How Prefrail Older People Living Alone Perceive Information and Communications Technology and What They Would Ask a Robot for: Qualitative Study

Background

In the last decade, the family system has changed significantly. Although in the past, older people used to live with their children, nowadays, they cannot always depend on assistance of their relatives. Many older people wish to remain as independent as possible while remaining in their homes, even when living alone. To do so, there are many tasks that they must perform to maintain their independence in everyday life, and above all, their well-being. Information and communications technology (ICT), particularly robotics and domotics, could play a pivotal role in aging, especially in contemporary society, where relatives are not always able to accurately and constantly assist the older person.

Objective

The aim of this study was to understand the needs, preferences, and views on ICT of some prefrail older people who live alone. In particular, we wanted to explore their attitude toward a hypothetical caregiver robot and the functions they would ask for.

Methods

We designed a qualitative study based on an interpretative phenomenological approach. A total of 50 potential participants were purposively recruited in a big town in Northern Italy and were administered the Fried scale (to assess the participants’ frailty) and the Mini-Mental State Examination (to evaluate the older person’s capacity to comprehend the interview questions). In total, 25 prefrail older people who lived alone participated in an individual semistructured interview, lasting approximately 45 min each. Overall, 3 researchers independently analyzed the interviews transcripts, identifying meaning units, which were later grouped in clustering of themes, and finally in emergent themes. Constant triangulation among researchers and their reflective attitude assured trustiness.

Results

From this study, it emerged that a number of interviewees who were currently using ICT (ie, smartphones) did not own a computer in the past, or did not receive higher education, or were not all young older people (aged 65-74 years). Furthermore, we found that among the older people who described their relationship with ICT as negative, many used it in everyday life. Referring to robotics, the interviewees appeared quite open-minded. In particular, robots were considered suitable for housekeeping, for monitoring older people’s health and accidental falls, and for entertainment.

Conclusions

Older people’s use and attitudes toward ICT does not always seem to be related to previous experiences with technological devices, higher education, or lower age. Furthermore, many participants in this study were able to use ICT, even if they did not always acknowledge it. Moreover, many interviewees appeared to be open-minded toward technological devices, even toward robots. Therefore, proposing new advanced technology to a group of prefrail people, who are self-sufficient and can live alone at home, seems to be feasible.

Acceptability of Robots to Assist the Elderly by Future Designers: A Case of Guangdong Ocean University Industrial Design Students

The development of robot technology provides many possibilities for the life support of the elderly. This study explored the acceptability of robots to assist the elderly from the perspective of future designers. A quantitative questionnaire (58 copies) and a qualitative one-to-one interview (10 people) were conducted to explore the attitude of future designers towards the use of robots to assist the elderly. One-sample Wilcoxon signed-rank test statistic was used to analyze the data of the questionnaire. The results show that the mean and median of 11 of the 12 dimensions of the acceptability questionnaire are greater than 3 (3 represents uncertain and neutral attitude), and 10 have statistical significance (p < 0.05). Also, the interview results show the positive attitude of future designers. The research shows that future designers hold a positive and open attitude towards the use of robots to assist the elderly. The research findings can help people understand the attitude of future designers and provide some reference for subsequent robot design and development.

The use of robots and other automated devices in nurses' work: An integrative review

BACKGROUND

Future nursing shortages and advanced technological developments mean that robots and automated devices could play a valuable role in nursing, but little has been published on their use, and outcomes, to date.

AIM

This integrative review identified how robots are currently used in nursing and the outcomes of those initiatives.

DESIGN

This study used integrative review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses.

DATA SOURCES

We searched the CINAHL, PubMed, Web of Science, and Scopus databases for peer-reviewed papers published in English from January 2010 to August 2018.

REVIEW METHODS

The five-stage review process by Whittemore and Knafl was used.

RESULTS

The 25 included papers showed that robots and automated devices were mainly used in nursing to deliver medication, monitor patients, and provide nursing treatments. The outcomes were evaluated in relation to patient safety, working time and workload, usability, and the end users' satisfaction. In addition, the costs, care outcomes, nurses' behaviour, and changes in working procedures were considered.

CONCLUSIONS

Robots and automated devices have the potential to develop nurses' work, but more research and critical evaluations are needed to find the most suitable devices and focus on the functions that will provide the best outcomes for nurses' work.

