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Bevilacqua R, Stara V, Amabili G, Margaritini A, Benadduci M, Barbarossa F, Maranesi E, Rigaud AS, Dacunha S, Palmier C, Moller J, Browne R, Ogawa T, Wieching R. e-VITA study protocol: EU-Japan virtual coach for smart aging. Front Public Health 2024; 12:1256734. [PMID: 38544729 PMCID: PMC10968892 DOI: 10.3389/fpubh.2024.1256734] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Accepted: 02/16/2024] [Indexed: 04/26/2024] Open
Abstract
Aim The aim of this study is to report a trial protocol for assessing the improvement of older adults' well-being, promoting active and healthy aging, and reducing the risks of social exclusion, using a virtual coach. Background Increased longevity brings with it reduced autonomy and independence, and it is therefore necessary to act with preventive measures that can promote active and healthy aging. With the development of technology, new tools have appeared, including virtual coaches, which can enable people to lead a healthy lifestyle by identifying individual needs and goals and providing personalized recommendations and advice. However, it is important that these coaches take into consideration the inter-individual and cross-cultural differences of each person. Design A randomized controlled trial is proposed. Methods This study will recruit 240 healthy subjects aged 65 years and older. Participants will be assigned to an experimental group that will receive the e-VITA system or to the control group that will receive an information booklet only. The primary outcome measure is the person's quality of life (QoL). Data will be collected at baseline, 3 months after the trial, and at the end of the trial, after 6 months. Discussion This study will evaluate the effectiveness of the e-VITA system, consisting of a virtual coach, several sensors for monitoring, a smartphone for use at home, and a booklet, in improving the older person's quality of life. The increased perceived well-being will also be linked to improvements in other areas of the person's life, psychological and cognitive status, the area of sociality, nutrition, and eHealth literacy.
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Affiliation(s)
| | - Vera Stara
- Scientific Direction, IRCCS INRCA, Ancona, Italy
| | | | | | | | | | | | - Anne-Sophie Rigaud
- Université de Paris, Maladie d’Alzheimer, Paris, France
- Services de Gériatrie 1 & 2, AP-HP, Hôpital Broca, Paris, France
| | - Sébastien Dacunha
- Université de Paris, Maladie d’Alzheimer, Paris, France
- Services de Gériatrie 1 & 2, AP-HP, Hôpital Broca, Paris, France
| | - Cecilia Palmier
- Université de Paris, Maladie d’Alzheimer, Paris, France
- Services de Gériatrie 1 & 2, AP-HP, Hôpital Broca, Paris, France
| | - Johanna Moller
- Diocesan Caritas Assosiation of the Archdiocese of Cologne e.V., Cologne, Italy
| | - Ryan Browne
- Smart-Aging Research Center, Tohoku University, Sendai, Japan
| | - Toshimi Ogawa
- Smart-Aging Research Center, Tohoku University, Sendai, Japan
| | - Rainer Wieching
- Institute for New Media & Information Systems, University Siegen, Siegen, Germany
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Stara V, Soraci L, Takano E, Kondo I, Möller J, Maranesi E, Luzi R, Riccardi GR, Browne R, Dacunha S, Palmier C, Wieching R, Ogawa T, Bevilacqua R. Intrinsic Capacity and Active and Healthy Aging Domains Supported by Personalized Digital Coaching: Survey Study Among Geriatricians in Europe and Japan on eHealth Opportunities for Older Adults. J Med Internet Res 2023; 25:e41035. [PMID: 37824183 PMCID: PMC10603559 DOI: 10.2196/41035] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Revised: 10/03/2022] [Accepted: 07/14/2023] [Indexed: 10/13/2023] Open
Abstract
BACKGROUND The worldwide aging trend requires conceptually new prevention, care, and innovative living solutions to support human-based care using smart technology, and this concerns the whole world. Enabling access to active and healthy aging through personalized digital coaching services like physical activity coaching, cognitive training, emotional well-being, and social connection for older adults in real life could offer valuable advantages to both individuals and societies. A starting point might be the analysis of the perspectives of different professionals (eg, geriatricians) on such technologies. The perspectives of experts in the sector may allow the individualization of areas of improvement of clinical interventions, supporting the positive perspective pointed out by the intrinsic capacity framework. OBJECTIVE The overall aim of this study was to explore the cross-national perspectives and experiences of different professionals in the field of intrinsic capacity, and how it can be supported by eHealth interventions. To our knowledge, this is the first study to explore geriatric care providers' perspectives about technology-based interventions to support intrinsic capacity. METHODS A survey involving 20 geriatricians or clinical experts in the fields of intrinsic capacity and active and healthy aging was conducted in Italy, France, Germany, and Japan between August and September 2021. RESULTS The qualitative findings pointed out relevant domains for eHealth interventions and provided examples for successful practices that support subjective well-being under the intrinsic capacity framework (the benefits offered by personalized interventions, especially by promoting health literacy but avoiding intrusiveness). Moreover, eHealth interventions could be used as a bridge that facilitates and enables social engagement; an instrument that facilitates communication between doctors and patients; and a tool to enrich the monitoring actions of medical staff. CONCLUSIONS There is an unexplored and significant role for such geriatric perspectives to help the development process and evaluate the evidence-based results on the effectiveness of technologies for older people. This is possible only when clinicians collaborate with data scientists, engineers, and developers in order to match the complex daily needs of older adults.
