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Wasic C, Erzgräber R, Unger-Büttner M, Donath C, Böhme HJ, Graessel E. What helps, what hinders?-Focus group findings on barriers and facilitators for mobile service robot use in a psychosocial group therapy for people with dementia. Front Robot AI 2024; 11:1258847. [PMID: 38973971 PMCID: PMC11224299 DOI: 10.3389/frobt.2024.1258847] [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: 07/14/2023] [Accepted: 05/10/2024] [Indexed: 07/09/2024] Open
Abstract
Introduction Many countries are facing a shortage of healthcare workers. Furthermore, healthcare workers are experiencing many stressors, resulting in psychological issues, impaired health, and increased intentions to leave the workplace. In recent years, different technologies have been implemented to lighten workload on healthcare workers, such as electronic patient files. Robotic solutions are still rather uncommon. To help with acceptance and actual use of robots their functionalities should correspond to the users' needs. Method In the pilot study Care4All-Initial, we developed and field-tested applications for a mobile service robot in a psychosocial, multimodal group therapy for people with dementia. To guide the process and assess possible facilitators and barriers, we conducted a reoccurring focus group including people with dementia, therapists, professional caregivers as well as researchers from different disciplines with a user-centered design approach. The focus group suggested and reviewed applications and discussed ethical implications. We recorded the focus group discussions in writing and used content analysis. Results The focus group discussed 15 different topics regarding ethical concerns that we used as a framework for the research project: Ethical facilitators were respect for the autonomy of the people with dementia and their proxies regarding participating and data sharing. Furthermore, the robot had to be useful for the therapists and attendees. Ethical barriers were the deception and possible harm of the people with dementia or therapists. The focus group suggested 32 different applications. We implemented 13 applications that centered on the robot interacting with the people with dementia and lightening the workload off the therapists. The implemented applications were facilitated through utilizing existing hard- and software and building on applications. Barriers to implementation were due to hardware, software, or applications not fitting the scope of the project. Discussion To prevent barriers of robot employment in a group therapy for people with dementia, the robot's applications have to be developed sufficiently for a flawless and safe use, the use of the robot should not cause irritation or agitation, but rather be meaningful and useful to its users. To facilitate the development sufficient time, money, expertise and planning is essential.
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Affiliation(s)
- Catharina Wasic
- Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), University Hospital Erlangen, Department of Psychiatry and Psychotherapy, Center for Health Services Research in Medicine, Erlangen, Germany
| | - Robert Erzgräber
- Department of Artificial Intelligence/Cognitive Robotics, Faculty of Informatics/Mathematics, University of Applied Science Dresden (HTW Dresden), Dresden, Germany
| | | | - Carolin Donath
- Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), University Hospital Erlangen, Department of Psychiatry and Psychotherapy, Center for Health Services Research in Medicine, Erlangen, Germany
| | - Hans-Joachim Böhme
- Department of Artificial Intelligence/Cognitive Robotics, Faculty of Informatics/Mathematics, University of Applied Science Dresden (HTW Dresden), Dresden, Germany
| | - Elmar Graessel
- Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), University Hospital Erlangen, Department of Psychiatry and Psychotherapy, Center for Health Services Research in Medicine, Erlangen, Germany
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Hegde P, Gadag A, Sontakke S, Kumar M, Kholia A, Patel J, Khan A, Jahnavi E, Nabala R, Thotappa D. Perspective analysis of assistive robots for elderly in India. Disabil Rehabil Assist Technol 2024:1-10. [PMID: 38450683 DOI: 10.1080/17483107.2024.2322634] [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: 05/19/2023] [Accepted: 02/16/2024] [Indexed: 03/08/2024]
Abstract
PURPOSE Assistive technology for elderly are advancing, and this study aimed to analyse the Indian perspective on utilising assistive robot technology for aiding elderly individuals. MATERIALS AND METHODS A population-based survey was undertaken to collect data from three perspectives: Relatives of the elderly, Healthcare professionals and Elderly individuals. The survey gathered 389 responses. The responses are statistically analysed, and data is visualised with different plots for better understanding. RESULTS It is observed that the older people rate with less conviction on the use of technology when compared to the relatives and healthcare professionals. Out of the three target groups, the elderly individuals had the most correlating attributes to purchasing the robot. Also, healthcare personnel, relatives, and older people gave 82%, 63% and 55% affirmatives to the question on purchasing the robot, respectively. And the cost of the robot is preferred to be under 6 lakh rupees. CONCLUSIONS Though the younger generation has more orientation towards technology, older people are skeptical about handling computer gadgets or robots. However, there are significant expectations and concerns expressed by three target groups such as conversational, navigational, reminder features, security and malfunction concerns.
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Affiliation(s)
- Pradyoth Hegde
- Data Science and Intelligent Systems, Indian Institute of Information Technology Dharwad, Dharwad, Karnataka, India
| | - Amruth Gadag
- Electronics and Communications, National Institute of Technology Karnataka, Mangaluru, Karnataka, India
| | - Swapnil Sontakke
- Data Science and Intelligent Systems, Indian Institute of Information Technology Dharwad, Dharwad, Karnataka, India
| | - Mahesh Kumar
- Electronics and Communications, National Institute of Technology Karnataka, Mangaluru, Karnataka, India
| | - Aparna Kholia
- Computer Science and Engineering, Indian Institute of Information Technology Dharwad, Dharwad, Karnataka, India
| | - Jaynit Patel
- Computer Science and Engineering, Indian Institute of Information Technology Dharwad, Dharwad, Karnataka, India
| | - Ayaan Khan
- Computer Science and Engineering, Indian Institute of Information Technology Dharwad, Dharwad, Karnataka, India
| | - Enduri Jahnavi
- Data Science and Intelligent Systems, Indian Institute of Information Technology Dharwad, Dharwad, Karnataka, India
| | - Rajesh Nabala
- Humanities and Science, Indian Institute of Information Technology Dharwad, Dharwad, Karnataka, India
| | - Deepak Thotappa
- Humanities and Science, Indian Institute of Information Technology Dharwad, Dharwad, Karnataka, India
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3
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Tian YJA, Felber NA, Pageau F, Schwab DR, Wangmo T. Benefits and barriers associated with the use of smart home health technologies in the care of older persons: a systematic review. BMC Geriatr 2024; 24:152. [PMID: 38355464 PMCID: PMC10865618 DOI: 10.1186/s12877-024-04702-1] [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: 11/05/2022] [Accepted: 01/11/2024] [Indexed: 02/16/2024] Open
Abstract
BACKGROUND Smart home health technologies (SHHTs) have been discussed in the frame of caregiving to enable aging-in-place and independence. A systematic review was conducted in accordance with the PRISMA guidelines to gather the up-to-date knowledge on the benefits and barriers of using SHHTs in the care of older persons from the perspective of older persons and their caregivers. METHODS Ten electronic databases were reviewed for empirical peer-reviewed literature published from 01.01.2000 to 31.12.2021 in English, German, and French reporting on experimental, qualitative, quantitative, and other empirical study designs were included. Included studies contained user-feedback from older persons over 65 years of age or their caregivers (formal and informal). We used an extraction document to collect relevant data from all included studies and applied narrative synthesis to analyze data related to benefits and barriers of SHHTs. RESULTS 163 empirical peer-reviewed articles were included, the majority of those published between 2014 and 2021. Five first-order categories of benefits and five of barriers were found with individual sub-themes. SHHTs could be useful in the care context where continuous monitoring is needed. They improve self-management and independent living of older persons. Barriers currently exist with respect to ease of usability, social acceptance, and cost. CONCLUSIONS SHHTs could be useful in the care context but are not without concerns. Researchers and policy makers can use the information as a starting point to better understand how the roles and outcomes of SHHTs could be improved for the care of older persons, while caregivers of older adults could use our findings to comprehend the scope of SHHTs and to decide when and where such technology could best address their individual family needs. Limitations lie in the possible exclusion of relevant articles published outside the inclusion criteria as well as the fact that due to digital divide, our review represents opinions of those who could and wanted to participate in the included 163 studies. TRIAL REGISTRATION This review has been registered as PROSPERO CRD42021248543. A protocol was completed in March 2021 with the PRISMA-P guidance. We have extended the review period from 2000 to 2020 since the registration of the protocol to 2000-2021.
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Affiliation(s)
| | | | - Félix Pageau
- Centre d'excellence sur le vieillissement de Québec, VITAM- Research Center on Sustainable Health, Laval University, Quebec City, QC, Canada
- Division of Geriatrics, Department of Medicine, Laval University, Quebec City, QC, Canada
| | - Delphine Roulet Schwab
- School of nursing sciences, La Source, HES-SO University of Applied Sciences and Arts of Western Switzerland, Lausanne, Switzerland
| | - Tenzin Wangmo
- Institute for Biomedical Ethics, University of Basel, Basel, 4056, Switzerland
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Lee LYK, Yeung CK, Choi CW, Leung MN, Lui SY, Tam WY, Tang KY, Wong CS, Wong YS, Yau CY, Yeung TL, Lee JKL, Chui DLK. Comparison of assistance preferences of older adults with different functional dependence levels on domestic tasks performed by robots. BMC Geriatr 2024; 24:58. [PMID: 38218776 PMCID: PMC10790266 DOI: 10.1186/s12877-023-04567-w] [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: 03/26/2023] [Accepted: 12/05/2023] [Indexed: 01/15/2024] Open
Abstract
BACKGROUND Robots have the potential to assist older adults in their home-based daily living tasks. Previous studies indicated that older adults generally accept robot assistance. However, the preferences of older adults with different functional dependence levels are lacking. These older adults encounter varying levels of difficulty in daily living and may have distinct preferences for robot assistance. This study aimed to describe and compare the preferences for robot assistance on domestic tasks in older adults with different functional dependence levels. METHODS This cross-sectional descriptive study recruited a convenience sample of 385 older adults in Hong Kong. They were categorized as independent, partially dependent, and dependent using the Katz Index of Independence in Activities of Daily Living. Their preferences for robot assistance on a list of 48 domestic tasks under six categories were assessed through the Assistance Preference Checklist. Differences in preferences between the three groups were compared using one-way ANOVA test. RESULTS Findings revealed the differences and similarities in preferences between participants with different dependence levels. In most domestic tasks under the personal care category, dependent and partially dependent older adults reported a significantly lower preferences for human assistance or a higher preferences for robot assistance (p < 0.001), compared with the independent ones. The effect size varied from medium to large (eta squared = 0.07 to 0.52). However, participants, regardless of functional dependence levels, preferred human to assist in some domestic tasks under the health and leisure activities category and preferred robot to assist in most of the domestic tasks under the chores, information management, and manipulating objects category. CONCLUSIONS Older adults with different levels of functional dependence exhibit different preferences for robotic assistance. To effectively use robots and assist older adults as they age, the specific preferences of older adults must be considered before designing and introducing robots in domestic care.
