Utilization of socially assistive robots in recreational therapy

Authors

DOI:

https://doi.org/10.5055/ajrt.2020.0212

Keywords:

recreational therapy, socially assistive robots, intervention, emerging technology, SARs training

Abstract

Socially assistive robots (SARs) may impact health outcomes when facilitated by recreational therapists (RTs). It is unclear if RTs have the knowledge or perceive SARs as a relevant facilitation technique. This study sought to understand if a professional continuing education session on SARs improves comfort level. Seventy RTs and students attended the training and completed a retrospective survey. The findings suggest that the training improved participants’ interest and willingness to incorporate SARs, felt less intimidated by the prospect of incorporating SARs, less afraid of making a mistake while using SARs, and found SARs to be a relevant intervention. Further studies are warranted to understand the use of SARs within RT practice. Incorporating emerging technology into practice may create innovative therapeutic interventions to address clinical outcomes.

 

Author Biographies

Lori Eldridge, MS, CTRS, Prevention Insights, School of Public Health, Indiana University, Bloo

Prevention Insights, School of Public Health, Indiana University, Bloomington, Bloomington, Indiana

Shinichi Nagata, PhD, CTRS

Faculty of Health and Sport Sciences, University of Tsukuba, Ibaraki, Japan; College of Public Health, Temple University, Philadelphia, Pennsylvania

Jennifer Piatt, PhD, CTRS

School of Public Health, Indiana University, Bloomington, Bloomington, Indiana

Cedomir Stanojevic, MS, EAT, CTRS

School of Public Health, Indiana University, Bloomington, Bloomington, Indiana

Selma Šabanović, PhD

Informatics and Cognitive Science, Director of Graduate Studies, Informatics, School of Informatics, Computing, and Engineering, Indiana University, Bloomington, Indiana

Casey Bennett, PhD

School of Intelligence, Hanyang University, Seoul, South Korea; College of Computing and Digital Media, DePaul University, Chicago, Illinois

Natasha Randall, MS

School of Informatics, Computing, and Engineering, Indiana University, Bloomington, Indiana

References

Abdi J, Al-Hindawi A, Ng T, et al.: Scoping review on the use of socially assistive robot technology in elderly care. BMJ Open. 2018; 8(2): e018815.

Kachouie R, Sedighadeli S, Khosla R, et al.: Socially assistive robots in elderly care: A mixed-method systematic literature review. Int J Hum Comput Interact. 2014; 30(5): 369-393.

Randall N, Bennett CC, Šabanovic´ S, et al.: More than just friends: In-home use and design recommendations for sensing socially assistive robots (SARs) by older adults with depression. Paladyn. 2019; 10(1): 237-255.

Beuscher, Linda M, Sarkar, N., et al.: Socially assistive robots: Measuring older adults’ perceptions. J Gerontol Nurs. 2017; 43(12): 35-43. doi:10.3928/00989134-20170707-04.

Feil-Seifer D, Mataric MJ: Defining socially assistive robotics. In Paper Presented at 9th International Conference on Rehabilitation Robotics, 2005. ICORR 2005. 2005.

National Council for Therapeutic Recreation Certification: CTRS Professional Profile. New City: National Council for Therapeutic Recreation Certification, 2014.

Birks M, Bodak M, Barlas J, et al.: Robotic seals as therapeutic tools in an aged care facility: A qualitative study. J Aging Res Clin Pract. 2016; (2016):1-7.

Lane GW, Noronha D, Rivera A, et al.: Effectiveness of a social robot, “Paro,” in a VA long-term care setting. Psychol Serv. 2016; 13(3): 292-299.

Chang W-L, Sabanovic S: Interaction expands function: Social shaping of the therapeutic robot PARO in a nursing home. In Paper Presented at: 2015 10th ACM/IEEE International Conference on Human-Robot Interaction (HRI). 2015.

Piatt J, Nagata S, Šabanović S, et al.: Companionship with a robot? Therapists’ perspectives on socially assistive robots as therapeutic interventions in community mental health for older adults. Am J Recreat Ther. 2017; 15(4): 29-39.

Šabanović S, Bennett CC, Piatt JA, et al.: Participatory design of socially assistive robots for preventive patient-centered healthcare. In Paper Presented at: IEEE/RSJ IROS Workshop on Assistive Robotics for Individuals with Disabilities. 2014.

Collins S, Šabanović S, Fraune M, et al.: Sensing companions: Potential clinical uses of robot sensor data for home care of older adults with depression. In Paper Presented at Companion of the 2018 ACM/IEEE International Conference on Human-Robot Interaction. 2018.

Rabbitt SM, Kazdin AE, Scassellati B: Integrating socially assistive robotics into mental healthcare interventions: Applications and recommendations for expanded use. Clin Psychol Rev. 2015; 35: 35-46.

Nejat G, Sun Y, Nies M: Assistive robots in health care settings. Home Health Care Manag Pract. 2009; 21(3): 177-187.

