M. Leung
- WHO Collaborating Centre for Community Health Services, School of Nursing, The Hong Kong Polytechnic University, Hong Kong 999077, China
- Research Institute of Smart Aging (RISA), The Hong Kong Polytechnic University, Hong Kong 999077, China
- Correspondence: ; Tel.: +852-2766-5587
| | - Ivy Y. Zhao
- WHO Collaborating Centre for Community Health Services, School of Nursing, The Hong Kong Polytechnic University, Hong Kong 999077, China
- Research Institute of Smart Aging (RISA), The Hong Kong Polytechnic University, Hong Kong 999077, China
| | - Shuanglan Lin
- WHO Collaborating Centre for Community Health Services, School of Nursing, The Hong Kong Polytechnic University, Hong Kong 999077, China
| | - Terence K. Lau
- WHO Collaborating Centre for Community Health Services, School of Nursing, The Hong Kong Polytechnic University, Hong Kong 999077, China
- Research Institute of Smart Aging (RISA), The Hong Kong Polytechnic University, Hong Kong 999077, China
| |
Collapse
|
17
|
Radnan MJ, Li W, Stevens CJ, Hill C, Jones C. Measuring engagement among older adults using a multidimensional approach to communication. Front Psychol 2022; 13:981008. [DOI: 10.3389/fpsyg.2022.981008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Accepted: 10/25/2022] [Indexed: 11/23/2022] Open
Abstract
Characterizing older adult engagement is important to determine the effectiveness of interventions. Engagement refers to the occupying of oneself in external stimuli and is observable across multiple dimensions of behavior. Engagement of older adults is commonly investigated using a single behavioral dimension. There is a dearth of analytical methods that can simultaneously quantify both verbal and non-verbal forms of communication as proxies for engagement. In this article, we present a multidimensional technique to measure engagement of older adults using techniques appropriate for people with varying degrees of dementia. The new analytical approach measures facial movement, lexical use, and prosodic patterns of speech as indices of affective and behavioral outcomes of engagement. Contexts for engagement included a dyadic reminiscence therapy interview and a 12-week technology-driven group reminiscence therapy. Illustrative examples of the technique are described by two participants from two different groups in a naturalistic setting. Application of these analytical techniques can enhance measurement precision and further develop the science and evidence base, especially for, but not confined to, non-pharmacological interventions.
Collapse
|
18
|
David D, Thérouanne P, Milhabet I. The acceptability of social robots: A scoping review of the recent literature. COMPUTERS IN HUMAN BEHAVIOR 2022. [DOI: 10.1016/j.chb.2022.107419] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
19
|
Ejdys J, Gulc A. Factors influencing the intention to use assistive technologies by older adults. HUMAN TECHNOLOGY 2022. [DOI: 10.14254/1795-6889.2022.18-1.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Society is ageing at an unprecedented pace worldwide creating implications for the health and social care. Gerontechnology has been recognized as a solution that increases and supports the independency and well-being of older adults at home. This article aims to identify the most critical success factors effecting the adoption of an assistive gerontechnology by older adults in Poland. The object of the authors' interest was Rudy robot, an AI-enabled mobile solution helping users remain physically healthy, mentally sharp, and socially connected. The data was collected among Polish citizens using the CATI technique between November and December 2020. The number of returned questionnaires amounted to 824. The authors used Generalized Least Squares (GLS) of Structural Equation Modelling (GLS-SEM) to verify the hypotheses. The obtained results confirmed statistically significant relationships between the variables of perceived usefulness of Rudy robot and attitude reflecting the willingness to use this technology, as well as between perceived ease of use and perceived usefulness of robot. However, relationship between perceived ease of use and inclination to use this technology in the future was not statistically significant. The conducted research confirmed that the functionality of the analysed Rudy robot for older-adult care positively influences their intension to use it in the future for their own needs or family members. The obtained results confirmed usefulness of robots as assistive technology helping older adults.
