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Anderson M, Menon R, Oak K, Allan L. The use of technology for social interaction by people with dementia: A scoping review. PLOS Digit Health 2022; 1:e0000053. [PMID: 36812560 PMCID: PMC9931370 DOI: 10.1371/journal.pdig.0000053] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/12/2022] [Accepted: 04/25/2022] [Indexed: 11/18/2022]
Abstract
People with dementia (PwD) are at risk of experiencing loneliness, which is associated with physical and mental health difficulties [1]. Technology is a possible tool to increase social connection and reduce loneliness. This scoping review aims to examine the current evidence regarding the use of technology to reduce loneliness in PwD. A scoping review was carried out. Medline, PsychINFO, Embase, CINAHL, Cochrane database, NHS Evidence, Trials register, Open Grey, ACM Digital Library and IEEE Xplore were searched in April 2021. A sensitive search strategy was constructed using combinations of free text and thesaurus terms to retrieve articles about dementia, technology and social-interaction. Pre-defined inclusion and exclusion criteria were used. Paper quality was assessed using the Mixed Methods Appraisal Tool (MMAT) and results reported according to PRISMA guidelines [2,3]. 73 papers were identified publishing the results of 69 studies. Technological interventions included robots, tablets/computers and other forms of technology. Methodologies were varied and limited synthesis was possible. There is some evidence that technology is a beneficial intervention to reduce loneliness. Important considerations include personalisation and the context of the intervention. The current evidence is limited and variable; future research is warranted including studies with specific loneliness outcome measures, studies focusing on PwD living alone, and technology as part of intervention programmes.
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Affiliation(s)
- Merryn Anderson
- College of Medicine and Health, University of Exeter, Exeter, United Kingdom
- * E-mail:
| | - Rachel Menon
- Cornwall Partnership NHS Foundation Trust, Bodmin, United Kingdom
| | - Katy Oak
- Knowledge Spa, Royal Cornwall Hospital Trust, Truro, United Kingdom
| | - Louise Allan
- Centre for Research into Ageing and Cognitive Health, College of Medicine and Health, University of Exeter, Exeter, United Kingdom
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Moyle W, Murfield J, Lion K. Therapeutic use of the humanoid robot, Telenoid, with older adults: A critical interpretive synthesis review. Assist Technol 2022:1-8. [PMID: 35358024 DOI: 10.1080/10400435.2022.2060375] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/18/2022] [Indexed: 10/18/2022] Open
Abstract
This review sought to critically evaluate the use of the teleoperated humanoid robotic communications device, Telenoid, for therapeutic purposes with older adults, and identify and highlight key considerations for future research and clinical practice within gerontechnology. A critical interpretive synthesis was conducted, with nine electronic databases and online sources searched using the keyword "Telenoid." Studies were included in the review if they were: written in English; reported primary research; employed a qualitative, quantitative, or mixed-method design; and described or measured effects, experiences, or perceptions of using Telenoid for therapeutic purposes with older adults. Critical engagement with the studies identified key themes, as well as opportunities to advance future research. Ten studies involving Telenoid were identified, with eight focused on older adults living with dementia. Study findings centered around two themes: effects (including positive effects and negative reactions), and challenges and considerations (including technical issues, operator training, acceptability, and dosage). Although several issues currently challenge the use of Telenoid, available studies show some therapeutic potential of using Telenoid with older adults, including those living with dementia, particularly for communication and mood. Higher-quality studies are required to advance understanding, and considerations for the field are outlined to aid development.
