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Social Robots for Older Adults with Dementia: A Narrative Review on Challenges & Future Directions

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Social Robotics (ICSR 2021)

Abstract

Worldwide, approximately 50 million people live with Alzheimer’s disease or other dementias and there are nearly 10 million new cases every year. Social robots have been a promising approach to supplement human caregivers in dementia care. In this narrative review, we reviewed 62 articles to gain insight into the attitudes and perceptions among people with dementia and other stakeholders worldwide towards using social robots to assist dementia care. Then, we discussed some critical factors and challenges found in these studies influencing people’s perceptions as well as future directions in this field. The primary influencing challenges include cultural factors, users’ limited experiences with technologies, methodological challenges underlying qualitative studies as well as technological malfunctions in current robot system. We further suggested several aspects to be taken into more consideration in future research, including collaborations with other stakeholders, design of individual or group use for dementia care, an adaptive level of autonomy in a social robot and long-term human-robot interaction.

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References

  1. Appel, L., Peisachovich, E., Sinclair, D., Jokel, R., Da Silva, C.: SafeHome: a serious game to promote safe environments for persons living with dementia. Cureus 12(2), e6949 (2020)

    Google Scholar 

  2. Arthanat, S., Begum, M., Gu, T., LaRoche, D.P., Xu, D., Zhang, N.: Caregiver perspectives on a smart home-based socially assistive robot for individuals with Alzheimer’s disease and related dementia. Disability and Rehabilitation: Assistive Technology, pp. 789–798 (2020)

    Google Scholar 

  3. Aymerich-Franch, L.: Why it is time to stop ostracizing social robots. Nat. Mach. Intell. 2(7), 364 (2020)

    Article  Google Scholar 

  4. Bartl, A., Bosch, S., Brandt, M., Dittrich, M., Lugrin, B.: The influence of a social robot’s persona on how it is perceived and accepted by elderly users. In: International Conference on Social Robotics, pp. 681–691. Social Robotics, Kansas (2016)

    Google Scholar 

  5. Boumans, R.J.: Feasibility and Effectiveness of Social Robots in Acquiring Patient Reported Outcomes from Older Adults, p. 231. Radboud University (2020)

    Google Scholar 

  6. Cavallo, F., et al.: Robotic services acceptance in smart environments with older adults: user satisfaction and acceptability study. J. Med. Int. Res. 20(9), e264 (2018)

    Google Scholar 

  7. Cesta, A., Cortellessa, G., Orlandini, A., Tiberio, L.: Long-term evaluation of a telepresence robot for the elderly: methodology and ecological case study. Int. J. Soc. Robot. 8(3), 421–441 (2016)

    Article  Google Scholar 

  8. Chen, L.-Y., Sumioka, H., Ke, L.-J., Shiomi, M., Chen, L.-K.: Effects of teleoperated humanoid robot application in older adults with neurocognitive disorders in Taiwan: a report of three cases. Aging Med. Healthc. 11(2), 67–71 (2020)

    Article  Google Scholar 

  9. Coco, K., Kangasniemi, M., Rantanen, T.: Care personnel’s attitudes and fears toward care robots in elderly care: a comparison of data from the care personnel in Finland and Japan. J. Nurs. Scholarship 50(6), 634–644 (2018)

    Article  Google Scholar 

  10. Coşar, S., et al.: ENRICHME: perception and interaction of an assistive robot for the elderly at home. Int. J. Soc. Robot. 12(3), 779–805 (2020)

    Article  Google Scholar 

  11. Damholdt, M., et al.: Attitudinal change in elderly citizens toward social robots: the role of personality traits and beliefs about robot functionality. Front. Psychol. (2015). https://doi.org/10.3389/fpsyg.2015.01701

  12. Di Nuovo, A., et al.: The multi-modal interface of Robot-Era multi-robot services tailored for the elderly. Intel. Serv. Robot. 11(1), 109–126 (2017)

    Article  Google Scholar 

  13. Do, H.M., Sheng, W., Harrington, E.E., Bishop, A.J.: Clinical screening interview using a social robot for geriatric care. IEEE Trans. Automat. Sci. Eng. 18(3), 1229–1242 (2021)