Collapse
|
20
|
Yu C, Sommerlad A, Sakure L, Livingston G. Socially assistive robots for people with dementia: Systematic review and meta-analysis of feasibility, acceptability and the effect on cognition, neuropsychiatric symptoms and quality of life. Ageing Res Rev 2022; 78:101633. [PMID: 35462001 DOI: 10.1016/j.arr.2022.101633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2021] [Revised: 04/05/2022] [Accepted: 04/14/2022] [Indexed: 11/01/2022]
Abstract
BACKGROUND There is increasing interest in using robots to support dementia care but little consensus on the evidence for their use. The aim of the study is to review evidence about feasibility, acceptability and clinical effectiveness of socially assistive robots used for people with dementia. METHOD We conducted a systematic review and meta-analysis. We searched MEDLINE, EMBASE, PsychINFO, CINHAL, IEEE Xplore Digital Library, and EI Engineering Village from inception to 04 - 02-2022 - included primary studies assessing feasibility, acceptability, or effectiveness of socially assistive robots for people with dementia. Two independent reviewers screened studies for eligibility, and assessed quality. Narrative synthesis prioritized higher quality studies, and random-effect meta-analyses compared robots with usual care (UC) or active control (AC) immediately after the intervention (short-term; ST) or long-term (LT) on cognition, neuropsychiatric symptoms, and quality of life. FINDINGS 66 studies and four categories of robots were eligible: Companion robots (Pet and humanoid companion robots), telepresence communication robots, homecare assistive robots and multifunctional robots. PARO (companion robot seal) was feasible and acceptable but limited by its weight, cost, and sound. On meta-analysis, PARO had no ST or LT compared to UC or AC over 5-12 weeks on agitation (ST vs UC, 4 trials, 153 participants: pooled standardized mean difference (SMD) 0.25; - 0.57 to 0.06; LT vs UC; 2 trials, 77 participants, SMD = -0.24; - 0.94, 0.46), cognition (ST vs UC, 3 trials, 128 participants: SMD= 0.03; -0.32, 0.38), overall neuropsychiatric symptoms (ST vs UC, 3 trials, 169 participants: SMD= -0.01; -0.32, 0.29; ST vs AC, 2 trials, 145 participants: SMD =0.02, -0.71, 0.85), apathy (ST vs AC, 2 trials, 81 participants: SMD= 0.14; 0.29, 0.58), depression (ST vs UC, 4 trials, 181 participants; SMD= 0.08; -0.52, 0.69; LT vs UC: 2 trials, 77 participants: SMD =0.01; -0.75, 0.77), anxiety (ST vs UC: 2 trials, 104 participants, SMD= 0.24; -0.85, 1.33) and quality of life (ST vs UC, 2 trials, 127 participants: SMD=-0.05; -0.52, 0.42; ST vs AC: 2 trials, 159 participants, SMD =-0.36, -0.76, 0.05). Robotic animals, humanoid companion robots, telepresence robots and multifunctional robots were feasible and acceptable. However, humanoid companion robots have speech recognition problems, and telepresence robots and multifunctional robots were often difficult to use. There was mixed evidence about the feasibility of homecare robots. There was little evidence on any of these robots' effectiveness. CONCLUSION Although robots were generally feasible and acceptable, there is no clear evidence that people with dementia derive benefit from robots for cognition, neuropsychiatric symptoms, or quality of life. We recommend that future research should use high quality designs to establish evidence of effectiveness.