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Affiliation(s)
- Wendy Moyle
- Menzies Health Institute Queensland, Griffith University, Brisbane, Australia
- School of Nursing & Midwifery, Griffith University, Brisbane, Australia
- Australian Aged Care Technologies Collaborative, Griffith University, Brisbane, Australia
| | - Jenny Murfield
- Menzies Health Institute Queensland, Griffith University, Brisbane, Australia
- School of Nursing & Midwifery, Griffith University, Brisbane, Australia
- Australian Aged Care Technologies Collaborative, Griffith University, Brisbane, Australia
| | - Katarzyna Lion
- Menzies Health Institute Queensland, Griffith University, Brisbane, Australia
- Australian Aged Care Technologies Collaborative, Griffith University, Brisbane, Australia
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Guemghar I, Pires de Oliveira Padilha P, Abdel-Baki A, Jutras-Aswad D, Paquette J, Pomey MP. Social Robot Interventions in Mental Health Care and Their Outcomes, Barriers, and Facilitators: Scoping Review. JMIR Ment Health 2022; 9:e36094. [PMID: 35438639 PMCID: PMC9066335 DOI: 10.2196/36094] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Revised: 03/21/2022] [Accepted: 03/25/2022] [Indexed: 01/03/2023] Open
Abstract
BACKGROUND The use of social robots as innovative therapeutic tools has been increasingly explored in recent years in an effort to address the growing need for alternative intervention modalities in mental health care. OBJECTIVE The aim of this scoping review was to identify and describe social robot interventions in mental health facilities and to highlight their outcomes as well as the barriers and facilitators to their implementation. METHODS A scoping review of the literature published since 2015 was conducted using the Arksey and O'Malley's framework. The MEDLINE, Embase, Cochrane Central Register of Controlled Trials, and PsycINFO databases were searched, and 2239 papers were retrieved. The papers included were primary empirical studies published in peer-reviewed literature. Eligible studies were set in mental health facilities and they included participants with a known mental health disorder. The methodological quality of the included papers was also assessed using the Mixed Methods Appraisal Tool. RESULTS A total of 30 papers met the eligibility criteria for this review. Studies involved participants with dementia, cognitive impairment, schizophrenia, depression, autism spectrum disorder, attention-deficit hyperactivity disorder, and an intellectual disability. The outcomes studied included engagement, social interaction, emotional state, agitation, behavior, and quality of life. CONCLUSIONS The methodological weaknesses of the studies conducted this far and the lack of diversity in the conditions studied limit the generalizability of the results. However, despite the presence of certain barriers to their implementation (eg, technical problems, unsuitable environment, staff resistance), social robot interventions generally show positive effects on patients with mental health disorders. Studies of stronger methodological quality are needed to further understand the benefits and the place of social robots in mental health care.
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Affiliation(s)
- Imane Guemghar
- Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Montreal, QC, Canada
- Faculté de Médecine, Université de Montréal, Montreal, QC, Canada
| | | | - Amal Abdel-Baki
- Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Montreal, QC, Canada
- Département de Psychiatrie et d'Addictologie, Université de Montréal, Montreal, QC, Canada
| | - Didier Jutras-Aswad
- Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Montreal, QC, Canada
- Département de Psychiatrie et d'Addictologie, Université de Montréal, Montreal, QC, Canada
| | - Jesseca Paquette
- Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Montreal, QC, Canada
| | - Marie-Pascale Pomey
- Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Montreal, QC, Canada
- Faculté de Médecine, Université de Montréal, Montreal, QC, Canada
- Centre d'Excellence pour le Partenariat avec les Patients et le Public, Montreal, QC, Canada
- Département de Gestion, Évaluation et Politique de Santé, École de Santé Publique de l'Université de Montréal, Montreal, QC, Canada
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Chen LY, Tsai TH, Ho A, Li CH, Ke LJ, Peng LN, Lin MH, Hsiao FY, Chen LK. Predicting neuropsychiatric symptoms of persons with dementia in a day care center using a facial expression recognition system. Aging (Albany NY) 2022; 14:1280-1291. [PMID: 35113806 PMCID: PMC8876896 DOI: 10.18632/aging.203869] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Accepted: 01/17/2022] [Indexed: 11/25/2022]
Abstract
Background: Behavioral and psychological symptoms of dementia (BPSD) affect 90% of persons with dementia (PwD), resulting in various adverse outcomes and aggravating care burdens among their caretakers. This study aimed to explore the potential of artificial intelligence-based facial expression recognition systems (FERS) in predicting BPSDs among PwD. Methods: A hybrid of human labeling and a preconstructed deep learning model was used to differentiate basic facial expressions of individuals to predict the results of Neuropsychiatric Inventory (NPI) assessments by stepwise linear regression (LR), random forest (RF) with importance ranking, and ensemble method (EM) of equal importance, while the accuracy was determined by mean absolute error (MAE) and root-mean-square error (RMSE) methods. Results: Twenty-three PwD from an adult day care center were enrolled with ≥ 11,500 FERS data series and 38 comparative NPI scores. The overall accuracy was 86% on facial expression recognition. Negative facial expressions and variance in emotional switches were important features of BPSDs. A strong positive correlation was identified in each model (EM: r = 0.834, LR: r = 0.821, RF: r = 0.798 by the patientwise method; EM: r = 0.891, LR: r = 0.870, RF: r = 0.886 by the MinimPy method), and EM exhibited the lowest MAE and RMSE. Conclusions: FERS successfully predicted the BPSD of PwD by negative emotions and the variance in emotional switches. This finding enables early detection and management of BPSDs, thus improving the quality of dementia care.