“Robots do not replace a nurse with a beating heart”

Purpose

The purpose of this paper is to investigate the publicity around the implementation of the Zora robot in elderly-care services in Lahti, Finland. The aim is to discover opinions concerning the use of robots in elderly care as well as the arguments and justifications behind those opinions. Zora is a humanoid robot intended to promote mobility and rehabilitation. The Lahti pilot was the first Zora pilot in Finland in public elderly-care services. It received much publicity, both regionally and nationally.

Design/methodology/approach

This study is based on an empirical case study on the implementation of the Zora robot in elderly-care services. The data consist of interviews with personnel who operated Zora and comments from the general public about the “Zora” robot. Two data sources were used: 107 comments were collected from online and print media, and the personnel (n=39) who worked with Zora were interviewed. The data were analysed by means of interpretative content analysis.

Findings

The results show that public opinion is mainly negative, but that the commentators apparently have little information about the robot and its tasks. The personnel had more positive views; they saw it as a recreational tool, not as a replacement for their own roles.

Originality/value

There is clearly a need for more information, for a better informed discussion on how robots can be used in elderly care and how to involve the general public in this discussion in a constructive way.

Care Personnel's Attitudes and Fears Toward Care Robots in Elderly Care: A Comparison of Data from the Care Personnel in Finland and Japan

PURPOSE

The aim of the study was to analyze and compare elderly care personnel attitudes toward care robots in Finland and Japan.

DESIGN

Cross-sectional survey in Finland and Japan.

METHODS

The Finnish sample was collected from care personnel in home care facilities in five municipalities in 2016. The Japanese sample was collected from personnel in two rehabilitative day centers and three residential care homes for the elderly in the north of Honshu Island in 2017. The data were analyzed using basic statistical methods and calculated descriptive statistics (frequencies). Differences between the Finnish and Japanese data have been analyzed using the Mann-Whitney U test.

FINDINGS

Overall, Japanese care personnel assessed the usefulness of robots more positively than did their Finnish counterparts. The data showed substantial national differences in the perceived importance of various potential tasks for care robots. The findings show that there are also certain fears related to the introduction of care robots, in particular among the Finnish care personnel.

DISCUSSION

The data from the Japanese care personnel bring new perspectives to the concept of a close human-robot relationship. The differences seen in the results between Finland and Japan can be partly explained by cultural dissimilarity, but it is also known that Japan is a more developed country with regard to the use of robotics in nursing care. The research highlights the importance of cultural factors when examining the issue of care robotics. The factors affecting fear are a concern that care robots would be used to replace people, the dehumanization of treatment, and an increased loneliness in the elderly. Thus, further research is required to demonstrate the relationship between different cultural factors, and attitudes and conceptions toward care robots.

CLINICAL RELEVANCE

Management plays a key role when implementing robotics. It is important to help care personnel accept care robots, and to diminish any fears that their introduction would make the treatment of elderly people inhumane or in some way add to their loneliness. As such, education is crucial in changing attitudes and making care personnel understand that care robots can perform routine tasks, allowing care personnel to focus on providing improved care and nursing.

Views of nurses and other health and social care workers on the use of assistive humanoid and animal-like robots in health and social care: a scoping review

BACKGROUND

Robots are introduced in many health and social care settings.

OBJECTIVES

To provide an overview of the existing evidence related to the views of nurses and other health and social care workers about the use of assistive humanoid and animal-like robots.

METHODS

Using the Joanna Briggs Institute guidelines we searched MEDLINE, PUBMED, CINHAL, EMBASE, PsycInfo, Web of Science, and IEEE Xplore digital library. Nineteen (19) articles met the criteria for inclusion.

RESULTS

Health care workers reported mixed views regarding the use of robots. They considered an array of tasks that robots could perform; they addressed the issue of patient safety and raised concerns about privacy.

CONCLUSIONS

A limited number of studies have explored the views of health care workers about the use of robots. Considering the fast pace with which technology is advancing in the care field, it is critical to conduct more research in this area. Impact Statement: Robots will increasingly have a role to play in nursing, health and social care. The potential impact will be challenging for the healthcare workforce. It is therefore important for nurses and other health and social care workers to engage in discussion regarding the contribution of robots and their impact not only on nursing care but also on future roles of health and social care workers.