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Affiliation(s)
- Linda Yin-King Lee
- School of Nursing and Health Studies, Hong Kong Metropolitan University, Hong Kong, China.
| | - Chun-Kit Yeung
- School of Nursing and Health Studies, Hong Kong Metropolitan University, Hong Kong, China
| | - Chun-Wa Choi
- School of Nursing and Health Studies, Hong Kong Metropolitan University, Hong Kong, China
| | - Man-Nga Leung
- School of Nursing and Health Studies, Hong Kong Metropolitan University, Hong Kong, China
| | - Shing-Yan Lui
- School of Nursing and Health Studies, Hong Kong Metropolitan University, Hong Kong, China
| | - Wing-Yi Tam
- School of Nursing and Health Studies, Hong Kong Metropolitan University, Hong Kong, China
| | - Ka-Yi Tang
- School of Nursing and Health Studies, Hong Kong Metropolitan University, Hong Kong, China
| | - Chun-San Wong
- School of Nursing and Health Studies, Hong Kong Metropolitan University, Hong Kong, China
| | - Yuen-Shan Wong
- School of Nursing and Health Studies, Hong Kong Metropolitan University, Hong Kong, China
| | - Cheuk-Yi Yau
- School of Nursing and Health Studies, Hong Kong Metropolitan University, Hong Kong, China
| | - Tik-Ling Yeung
- School of Nursing and Health Studies, Hong Kong Metropolitan University, Hong Kong, China
| | - Joseph Kok-Long Lee
- School of Nursing and Health Studies, Hong Kong Metropolitan University, Hong Kong, China
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Shaikh TA, Rasool T, Verma P. Machine intelligence and medical cyber-physical system architectures for smart healthcare: Taxonomy, challenges, opportunities, and possible solutions. Artif Intell Med 2023; 146:102692. [PMID: 38042609 DOI: 10.1016/j.artmed.2023.102692] [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: 05/15/2023] [Revised: 10/21/2023] [Accepted: 10/22/2023] [Indexed: 12/04/2023]
Abstract
Hospitals use medical cyber-physical systems (MCPS) more often to give patients quality continuous care. MCPS isa life-critical, context-aware, networked system of medical equipment. It has been challenging to achieve high assurance in system software, interoperability, context-aware intelligence, autonomy, security and privacy, and device certifiability due to the necessity to create complicated MCPS that are safe and efficient. The MCPS system is shown in the paper as a newly developed application case study of artificial intelligence in healthcare. Applications for various CPS-based healthcare systems are discussed, such as telehealthcare systems for managing chronic diseases (cardiovascular diseases, epilepsy, hearing loss, and respiratory diseases), supporting medication intake management, and tele-homecare systems. The goal of this study is to provide a thorough overview of the essential components of the MCPS from several angles, including design, methodology, and important enabling technologies, including sensor networks, the Internet of Things (IoT), cloud computing, and multi-agent systems. Additionally, some significant applications are investigated, such as smart cities, which are regarded as one of the key applications that will offer new services for industrial systems, transportation networks, energy distribution, monitoring of environmental changes, business and commerce applications, emergency response, and other social and recreational activities.The four levels of an MCPS's general architecture-data collecting, data aggregation, cloud processing, and action-are shown in this study. Different encryption techniques must be employed to ensure data privacy inside each layer due to the variations in hardware and communication capabilities of each layer. We compare established and new encryption techniques based on how well they support safe data exchange, secure computing, and secure storage. Our thorough experimental study of each method reveals that, although enabling innovative new features like secure sharing and safe computing, developing encryption approaches significantly increases computational and storage overhead. To increase the usability of newly developed encryption schemes in an MCPS and to provide a comprehensive list of tools and databases to assist other researchers, we provide a list of opportunities and challenges for incorporating machine intelligence-based MCPS in healthcare applications in our paper's conclusion.
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Affiliation(s)
- Tawseef Ayoub Shaikh
- Department of Computer Science & Engineering, National Institute of Technology (NIT), Srinagar 190006, Jammu & Kashmir, India.
| | - Tabasum Rasool
- NPDF Fellow, Interdisciplinary Centre for Water Research (ICWaR), Indian Institute of Science, Bengaluru, India.
| | - Prabal Verma
- Department of Information Technology, National Institute of Technology (NIT), Srinagar 190006, Jammu & Kashmir, India.
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Sam RY, Lau YFP, Lau Y, Lau ST. Types, functions and mechanisms of robot-assisted intervention for fall prevention: A systematic scoping review. Arch Gerontol Geriatr 2023; 115:105117. [PMID: 37422967 DOI: 10.1016/j.archger.2023.105117] [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: 04/10/2023] [Revised: 06/21/2023] [Accepted: 07/03/2023] [Indexed: 07/11/2023]
Abstract
BACKGROUND Any individual may experience accidental falls, particularly older adults. Although robots can prevent falls, knowledge of their fall-preventive use is limited. OBJECTIVE To explore the types, functions, and mechanisms of robot-assisted intervention for fall prevention. METHODS A systematic scoping review of global literature published from inception to January 2022 was conducted according to Arksey and O'Malley's five-step framework. Nine electronic databases, namely, PubMed, Embase, CINAHL, IEEE Xplore, the Cochrane Library, Scopus, Web of Science, PsycINFO, and ProQuest, were searched. RESULTS Seventy-one articles were found with developmental (n = 63), pilot (n = 4), survey (n = 3), and proof-of-concept (n = 1) designs across 14 countries. Six types of robot-assisted intervention were found, namely cane robots, walkers, wearables, prosthetics, exoskeletons, rollators, and other miscellaneous. Five main functions were observed including (i) detection of user fall, (ii) estimation of user state, (iii) estimation of user motion, (iv) estimation of user intentional direction, and (v) detection of user balance loss. Two categories of mechanisms of robots were found. The first category was executing initiation of incipient fall prevention such as modeling, measurement of user-robot distance, estimation of center of gravity, estimation and detection of user state, estimation of user intentional direction, and measurement of angle. The second category was achieving actualization of incipient fall prevention such as adjust optimal posture, automated braking, physical support, provision of assistive force, reposition, and control of bending angle. CONCLUSIONS Existing literature regarding robot-assisted intervention for fall prevention is in its infancy. Therefore, future research is required to assess its feasibility and effectiveness.
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Affiliation(s)
- Rui Ying Sam
- Alice Lee Centre of Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Yue Fang Patricia Lau
- Alice Lee Centre of Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
| | - Ying Lau
- The Nethersole School of Nursing, The Chinese University of Hong Kong, 6-8/F, Esther Lee Building, The Chinese University of Hong Kong, Shatin, New Territories, Hong Kong.
| | - Siew Tiang Lau
- Alice Lee Centre of Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore
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Felber NA, Tian YJ, Pageau F, Elger BS, Wangmo T. Mapping ethical issues in the use of smart home health technologies to care for older persons: a systematic review. BMC Med Ethics 2023; 24:24. [PMID: 36991423 PMCID: PMC10061702 DOI: 10.1186/s12910-023-00898-w] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2022] [Accepted: 03/02/2023] [Indexed: 03/31/2023] Open
Abstract
Abstract
Background
The worldwide increase in older persons demands technological solutions to combat the shortage of caregiving and to enable aging in place. Smart home health technologies (SHHTs) are promoted and implemented as a possible solution from an economic and practical perspective. However, ethical considerations are equally important and need to be investigated.
Methods
We conducted a systematic review according to the PRISMA guidelines to investigate if and how ethical questions are discussed in the field of SHHTs in caregiving for older persons.
Results
156 peer-reviewed articles published in English, German and French were retrieved and analyzed across 10 electronic databases. Using narrative analysis, 7 ethical categories were mapped: privacy, autonomy, responsibility, human vs. artificial interactions, trust, ageism and stigma, and other concerns.
Conclusion
The findings of our systematic review show the (lack of) ethical consideration when it comes to the development and implementation of SHHTs for older persons. Our analysis is useful to promote careful ethical consideration when carrying out technology development, research and deployment to care for older persons.
Registration
We registered our systematic review in the PROSPERO network under CRD42021248543.
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Korchut A, Petit V, Szwedo-Brzozowska E, Rejdak K. Assistive Technology in Multiple Sclerosis Patients—Two Points of View. J Clin Med 2022; 11:jcm11144068. [PMID: 35887832 PMCID: PMC9318042 DOI: 10.3390/jcm11144068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Revised: 06/24/2022] [Accepted: 07/12/2022] [Indexed: 11/17/2022] Open
Abstract
Objective: The goal of our study was determining the current needs and acceptance of patients with multiple sclerosis (MS) in the field of assistive technologies using materials from the “RAMCIP” project (Robotic Assistant for Mild Cognitive Impairment Patient at Home). Methods: There were two target groups: a population with MS, and medical personnel experienced in treating MS patients. This study was based on a two-step design method (workshops and surveys). Using the Likert scale, we identified the prioritization of users’ needs. Additionally, demographic and disease-specific data and their correlations with each other and with the level of priority of functionality were analyzed. Moreover, the acceptance aspect of the assistant robot and the respondents’ readiness to use it were determined. Results: We gathered 307 completed surveys (176 from MS patients, 131 from medical personnel). Functional capabilities from the safety category were a high priority in most cases. The medium priority functions concerned daily activities that required physical assistance and home management. The differences in prioritization between the two groups were also found. Variables such as age, level of disability, cognitive impairment, depression, and fatigue were associated with the priority level of the functionalities. Conclusion: In summary, our findings might contribute to a better adaptation of robotic assistants to the needs and expectations of the MS population.