Collapse
|
21
|
Tobis S, Piasek J, Cylkowska-Nowak M, Suwalska A. Robots in Eldercare: How Does a Real-World Interaction with the Machine Influence the Perceptions of Older People? SENSORS 2022; 22:s22051717. [PMID: 35270866 PMCID: PMC8915103 DOI: 10.3390/s22051717] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Revised: 02/06/2022] [Accepted: 02/17/2022] [Indexed: 11/23/2022]
Abstract
(1) Background: Using autonomous social robots in selected areas of care for community-dwelling older adults is one of the promising approaches to address the problem of the widening care gap. We posed the question of whether a possibility to interact with the technology to be used had an impact on the scores given by the respondents in various domains of needs and requirements for social robots to be deployed in care for older individuals. (2) Methods: During the study, the opinions of older people (65+; n = 113; with no severe cognitive impairment) living in six social care institutions about a robot in care for older people were collected twice using the Users’ Needs, Requirements and Abilities Questionnaire (UNRAQ): after seeing a photo of the robot only and after a 90−150 min interaction with the TIAGo robot. (3) Results: Mean total scores for both assistive and social functions were higher after the interaction (p < 0.05). A positive correlation was found between opinion changes in social and assistive functions (r = 0.4842; p = 0.0000). (4) Conclusions: Preimplementation studies and assessments should include the possibility to interact with the robot to provide its future users with a clear idea of the technology and facilitate necessary customisations of the machine.
Collapse
Affiliation(s)
- Slawomir Tobis
- Department of Occupational Therapy, Poznan University of Medical Sciences, 60-781 Poznan, Poland;
- Correspondence:
| | - Joanna Piasek
- Institute of Robotics and Machine Intelligence, Poznan University of Technology, 60-965 Poznan, Poland;
| | | | - Aleksandra Suwalska
- Department of Mental Health, Chair of Psychiatry, Poznan University of Medical Sciences, 60-572 Poznan, Poland;
| |
Collapse
|
22
|
Yap YY, Tan SH, Choon SW. Elderly's intention to use technologies: A systematic literature review. Heliyon 2022; 8:e08765. [PMID: 35128090 PMCID: PMC8800037 DOI: 10.1016/j.heliyon.2022.e08765] [Citation(s) in RCA: 20] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2021] [Revised: 12/06/2021] [Accepted: 01/11/2022] [Indexed: 11/25/2022] Open
Abstract
The population aging and an increased life expectancy are widely recognized social changes. Technologies are believed to improve the elderly's daily lives and maintain their health efficiently. Despite the advantage of adopting technologies, the elderly are slower to adopt new technologies compared to younger adults. This paper presents a Systematic Literature Review (SLR) to identify the different antecedents prevailing in the literature on elderly technology adoption. The SLR classifies and analyzes 26 relevant articles on elderly's technology adoption. Our findings revealed that quantitative approach and cross-sectional studies predominate in this field, building fundamentally upon the technology-driven theories. We identify seven categories of antecedents influencing elderly's use of technology, namely, technology, psychological, social, personal, cost, behavior, and environment antecedents. A conceptual framework for elderly's technology adoption and recommendations were presented. Particular attention is given to the need for in depth study for the antecedents, development of new measurement scales and investigation on the effectiveness of the proposed benefits after technology adoption.
Collapse
Affiliation(s)
- Yee-Yann Yap
- Faculty of Management, Multimedia University, Persiaran Multimedia, 63100 Cyberjaya, Selangor, Malaysia
| | - Siow-Hooi Tan
- Faculty of Management, Multimedia University, Persiaran Multimedia, 63100 Cyberjaya, Selangor, Malaysia
| | - Shay-Wei Choon
- Faculty of Management, Multimedia University, Persiaran Multimedia, 63100 Cyberjaya, Selangor, Malaysia
| |
Collapse
|
23
|
Wang YA, Chang V, Cross AR, Xu QA, Yu S. Towards Perceived Playfulness and Adoption of Hearables in Smart Cities of China. JOURNAL OF GLOBAL INFORMATION MANAGEMENT 2022. [DOI: 10.4018/jgim.309956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
'Hearables' have become important in the aging population. This study investigates whether smart technologies help middle-aged and elderly people accept hearing aid devices in smart cities of China. The authors adopt the PLS-SEM framework to analyze the factors that affect behavioral intention towards adopting hearing aids in smart cities. In order to avoid common method bias, Harman's single factor method is also carried out to make sure the instrument does not introduce a bias. The findings suggest that perceived playfulness and perceived usefulness are principal determinants of hearing aids adoption. In contrast, perceived ease of use, a factor always stressed in literature, does not matter significantly. The results reveal that smart technologies enable patients to access professional services and instructions playfully, which reduces obstacles to adopt hearing aids. This study provides novel insights for policymakers and manufacturers to expand hearing aid adoption by facilitating smart infrastructure and technologies.