When robots care: Public deliberations on how technology and humans may support independent living for older adults

While assistive robots receive growing attention as a potential solution to support older adults to live independently, several scholars question the underlying social, ethical and health policy assumptions. One perplexing issue is determining whether assistive robots should be introduced to supplement caregivers or substitute them. Current state of knowledge indicates that users and caregivers consider that robots should not aim to replace humans, but could perform certain tasks. This begs the question of the nature and scope of the tasks that can be delegated to robots and of those that should remain under human responsibility. Considering that such tasks entail a range of actions that affect the meaning of caregiving and care receiving, this article offers sociological insights into the ways in which members of the public reason around assistive actions, be they performed by humans, machines or both. Drawing on a prospective public deliberation study that took place in Quebec (Canada) in 2014 with participants (n = 63) of different age groups, our findings clarify how they envisage what robots can and cannot do to assist older people, and when and why delegating certain tasks to robots becomes problematic. A better understanding of where the publics draw a limit in the substitution of humans by robots refocuses policymakers' attention on what good care entails in modern healthcare systems.

Robotics in Nursing: A Bibliometric Analysis

PURPOSE

The purpose of this study was to describe the current evidence found in the nursing literature about robotics used to assist or augment nursing care.

METHODS

A bibliometric analysis of published research focused on robotics in nursing care was conducted to analyze the trends of publications. A search of the Cumulative Index to Nursing and Allied Health Literature database was conducted. This analysis was used to determine the types and extent of robotic research presented in nursing and allied health literature, journals that publish robotic research, and the origins of the study.

FINDINGS

Twenty-one articles met inclusion criteria and spanned the years 2004 to 2016. The main disciplines represented by first authors in these 21 articles were medicine (n = 4, 9%), nursing (n = 4, 9%), and psychiatric medicine (n = 4, 9%). Nine countries were represented by the first author. The majority of the specific studies reported using qualitative research methods (n = 4, 19%) with reports of other research designs being used. Further analysis of subsequent citations found that 248 subsequent citations were generated from these articles.

CONCLUSIONS

The application of robots has been used beyond typical physical day-to-day processes as many definitions of robotics suggest. Eleven (52%) of the 21 articles described the use of robots with aged patients. In some cases, robots were used as companions for older adults, as opposed to replacing mechanical and repetitive motions.

CLINICAL RELEVANCE

Robotics are being used globally in nursing care areas. While a limited amount of research on this topic in nursing exists, this study of the literature offers reports of applications of robots within nursing care areas.

The state of knowledge on technologies and their use for fall detection: A scoping review

BACKGROUND

Globally, populations are aging with increasing life spans. The normal aging process and the resulting disabilities increase fall risks. Falls are an important cause of injury, loss of independence and institutionalization. Technologies have been developed to detect falls and reduce their consequences but their use and impact on quality of life remain debatable. Reviews on fall detection technologies exist but are not extensive. A comprehensive literature review on the state of knowledge of fall detection technologies can inform research, practice, and user adoption.

OBJECTIVES

To examine the extent and the diversity of current technologies for fall detection in older adults.

METHODS

A scoping review design was used to search peer-reviewed literature on technologies to detect falls, published in English, French or Spanish since 2006. Data from the studies were analyzed descriptively.

RESULTS

The literature search identified 3202 studies of which 118 were included for analysis. Ten types of technologies were identified ranging from wearable (e.g., inertial sensors) to ambient sensors (e.g., vision sensors). Their Technology Readiness Level was low (mean 4.54 SD 1.25; 95% CI [4.31, 4.77] out of a maximum of 9). Outcomes were typically evaluated on technological basis and in controlled environments. Few were evaluated in home settings or care units with older adults. Acceptability, implementation cost and barriers were seldom addressed.

CONCLUSIONS

Further research should focus on increasing Technology Readiness Levels of fall detection technologies by testing them in real-life settings with older adults.