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Affiliation(s)
- Vera Stara
- Medical Direction, IRCCS, INRCA, Ancona, Italy
| | - Luca Soraci
- Unit of Geriatric Medicine, IRCCS, INRCA, Cosenza, Italy
| | - Eiko Takano
- National Center for Geriatrics and Gerontology, Obu City, Japan
| | - Izumi Kondo
- National Center for Geriatrics and Gerontology, Obu City, Japan
| | - Johanna Möller
- Diocesan Caritas Association for the Archdiocese of Cologne, Cologne, Germany
| | | | | | | | - Ryan Browne
- Smart-Aging Research Center, Tohoku University, Sendai, Japan
| | | | - Cecilia Palmier
- Service de gériatrie 1&2, AP-HP, Hôpital Broca, Paris, France
| | - Rainer Wieching
- Institute for New Media & Information Systems, University of Siegen, Siegen, Germany
| | - Toshimi Ogawa
- Smart-Aging Research Center, Tohoku University, Sendai, Japan
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Möller J, Bevilacqua R, Browne R, Shinada T, Dacunha S, Palmier C, Stara V, Maranesi E, Margaritini A, Takano E, Kondo I, Watanabe S, Ahmadi M, Wieching R, Ogawa T. User Perceptions and Needs Analysis of a Virtual Coach for Active and Healthy Ageing-An International Qualitative Study. Int J Environ Res Public Health 2022; 19:10341. [PMID: 36011975 PMCID: PMC9408500 DOI: 10.3390/ijerph191610341] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Revised: 08/12/2022] [Accepted: 08/18/2022] [Indexed: 06/15/2023]
Abstract
Virtual coaching systems show great potential for meeting the challenges of demographic change. However, the proportion of older users in the field of digital technologies is far behind that of younger people. As part of the e-VITA project, semi-structured interviews were conducted in Japan, France, Italy and Germany with 58 people aged 65 and over, and the content was analyzed with the aim of obtaining information about how older adults organize their everyday lives, also with regard to the COVID-19 pandemic, how they deal with their health, what role digital technologies play in the lives of the interviewees and why they oppose progressive digitization. Second, the survey asked why the older adults oppose a virtual coach, which is to be developed in the e-VITA project to support older adults in healthy and active aging, and what barriers they see in a possible implementation. It was found that older respondents lead active, varied lives and that the COVID-19 pandemic contributed to the increased use of digital solutions. In addition, respondents were consciously addressing their own health. With regard to a virtual coach, barriers were seen primarily in the area of data security and sharing. It can be concluded from this that heterogeneity among older user groups should be taken into account when developing virtual coaches. In addition, aspects of data security and data protection should be presented in a clearly understandable and transparent manner.