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Zuschnegg J, Paletta L, Fellner M, Steiner J, Pansy-Resch S, Jos A, Koini M, Prodromou D, Halfens RJG, Lohrmann C, Schüssler S. Humanoid socially assistive robots in dementia care: a qualitative study about expectations of caregivers and dementia trainers. Aging Ment Health 2022; 26:1270-1280. [PMID: 33904791 DOI: 10.1080/13607863.2021.1913476] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
OBJECTIVE To examine the expectations of informal caregivers, nurses, and dementia trainers regarding the support of (physical and psychosocial) human needs by humanoid social assistive robots (SARs) in dementia care. METHODS A qualitative study was conducted with 11 homogeneous focus groups of informal caregivers, nurses and dementia trainers providing dementia care at home, in adult daycare centers, or in nursing homes. A qualitative content analysis was performed using a concept- and data-driven coding frame. RESULTS Focus group discussions with 52 individuals were held. Participants reported mostly positive expectations and stated that SARs could offer potential support in all components of human needs, especially in avoiding danger (e.g. recognise danger, organise help), communication/contact with others (e.g. enable telephone calls, provide company), daily activities (e.g. remind of appointments, household obligations), recreational activities (e.g. provide music), eating/drinking (e.g. help cook), and mobility/body posture (e.g. give reminders/instructions for physical exercise). Participants also mentioned some negative expectations in all human needs, predominantly in communication/contact with others (e.g. loss of interpersonal interaction) and avoiding danger (e.g. scepticism regarding emergencies). CONCLUSION Participants stated that SARs had great potential to provide assistance in dementia care, especially by reminding, motivating/encouraging and instructing people with dementia. Informal caregivers and nurses also considered them as useful supportive devices for themselves. However, participants also mentioned negative expectations, especially in communication/contact with others and avoiding danger. These findings demonstrate the support caregivers and dementia trainers expect from humanoid SARs and may contribute to their optimisation for dementia care.
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Affiliation(s)
- Julia Zuschnegg
- Institute of Nursing Science, Medical University of Graz, Graz, Austria
| | - Lucas Paletta
- Institute Digital, Joanneum Research Forschungsgesellschaft mbH, Graz, Austria
| | | | | | | | - Anna Jos
- Sozialverein Deutschlandsberg, Deutschlandsberg, Austria
| | - Marisa Koini
- Department of Neurology, Division of Neurogeriatrics, Medical University of Graz, Graz, Austria
| | | | - Ruud J G Halfens
- Department of Health Services Research, CAPHRI, Maastricht University, Maastricht, The Netherlands
| | - Christa Lohrmann
- Institute of Nursing Science, Medical University of Graz, Graz, Austria
| | - Sandra Schüssler
- Institute of Nursing Science, Medical University of Graz, Graz, Austria
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Sony M, Antony J, McDermott O. The impact of medical cyber–physical systems on healthcare service delivery. TQM JOURNAL 2022. [DOI: 10.1108/tqm-01-2022-0005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PurposeThe pandemic has reinforced the need for revamping the healthcare service delivery systems around the world to meet the increased challenges of modern-day illnesses. The use of medical cyber–physical system (MCPS) in the healthcare is one of the means of transforming the landscape of the traditional healthcare service delivery system. The purpose of this study is to critically examine the impact of MCPS on the quality of healthcare service delivery.Design/methodology/approachThis paper uses an evidence-based approach, the authors have conducted a systematic literature review to study the impact of MCPS on healthcare service delivery. Fifty-four articles were thematically examined to study the impact of MCPS on eight characteristics of the healthcare service delivery proposed by the world health organisation.FindingsThe study proposes support that MCPS will positively impact (1) comprehensiveness, (2) accessibility, (3) coverage, (4) continuity, (5) quality, (6) person-centredness, (7) coordination, (8) accountability and (9) efficiency dimension of the healthcare service delivery. The study further draws nine propositions to support the impact of MCPS on the healthcare service delivery.Practical implicationsThis study can be used by stakeholders as a guide point while using MCPS in healthcare service delivery systems. Besides, healthcare managers can use this study to understand the performance of their healthcare system. This study can further be used for designing effective strategies for deploying MCPS to be effective and efficient in each of the dimensions of healthcare service delivery.Originality/valueThe previous studies have focussed on technology aspects of MCPS and none of them critically analysed the impact on healthcare service delivery. This is the first literature review carried out to understand the impact of MCPS on the nine dimensions of healthcare service delivery proposed by WHO. This study provides improved thematic awareness of the resulting body of knowledge, allowing the field of MCPS and healthcare service delivery to progress in a more informed and multidisciplinary manner.
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Fotteler ML, Mühlbauer V, Brefka S, Mayer S, Kohn B, Holl F, Swoboda W, Gaugisch P, Risch B, Denkinger M, Dallmeier D. The Effectiveness of Assistive Technologies for Older Adults and the Influence of Frailty: Systematic Literature Review of Randomized Controlled Trials. JMIR Aging 2022; 5:e31916. [PMID: 35377322 PMCID: PMC9016506 DOI: 10.2196/31916] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2021] [Revised: 11/09/2021] [Accepted: 12/13/2021] [Indexed: 12/05/2022] Open
Abstract
Background The use of assistive technologies (ATs) to support older people has been fueled by the demographic change and technological progress in many countries. These devices are designed to assist seniors, enable independent living at home or in residential facilities, and improve quality of life by addressing age-related difficulties. Objective We aimed to evaluate the effectiveness of ATs on relevant outcomes with a focus on frail older adults. Methods A systematic literature review of randomized controlled trials evaluating ATs was performed according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The Ovid Medline, PsycINFO, SocIndex, CINAHL (Cumulative Index to Nursing and Allied Health Literature), CENTRAL (Cochrane Central Register of Controlled Trials), and IEEEXplore databases were searched from January 1, 2009, to March 15, 2019. ATs were included when aiming to support the domains autonomy, communication, or safety of older people with a mean age ≥65 years. Trials performed within a laboratory setting were excluded. Studies were retrospectively categorized according to the physical frailty status of participants. Results A total of 19 trials with a high level of heterogeneity were included in the analysis. Six device categories were identified: mobility, personal disease management, medication, mental support, hearing, and vision. Eight trials showed significant effectiveness in all or some of the primary outcome measures. Personal disease management devices seem to be the most effective, with four out of five studies showing significant improvement of disease-related outcomes. Frailty could only be assessed for seven trials. Studies including participants with significant or severe impairment showed no effectiveness. Conclusions Different ATs show some promising results in well-functioning but not in frail older adults, suggesting that the evaluated ATs might not (yet) be suitable for this subgroup. The uncertainty of the effectiveness of ATs and the lack of high-quality research for many promising supportive devices were confirmed in this systematic review. Large studies, also including frail older adults, and clear standards are needed in the future to guide professionals, older users, and their relatives. Trial Registration PROSPERO CRD42019130249; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=130249
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Affiliation(s)
- Marina Liselotte Fotteler
- DigiHealth Institute, Neu-Ulm University of Applied Sciences, Neu-Ulm, Germany.,Research Unit on Ageing, Agaplesion Bethesda Clinic Ulm, Ulm, Germany.,Institute for Geriatric Research, Ulm University, Ulm, Germany.,Geriatric Center Ulm/Alb-Donau, Ulm, Germany
| | - Viktoria Mühlbauer
- DigiHealth Institute, Neu-Ulm University of Applied Sciences, Neu-Ulm, Germany
| | - Simone Brefka
- Research Unit on Ageing, Agaplesion Bethesda Clinic Ulm, Ulm, Germany.,Institute for Geriatric Research, Ulm University, Ulm, Germany.,Geriatric Center Ulm/Alb-Donau, Ulm, Germany
| | - Sarah Mayer
- Research Unit on Ageing, Agaplesion Bethesda Clinic Ulm, Ulm, Germany.,Geriatric Center Ulm/Alb-Donau, Ulm, Germany
| | - Brigitte Kohn
- Research Unit on Ageing, Agaplesion Bethesda Clinic Ulm, Ulm, Germany.,Geriatric Center Ulm/Alb-Donau, Ulm, Germany
| | - Felix Holl
- DigiHealth Institute, Neu-Ulm University of Applied Sciences, Neu-Ulm, Germany.,Institute for Medical Information Processing, Biometry, and Epidemiology, Ludwig Maximilian University of Munich, Munich, Germany.,Institute for Global Health Sciences, University of California San Francisco, San Francisco, CA, United States
| | - Walter Swoboda
- DigiHealth Institute, Neu-Ulm University of Applied Sciences, Neu-Ulm, Germany
| | - Petra Gaugisch
- Fraunhofer-Institute for Industrial Engineering, Stuttgart, Germany
| | - Beate Risch
- Fraunhofer-Institute for Industrial Engineering, Stuttgart, Germany
| | - Michael Denkinger
- Research Unit on Ageing, Agaplesion Bethesda Clinic Ulm, Ulm, Germany.,Institute for Geriatric Research, Ulm University, Ulm, Germany.,Geriatric Center Ulm/Alb-Donau, Ulm, Germany
| | - Dhayana Dallmeier
- Research Unit on Ageing, Agaplesion Bethesda Clinic Ulm, Ulm, Germany.,Geriatric Center Ulm/Alb-Donau, Ulm, Germany.,Department of Epidemiology, Boston University School of Public Health, Boston, MA, United States
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12
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Yuan F, Anderson JG, Wyatt TH, Lopez RP, Crane M, Montgomery A, Zhao X. Assessing the Acceptability of a Humanoid Robot for Alzheimer’s Disease and Related Dementia Care Using an Online Survey. Int J Soc Robot 2022. [DOI: 10.1007/s12369-021-00862-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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13
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Abstract
During the last few decades, great research endeavors have been applied to healthcare robots, aiming to develop companions that extend the independent living of elderly people. To deploy such robots into the market, it is expected that certain applications should be addressed with repeatability and robustness. Such application is the assistance with medication-related activity, a common need for the majority of elderly people, referred from here on as medication adherence. This paper presents a novel and complete pipeline for assistance provision in monitoring and serving of medication, using a mobile manipulator embedded with action, perception and cognition skills. The challenges tackled in this work comprise, among others, that the robot locates the medication box placed in challenging spots by applying vision based strategies, thus enabling robust grasping. The grasping is performed with strategies that allow environmental contact, accommodated by the manipulator’s admittance controller which offers compliance behavior during interaction with the environment. Robot navigation is applied for the medication delivery, which, combined with active vision methods, enables the automatic selection of parking positions, allowing efficient interaction and monitoring of medication intake activity. The robot skills are orchestrated by a partially observable Markov decision process mechanism which is coupled with a task planner. This enables assistance scenario guidance and offers repeatability as well as gentle degradation of the system upon a failure, thus avoiding uncomfortable situations during human–robot interaction. Experiments have been conducted on the full pipeline, including robot’s deployment in 12 real house environments with real participants that led to very promising results with valuable findings for similar future applications.