Acceptance and Attitudes Toward a Human-like Socially Assistive Robot by Older Adults

Recent studies have shown that cognitive and social interventions are crucial to the overall health of older adults including their psychological, cognitive, and physical well-being. However, due to the rapidly growing elderly population of the world, the resources and people to provide these interventions is lacking. Our work focuses on the use of social robotic technologies to provide person-centered cognitive interventions. In this article, we investigate the acceptance and attitudes of older adults toward the human-like expressive socially assistive robot Brian 2.1 in order to determine if the robot's human-like assistive and social characteristics would promote the use of the robot as a cognitive and social interaction tool to aid with activities of daily living. The results of a robot acceptance questionnaire administered during a robot demonstration session with a group of 46 elderly adults showed that the majority of the individuals had positive attitudes toward the socially assistive robot and its intended applications.

Ethical framework of assistive devices: review and reflection

The population of ageing is growing significantly over the world, and there is an emerging demand for better healthcare services and more care centres. Innovations of Information and Communication Technology has resulted in development of various types of assistive robots to fulfil elderly’s needs and independency, whilst carrying out daily routine tasks. This makes it vital to have a clear understanding of elderly’s needs and expectations from assistive robots. This paper addresses current ethical issues to understand elderly’s prime needs. Also, we consider other general ethics with the purpose of applying these theories to form a proper ethics framework. In the ethics framework, the ethical concerns of senior citizens will be prioritized to satisfy elderly’s needs and also to diminish related expenses to healthcare services.

Assessment of personal care and medical robots from older adults' perspective

Demographic reports indicate that population of older adults is growing significantly over the world and in particular in developed nations. Consequently, there are a noticeable number of demands for certain services such as health-care systems and assistive medical robots and devices. In today’s world, different types of robots play substantial roles specifically in medical sector to facilitate human life, especially older adults. Assistive medical robots and devices are created in various designs to fulfill specific needs of older adults. Though medical robots are utilized widely by senior citizens, it is dramatic to find out into what extent assistive robots satisfy their needs and expectations. This paper reviews various assessments of assistive medical robots from older adults’ perspectives with the purpose of identifying senior citizen’s needs, expectations, and preferences. On the other hand, these kinds of assessments inform robot designers, developers, and programmers to come up with robots fulfilling elderly’s needs while improving their life quality.

The effectiveness of various robotic technologies in assisting older adults

There is concern about the expanding size of the ageing population and burgeoning care costs for older adults. Robotic technology could assist older adults. In this study, the effectiveness of the robotic technologies is evaluated. A systematic literature review was undertaken of peer-reviewed literature. An initial set of 8533 studies was evaluated for relevance; these were reduced to a final subset of 58 studies finally subjected to analysis. This study categorised the problems encountered by older adults, identified robot types deployed to overcome them and derived a subjective effectiveness score. The most used and most effective robots were companion robots followed by telepresence robots. The findings imply positive effects of robotic technologies in helping elderly people's problems. Although robotic technologies could bring some innovation into aged care, more research is needed to design and develop robots to be of assistance and support elderly in having an independent lifestyle.

Attitudes towards care robots among Finnish home care personnel - a comparison of two approaches

STUDY'S RATIONALE

The significance of care robotics has been highlighted in recent years.

AIMS AND OBJECTIVE

The article examines the adoption of care robots in home care settings, and in particular Finnish home care personnel's attitudes towards robots. The study compares the importance of the Negative Attitudes towards Robots Scale advanced by Nomura and specific positive attitudes related to the usefulness of care robots for different tasks in the home care.

METHODOLOGICAL DESIGN

A cross-sectional study conducted by questionnaire. The research data were gathered from a survey of Finnish home care personnel (n = 200).

RESEARCH METHODS

Exploratory factor analysis, Pearson's correlation coefficient and linear regression analysis.

MEASURES

The Negative Attitudes towards Robots Scale (NARS), by Nomura, with a specific behavioural intention scale based on Ajzen's theory of planned behaviour, and a measure of positive attitudes towards the usefulness of care robots for different tasks in home care and the promotion of independent living of older persons.

RESULTS

The study shows that NARS helps to explain psychological resistance related to the introduction of care robots, although the scale is susceptible to cultural differences. Care personnel's behavioural intentions related to the introduction of robot applications are influenced also by the perception of the usefulness of care robots.

STUDY LIMITATIONS

The study is based only on a Finnish sample, and the response rate of the study was relatively small (18.2%), which limits the generalisability of the results.