Collapse
Affiliation(s)
- Yuanyuan Anna Wang
- Department of Public Health and Preventive Medicine, FMNHS, Monash University; Suzhou Industrial Park Monash Research Institute of Science and Technology, China
| | | | | | | | | |
Collapse
|
24
|
Simeoni R, Colonnelli F, Eutizi V, Marchetti M, Paolini E, Papalini V, Punturo A, Salvò A, Scipinotti N, Serpente C, Barbini E, Troscia R, Maccioni G, Giansanti D. The Social Robot and the Digital Physiotherapist: Are We Ready for the Team Play? Healthcare (Basel) 2021; 9:1454. [PMID: 34828501 PMCID: PMC8618922 DOI: 10.3390/healthcare9111454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2021] [Revised: 10/20/2021] [Accepted: 10/23/2021] [Indexed: 11/17/2022] Open
Abstract
Motivation: We are witnessing two phenomena. The first is that the physiotherapist is increasingly becoming a figure that must interact with Digital Health. On the other hand, social robots through research are improving more and more in the aspects of social interaction thanks also to artificial intelligence and becoming useful in rehabilitation processes. It begins to become strategic to investigate the intersections between these two phenomena. Objective: Therefore, we set ourselves the goal of investigating the consensus and opinion of physiotherapists around the introduction of social robots in clinical practice both in rehabilitation and assistance. Procedure: An electronic survey has been developed focused on social robot-based rehabilitation and assistance and has been submitted to subjects focused on physiotherapy sciences to investigate their opinion and their level of consent regarding the use of the social robot in rehabilitation and assistance. Two samples of subjects were recruited: the first group (156 participating subjects, 79 males, 77 females, mean age 24.3 years) was in the training phase, and the second (167 participating subjects, 86 males, 81 females, mean age 42.4 years) group was involved in the work processes. An electronic feedback form was also submitted to investigate the acceptance of the proposed methodology. Results: The survey showed a consistency of the results between the two samples from which interesting considerations emerge. Contrary to stereotypes that report how AI-based devices put jobs at risk, physiotherapists are not afraid of these devices. The subjects involved in the study believe the following: (a) social robots can be reliable co-workers but will remain a complementary device; (b) their role will be of the utmost importance as an operational manager in their use and in performance monitoring; (c) these devices will allow an increase in working capacity and facilitate integration. All those involved in the study believe that the proposed electronic survey has proved to be a useful and effective tool that can be useful as a periodic monitoring tool and useful for scientific societies. Conclusions: The evolution of social robots represents an unstoppable process as does the increase in the aging of the population. Stakeholders must not look with suspicion toward these devices, which can represent an important resource, but rather invest in monitoring and consensus training initiatives.
Collapse
Affiliation(s)
- Rossella Simeoni
- Faculty of Medicine and Surgery, Università Cattolica del Sacro Cuore, San Martino al Cimino, 01100 Viterbo, Italy; (R.S.); (F.C.); (V.E.); (M.M.); (E.P.); (V.P.); (A.P.); (A.S.); (N.S.); (C.S.); (E.B.); (R.T.)
| | - Federico Colonnelli
- Faculty of Medicine and Surgery, Università Cattolica del Sacro Cuore, San Martino al Cimino, 01100 Viterbo, Italy; (R.S.); (F.C.); (V.E.); (M.M.); (E.P.); (V.P.); (A.P.); (A.S.); (N.S.); (C.S.); (E.B.); (R.T.)