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14
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Kim J, Kim S, Kim S, Lee E, Heo Y, Hwang CY, Choi YY, Kong HJ, Ryu H, Lee H. Companion robots for older adults: Rodgers' evolutionary concept analysis approach. INTEL SERV ROBOT 2021; 14:729-739. [PMID: 34804242 PMCID: PMC8593639 DOI: 10.1007/s11370-021-00394-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2021] [Accepted: 10/15/2021] [Indexed: 12/30/2022]
Abstract
This study aims to analyze the concept of companion robots for older adults from the perspective of nursing. This study employed a concept analysis. The literature from July 2011 to June 2021 was sought from databases using specific keywords. Any quantitative or qualitative study published in English or Korean focusing on companion robots for older adults was included in the study. Rodgers' evolutionary concept analysis was used to clarify the antecedents, attributes, and consequences. Seventy-five eligible articles were studied. The findings were categorized into antecedents, attributes, and consequences. Companion robot antecedents were classified into individual factors, attitude toward robots, and caregiver and social factors. The defining attributes included human-robot interaction, function, features, structure, cost, and management of the robot being a companion. Consequences were categorized into user, caregiver, and health related. Companion robots are designed to enhance well-being, quality of life, and independence by providing service and companionship and assisting daily life. This mainly includes cognitive and social support, mobility support, relaxation, health monitoring, and self-care support through human-robot interaction. The attributes, antecedents, and consequences of companion robots identified in this study can inform future decision making and interventions by caregivers for aging in place.
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Affiliation(s)
- Jeongeun Kim
- Research Institute of Nursing Science, Seoul National University, Seoul, Republic of Korea
| | - Sukwha Kim
- Department of Reconstructive Plastic Surgery, Medical Big Data Research Center, Seoul National University College of Medicine, Seoul, Republic of Korea
| | - Seongheui Kim
- College of Fine Arts, Seoul National University, Seoul, Republic of Korea
| | - Euehun Lee
- Korea Advanced Institute of Science and Technology, Daejeon, Republic of Korea
| | - Yoonjeong Heo
- College of Music, Seoul National University, Seoul, Republic of Korea
| | - Cheol-Yong Hwang
- College of Veterinary Medicine, Seoul National University, Seoul, Republic of Korea
| | - Yun-Young Choi
- College of Humanities, Seoul National University, Seoul, Republic of Korea
| | - Hyoun-Joong Kong
- Transdisciplinary Department of Medicine and Advanced Technology (TDMAT), Seoul National University Hospital, Seoul, Republic of Korea
| | - Hyeongju Ryu
- Seoul National University Hospital, Seoul, Republic of Korea
| | - Hyeongsuk Lee
- College of Nursing, Gachon University, Seoul, Republic of Korea
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15
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Shin MH, McLaren J, Ramsey A, Sullivan JL, Moo L. Titrating Support: Stakeholder Perspectives on Improving a Mobile Telepresence Robot for People with Alzheimer's Disease and Related Dementias (Preprint). JMIR Aging 2021; 5:e32322. [PMID: 35503518 PMCID: PMC9115649 DOI: 10.2196/32322] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2021] [Revised: 12/30/2021] [Accepted: 03/25/2022] [Indexed: 12/02/2022] Open
Abstract
Background By 2050, nearly 13 million Americans will have Alzheimer disease and related dementias (ADRD), with most of those with ADRD or mild cognitive impairment (MCI) receiving home care. Mobile telepresence robots may allow persons with MCI or ADRD to remain living independently at home and ease the burden of caregiving. The goal of this study was to identify how an existing mobile telepresence robot can be enhanced to support at-home care of people with MCI or ADRD through key stakeholder input. Objective The specific aims were to assess what applications should be integrated into the robot to further support the independence of individuals with MCI or ADRD and understand stakeholders’ overall opinions about the robot. Methods We conducted in-person interviews with 21 stakeholders, including 6 people aged >50 years with MCI or ADRD living in the community, 9 family caregivers of people with MCI or ADRD, and 6 clinicians who work with the ADRD population. Interview questions about the robot focused on technology use, design and functionality, future applications to incorporate, and overall opinions. We conducted a thematic analysis of the data obtained and assessed the patterns within and across stakeholder groups using a matrix analysis technique. Results Overall, most stakeholders across groups felt positively about the robot’s ability to support individuals with MCI or ADRD and decrease caregiver burden. Most ADRD stakeholders felt that the greatest benefits would be receiving help in emergency cases and having fewer in-person visits to the doctor’s office. Caregivers and clinicians also noted that remote video communication with their family members using the robot was valuable. Adding voice commands and 1-touch lifesaving or help buttons to the robot were the top suggestions offered by the stakeholders. The 4 types of applications that were suggested included health-related alerts; reminders; smart-home–related applications; and social, entertainment, or well-being applications. Stakeholders across groups liked the robot’s mobility, size, interactive connection, and communication abilities. However, stakeholders raised concerns about their physical stability and size for individuals living in smaller, cluttered spaces; screen quality for those with visual impairments; and privacy or data security. Conclusions Although stakeholders generally expressed positive opinions about the robot, additional adaptations were suggested to strengthen functionality. Adding applications and making improvements to the design may help mitigate concerns and better support individuals with ADRD to live independently in the community. As the number of individuals living with ADRD in the United States increases, mobile telepresence robots are a promising way to support them and their caregivers. Engaging all 3 stakeholder groups in the development of these robots is a critical first step in ensuring that the technology matches their needs. Integrating the feedback obtained from our stakeholders and evaluating their effectiveness will be important next steps in adapting telepresence robots.
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Affiliation(s)
- Marlena H Shin
- Center for Healthcare Organization and Implementation Research, Veterans Affairs Boston Healthcare System, Boston, MA, United States
| | - Jaye McLaren
- New England Geriatric Research Education and Clinical Center, Veterans Affairs Bedford Healthcare System, Bedford, MA, United States
| | | | - Jennifer L Sullivan
- Center of Innovation in Long-Term Services and Supports, Veterans Affairs Providence Healthcare System, Providence, RI, United States
- School of Public Health, Brown University, Providence, RI, United States
| | - Lauren Moo
- New England Geriatric Research Education and Clinical Center, Veterans Affairs Bedford Healthcare System, Bedford, MA, United States
- Center for Healthcare Organization and Implementation Research, Veterans Affairs Bedford Healthcare System, Bedford, MA, United States
- Harvard Medical School, Boston, MA, United States
- Department of Neurology, Massachusetts General Hospital, Boston, MA, United States
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16
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Sumioka H, Shiomi M, Honda M, Nakazawa A. Technical Challenges for Smooth Interaction With Seniors With Dementia: Lessons From Humanitude™. Front Robot AI 2021; 8:650906. [PMID: 34150858 PMCID: PMC8207295 DOI: 10.3389/frobt.2021.650906] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2021] [Accepted: 05/20/2021] [Indexed: 11/13/2022] Open
Abstract
Due to cognitive and socio-emotional decline and mental diseases, senior citizens, especially people with dementia (PwD), struggle to interact smoothly with their caregivers. Therefore, various care techniques have been proposed to develop good relationships with seniors. Among them, Humanitude is one promising technique that provides caregivers with useful interaction skills to improve their relationships with PwD, from four perspectives: face-to-face interaction, verbal communication, touch interaction, and helping care receivers stand up (physical interaction). Regardless of advances in elderly care techniques, since current social robots interact with seniors in the same manner as they do with younger adults, they lack several important functions. For example, Humanitude emphasizes the importance of interaction at a relatively intimate distance to facilitate communication with seniors. Unfortunately, few studies have developed an interaction model for clinical care communication. In this paper, we discuss the current challenges to develop a social robot that can smoothly interact with PwDs and overview the interaction skills used in Humanitude as well as the existing technologies.