CONCLUSIONS

The study shows that the examination of home care personnel's attitudes towards robots is not justified to focus only on one aspect, but a better explanation is achieved by combining the perspectives of societal attitudes, attitudes related to psychological reactions and the practical care and promotion of the independent living of older people.

Twitter discussions about the predicaments of robots in geriatric nursing: forecast of nursing robotics in aged care

BACKGROUND

People use social media to express perceptions, attitudes and a wide range of concerns regarding human life.

AIM

This study aims at analysing the ongoing discussions on the internet microblog Twitter and offers some coming predicaments regarding developments in geriatric nursing regarding nursing robots.

METHODS

Data were retrospectively collected from Twitter. 1322 mentions were included in the final analyses, where principles of interpreting data by using netnography were utilized.

RESULTS

Many ideas are presented expressing functional, psychological and social aspects of robots in nursing care. Most postings come from metropolitan cities around the globe. The discussion focuses on market-driven, science fiction solutions for aged care. Twitter users overall seem to be positive using various nursing robots in aged care. These discussions offer a window into the attitudes and ideas of this group of users.

CONCLUSION

We suggest that monitoring Twitter discussions on social media can provide valuable insights into current attitudes as well as forecast coming trends.

Employees' attitudes towards welfare technology in substance abuse treatment in Finland

AIM

The significance of welfare and health technology has been highlighted in recent years. However, employees' attitudes towards welfare technology in substance abuse treatment have received little attention. This article examines employees' readiness to introduce welfare technology in substance abuse treatment and their attitudes towards its use.

DESIGN

The theoretical framework of this study is based on Ajzen's (1991, 2001) theory of planned behaviour, and the ongoing discussion about the adoption of new technology in healthcare. The research data (N = 129) were collected in the form of an electronic questionnaire in Finland in 2015.

RESULTS

The results are consistent with the theory of planned behaviour and previous studies on the acceptance of information systems in healthcare. Employees' readiness to introduce new welfare technology applications and devices in substance abuse treatment is influenced by their personal appreciation of welfare technology, the expectations of their colleagues and supervisors, as well as their own perceptions of their capacity to learn to use the applications.

CONCLUSIONS

The study found some links between demographic factors and cognitions related to welfare technology. In particular, employees with a healthcare background are more inclined to adopt the technology than other employees in substance abuse treatment. In addition, a person's age has a negative relationship with their perceived technology management. However, age has no significant connection with attitudes and no direct independent effect on the readiness to introduce a new welfare technology. Lastly, the results show that previous positive experiences of welfare technology make it easier to introduce new technologies.

Older Users' Acceptance of an Assistive Robot: Attitudinal Changes Following Brief Exposure

INTRODUCTION

Many older adults wish to age-in-place. Robot assistance at home may be beneficial for older adults who are experiencing limitations in performing home activities. In this study we investigate older Americans' robot acceptance before and after exposure to a domestic mobile manipulator, with an emphasis on understanding trialability (i.e., "trying out" a robot for a short time period) and result demonstrability (i.e., observing the results of the robot's functionality).

METHOD

Older adult participants observed a mobile manipulator robot autonomously demonstrating three tasks: delivering medication, learning to turn off a light switch, and organizing home objects. We administered pre and post exposure questionnaires about participants' opinions and attitudes toward the robot, as well as a semi-structured interview about each demonstration.

RESULTS

We found that demonstration of a mobile manipulator assistive robot did, in fact, influence older adults' acceptance. There was a significant increase, pre vs. post, in positive perceptions of robot usefulness and ease of use for 8 of the 12 Robot Opinions Questionnaire items. Furthermore, in the Assistance Preference Checklist, eighteen tasks significantly differed between pre and post exposure, with older adults showing a greater openness to robot assistance after exposure to the robot.

CONCLUSION

Thus, demonstration of robot capability positively affected older adults' preferences for robot assistance for tasks in the home. Interview data suggest that the robot's capability and reliability influenced older adults' first impressions of the robot.

Robots to assist daily activities: views of older adults with Alzheimer's disease and their caregivers

BACKGROUND

Robots have the potential to both enable older adults with dementia to perform daily activities with greater independence, and provide support to caregivers. This study explored perspectives of older adults with Alzheimer's disease (AD) and their caregivers on robots that provide stepwise prompting to complete activities in the home.

