Socially assistive robots for people with dementia: Systematic review and meta-analysis of feasibility, acceptability and the effect on cognition, neuropsychiatric symptoms and quality of life

Yu, C.W.; Sommerlad, Andrew; Sakure, Lena; Livingston, Gill

doi:10.1016/j.arr.2022.101633

Cited by 43 publications

(31 citation statements)

References 71 publications

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“…This study found that the large majority of the participants ranked the item "[Robots] have no benefits" as 10 (least important), indicating an overwhelming degree of full acceptance of the benefits of SARs in health and social care, which is consistent with previous research (e.g., Papadopoulos et al, 2021;Yu et al, 2022 andZuschnegg et al, 2021). This was found across all the countries in the sample, and is all the more striking considering that only 10% of the participants had actually worked with or seen SARs in use.…”

Section: Discussionsupporting

confidence: 90%

“…), but expressed reservations concerning possible loss of human interaction and potential dangers. Similarly, Yu et al's (2022) systematic review and meta‐analysis of 66 studies found that the use of SARs in providing dementia care was generally viewed as feasible and acceptable, but that high‐quality studies were needed to establish clearer evidence of benefits for cognition, neuropsychiatric symptoms, and quality of life. Besides the issues of the acceptability of SARs in health and social care and of their potential benefits, the use of technical systems such as networked computers, robots, and artificial intelligence which interact with the physical world (in any setting, not just in health and social care) presents ethical and legal challenges, particularly in relation to liability, privacy, and autonomy.…”

Section: Introductionmentioning

confidence: 99%

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Socially assistive robots in health and social care: Acceptance and cultural factors. Results from an exploratory international online survey

Papadopoulos

Wright

Ali

et al. 2023

Japan Journal Nursing Sci

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Socially assistive robots in health and social care: Acceptance and cultural factors. Results from an exploratory international online survey

Papadopoulos

Wright

Ali

et al. 2023

Japan Journal Nursing Sci

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“…The topic of engagement and social interaction was highlighted in 64 studies. They differentiated between cases where DATs increased social interaction [20], [28], [29], [34], [35], [38], [41], [45], [54], [59], [64], [70], [72], [80], [82], [83], [85], [100], [102], [112], [113], [123], [129], [131], [133], [134] and fostered higher engagement (i.e., in therapy settings) [23], [26], [29], [34], [36]–[38], [40]–[42], [45], [53]–[55], [57], [60], [62], [63], [66]–[68], [70], [73], [76]–[79], [84], [85], [87], [88], [90], [91], [96], [100], [109], [112], [114], [116], [118], [122], [127], [130], [131], [133], [135], [136], [138], [139], [141].…”

Section: Resultsmentioning

confidence: 99%

“…62 of the included studies demonstrated that digital therapeutics play a significant role in promoting social interaction and engagement [20], [23], [26], [28], [29], [34]–[38], [40]–[42], [45], [53]–[55], [57], [59], [60], [62]–[64], [66]–[68], [70], [72], [73], [76]–[80], [82], [84], [85], [87], [88], [90], [91], [96], [100], [102], [109], [112]–[114], [116], [118], [123], [127], [129]–[131], [133]–[136], [138], [139], [141], including other DATs from the patient monitoring [123] and care support categories [53], [95].…”

Section: Resultsmentioning

confidence: 99%

Impact of digital assistive technologies on the quality of life for people with dementia: A scoping review