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Affiliation(s)
- Hidenobu Sumioka
- Advanced Telecommunications Research Institute International, Kyoto, Japan
| | - Masahiro Shiomi
- Advanced Telecommunications Research Institute International, Kyoto, Japan
| | - Miwako Honda
- National Hospital Organization Tokyo Medical Center, Tokyo, Japan
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17
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Yuan F, Klavon E, Liu Z, Lopez RP, Zhao X. A Systematic Review of Robotic Rehabilitation for Cognitive Training. Front Robot AI 2021; 8:605715. [PMID: 34046433 PMCID: PMC8144708 DOI: 10.3389/frobt.2021.605715] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2020] [Accepted: 04/06/2021] [Indexed: 12/16/2022] Open
Abstract
A large and increasing number of people around the world experience cognitive disability. Rehabilitation robotics has provided promising training and assistance approaches to mitigate cognitive deficits. In this article, we carried out a systematic review on recent developments in robot-assisted cognitive training. We included 99 articles in this work and described their applications, enabling technologies, experiments, and products. We also conducted a meta analysis on the articles that evaluated robot-assisted cognitive training protocol with primary end users (i.e., people with cognitive disability). We identified major limitations in current robotics rehabilitation for cognitive training, including the small sample size, non-standard measurement of training and uncontrollable factors. There are still multifaceted challenges in this field, including ethical issues, user-centered (or stakeholder-centered) design, the reliability, trust, and cost-effectiveness, personalization of the robot-assisted cognitive training system. Future research shall also take into consideration human-robot collaboration and social cognition to facilitate a natural human-robot interaction.
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Affiliation(s)
- Fengpei Yuan
- Department of Mechanical, Aerospace, and Biomedical Engineering, University of Tennessee, Knoxville, Knoxville, TN, United States
| | - Elizabeth Klavon
- Department of Mechanical, Aerospace, and Biomedical Engineering, University of Tennessee, Knoxville, Knoxville, TN, United States
| | - Ziming Liu
- Department of Mechanical, Aerospace, and Biomedical Engineering, University of Tennessee, Knoxville, Knoxville, TN, United States
| | - Ruth Palan Lopez
- School of Nursing, MGH Institute of Health Professions, Boston, MA, United States
| | - Xiaopeng Zhao
- Department of Mechanical, Aerospace, and Biomedical Engineering, University of Tennessee, Knoxville, Knoxville, TN, United States
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18
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Tian L, Oviatt S. A Taxonomy of Social Errors in Human-Robot Interaction. ACM TRANSACTIONS ON HUMAN-ROBOT INTERACTION 2021. [DOI: 10.1145/3439720] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Robotic applications have entered various aspects of our lives, such as health care and educational services. In such Human-robot Interaction (HRI), trust and mutual adaption are established and maintained through a positive social relationship between a user and a robot. This social relationship relies on the perceived competence of a robot on the social-emotional dimension. However, because of technical limitations and user heterogeneity, current HRI is far from error-free, especially when a system leaves controlled lab environments and is applied to in-the-wild conditions. Errors in HRI may either degrade a user’s perception of a robot’s capability in achieving a task (defined as
performance errors
in this work) or degrade a user’s perception of a robot’s socio-affective competence (defined as
social errors
in this work). The impact of these errors and effective strategies to handle such an impact remains an open question. We focus on social errors in HRI in this work. In particular, we identify the major attributes of perceived socio-affective competence by reviewing human social interaction studies and HRI error studies. This motivates us to propose a taxonomy of social errors in HRI. We then discuss the impact of social errors situated in three representative HRI scenarios. This article provides foundations for a systematic analysis of the social-emotional dimension of HRI. The proposed taxonomy of social errors encourages the development of user-centered HRI systems, designed to offer positive and adaptive interaction experiences and improved interaction outcomes.
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Affiliation(s)
- Leimin Tian
- Faculty of Engineering, Monash University, Australia
| | - Sharon Oviatt
- Faculty of Engineering, Monash University, Australia
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19
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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.
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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
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20
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Effect of the Information Support Robot on the Daily Activity of Older People Living Alone in Actual Living Environment. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18052498. [PMID: 33802506 PMCID: PMC7967636 DOI: 10.3390/ijerph18052498] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/23/2020] [Revised: 02/20/2021] [Accepted: 02/26/2021] [Indexed: 11/16/2022]
Abstract
Information support robots (ISRs) have the potential to assist older people living alone to have an independent life. However, the effects of ISRs on the daily activity, especially the sleep patterns, of older people have not been clarified; moreover, it is unclear whether the effects of ISRs depend on the levels of cognitive function. To investigate these effects, we introduced an ISR into the actual living environment and then quantified induced changes according to the levels of cognitive function. Older people who maintained their cognitive function demonstrated the following behavioral changes after using the ISR: faster wake-up times, reduced sleep duration, and increased amount of activity in the daytime (p < 0.05, r = 0.77; p < 0.05, r = 0.89, and p < 0.1, r = 0.70, respectively). The results suggest that the ISR is beneficial in supporting the independence of older people living alone since living alone is associated with disturbed sleep patterns and low physical activity. The impact of the ISR on daily activity was more remarkable in the subjects with high cognitive function than in those with low cognitive function. These findings suggest that cognitive function is useful information in the ISR adaptation process. The present study has more solid external validity than that of a controlled environment study since it was done in a personal residential space.
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21
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Fields N, Xu L, Greer J, Murphy E. Shall I compare thee…to a robot? An exploratory pilot study using participatory arts and social robotics to improve psychological well-being in later life. Aging Ment Health 2021; 25:575-584. [PMID: 31851830 DOI: 10.1080/13607863.2019.1699016] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
Research suggests that the use of creative, artistic activities in later life may positively impact the psychological well-being of older adults. Social robots have been utilized in research with older adults, however, few studies have integrated participatory arts (e.g. theatre) into social robotic platforms for the purpose of implementing a psychosocial intervention with this population. An interdisciplinary team designed and delivered an intervention integrating theatre and social robotics with the aim of improving the psychological well-being of study participants both with and without cognitive impairment who live in a residential care setting. A purposive sample of older adults age 65 and older (N = 15) participated in this 3-session pilot study that involved a Shakespeare participatory art activity using the robot, NAO. Pre and post tests were conducted before and after each session with measures of depression, loneliness, and a simplified face scale for mood were asked. Results from Repeated Measurement Analysis of Variance (ANOVA) showed that depression, loneliness and face scores had significantly decrease across six time periods and these declines differed between people with dementia and those without dementia. In addition, only significant changes of depression before and after the intervention were found between persons with and without dementia. We discuss the promising aspects of using social robotics as a platform for participatory arts interventions with older adults and offer lessons learned from the use of innovative technology in residential care settings.
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Affiliation(s)
- Noelle Fields
- School of Social Work, University of Texas at Arlington, Arlington, TX, USA
| | - Ling Xu
- School of Social Work, University of Texas at Arlington, Arlington, TX, USA
| | - Julienne Greer
- College of Liberal Arts, University of Texas at Arlington, Arlington, TX, USA
| | - Erin Murphy
- School of Social Work, University of Texas at Arlington, Arlington, TX, USA
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22
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Roach P, Zwiers A, Cox E, Fischer K, Charlton A, Josephson CB, Patten SB, Seitz D, Ismail Z, Smith EE. Understanding the impact of the COVID-19 pandemic on well-being and virtual care for people living with dementia and care partners living in the community. DEMENTIA 2020; 20:2007-2023. [PMID: 33381996 PMCID: PMC7952494 DOI: 10.1177/1471301220977639] [Citation(s) in RCA: 37] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
The COVID-19 pandemic has necessitated public health measures that have impacted the provision of care for people living with dementia and their families. Additionally, the isolation that results from social distancing may be harming well-being for families as formal and informal supports become less accessible. For those living with dementia and experiencing agitation, social distancing may be even harder to maintain, or social distancing could potentially aggravate dementia-related neuropsychiatric symptoms. To understand the lived experience of social and physical distancing during the COVID-19 pandemic in Canada, we remotely interviewed 21 participants who normally attend a dementia specialty clinic in Calgary, Alberta, during a period where essential businesses were closed and health care had abruptly transitioned to telemedicine. A reflexive thematic analysis was used to analyze the interview and field note data. The impacts of the public health measures in response to the pandemic emerged through iterative analysis in three main categories of experience: (1) personal, (2) health services, and (3) health status (of both persons living with dementia and care partner). Isolation and mental health needs emerged as important impacts to family experiences. This in-depth understanding of the needs and experiences of the pandemic for people living with dementia suggests that innovative means are urgently needed to facilitate provision of remote medicine and also social interaction and integration.
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Affiliation(s)
- Pamela Roach
- Department of Family Medicine, University of Calgary; Department of Community Health Sciences, University of Calgary, Canada; Hotchkiss Brain Institute, University of Calgary, Canada; O'Brien Institute of Public Health, University of Calgary, Canada
| | - Angela Zwiers
- Department of Clinical Neurosciences, University of Calgary, Canada
| | - Emily Cox
- Department of Clinical Neurosciences, University of Calgary, Canada
| | - Karyn Fischer
- Department of Clinical Neurosciences, University of Calgary, Canada
| | - Anna Charlton
- Department of Clinical Neurosciences, University of Calgary, Canada
| | - Colin B Josephson
- Department of Community Health Sciences, University of Calgary, Canada; Hotchkiss Brain Institute, University of Calgary, Canada; O'Brien Institute of Public Health, University of Calgary, Canada; Department of Clinical Neurosciences, University of Calgary, Canada; Centre for Health Informatics, University of Calgary, Canada
| | - Scott B Patten
- Department of Community Health Sciences, University of Calgary, Canada; Cuthbertson & Fischer Chair in Pediatric Mental Health, University of Calgary, Canada
| | - Dallas Seitz
- Department of Community Health Sciences, University of Calgary, Canada; Hotchkiss Brain Institute, University of Calgary, Canada; O'Brien Institute of Public Health, University of Calgary, Canada; Department of Psychiatry, University of Calgary, Canada
| | - Zahinoor Ismail
- Department of Community Health Sciences, University of Calgary, Canada; Hotchkiss Brain Institute, University of Calgary, Canada; O'Brien Institute of Public Health, University of Calgary, Canada; Department of Clinical Neurosciences, University of Calgary, Canada; Department of Psychiatry, University of Calgary, Canada
| | - Eric E Smith
- Hotchkiss Brain Institute, University of Calgary, Canada; Department of Clinical Neurosciences, University of Calgary, Canada
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23
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Tsujimura M, Ide H, Yu W, Kodate N, Ishimaru M, Shimamura A, Suwa S. The essential needs for home-care robots in Japan. JOURNAL OF ENABLING TECHNOLOGIES 2020. [DOI: 10.1108/jet-03-2020-0008] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
This study aims to compare the level of needs for home-care robots amongst older adults, family caregivers and home-care staff and clarify the factors constituting these needs.