METHODS

Ten dyads participated: Older adults with mild-to-moderate AD and difficulty completing activity steps, and their family caregivers. Older adults were prompted by a tele-operated robot to wash their hands in the bathroom and make a cup of tea in the kitchen. Caregivers observed interactions. Semi-structured interviews were conducted individually. Transcribed interviews were thematically analyzed.

RESULTS

Three themes summarized responses to robot interactions: contemplating a future with assistive robots, considering opportunities with assistive robots, and reflecting on implications for social relationships. Older adults expressed opportunities for robots to help in daily activities, were open to the idea of robotic assistance, but did not want a robot. Caregivers identified numerous opportunities and were more open to robots. Several wanted a robot, if available. Positive consequences of robots in caregiving scenarios could include decreased frustration, stress, and relationship strain, and increased social interaction via the robot. A negative consequence could be decreased interaction with caregivers.

CONCLUSIONS

Few studies have investigated in-depth perspectives of older adults with dementia and their caregivers following direct interaction with an assistive prompting robot. To fulfill the potential of robots, continued dialogue between users and developers, and consideration of robot design and caregiving relationship factors are necessary.

Emerging ICT implementation issues in aged care

BACKGROUND

Demand for aged care services continues to soar as a result of an aging population. This increasing demand requires more residential aged care facilities and healthcare workforce. One recommended solution is to keep older people in their homes longer and support their independent life through the use of information and communication technologies (ICT). However, the aged care sector is still in the early stages of adopting ICT.

OBJECTIVE

The aim of this study was to identify the key issues that affect the adoption of ICT in the aged care sector.

METHODS

A systematic literature review was undertaken and involved four steps. The first two steps aimed to identify and select relevant articles. Data was then extracted from the selected articles and identified issues were analyzed and grouped into three major categories.

RESULTS

ICT adoption issues were categorized into different perspectives, representing older people, health professionals and management. Our findings showed that all three groups were mostly concerned with issues around behavior, cost and lack of technical skills.

DISCUSSION AND CONCLUSIONS

Findings reported in this study will help decision makers at aged care settings to systematically understand issues related to ICT adoption and thus proactively introduce interventions to improve use of ICT in this sector. On the basis of our findings, we suggest future research focus on the examination of aged care workflow and assessment of return on ICT investment.

Vidéosurveillance intelligente et détection des chutes : perception des professionnels et des gestionnaires

Description.

Les gérontechnologies peuvent être utilisées pour la détection des chutes. Toutefois, les systèmes existants ne répondent pas entièrement aux besoins des usagers. Notre équipe a donc développé un système de vidéosurveillance intelligente pour combler certaines lacunes. Des auteurs préconisent de consulter les utilisateurs potentiels des gérontechnologies dès les premiers stades de la conception pour y intégrer leurs suggestions.

But.

L’étude vise à explorer l’opinion des acteurs du système de santé concernant la vidéosurveillance intelligente pour la détection des chutes des aînés à domicile.

Méthodologie.

Une étude qualitative a exploré l’opinion de 31 participants en utilisant la technique de groupe de discussion thématique. Les transcriptions ont été codées à partir de codes prédéfinis, créés à partir du Modèle de compétence.

Résultats.

Les participants dégagent divers intérêts à la vidéosurveillance intelligente et suggèrent des améliorations au système.

Conséquences.

Les propositions et réflexions des participants permettront d’améliorer le système pour répondre aux besoins des usagers.

Why Some Humanoid Faces Are Perceived More Positively Than Others: Effects of Human-Likeness and Task

Ample research in social psychology has highlighted the importance of the human face in human-human interactions. However, there is a less clear understanding of how a humanoid robot's face is perceived by humans. One of the primary goals of this study was to investigate how initial perceptions of robots are influenced by the extent of human-likeness of the robot's face, particularly when the robot is intended to provide assistance with tasks in the home that are traditionally carried out by humans. Moreover, although robots have the potential to help both younger and older adults, there is limited knowledge of whether the two age groups' perceptions differ. In this study, younger (N = 32) and older adults (N = 32) imagined interacting with a robot in four different task contexts and rated robot faces of varying levels of human-likeness. Participants were also interviewed to assess their reasons for particular preferences. This multi-method approach identified patterns of perceptions across different appearances as well as reasons that influence the formation of such perceptions. Overall, the results indicated that people's perceptions of robot faces vary as a function of robot human-likeness. People tended to over-generalize their understanding of humans to build expectations about a human-looking robot's behavior and capabilities. Additionally, preferences for humanoid robots depended on the task although younger and older adults differed in their preferences for certain humanoid appearances. The results of this study have implications both for advancing theoretical understanding of robot perceptions and for creating and applying guidelines for the design of robots.