| | - Veronica Eutizi
- Faculty of Medicine and Surgery, Università Cattolica del Sacro Cuore, San Martino al Cimino, 01100 Viterbo, Italy; (R.S.); (F.C.); (V.E.); (M.M.); (E.P.); (V.P.); (A.P.); (A.S.); (N.S.); (C.S.); (E.B.); (R.T.)
| | - Matteo Marchetti
- Faculty of Medicine and Surgery, Università Cattolica del Sacro Cuore, San Martino al Cimino, 01100 Viterbo, Italy; (R.S.); (F.C.); (V.E.); (M.M.); (E.P.); (V.P.); (A.P.); (A.S.); (N.S.); (C.S.); (E.B.); (R.T.)
| | - Elena Paolini
- Faculty of Medicine and Surgery, Università Cattolica del Sacro Cuore, San Martino al Cimino, 01100 Viterbo, Italy; (R.S.); (F.C.); (V.E.); (M.M.); (E.P.); (V.P.); (A.P.); (A.S.); (N.S.); (C.S.); (E.B.); (R.T.)
| | - Valentina Papalini
- Faculty of Medicine and Surgery, Università Cattolica del Sacro Cuore, San Martino al Cimino, 01100 Viterbo, Italy; (R.S.); (F.C.); (V.E.); (M.M.); (E.P.); (V.P.); (A.P.); (A.S.); (N.S.); (C.S.); (E.B.); (R.T.)
| | - Alessio Punturo
- Faculty of Medicine and Surgery, Università Cattolica del Sacro Cuore, San Martino al Cimino, 01100 Viterbo, Italy; (R.S.); (F.C.); (V.E.); (M.M.); (E.P.); (V.P.); (A.P.); (A.S.); (N.S.); (C.S.); (E.B.); (R.T.)
| | - Alice Salvò
- Faculty of Medicine and Surgery, Università Cattolica del Sacro Cuore, San Martino al Cimino, 01100 Viterbo, Italy; (R.S.); (F.C.); (V.E.); (M.M.); (E.P.); (V.P.); (A.P.); (A.S.); (N.S.); (C.S.); (E.B.); (R.T.)
| | - Nicoletta Scipinotti
- Faculty of Medicine and Surgery, Università Cattolica del Sacro Cuore, San Martino al Cimino, 01100 Viterbo, Italy; (R.S.); (F.C.); (V.E.); (M.M.); (E.P.); (V.P.); (A.P.); (A.S.); (N.S.); (C.S.); (E.B.); (R.T.)
| | - Christian Serpente
- Faculty of Medicine and Surgery, Università Cattolica del Sacro Cuore, San Martino al Cimino, 01100 Viterbo, Italy; (R.S.); (F.C.); (V.E.); (M.M.); (E.P.); (V.P.); (A.P.); (A.S.); (N.S.); (C.S.); (E.B.); (R.T.)
| | - Emanuele Barbini
- Faculty of Medicine and Surgery, Università Cattolica del Sacro Cuore, San Martino al Cimino, 01100 Viterbo, Italy; (R.S.); (F.C.); (V.E.); (M.M.); (E.P.); (V.P.); (A.P.); (A.S.); (N.S.); (C.S.); (E.B.); (R.T.)
| | - Riccardo Troscia
- Faculty of Medicine and Surgery, Università Cattolica del Sacro Cuore, San Martino al Cimino, 01100 Viterbo, Italy; (R.S.); (F.C.); (V.E.); (M.M.); (E.P.); (V.P.); (A.P.); (A.S.); (N.S.); (C.S.); (E.B.); (R.T.)