    Article  Google Scholar 

  14. Doi, T., Kuwahara, N., Morimoto, K.: Questionnaire survey result of the use of communication robots for recreational activities at nursing homes. In: Chung, W.J., Shin, C.S. (eds.) Advances in Affective and Pleasurable Design, pp. 3–13. Springer, Cham (2017). https://doi.org/10.1007/978-3-319-41661-8_1

    Chapter  Google Scholar 

  15. D’Onofio, G., et al.: MARIO project: a multicenter survey about companion robot acceptability in caregivers of patients with dementia. Italian Forum of Ambient Assisted Living, Genova (2017)

    Google Scholar 

  16. Faucounau, V., Ya-Huei, W., Boulay, M., Maestrutti, M., Rigaud, A.-S.: Caregivers’ requirements for in-home robotic agent for supporting community-living elderly subjects with cognitive impairment. Technol. Health Care 17(1), 33–40 (2009)

    Article  Google Scholar 

  17. Feng, Z., et al.: Long-term care system for older adults in China: policy landscape, challenges, and future prospects. The Lancet 396(10259), 1362–1372 (2020)

    Article  Google Scholar 

  18. Griese, S.: A robot for the elderly? A qualitative research on the acceptance of NAO robots in elderly care. Maastricht University, Department of Psychology and Neuroscience (2015)

    Google Scholar 

  19. Hanson, S.T., Anderson, H.J., Bak, T.: Practical evaluation of robots for elderly in Denmark — an overview. In: ACM/IEEE International Conference on Human-Robot Interaction (HRI). IEEE, Osaka (2010)

    Google Scholar 

  20. Harmo, P., Taipalus, T., Knuuttila, J., Vallet, J., Halme, A.: Needs and Solutions - Home Automation and Service Robots for the Elderly and Disabled. IEEE/RSJ International Conference on Intelligent Robots and Systems, Edmonton (2005)

    Google Scholar 

  21. Heerink, M.B.: Assessing acceptance of assistive social agent technology by older adults: the almere model. Int. J. Soc. Robot. 2, 361–375 (2010)

    Article  Google Scholar 

  22. Heernik, M., Krose, B.J., Evers, V., Wielinga, B.J.: Studying the acceptance of a robotic agent by elderly users. Int. J. Model. Ident. Control 33–43 (2006)

    Google Scholar 

  23. Johansson-Pajala, R.-M., et al.: Care robot orientation: what, who and how? Potential users’ perceptions. Int. J. Soc. Robot. 12(5), 1103–1117 (2020)

    Article  Google Scholar 

  24. Kazuko, O., Naonori, K., Shigeru, M.: Can connected technologies improve sleep quality and safety of older adults and caregivers? An evaluation study of sleep monitors and communicative robots at a residential care home in Japan. In: Technology in Society (2020)

    Google Scholar 

  25. Ke, C., Lou, V.W.-Q., Tan, K.C.-K., Wai, M.Y., Chan, L.L.: Changes in technology acceptance among older people with dementia: the role of social robot engagement. Int. J. Med. Inf. 141, 104241 (2020)

    Article  Google Scholar 

  26. Khosla, R., Nguyen, K., Chu, M.-T.: Human robot engagement and acceptability in residential aged care. Int. J. Human–Comput. Interact. 33(6), 510–522 (2017)

    Article  Google Scholar 

  27. Kim, G., Jeon, H., Park, S., Choi, Y., Lim, Y.: Care guide system for caregivers of people with dementia*. In: IEEE Engineering in Medicine & Biology (EMBC). IEEE, Montreal (2020)

    Google Scholar 

  28. Koceski, S., Koceska, N.: Evaluation of an assistive telepresence robot for elderly healthcare. J. Med. Syst. 40(5), 1–7 (2016)

    Article  Google Scholar 

  29. Korchut, A., et al.: Challenges for service robots—requirements of elderly adults with cognitive impairments. Front. Neurol. Neurodegen. (2017)

    Google Scholar 

  30. Law, M., et al.: Developing assistive robots for people with mild cognitive impairment and mild dementia: a qualitative study with older adults and experts in aged care. BMJ Open 9(9), e031937 (2019)

    Article  Google Scholar 

  31. Lin, X., Saksono, H., Stowell, E., Lachman, M.E., Castaneda-Sceppa, C., Parker, A.G.: Go&Grow: an evaluation of a pervasive social exergame for caregivers of loved ones with dementia. ACM on Human-Computer Interaction. Association for Computing Machinery (2020)