Domestic Robots for Older Adults: Attitudes, Preferences, and Potential

The population of older adults in America is expected to reach an unprecedented level in the near future. Some of them have difficulties with performing daily tasks and caregivers may not be able to match pace with the increasing need for assistance. Robots, especially mobile manipulators, have the potential for assisting older adults with daily tasks enabling them to live independently in their homes. However, little is known about their views of robot assistance in the home. Twenty-one independently living older Americans (65-93 years old) were asked about their preferences for and attitudes toward robot assistance via a structured group interview and questionnaires. In the group interview, they generated a diverse set of 121 tasks they would want a robot to assist them with in their homes. These data, along with their questionnaire responses, suggest that the older adults were generally open to robot assistance but were discriminating in their acceptance of assistance for different tasks. They preferred robot assistance over human assistance for tasks related to chores, manipulating objects, and information management. In contrast, they preferred human assistance to robot assistance for tasks related to personal care and leisure activities. Our study provides insights into older adults' attitudes and preferences for robot assistance with everyday living tasks in the home which may inform the design of robots that will be more likely accepted by older adults.

Towards extended virtual presence of the therapist in stroke rehabilitation

This paper considers the use of humanoid robots in residential stroke care to facilitate both direct and indirect interaction between clients and therapists. Direct interaction is realized through a humanoid-mediated teletherapy where a therapist assesses the motor function of a patient and provides therapy customized to the individual. During the teletherapy sessions, the therapist uses a simple speech interface to program therapeutic behavior and activity. Indirect interaction is implemented by the therapist-programmed artifact where a humanoid robot delivers therapeutic activities to the stroke patient in the absence of the therapist. We propose that such an approach can amplify the outcome per hour of therapist time. Outcome data from the current study indicate that the therapist can successfully provide customized therapy to individuals in residential settings and warrant further study.

Robots with display screens: a robot with a more humanlike face display is perceived to have more mind and a better personality

It is important for robot designers to know how to make robots that interact effectively with humans. One key dimension is robot appearance and in particular how humanlike the robot should be. Uncanny Valley theory suggests that robots look uncanny when their appearance approaches, but is not absolutely, human. An underlying mechanism may be that appearance affects users’ perceptions of the robot’s personality and mind. This study aimed to investigate how robot facial appearance affected perceptions of the robot’s mind, personality and eeriness. A repeated measures experiment was conducted. 30 participants (14 females and 16 males, mean age 22.5 years) interacted with a Peoplebot healthcare robot under three conditions in a randomized order: the robot had either a humanlike face, silver face, or no-face on its display screen. Each time, the robot assisted the participant to take his/her blood pressure. Participants rated the robot’s mind, personality, and eeriness in each condition. The robot with the humanlike face display was most preferred, rated as having most mind, being most humanlike, alive, sociable and amiable. The robot with the silver face display was least preferred, rated most eerie, moderate in mind, humanlikeness and amiability. The robot with the no-face display was rated least sociable and amiable. There was no difference in blood pressure readings between the robots with different face displays. Higher ratings of eeriness were related to impressions of the robot with the humanlike face display being less amiable, less sociable and less trustworthy. These results suggest that the more humanlike a healthcare robot’s face display is, the more people attribute mind and positive personality characteristics to it. Eeriness was related to negative impressions of the robot’s personality. Designers should be aware that the face on a robot’s display screen can affect both the perceived mind and personality of the robot.