Schneider,

Nißen,

Kowatsch

et al. 2023

Preprint

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BackgroundDigital assistive technologies (DATs) have emerged as promising tools to support the daily life of people with dementia (PWD) by offering support in various aspects of daily life. Quality of life (QOL) is an important consideration when discussing the care of PWD in relation to their autonomy. Current research tends to concentrate either on specific categories of DATs, or provide a generic view. Therefore, it would be of essence to provide a review of the different kinds of DATs, and how they contribute to improving QOL for PWD.ObjectiveThis scoping review aimed to review DATs and their impact on QOL for PWD.MethodFor this scoping review a broad literature search was performed in Cochrane, Embase, PubMed, Scopus, and Web of Science, covering scientific literature from January 2013 and May 2023. Screening and data extraction were conducted, followed by quantitative and qualitative analysis using thematic analysis principles and Digital Therapeutics (DTx) Alliance categories for DAT grouping.ResultsThe literature search identified 6’083 records, with 1’056 duplicates. After screening, 4’560 full-texts were excluded, yielding 122 studies of different designs. The DATs were categorized intodigital therapeutics(n=109),patient monitoring(n=30),digital diagnostics(n=2),care support(n=2), andhealth system clinical software (n=1). These categories were identified to impact various aspects of QOL: preserving autonomy, engagement, and social interaction, health monitoring and promotion, improving activities of daily living, improving cognition, maintaining dignity, managing behavioral and psychological symptoms of dementia (BPSD), and safety/surveillance.ConclusionsVarious DATs offer extensive support, elevating the QOL of PWD.Digital therapeuticsare predominantly used for aging-in-place and independent living through assistance with daily tasks. Future research should focus on less-represented DHT categories, such ascare support, health & wellnessorsoftwaresolutions. Observing ongoing DAT developments and their long-term effects on QOL remains essential.Strengths and limitations of this studyThe study conducted an extensive search across five electronic databases spanning a decade to identify relevant literature on DATs and their impact on the QOL for PWD.By excluding conference proceedings, book chapters, pilot, and feasibility studies, the review might have missed ongoing or planned research that could offer insights into different DATs or QOL impacts.While the scoping review approach allowed for a broad overview, it didn’t assess the quality of included studies or intervention effectiveness, potentially introducing bias and limiting in-depth analysis.The study’s emphasis on patient-facing DATs could have introduced bias, highlightingdigital therapeuticsin the included literature while potentially overlooking other assistive technology categories.

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“…In particular, Paro and Nao excelled in this role in a few studies, reducing feelings of loneliness, and improving mood and social interaction [ 6 – 8 ]. Despite promising results, there is no strong evidence based on the effectiveness of social robots on (neuro) psychosocial outcomes [ 9 ]. Thus far, the effectiveness of social robots on cognition and quality of life has not been proven [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

The usability and feasibility validation of the social robot MINI in people with dementia and mild cognitive impairment; a study protocol

et al. 2022

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Background Social robots have demonstrated promising outcomes in terms of increasing the social health and well-being of people with dementia and mild cognitive impairment. According to the World Health Organization’s Monitoring and assessing digital health interventions framework, usability and feasibility studies are crucial before implementing prototype social robots and proving their efficacy and effectiveness. This protocol paper aims to detail the plan for conducting the usability and feasibility study of the MINI robot based on evidence-based recommended methodology. Methods In this study, an experimental design and a mixed method of data collection will be applied. Twenty participants aged 65 and over with dementia or mild cognitive impairment will be recruited. Eight sessions of interaction with the robot, as well as qualitative and quantitative assessments, will be accomplished. The research will take place in a laboratory. Ethical approvals have been acquired. This research will be valuable in the development of the MINI robot and its practical deployment in the actual world, as well as the methodological evidence base in the sector of social robots. Discussion By the winter of 2022–2023, the findings of this study will be accessible for dissemination. This study will aid to improve the evidence-based methodology used to study the feasibility and usability of social robots in people with dementia and mild cognitive impairment as well as what can be learned to advance such study designs in the future.

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Socially assistive robots for people with dementia: Systematic review and meta-analysis of feasibility, acceptability and the effect on cognition, neuropsychiatric symptoms and quality of life

Cited by 43 publications

References 71 publications

Socially assistive robots in health and social care: Acceptance and cultural factors. Results from an exploratory international online survey

Socially assistive robots in health and social care: Acceptance and cultural factors. Results from an exploratory international online survey

Impact of digital assistive technologies on the quality of life for people with dementia: A scoping review

The usability and feasibility validation of the social robot MINI in people with dementia and mild cognitive impairment; a study protocol

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