    Google Scholar 

  32. Łukasik, S., Tobis, S., Kropińska, S., Suwalska, A.: Role of assistive robots in the care of older people: survey study among medical and nursing students. J. Med. Internet Res. 22(8), e18003 (2020)

    Article  Google Scholar 

  33. Manca, M., et al.: The impact of serious games with humanoid robots on mild cognitive impairment older adults. Int. J. Human-Comput. Stud. 145, 102509 (2021)

    Article  Google Scholar 

  34. Manca, M., et al.: The impact of serious games with humanoid robots on mild cognitive impairment older adults. Int. J. Human-Comput. Stud. (2020)

    Google Scholar 

  35. Mast, M., et al.: User-centered design of a dynamic-autonomy remote interaction concept for manipulation-capable robots to assist elderly people in the home. J. Human-Robot Interact. (2012)

    Google Scholar 

  36. Mucchiani, C., Cacchione, P., Torres, W., Johnson, M.J., Yim, M.: Exploring low-cost mobile manipulation for elder care within a community based setting. J. Intell. Rob. Syst. 98(1), 59–70 (2019)

    Article  Google Scholar 

  37. Nomura, T., Kanda, T., Suzuki, T., Kato, K.: Age differences and images of robots: social survey in Japan. Interact. Stud. Soc. Behav. Commun. Biol. Artif. Syst. 10(3), 374–391 (2009)

    Google Scholar 

  38. Papadopoulos, C., et al.: The CARESSES study protocol: testing and evaluating culturally competent socially assistive robots among older adults residing in long term care homes through a controlled experimental trial. Archiv. Publ. Health (2020). https://doi.org/10.1186/s13690-020-00409-y

    Article  Google Scholar 

  39. Patterson, C.: World Alzheimer Report 2018. Alzheimer’s Disease International, London (2018)

    Google Scholar 

  40. Peterson, C.M., Mikal, J.P., McCarron, H.R., Finlay, J.M., Mitchell, L.L., Gaugler, J.E.: The feasibility and utility of a personal health record for persons with dementia and their family caregivers for web-based care coordination: mixed methods study. J. Med. Internet Res.: Aging (2020)

    Google Scholar 

  41. Pigini, L., Facal, D., Blasi, L., Andrich, R.: Service robots in elderly care at home: users’ needs and perceptions as a basis for concept development. Technol. Disabil. 24(4), 303–311 (2012)

    Article  Google Scholar 

  42. Raghunath, N., Pereyda, C., Frow, J.F., Cook, D., Schmitter-Edgecomb, M.: Learning-enabled robotic assistive support: understanding older adult opinions and comparing them to younger adult opinions. Gerontechnol. Int. J. Fundam. Aspect. Technol. Serve The Ageing Soc. 19(3) (2020)

    Google Scholar 

  43. Rico, F.M., Rodríguez-Lera, F.J., Clavero, J.G., Guerrero-Higueras, Á.M., Olivera, V.M.: An Acceptance Test for Assistive Robots. Human-Robot Interaction and Sensors for Social Robotics (2020).

    Google Scholar 

  44. Sadegh Khaksar, S.M., Jahanshahi, A.A., Slade, B.W., Asian, S.S.: A dual-factor theory of WTs adoption in aged care service operations -a cross-country analysis. Inf. Technol. People (2020)

    Google Scholar 

  45. Salichs, M.A., et al.: Mini: a new social robot for the elderly. Int. J. Soc. Robot. 12(6), 1231–1249 (2020)

    Article  Google Scholar 

  46. Sarrica, M.S.: How many facets does a “social robot” have? A review of scientific and popular definitions online. Inf. Technol. People (2019)

    Google Scholar 

  47. Schüssler, S., et al.: The effects of a humanoid socially assistive robot versus tablet training on psychosocial and physical outcomes of persons with dementia: protocol for a mixed methods study. JMIR Res. Protoc. (2020)

    Google Scholar 

  48. Seifert, L.S., Kaelber, K., Flaherty, K., Bowman, T.: Experiences in Alzheimer’s disease: what do stakeholders post on the internet? J. Psych. Res. Cybersp.: Cyberpsychol. (2020)