Robotic Technologies and Fundamental Rights

Robotic technologies?constructed systems that interact with their environment in a way that displays some level of agency?are increasingly intertwined with human life and human bodies. This raises many regulatory questions, since current legal frameworks have few robotics-specific provisions and robotics pose new challenges to legal notions and underlying assumptions. To help guide the regulation of robotics, fundamental rights should provide a basic touchstone. However, the constitutional framework of fundamental rights is itself not immune to being influenced by robotics. This paper discusses how the protection of fundamental rights is affected by robotics technologies, taking into account the mutual-shaping process of fundamental rights, regulation, and technology. After a general overview of how fundamental rights are challenged by robotics technologies, we zoom in on three specific application domains: industrial robotics and the issue of workers’ rights and liability, assistive technology with a focus on autonomy and privacy of elderly and disabled people, and biomedical robotics (including brain-machine interfaces) in relation to informed consent and self-determination. The analysis highlights diverse implications of robotics in light of fundamental rights and values, suggesting that regulators will have to deal with rights and value conflicts arising from robotics developments. To help address these conflicts, a set of shared norms, standards and guidelines could be developed that may, in the form of soft-law, serve as a bridge between abstract fundamental rights and concrete robotics practice.

Older Adults' Medication Management in the Home: How can Robots Help?

Successful management of medications is critical to maintaining healthy and independent living for older adults. However, medication non-adherence is a common problem with a high risk for severe consequences [5], which can jeopardize older adults' chances to age in place [1]. Well-designed robots assisting with medication management tasks could support older adults' independence. Design of successful robots will be enhanced through understanding concerns, attitudes, and preferences for medication assistance tasks. We assessed older adults' reactions to medication hand-off from a mobile manipulator robot with 12 participants (68-79 yrs). We identified factors that affected their attitudes toward a mobile manipulator for supporting general medication management tasks in the home. The older adults were open to robot assistance; however, their preferences varied depending on the nature of the medication management task. For instance, they preferred a robot (over a human) to remind them to take medications, but preferred human assistance for deciding what medication to take and for administering the medication. Factors such as perceptions of one's own capability and robot reliability influenced their attitudes.

OLDER ADULTS' PREFERENCES FOR AND ACCEPTANCE OF ROBOT ASSISTANCE FOR EVERYDAY LIVING TASKS

Many older adults value their independence and prefer to age in place. Robots can be designed to assist older people with performing everyday living tasks and maintaining their independence at home. Yet, there is a scarcity of knowledge regarding older adults' attitudes toward robots and their preferences for robot assistance. Twenty-one older adults (M = 80.25 years old, SD = 7.19) completed questionnaires and participated in structured group interviews investigating their openness to and preferences for assistance from a mobile manipulator robot. Although the older adults were generally open to robot assistance for performing home-based tasks, they were selective in their views. Older adults preferred robot assistance over human assistance for many instrumental (e.g., housekeeping, laundry, medication reminders) and enhanced activities of daily living (e.g., new learning, hobbies). However, older adults were less open to robot assistance for some activities of daily living (e.g., shaving, hair care). Results from this study provide insight into older adults' attitudes toward robot assistance with home-based everyday living tasks.

The Domesticated Robot: Design Guidelines for Assisting Older Adults to Age in Place

Many older adults wish to remain in their own homes as they age [16]. However, challenges in performing home upkeep tasks threaten an older adult's ability to age in place. Even healthy independently living older adults experience challenges in maintaining their home [13]. Challenges with home tasks can be compensated through technology, such as home robots. However, for home robots to be adopted by older adult users, they must be designed to meet older adults' needs for assistance and the older users must be amenable to robot assistance for those needs. We conducted a needs assessment to (1) assess older adults' openness to assistance from robots; and (2) understand older adults' opinions about using an assistive robot to help around the home. We administered questionnaires and conducted structured group interviews with 21 independently living older adults (ages 65-93). The questionnaire data suggest that older adults prefer robot assistance for cleaning and fetching/organizing tasks overall. However their assistance preferences discriminated between tasks. The interview data provided insight as to why they hold such preferences. Older adults reported benefits of robot assistance (e.g., the robot compensating for limitations, saving them time and effort, completing undesirable tasks, and performing tasks at a high level of performance). Participants also reported concerns such as the robot damaging the environment, being unreliable at or incapable of doing a task, doing tasks the older adult would rather do, or taking up too much space/storage. These data, along with specific comments from participant interviews, provide the basis for preliminary recommendations for designing mobile manipulator robots to support aging in place.