| | | | | |
Collapse
|
25
|
Tulsulkar G, Mishra N, Thalmann NM, Lim HE, Lee MP, Cheng SK. Can a humanoid social robot stimulate the interactivity of cognitively impaired elderly? A thorough study based on computer vision methods. THE VISUAL COMPUTER 2021; 37:3019-3038. [PMID: 34345091 PMCID: PMC8323964 DOI: 10.1007/s00371-021-02242-y] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 07/02/2021] [Indexed: 06/13/2023]
Abstract
Social Assistive Robotics is increasingly being used in care settings to provide psychosocial support and interventions for the elderly with cognitive impairments. Most of these social robots have provided timely stimuli to the elderly at home and in care centres, including keeping them active and boosting their mood. However, previous investigations have registered shortcomings in these robots, particularly in their ability to satisfy an essential human need: the need for companionship. Reports show that the elderly tend to lose interests in these social robots after the initial excitement as the novelty wears out and the monotonous familiarity becomes all too familiar. This paper presents our research facilitating conversations between a social humanoid robot, Nadine, and cognitively impaired elderly at a nursing home. We analysed the effectiveness of human-humanoid interactions between our robot and 14 elderly over 29 sessions. We used both objective tools (based on computer vision methods) and subjective tools (based on observational scales) to evaluate the recorded videos. Our findings showed that our subjects engaged positively with Nadine, suggesting that their interaction with the robot could improve their well-being by compensating for some of their emotional, cognitive, and psychosocial deficiencies. We detected emotions associated with cognitively impaired elderly during these interactions. This study could help understand the expectations of the elderly and the current limitations of Social Assistive Robots. Our research is aligned with all the ethical recommendations by the NTU Institutional Review Board.
Collapse
Affiliation(s)
- Gauri Tulsulkar
- Institute of Media Innovation, Nanyang Technological University, Singapore, Singapore
| | - Nidhi Mishra
- Institute of Media Innovation, Nanyang Technological University, Singapore, Singapore
| | - Nadia Magnenat Thalmann
- Institute of Media Innovation, Nanyang Technological University, Singapore, Singapore
- MIRALab, University of Geneva, Geneva, Switzerland
| | - Hwee Er Lim
- Goshen Consultancy Services Pte Ltd, Singapore, Singapore
| | - Mei Ping Lee
- Goshen Consultancy Services Pte Ltd, Singapore, Singapore
| | | |
Collapse
|
26
|
Saragih ID, Tonapa SI, Sun TL, Chia-Ju L, Lee BO. Effects of robotic care interventions for dementia care: A systematic review and meta-analysis randomised controlled trials. J Clin Nurs 2021; 30:3139-3152. [PMID: 34041803 DOI: 10.1111/jocn.15856] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Revised: 04/15/2021] [Accepted: 05/01/2021] [Indexed: 11/28/2022]
Abstract
BACKGROUND The role of robotic care has been studied because it may be a care option applicable to dementia care. However, the effects of robotic care in dementia care are still inconclusive. AIM To explore the span of the effects of robotic care intervention among patients with dementia. DESIGN Systematic review and meta-analysis. METHODS This study searched systematically using the following databases: Academic Search Complete, CINAHL, Cochrane Library, MEDLINE, PubMed, SocINDEX, UpToDate (OVID) and Web of Science. The eligibility criteria were patients with dementia, randomised controlled trials and publications in English. The PEDro scale was used to assess the methodological quality in the included studies. The meta-analysis was performed using a fixed-effects model to calculate the pooled effects of robotic care interventions. STATA 16.0 was used for statistical analysis. The results are reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. RESULTS A total of 15 studies met the eligibility criteria and included 1684 participants. Overall, the robotic care interventions had positive effects on agitation (SMD = 0.09; 95% CI [-0.22-0.33]), anxiety (SMD = -0.07; 95% CI [-0.42-0.28]), cognitive function (SMD = 0.16; 95% CI [-0.08-0.40]), depression (SMD = -0.35; 95% CI [-0.69-0.02]), neuropsychiatric symptoms (SMD = 0.16; 95% CI [-0.29-0.61]), total hours of sleep during daytime (SMD = -0.31; 95% CI [-0.55 to 0.07]) and quality of life (SMD = 0.24; 95% CI [-0.23-0.70]). CONCLUSION Robotic care intervention may be an effective and alternative intervention for improving the health outcomes for people with dementia. The robotic care effect on anxiety should be confirmed. Further studies may consider the frequency, duration of intervention and possible negative outcomes after robotic care interventions. RELEVANCE TO CLINICAL PRACTICE As a non-pharmacological approach, nursing staff may consider the robotic care intervention in providing care for patients with dementia since this intervention has clinical benefits.