    Google Scholar 

  49. Shibata, T.: Therapeutic seal robot as biofeedback medical device: qualitative and quantitative evaluations of robot therapy in dementia care. In: IEEE International Conference on Information Science and Technology, pp. 2527–2538. IEEE, Wuhan (2012)

    Google Scholar 

  50. Shibata, T., Wada, K.: Robot therapy: a new approach for mental healthcare of the elderly – a mini-review. Gerontology 57(4), 378–386 (2011)

    Article  Google Scholar 

  51. Spalla, G., Gouin-Vallerand, C., Yaddaden, A., Bier, N.: Towards an augmented reality cognitive orthosis to assist people with Alzheimer’s disease: preliminary design. In: International Conference on Smart Objects and Technologies for Social Good, pp. 60–65 (2020)

    Google Scholar 

  52. Sriram, V., Jenkinson, C., Peters, M.: Carers’ experiences of assistive technology use in dementia care: a cross sectional survey (in review). BMC Geriatrics (2020)

    Google Scholar 

  53. Suwa, S., et al.: Home-care professionals’ ethical perceptions of the development and use of home-care robots for older adults in Japan. Int. J. Human–Comput. Interact. 36(14), 1295–1303 (2020)

    Article  Google Scholar 

  54. Suwa, S., et al.: Exploring perceptions toward home-care robots for older people in Finland, Ireland, and Japan: a comparative questionnaire study. Archiv. Gerontol. Geriatr. 91, 104178 (2020)

    Article  Google Scholar 

  55. Torta, E., et al.: Evaluation of a small socially-assistive humanoid robot in intelligent homes for the care of the elderly. J. Intell. Robot. Syst. 76(1), 57–71 (2014)

    Article  Google Scholar 

  56. Tsujimura, M., et al.: The essential needs for home-care robots in Japan. J. Enabl. Technol. 14(4), 201–220 (2020)

    Article  MathSciNet  Google Scholar 

  57. Valentí Soler, M., et al.: Social robots in advanced dementia. Front. Aging Neurosci. 7, 133 (2015)

    Article  Google Scholar 

  58. van Kemenade, M.: Moral Concerns of Caregivers about Social Robots in Eldercare, p. 161. Vrije Universiteit Amsterdam, Amsterdam (2020)

    Google Scholar 

  59. von der Pütten, A.M., Krämer, N.C.: A survey on robot appearances. In: 2012 7th ACM/IEEE International Conference on Human-Robot Interaction (HRI), pp. 267–268. IEEE (2012)

    Google Scholar 

  60. Whelan, S., Murphy, K., Barrett, E., Krusche, C., Santorelli, A., Casey, D.: Factors affecting the acceptability of social robots by older adults including people with dementia or cognitive impairment: a literature review. Int. J. Soc. Robot. 10(5), 643–668 (2018)

    Article  Google Scholar 

  61. Wilson, G., et al.: Robot-Enabled Support of Daily Activities in Smart Home Environments. Cognit. Syst. Res. (2018)

    Google Scholar 

  62. Wu, Y.-H., Fassert, C., Rigaud, A.-S.: Designing robots for the elderly: appearance issue and beyond. Archiv. Gerontol. Geriatr. 54(1), 121–126 (2012)

    Article  Google Scholar 

  63. Yuan, F., et al.: Assessing the acceptability of a humanoid robot for Alzheimer’s disease and related dementia care using an online survey (2021). https://arxiv.org/abs/2104.12903

  64. Yuan, F., Klavon, E., Liu, Z., Lopez, R.P., Zhao, X.: A systematic review of robotic rehabilitation for cognitive training. Front. Robot. AI 8, 105 (2021)

    Article  Google Scholar 

  65. Zhang, Y., Chignell, M.H.: Flattening the curve of cognitive decline: a survey of cognitive interventions for people living with dementia (a review). In: International Symposium on Human Factors and Ergonomics in Health Care, pp. 110–114. Sage Journals, London (2020)

    Google Scholar 

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Woods, D., Yuan, F., Jao, YL., Zhao, X. (2021). Social Robots for Older Adults with Dementia: A Narrative Review on Challenges & Future Directions. In: Li, H., et al. Social Robotics. ICSR 2021. Lecture Notes in Computer Science(), vol 13086. Springer, Cham. https://doi.org/10.1007/978-3-030-90525-5_35

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  • DOI: https://doi.org/10.1007/978-3-030-90525-5_35

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