Design/methodology/approach
A cross-sectional, anonymous questionnaire survey was administered. It included 52 items related to needs for home-care robots rated on a four-point Likert scale. Means and standard deviations were calculated, and the Kruskal-Wallis test was performed for each item. Factor analysis was conducted on the needs of home-care staff.
Findings
Responses from 79 older adults, 54 family caregivers and 427 home-care staff were analysed. For all three groups, the level of agreement was high for the following needs: to inform family and support personnel immediately when older adults fall, about their location in case of natural disasters and about mismanagement of fire by older adults with dementia. For family caregivers and home-care staff, the level of need concerning monitoring was higher than for older adults. Extracted using factor analysis, the six factors representing the essential needs for home-care robots were risk minimisation, daily monitoring of the physical condition, supporting activities of daily living (ADL) and instrumental ADL, pre-empting problems, communication and miscellaneous support.
Originality/value
The results showed that the education of caregivers and the co-design process of robot development should involve home-care staff, older adults and family caregivers, which are important for making decisions about the use of home-care robots for older adults.
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24
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Suwa S, Tsujimura M, Kodate N, Donnelly S, Kitinoja H, Hallila J, Toivonen M, Ide H, Bergman-Kärpijoki C, Takahashi E, Ishimaru M, Shimamura A, Yu W. Exploring perceptions toward home-care robots for older people in Finland, Ireland, and Japan: A comparative questionnaire study. Arch Gerontol Geriatr 2020; 91:104178. [PMID: 32717586 DOI: 10.1016/j.archger.2020.104178] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2020] [Revised: 06/16/2020] [Accepted: 07/04/2020] [Indexed: 11/28/2022]
Abstract
PURPOSE To clarify potential users' perceptions toward the development and social implementation of home-care robots in Japan, Ireland, and Finland. METHODS Unsigned, self-administered questionnaires were distributed to adults aged 65 or older, family caregivers, and home-care/health and social care professionals (HSCPs). A total of 1004 responses were collected. RESULTS In Japan, many people were already familiar with robots in their daily lives. The most notable finding about their perspectives on home-care robots was related to safety. Moreover, 93.7 % of the Japanese respondents said, "If the user cannot decide whether to use a home-care robot, family members who know the user well should decide," followed by 76.4 % in Ireland and 83.1 % in Finland (p < .001). In Ireland, 81.8 % of the respondents said, "I want to help other people and society by participating in the research and development of home-care robots" (Japan: 69.9 %; Finland: 67.5 %) (p = .006). In Finland, many people had a negative impression of robots compared to the other two countries. Finland had the highest percentage (75.4 %) of respondents who said, "Health care professionals should be allowed to use secondary information collected by a home-care robot" (Japan and Ireland: 64 %) (p = .024). Moreover, Ireland and Finland emphasized the need to guarantee the entitlement to receive human care. CONCLUSIONS Devising optimal strategies for the development and social implementation of home-care robots by incorporating various perspectives while valuing human dignity will require examination of each country's characteristics with respect to history, culture, policies, and values related to robots.
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Affiliation(s)
- Sayuri Suwa
- Division of Visiting Nursing, Graduate School of Nursing, Chiba University, Chiba, Japan.
| | - Mayuko Tsujimura
- Division of Visiting Nursing, Graduate School of Nursing, Chiba University, Chiba, Japan
| | - Naonori Kodate
- School of Social Policy, Social Work and Social Justice, University College Dublin, Dublin, Ireland
| | - Sarah Donnelly
- School of Social Policy, Social Work and Social Justice, University College Dublin, Dublin, Ireland
| | - Helli Kitinoja
- Seinäjoki University of Applied Sciences, Seinäjoki, Finland
| | - Jaakko Hallila
- Seinäjoki University of Applied Sciences, Seinäjoki, Finland
| | - Marika Toivonen
- Seinäjoki University of Applied Sciences, Seinäjoki, Finland
| | - Hiroo Ide
- Institute for Future Initiatives, The University of Tokyo, Tokyo, Japan
| | | | - Erika Takahashi
- Graduate School of Humanities, Chiba University, Chiba, Japan
| | - Mina Ishimaru
- Division of Community Health Nursing, Graduate School of Nursing, Chiba University, Chiba, Japan
| | - Atsuko Shimamura
- Division of Community Health Nursing, Department of Nursing, Faculty of Health Science, Toho University, Chiba, Japan
| | - Wenwei Yu
- Center for Frontier Medical Engineering, Chiba University, Chiba, Japan
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Fattal C, Cossin I, Pain F, Haize E, Marissael C, Schmutz S, Ocnarescu I. Perspectives on usability and accessibility of an autonomous humanoid robot living with elderly people. Disabil Rehabil Assist Technol 2020; 17:418-430. [PMID: 32643466 DOI: 10.1080/17483107.2020.1786732] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
PURPOSE The aim of this study was to assess how cohabitation with a social robot for seven days night and day is perceived by elderly potential users and to suggest technological improvements for future home integration. METHODS Fifteen participants were invited to interact with Pepper®, 24 h a day and 7 days a week. Perceived utility assessment was achieved using a dedicated questionnaire. Usability assessment was carried out by measuring satisfaction with the human-robot interaction and listing malfunctions. RESULTS Seventy-eight tasks out of 115 tasks were reported respectively as very high and high. On day 1, satisfaction was at its higher level with a mean of 6.8. On day 8, it maintained at 6.0 despite technical malfunctions and failures, listed with details in this paper. Acceptability was positive. Pepper was mainly considered as an assistant and a link with family and friends and never as an enemy or intruder. Pepper has proven to be potentially able to meet five needs: making the person's environment safe by alerting contact persons, reminding the user of health-related tasks, enabling "doubt removal", maintaining social relationships and following the user. CONCLUSIONS Pepper is more than a "demonstration" device classified as level 6 of the nine-point Technology Readiness Level (TRL) scale for the hard and software and level 5 in behavioural terms. Once the technological locks and malfunctions have been overcome, Pepper should be applicable in the home, allowing users to test it in a more familiar environment.Implications for RehabilitationPepper, a humanoid robot, has been perceived as rich in potentialities that can help and secure a fragile person.Following this experience of cohabitation with a humanoid robot, the participants were unanimous in thinking that assistive robotics is the future.To be useful, the robot's people tracking function must inevitably be improved.Pepper, the first humanoid robot ever marketed, is more than just a "demonstration"device, classified at level 6 of Technological Readiness Levels (TRL) for supporting hardware and software and level 5 in terms of behavior.
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Affiliation(s)
- Charles Fattal
- PM&R Department, Rehabilitation Center La Châtaigneraie, Menucourt, France.,Association APPROCHE, Ploemeur, France
| | | | | | - Emilie Haize
- Association APPROCHE, Ploemeur, France.,Rehabilitation Center Jacques Arnaud, Bouffémont, France
| | - Charline Marissael
- PM&R Department, Rehabilitation Center La Châtaigneraie, Menucourt, France.,Association APPROCHE, Ploemeur, France
| | - Sophie Schmutz
- Association APPROCHE, Ploemeur, France.,Rehabilitation Center Ugecam, Coubert, France
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Gerłowska J, Furtak-Niczyporuk M, Rejdak K. Robotic assistance for people with dementia: a viable option for the future? Expert Rev Med Devices 2020; 17:507-518. [PMID: 32511027 DOI: 10.1080/17434440.2020.1770592] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
INTRODUCTION Demographic changes in society and fewer personnel working in healthcare services have resulted in an increase in the speed of development of safe, reliable robotic assistance technologies for patients with neurological diseases. This paper aims to advocate for the frailty of patients in light of the economic need for robotic assistance, discuss potential hazards, and outline related factors that influence positive outcomes. AREAS COVERED This article reviews the state of the art and perspectives regarding the use of robotics in older adults with dementia. We focus on current trends in the development of robotic technologies for these patients and discuss the potential hazards associated with the implementation of such cutting-edge technology in daily practice. EXPERT OPINION We envisage a gradual increase in the usage of robot-based devices for the management and support of patients with cognitive deficits. In particular, the introduction of artificial intelligence will enhance the functionality of these technologies, but also increase potential hazards resulting from human-robot interactions. The development of such technology must consider whether neurological syndromes are static or progressive. Progressive syndromes pose the biggest challenge since the functionality of robotic devices must adapt to patients changing cognitive and motor performance profiles.
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Affiliation(s)
| | | | - Konrad Rejdak
- Department of Neurology, Medical University of Lublin , Lublin, Poland
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Koutentakis D, Pilozzi A, Huang X. Designing Socially Assistive Robots for Alzheimer's Disease and Related Dementia Patients and Their Caregivers: Where We are and Where We are Headed. Healthcare (Basel) 2020; 8:E73. [PMID: 32225117 PMCID: PMC7349047 DOI: 10.3390/healthcare8020073] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2020] [Revised: 03/19/2020] [Accepted: 03/20/2020] [Indexed: 01/06/2023] Open
Abstract
Over the past few years there has been a large rise in the field of robotics. Robots are being in used in many industries, but there has not been a large surge of robots in the medical field, especially the robots for healthcare use. However, as the aging population keeps growing, current medical staff and healthcare providers are increasingly burdened by caring for the ever-growing number of senior patients, especially those with cognitive impairment of Alzheimer's disease (AD) and Alzheimer's disease-related dementia (ADRD) patients. As a result, we can expect to see a large increase in the field of medical robotics, especially in forms of socially assistive robots (SARs) for senior patients and healthcare providers. In fact, SARs can alleviate AD and ADRD patients and their caregivers' unmet medical needs. Herein, we propose a design outline for such a SAR, based on a review of the current literature. We believe the next generation of SARs will enhance health and well-being, reduce illness and disability, and improve quality of life for AD and ADRD patients and their caregivers.