Collapse
Affiliation(s)
| | - Santo Imanuel Tonapa
- College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.,School of Nursing, Sam Ratulangi University, Manado, Indonesia
| | - Tien-Lung Sun
- Department of Industrial Engineering, Yuan-Ze University, Taoyuan, Taiwan
| | - Lin Chia-Ju
- College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Bih-O Lee
- College of Nursing & Neuroscience Research Center, Kaohsiung Medical University, Kaohsiung, Taiwan
| |
Collapse
|
27
|
Chen K, Lou VWQ, Lo SSC. Exploring the acceptance of tablets usage for cognitive training among older people with cognitive impairments: A mixed-methods study. APPLIED ERGONOMICS 2021; 93:103381. [PMID: 33578065 DOI: 10.1016/j.apergo.2021.103381] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/20/2019] [Revised: 10/22/2020] [Accepted: 01/29/2021] [Indexed: 06/12/2023]
Abstract
This study investigated the acceptance of tablets technology among cognitively impaired older adults from individual and contextual levels when used in cognitive training. A convergent parallel mixed-methods design, comprising a post-usage questionnaire survey and focus groups, was used for data collection. A number of 57 community-dwelling cognitively impaired older people in Hong Kong completed an eight-week, home-based cognitive training using tablets delivered by older volunteers. The acceptance of the tablet usage for cognitive training was evaluated using questionnaire survey. Focus groups were conducted with participants, volunteers, and social workers to explore their experiences of tablet usage for cognitive training. Results indicated that attitudes toward tablets and facilitating conditions were predictors of intention to use tablets at the individual level. Tablets were perceived as beneficial on cognition, enjoyment, learning, social relationships, and communication. Contextual level factors that can encourage tablets usage include capacity building, empowerment, supports from the organization, and trust.
Collapse
Affiliation(s)
- Ke Chen
- Sau Po Centre on Ageing, University of Hong Kong, Hong Kong, China.
| | - Vivian Wei Qun Lou
- Sau Po Centre on Ageing, University of Hong Kong, Hong Kong, China; Department of Social Work and Social Administration, University of Hong Kong, Hong Kong, China.
| | | |
Collapse
|
28
|
Shu S, Woo BKP. Use of technology and social media in dementia care: Current and future directions. World J Psychiatry 2021; 11:109-123. [PMID: 33889536 PMCID: PMC8040150 DOI: 10.5498/wjp.v11.i4.109] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/05/2021] [Revised: 02/17/2021] [Accepted: 03/18/2021] [Indexed: 02/06/2023] Open
Abstract
As the population across the globe continues to dramatically increase, the prevalence of cognitive impairment and dementia will inevitably increase as well, placing increasing burden on families and health care systems. Technological advancements over the past decade provide potential benefit in not only relieving caregiver burden of caring for a loved one with dementia, but also enables individuals with dementia to age in place. Technological devices have served to improve functioning, tracking and mobility. Similarly, smartphones, tablets and the ubiquitous world wide web have facilitated the dissemination of health information to previously hard to reach populations largely through use of various social media platforms. In this review, we discuss the current and future uses of technology via devices and social media to promote healthy aging in individuals with dementia, and also limitations and challenges to consider in the future.
Collapse
Affiliation(s)
- Sara Shu
- College of Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona, CA 91766, United States
| | - Benjamin KP Woo
- Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles (UCLA) Medical Center, Sylmar, CA 91104, United States
| |
Collapse
|