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Affiliation(s)
- Johanna Möller
- Diocesan Caritas Association for the Archdiocese of Cologne, 50668 Cologne, Germany
| | | | - Ryan Browne
- Smart-Aging Research Center, Tohoku University, Sendai 980-8575, Miyagi, Japan
| | - Takamitsu Shinada
- Smart-Aging Research Center, Tohoku University, Sendai 980-8575, Miyagi, Japan
| | - Sébastien Dacunha
- Faculté de Médecine, Université de Paris, Maladie d’Alzheimer, 75015 Paris, France
- Service de Gériatrie 1&2, AP-HP, Hôpital Broca, 75013 Paris, France
| | - Cecilia Palmier
- Faculté de Médecine, Université de Paris, Maladie d’Alzheimer, 75015 Paris, France
- Service de Gériatrie 1&2, AP-HP, Hôpital Broca, 75013 Paris, France
| | - Vera Stara
- IRCCS INRCA, Scientific Direction, 60124 Ancona, Italy
| | | | | | - Eiko Takano
- Department of Rehabilitation Medicine, National Center for Geriatrics and Gerontology, Obu 474-8511, Aichi, Japan
| | - Izumi Kondo
- Department of Rehabilitation Medicine, National Center for Geriatrics and Gerontology, Obu 474-8511, Aichi, Japan
| | - Shuichiro Watanabe
- Institute of Gerontology, J. F. Oberlin University, 3758, Tokiwa-machi, Machida-shi 194-0294, Tokyo, Japan
| | - Michael Ahmadi
- Institute for New Media and Information Systems, University Siegen, Kohlbettstr. 15, 57072 Siegen, Germany
| | - Rainer Wieching
- Institute for New Media and Information Systems, University Siegen, Kohlbettstr. 15, 57072 Siegen, Germany
| | - Toshimi Ogawa
- Smart-Aging Research Center, Tohoku University, Sendai 980-8575, Miyagi, Japan
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Blavette L, Rigaud AS, Anzalone SM, Kergueris C, Isabet B, Dacunha S, Pino M. A Robot-Mediated Activity Using the Nao Robot to Promote COVID-19 Precautionary Measures among Older Adults in Geriatric Facilities. Int J Environ Res Public Health 2022; 19:ijerph19095222. [PMID: 35564615 PMCID: PMC9100999 DOI: 10.3390/ijerph19095222] [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] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Revised: 04/14/2022] [Accepted: 04/21/2022] [Indexed: 02/02/2023]
Abstract
Precautionary measures (e.g., social distancing, mask wearing, washing hands regularly) to limit the transmission of the Coronavirus 19 (COVID-19) have been put in place worldwide. However, a limited understanding of precautionary measures and low compliance with them has been observed in older adults with neurocognitive disorders, persons with intellectual disability, or mental illness. The objective of this study is to create and evaluate a robot-mediated activity to deliver information on COVID-19 precautionary measures in an accessible and engaging way using the humanoid robot Nao. An interactive scenario explaining and demonstrating COVID-19 precautionary measures is created using the verbal and non-verbal behaviours of the robot. The scenario (≈5 min) is presented to 124 users of a geriatric hospital, including the following: older patients (n = 45), accompanying persons (n = 39), and health professionals (n = 40). The data regarding perceived usefulness, acceptability, and accessibility are collected using a questionnaire. A video analysis of the participants' behaviour during the interaction with the robot is performed to examine the quality of engagement in the activity. The results show a good acceptance, satisfaction, and perceived usefulness of the robot-mediated activity. These findings suggest that robot-mediated interventions using humanoid robots can be an effective tool for the delivery of health promotion information.
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Affiliation(s)
- Lauriane Blavette
- Faculté de Médecine, Université de Paris, Maladie d’Alzheimer, 75006 Paris, France; (L.B.); (A.-S.R.); (B.I.); (S.D.)
- Services de Gériatrie 1 & 2, AP-HP, Hôpital Broca, 75013 Paris, France
- Laboratoire CHArt, Université Paris 8, 93526 Saint-Denis, France;
- Broca Living Lab, CEN STIMCO, 75013 Paris, France;
| | - Anne-Sophie Rigaud
- Faculté de Médecine, Université de Paris, Maladie d’Alzheimer, 75006 Paris, France; (L.B.); (A.-S.R.); (B.I.); (S.D.)
- Services de Gériatrie 1 & 2, AP-HP, Hôpital Broca, 75013 Paris, France
| | | | | | - Baptiste Isabet
- Faculté de Médecine, Université de Paris, Maladie d’Alzheimer, 75006 Paris, France; (L.B.); (A.-S.R.); (B.I.); (S.D.)
- Broca Living Lab, CEN STIMCO, 75013 Paris, France;
| | - Sébastien Dacunha
- Faculté de Médecine, Université de Paris, Maladie d’Alzheimer, 75006 Paris, France; (L.B.); (A.-S.R.); (B.I.); (S.D.)
- Services de Gériatrie 1 & 2, AP-HP, Hôpital Broca, 75013 Paris, France
- Broca Living Lab, CEN STIMCO, 75013 Paris, France;
| | - Maribel Pino
- Faculté de Médecine, Université de Paris, Maladie d’Alzheimer, 75006 Paris, France; (L.B.); (A.-S.R.); (B.I.); (S.D.)
- Services de Gériatrie 1 & 2, AP-HP, Hôpital Broca, 75013 Paris, France
- Broca Living Lab, CEN STIMCO, 75013 Paris, France;
- Correspondence:
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Pino M, Dacunha S, Berger É, GOnÇALVES A, Rigaud AS. Intérêt de la robotique sociale et d’assistance auprès des sujets âgés. Actualités Pharmaceutiques 2021. [DOI: 10.1016/j.actpha.2021.10.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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