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Affiliation(s)
| | | | - Xudong Huang
- Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA 02129, USA; (D.K.); (A.P.)
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Pilozzi A, Huang X. Overcoming Alzheimer's Disease Stigma by Leveraging Artificial Intelligence and Blockchain Technologies. Brain Sci 2020; 10:E183. [PMID: 32210011 PMCID: PMC7139597 DOI: 10.3390/brainsci10030183] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2020] [Revised: 03/11/2020] [Accepted: 03/20/2020] [Indexed: 01/19/2023] Open
Abstract
Alzheimer's disease (AD) imposes a considerable burden on those diagnosed. Faced with a neurodegenerative decline for which there is no effective cure or prevention method, sufferers of the disease are subject to judgement, both self-imposed and otherwise, that can have a great deal of effect on their lives. The burden of this stigma is more than just psychological, as reluctance to face an AD diagnosis can lead people to avoid early diagnosis, treatment, and research opportunities that may be beneficial to them, and that may help progress towards fighting AD and its progression. In this review, we discuss how recent advents in information technology may be employed to help fight this stigma. Using artificial intelligence (AI) technologies, specifically natural language processing (NLP), to classify the sentiment and tone of texts, such as those of online posts on various social media sites, has proven to be an effective tool for assessing the opinions of the general public on certain topics. These tools can be used to analyze the public stigma surrounding AD. Additionally, there is much concern among individuals that an AD diagnosis, or evidence of pre-clinical AD such as a biomarker or imaging test results, may wind up unintentionally disclosed to an entity that may discriminate against them. The lackluster security record of many medical institutions justifies this fear to an extent. Adopting more secure and decentralized methods of data transfer and storage, and giving patients enhanced ability to control their own data, such as a blockchain-based method, may help to alleviate some of these fears.
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Affiliation(s)
| | - Xudong Huang
- Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA 02129, USA;
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Nwosu AC, Sturgeon B, McGlinchey T, Goodwin CD, Behera A, Mason S, Stanley S, Payne TR. Robotic technology for palliative and supportive care: Strengths, weaknesses, opportunities and threats. Palliat Med 2019; 33:1106-1113. [PMID: 31250734 PMCID: PMC6691596 DOI: 10.1177/0269216319857628] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
BACKGROUND Medical robots are increasingly used for a variety of applications in healthcare. Robots have mainly been used to support surgical procedures, and for a variety of assistive uses in dementia and elderly care. To date, there has been limited debate about the potential opportunities and risks of robotics in other areas of palliative, supportive and end-of-life care. AIM The objective of this article is to examine the possible future impact of medical robotics on palliative, supportive care and end-of-life care. Specifically, we will discuss the strengths, weaknesses, opportunities and threats (SWOT) of this technology. METHODS A SWOT analysis to understand the strengths, weaknesses, opportunities and threats of robotic technology in palliative and supportive care. RESULTS The opportunities of robotics in palliative, supportive and end-of-life care include a number of assistive, therapeutic, social and educational uses. However, there are a number of technical, societal, economic and ethical factors which need to be considered to ensure meaningful use of this technology in palliative care. CONCLUSION Robotics could have a number of potential applications in palliative, supportive and end-of-life care. Future work should evaluate the health-related, economic, societal and ethical implications of using this technology. There is a need for collaborative research to establish use-cases and inform policy, to ensure the appropriate use (or non-use) of robots for people with serious illness.
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Affiliation(s)
- Amara Callistus Nwosu
- 1 Academic Palliative & End of Life Care Department, Royal Liverpool & Broadgreen University Hospitals NHS Trust, Liverpool, UK.,2 Palliative Care Institute Liverpool (PCIL), University of Liverpool, Liverpool, UK.,3 Marie Curie Hospice Liverpool, Liverpool, UK
| | - Bethany Sturgeon
- 4 Bristol Robotics Laboratory, University of Bristol, Bristol, UK
| | - Tamsin McGlinchey
- 2 Palliative Care Institute Liverpool (PCIL), University of Liverpool, Liverpool, UK
| | - Christian Dg Goodwin
- 2 Palliative Care Institute Liverpool (PCIL), University of Liverpool, Liverpool, UK.,5 US-UK Fulbright Commission, London, UK
| | - Ardhendu Behera
- 6 Department of Computer Science, Edge Hill University, Ormskirk, UK
| | - Stephen Mason
- 2 Palliative Care Institute Liverpool (PCIL), University of Liverpool, Liverpool, UK
| | | | - Terry R Payne
- 7 Department of Computer Science, University of Liverpool, Liverpool, UK
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Mancioppi G, Fiorini L, Timpano Sportiello M, Cavallo F. Novel Technological Solutions for Assessment, Treatment, and Assistance in Mild Cognitive Impairment. Front Neuroinform 2019; 13:58. [PMID: 31456679 PMCID: PMC6700331 DOI: 10.3389/fninf.2019.00058] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2019] [Accepted: 07/15/2019] [Indexed: 12/14/2022] Open
Abstract
Alzheimer's disease, and dementia, represent a common cause of disability and one of the most relevant challenges in the health world. In addition, these conditions do not have, at moment, a pharmacological treatment that can stop the pathological progress. Mild cognitive impairment (MCI), defined as the borderline between normal aging and early dementia, represents a meaningful field of study because, in the transition to dementia, clinicians have defined a useful therapeutic window. Additionally, due to the lack of effective pharmacological interventions, recent years have seen an increase in research into new technological solutions to assess, stimulate, and assist patients afflicted with Alzheimer's disease. This review aims to outline the use of information and communication technologies in the field studying MCI. Particularly, the goal is to depict the framework and describe the most worthwhile research efforts, in order to display the current technologies available, describe the research objectives, and delineate prospective future researches. Regarding data sources, the research was conducted within three databases, PubMed Central, Web of Science, and Scopus, between January 2009 and December 2017. A total of 646 articles were found in the initial search. Accurate definition of the exclusion criteria and selection strategy allowed identification of the most relevant papers to use for the study. Finally, 56 papers were fully evaluated and included in this review. Three major clinical application areas have been portrayed, namely “Cognitive Assessment,” “Treatment,” and “Assistance.” These have been combined with three main technological solutions, specifically “Sensors,” “Personal Devices,” and “Robots.” Furthermore, the study of the publications time series illustrates a steadily increasing trend, characterized by the enrollment of small groups of subjects, and particularly oriented to the subjects assistance using robots companion. In conclusion, despite the new technological solutions for people with MCI have received much interest, particularly regarding robots for assistance, nowadays it still owns vast room for improvement.
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Affiliation(s)
| | - Laura Fiorini
- The BioRobotics Institute, Scuola Superiore Sant'Anna, Pisa, Italy
| | | | - Filippo Cavallo
- The BioRobotics Institute, Scuola Superiore Sant'Anna, Pisa, Italy
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Hirt J, Burgstaller M, Zeller A, Beer T. Needs of people with dementia and their informal caregivers concerning assistive technologies. Pflege 2019; 32:295-304. [PMID: 31288618 DOI: 10.1024/1012-5302/a000682] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Background and objective: Assistive technologies might be a suitable option for supporting people with dementia and their informal caregivers. To avoid "one-fits-all"-solutions and to design useful technologies, it is essential to consider the end-users' needs. The objective of this review was to examine the needs of people with dementia and their informal caregivers with regard to assistive technologies. Methods: We conducted a scoping review based on a comprehensive literature search in databases, handsearching, and free web searching. Additionally, we performed citation tracking of included studies. We included all types of study designs. Two researchers independently selected the studies. The results were thematically categorised by two researchers. Results: The search yielded 7160 references. 18 of 24 included studies were qualitative. The studies had been conducted in 13 different countries, mostly in Europe. The sample size ranged between two and 270 participants. Most of the studies involved people with dementia as well as informal caregivers. The analysis resulted in eleven themes. The themes could be assigned to three domains: "needed technologies", "characteristics of needed technologies", and "information about technologies". Conclusions: The results might guide future usage, development and research addressing end users' needs with regard to assistive technologies.