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Affiliation(s)
- Liang-Yu Chen
- Aging and Health Research Center, Taipei, Taiwan.,Institute of Public Health, National Yang-Ming Chiao-Tung University, Taipei, Taiwan.,Center for Geriatrics and Gerontology, Taipei, Taiwan.,uAge Day Care Center, Taipei Veterans General Hospital, Taipei, Taiwan
| | | | - Andy Ho
- Value Lab, Acer Incorporated, New Taipei City, Taiwan
| | - Chun-Hsien Li
- Value Lab, Acer Incorporated, New Taipei City, Taiwan
| | - Li-Ju Ke
- uAge Day Care Center, Taipei Veterans General Hospital, Taipei, Taiwan
| | - Li-Ning Peng
- Aging and Health Research Center, Taipei, Taiwan.,Center for Geriatrics and Gerontology, Taipei, Taiwan
| | - Ming-Hsien Lin
- Aging and Health Research Center, Taipei, Taiwan.,Center for Geriatrics and Gerontology, Taipei, Taiwan
| | - Fei-Yuan Hsiao
- Graduate Institute of Clinical Pharmacy, National Taiwan University, Taipei, Taiwan.,School of Pharmacy, National Taiwan University, Taipei, Taiwan.,Department of Pharmacy, National Taiwan University Hospital, Taipei, Taiwan
| | - Liang-Kung Chen
- Aging and Health Research Center, Taipei, Taiwan.,Center for Geriatrics and Gerontology, Taipei, Taiwan.,Taipei Municipal Gan-Dau Hospital, Taipei, Taiwan
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Jafari N, Lim M, Hassani A, Cordeiro J, Kam C, Ho K. Human-like tele-health robotics for older adults – A preliminary feasibility trial and vision. J Rehabil Assist Technol Eng 2022; 9:20556683221140345. [PMID: 36408129 PMCID: PMC9666707 DOI: 10.1177/20556683221140345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Accepted: 11/04/2022] [Indexed: 11/16/2022] Open
Abstract
Introduction The global increase of the aging population presents major challenges to healthcare service delivery. Further, the COVID-19 pandemic exposed older adults’ vulnerability to rapid deterioration of health when deprived of access to care due to the need for social distancing. Robotic technology advancements show promise to improve provision of quality care, support independence for patients and augment the capabilities of clinicians to perform tasks remotely. Aim This study explored the feasibility and end-user acceptance of using a novel human-like tele-robotic system with touch feedback to conduct a remote medical examination and deliver safe care. Method Testing of a remotely controlled robot was conducted with in-person clinician support to gather ECG readings of 11 healthy participants through a digital medical device. Post-study feedback about the system and the remote examinations conducted was obtained from study participants and study clinicians. Results The findings demonstrated the system’s capability to support remote examination of participants, and validated the system’s perceived acceptability by clinicians and end-users who all reported feeling safe interacting with the robot and 72% preferred remote robotic exam over in-person examination. Conclusion This paper discusses potential implications of robot-assisted telehealth for patients including older adults who are precluded from having in-person medical visits due to geographic distance or mobility, and proposes next steps for advancing robot-assisted telehealth delivery.
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Affiliation(s)
- Nooshin Jafari
- Department of Emergency Medicine, University of British Columbia, Vancouver, BC, Canada
| | - Michael Lim
- Department of Emergency Medicine, University of British Columbia, Vancouver, BC, Canada
| | - Aida Hassani
- Department of Emergency Medicine, University of British Columbia, Vancouver, BC, Canada
| | - Jennifer Cordeiro
- Department of Emergency Medicine, University of British Columbia, Vancouver, BC, Canada
| | - Crystal Kam
- Department of Emergency Medicine, University of British Columbia, Vancouver, BC, Canada
| | - Kendall Ho
- Department of Emergency Medicine, University of British Columbia, Vancouver, BC, Canada
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Affiliation(s)
- Liang-Kung Chen
- Aging and Health Research Center, National Yang Ming University, Taipei, Taiwan; Center for Geriatrics and Gerontology, Taipei Veterans General Hospital, Taipei, Taiwan.
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