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Affiliation(s)
- Julian Hirt
- Center for Dementia Care, Institute of Applied Nursing Sciences, Department of Health, FHS St.Gallen, University of Applied Sciences, St. Gallen, Switzerland.,International Graduate Academy, Institute for Health and Nursing Science, Medical Faculty, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany
| | - Melanie Burgstaller
- Center for Dementia Care, Institute of Applied Nursing Sciences, Department of Health, FHS St.Gallen, University of Applied Sciences, St. Gallen, Switzerland
| | - Adelheid Zeller
- Center for Dementia Care, Institute of Applied Nursing Sciences, Department of Health, FHS St.Gallen, University of Applied Sciences, St. Gallen, Switzerland
| | - Thomas Beer
- Center for Dementia Care, Institute of Applied Nursing Sciences, Department of Health, FHS St.Gallen, University of Applied Sciences, St. Gallen, Switzerland
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Sriram V, Jenkinson C, Peters M. Informal carers' experience of assistive technology use in dementia care at home: a systematic review. BMC Geriatr 2019; 19:160. [PMID: 31196003 PMCID: PMC6567448 DOI: 10.1186/s12877-019-1169-0] [Citation(s) in RCA: 60] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2019] [Accepted: 05/23/2019] [Indexed: 12/03/2022] Open
Abstract
BACKGROUND Dementia is a health and care priority globally. Caring for persons with dementia is a challenge and can lead to negative psychological, physiological and financial consequences for informal carers. Advances in technology have the potential to assist persons with dementia and their carers, through assistive technology devices such as electronic medication dispensers, robotic devices trackers and motion detectors. However, little is known about carers' experience and the impact of these technologies on them. This review aims to investigate the outcomes and experience of carers of persons with dementia, who live at home and use assistive technology. METHODS A systematic search in seven databases and manual searches were carried out using pre-defined inclusion and exclusion criteria to identify studies on carers of persons with dementia involving the use of assistive technology. The search identified 56 publications with quantitative, qualitative and mixed-method designs. RESULTS The studies reported positive and negative findings and focused on a wide variety of assistive technology devices. There were large differences in the uses of assistive technology, outcome measures used and the quality of studies. Knowledge and acceptance, competence to use and ethical issues when using assistive technology were themes that emerged from the studies. Carers generally appreciated using assistive technology and their experience of use varied. CONCLUSIONS The intention of this systematic review is to list and classify the various types of assistive technology used by carers of persons with dementia and explores the positive and negative aspects, knowledge, acceptance and ethical issues in the use of assistive technology by carers of persons with dementia. We recommend the use of a standard and person-centred system of classifying and naming assistive technology devices and systems and for future research efforts in assistive technology to incorporate a family/carer centred model. SYSTEMATIC REVIEW REGISTRATION PROSPERO - CRD42017082268 .
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Affiliation(s)
- Vimal Sriram
- Health Services Research Unit, Nuffield Department of Population Health, University of Oxford, Richard Doll Building, Old Road Campus, Oxford, OX3 7LF UK
| | - Crispin Jenkinson
- Health Services Research Unit, Nuffield Department of Population Health, University of Oxford, Richard Doll Building, Old Road Campus, Oxford, OX3 7LF UK
| | - Michele Peters
- Health Services Research Unit, Nuffield Department of Population Health, University of Oxford, Richard Doll Building, Old Road Campus, Oxford, OX3 7LF UK
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Song Y, van der Cammen TJM. Electronic assistive technology for community-dwelling solo-living older adults: A systematic review. Maturitas 2019; 125:50-56. [PMID: 31133218 DOI: 10.1016/j.maturitas.2019.04.211] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2019] [Revised: 04/05/2019] [Accepted: 04/10/2019] [Indexed: 10/27/2022]
Abstract
The proportion of older adults who live alone in single households is growing continuously. In the care of these solo-living older adults, electronic assistive technology (EAT) can play an important role. The objective of this review is to investigate the effects of EAT on the wellbeing of community-dwelling older adults living alone in single households. A systematic review of English articles was conducted based on PMC, Scopus, Web of Science and the Cochrane database. Additional studies were identified from the references. In total, 16 studies were identified, six of them with follow-up. There is evidence that EAT can improve the physical and mental wellbeing of older adults. There was little evidence that EAT can improve social wellbeing. We conclude that more personalized designs and interventions, and more user engagement could be embedded in the design of EAT for solo-living community-dwelling older adults and that more evidence is needed regarding the effects of those interventions.
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Affiliation(s)
- Yu Song
- Faculty of Industrial Design Engineering Delft University of Technology, Delft, the Netherlands.
| | - Tischa J M van der Cammen
- Faculty of Industrial Design Engineering Delft University of Technology, Delft, the Netherlands; Section of Geriatric Medicine, Department of Internal Medicine, Erasmus University Medical Center, Rotterdam, the Netherlands
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34
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Pepito JA, C. Locsin R, Constantino RE. Caring for Older Persons in a Technologically Advanced Nursing Future. Health (London) 2019. [DOI: 10.4236/health.2019.115039] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Could Robots Help Older People with Age-Related Nutritional Problems? Opinions of Potential Users. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15112535. [PMID: 30424561 PMCID: PMC6266220 DOI: 10.3390/ijerph15112535] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/16/2018] [Revised: 10/29/2018] [Accepted: 11/05/2018] [Indexed: 01/15/2023]
Abstract
Background: The rapid development of new technologies has recently raised interest in the use of assistive robots in the care of older people. The success or failure of robots’ implementation is mediated by their acceptance by users. The aim of the study was to answer the question of how both older people and caregivers perceive the possibility of using an assistive robot for nutritional support. Methods: Opinions of 252 respondents (126 older—aged 65 and above; 126 younger ones—aged below 65) from five European countries were collected using the Users’ Needs, Requirements, and Abilities Questionnaire. Results: The majority of participants positively assessed the possibility of using a robot to improve the diet of older people by giving advice on healthy eating or monitoring the amount of food consumed by the owner. An age-related difference was observed, as older people less frequently accepted the reminding of meal times or drinking liquids than younger participants. Four key categories related to the robot’s role in the diet of older people were identified: matching the needs, robot’s characteristics, ethical issues and technical/financial issues. Conclusions: Our preliminary research has shown a positive approach to robots in the context of their nutrition-related aspects. An indication has been made of the need to include older people and other stakeholders in the process of designing these functionalities and modeling human–robot interactions based on communication theories.
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Góngora Alonso S, Hamrioui S, de la Torre Díez I, Motta Cruz E, López-Coronado M, Franco M. Social Robots for People with Aging and Dementia: A Systematic Review of Literature. Telemed J E Health 2018; 25:533-540. [PMID: 30136901 DOI: 10.1089/tmj.2018.0051] [Citation(s) in RCA: 67] [Impact Index Per Article: 11.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background: Social robots are currently a form of assistive technology for the elderly, healthy, or with cognitive impairment, helping to maintain their independence and improve their well-being. Objective: The main aim of this article is to present a review of the existing research in the literature, referring to the use of social robots for people with dementia and/or aging. Methods: Academic databases that were used to perform the searches are IEEE Xplore, PubMed, Science Direct, and Google Scholar, taking into account as date of publication the last 10 years, from 2007 to the present. Several search criteria were established such as "robot" AND "dementia," "robot" AND "cognitive impairment," "robot" AND "social" AND "aging," and so on., selecting the articles of greatest interest regarding the use of social robots in elderly people with or without dementia. Results: This search found a total of 96 articles on social robots in healthy people and with dementia, of which 38 have been identified as relevant work. Many of the articles show the acceptance of older people toward social robots. Conclusion: From the review of the research articles analyzed, it can be said that use of social robots in elderly people without cognitive impairment and with dementia, help in a positive way to work independently in basic activities and mobility, provide security, and reduce stress.
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Affiliation(s)
- Susel Góngora Alonso
- 1 Department of Signal Theory and Communications, and Telematics Engineering, University of Valladolid, Valladolid, Spain
| | - Sofiane Hamrioui
- 2 Department of Telecommunication and Networks, Bretagne Loire and Nantes Universities, Polytech Nantes, France
| | - Isabel de la Torre Díez
- 1 Department of Signal Theory and Communications, and Telematics Engineering, University of Valladolid, Valladolid, Spain
| | - Eduardo Motta Cruz
- 2 Department of Telecommunication and Networks, Bretagne Loire and Nantes Universities, Polytech Nantes, France
| | - Miguel López-Coronado
- 1 Department of Signal Theory and Communications, and Telematics Engineering, University of Valladolid, Valladolid, Spain
| | - Manuel Franco
- 3 Psychiatry Service, Hospital Zamora, Zamora, Spain
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Gerłowska J, Skrobas U, Grabowska-Aleksandrowicz K, Korchut A, Szklener S, Szczęśniak-Stańczyk D, Tzovaras D, Rejdak K. Assessment of Perceived Attractiveness, Usability, and Societal Impact of a Multimodal Robotic Assistant for Aging Patients With Memory Impairments. Front Neurol 2018; 9:392. [PMID: 29910769 PMCID: PMC5992288 DOI: 10.3389/fneur.2018.00392] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2018] [Accepted: 05/14/2018] [Indexed: 12/31/2022] Open
Abstract
The aim of the present study is to present the results of the assessment of clinical application of the robotic assistant for patients suffering from mild cognitive impairments (MCI) and Alzheimer Disease (AD). The human-robot interaction (HRI) evaluation approach taken within the study is a novelty in the field of social robotics. The proposed assessment of the robotic functionalities are based on end-user perception of attractiveness, usability and potential societal impact of the device. The methods of evaluation applied consist of User Experience Questionnaire (UEQ), AttrakDiff and the societal impact inventory tailored for the project purposes. The prototype version of the Robotic Assistant for MCI patients at Home (RAMCIP) was tested in a semi-controlled environment at the Department of Neurology (Lublin, Poland). Eighteen elderly participants, 10 healthy and 8 MCI, performed everyday tasks and functions facilitated by RAMCIP. The tasks consisted of semi-structuralized scenarios like: medication intake, hazardous events prevention, and social interaction. No differences between the groups of subjects were observed in terms of perceived attractiveness, usability nor-societal impact of the device. The robotic assistant societal impact and attractiveness were highly assessed. The usability of the device was reported as neutral due to the short time of interaction.
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Affiliation(s)
- Justyna Gerłowska
- Faculty of Education and Psychology, Institute of Methodology and Psychological Diagnosis, UMCS, Lublin, Poland.,Department of Neurology, Medical University of Lublin, Lublin, Poland
| | - Urszula Skrobas
- Department of Neurology, Medical University of Lublin, Lublin, Poland
| | | | - Agnieszka Korchut
- Department of Neurology, Medical University of Lublin, Lublin, Poland
| | | | | | - Dimitrios Tzovaras
- Centre for Research and Technology Hellas, Information Technologies Institute, Thessaloniki, Greece
| | - Konrad Rejdak
- Department of Neurology, Medical University of Lublin, Lublin, Poland.,Medical Research Center, Polish Academy of Sciences, Warsaw, Poland
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