Broekens J, Heerink M, Rosendal H: Assistive social robots in elderly care: A review. Gerontechnology. 2009; 8(2): 94-103.

Tapus A, Maja M, Scassellatti B: The grand challenges in socially assistive robotics. IEEE Robot Autom Mag. 2007; 14(1): 35-42.

Shibata T: Robot assisted activity for senior people at day service center. In Paper Presented at: Proc. of Int’l Conf. on Information Technology in Mechatronics. 2001.

Kang KI, Freedman S, Mataric MJ, et al.: A hands-off physical therapy assistance robot for cardiac patients. In Paper Presented at: 9th International Conference on Rehabilitation Robotics. 2005. ICORR 2005.

DiSalvo C, Gemperle F, Forlizzi J, et al.: The hug: An exploration of robotic form for intimate communication. In Paper Presented at the 12th IEEE International Workshop on Robot and Human Interactive Communication, 2003. Proceedings. ROMAN. 2003.

Ogawa K, Nishio S, Koda K, et al.: Exploring the natural reaction of young and aged person with telenoid in a real world. JACIII. 2011; 15(5): 592-597.

Heerink M, Kröse B, Wielinga B, et al.: Enjoyment intention to use and actual use of a conversational robot by elderly people. In Paper Presented at Proceedings of the 3rd ACM/IEEE International Conference on Human Robot Interaction. 2008.

Odetti L, Anerdi G, Barbieri M, et al.: Preliminary experiments on the acceptability of animaloid companion robots by older people with early dementia. In Paper Presented at the 2007 29th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. 2007.

Shibata T, Kawaguchi Y, Wada K: Investigation on people living with Paro at home. In Paper Presented at the 19th International Symposium in Robot and Human Interactive Communication. 2010.

Šabanović S, Bennett CC, Chang W-L, et al.: PARO robot affects diverse interaction modalities in group sensory therapy for older adults with dementia. In Paper Presented at 2013 IEEE 13th International Conference on Rehabilitation Robotics (ICORR). 2013.

Shibata T: Therapeutic seal robot as biofeedback medical device: Qualitative and quantitative evaluations of robot therapy in dementia care. Proc IEEE. 2012; 100(8): 2527-2538.

Bennett CC, Šabanović S, Piatt JA, et al.: A robot a day keeps the blues away. In Paper Presented at the 2017 IEEE International Conference on Healthcare Informatics (ICHI). 2017.

Klein B, Gaedt L, Cook G: Emotional robots. GeroPsych. 2013; 26(2): 89-99.

Shibata T, Coughlin J: Trends of robot therapy with neurological therapeutic seal robot, PARO. J Microbio Robot. 2014; 26(4): 418-425.

Jøranson N, Pedersen I, Rokstad A, et al.: Group activity with Paro in nursing homes: Systematic investigation of behaviors in participants. Int Psychogeriatr. 2016; 28(8): 1345-1354.

Jøranson N, Pedersen I, Rokstad A, et al.: Change in quality of life in older people with dementia participating in PARO-activity: A cluster-randomized controlled trial. J Adv Nurs. 2016; 72(12): 3020-3033.

Takayanagi K, Kirita T, Shibata T: Comparison of verbal and emotional responses of elderly people with mild/moderate dementia and those with severe dementia in responses to seal robot, PARO. Front Aging Neurosci. 2014; 6: 257.

Petersen S, Houston S, Qin H, et al.: The utilization of robotic pets in dementia care. J Alzheimers Dis. 2017; 55(2): 569-574.

McCardle PE, McCune SE, Griffin JA, et al.: Human–animal interaction research: An introduction to issues and topics. How Animals Affect Us: Examining the Influence of Human–Animal Interaction on Child Development and Human Health. American Psychological Association. 2011: 3-9.

Richeson NE: Effects of animal-assisted therapy on agitated behaviors and social interactions of older adults with dementia. Am J Alzheimers Dis Other Demen. 2003; 18(6): 353-358.

Barker SB, Dawson KS: The effects of animal-assisted therapy on anxiety ratings of hospitalized psychiatric patients. Psychiatr Serv. 1998; 49(6): 797-801.

Bernstein P, Friedmann E, Malaspina A: Animal-assisted therapy enhances resident social interaction and initiation in long-term care facilities. Anthrozoös. 2000; 13(4): 213-224.

Havey J, Vlasses FR, Vlasses PH, et al.: The effect of animal-assisted therapy on pain medication use after joint replacement. Anthrozoös. 2014; 27(3): 361-369.

Braun C, Stangler T, Narveson J, et al.: Animal-assisted therapy as a pain relief intervention for children. Complement Ther Clin Pract. 2009; 15(2): 105-109.

Lust E, Ryan-Haddad A, Coover K, et al.: Measuring clinical outcomes of animal-assisted therapy: Impact on resident medication usage. Consult Pharm. 2007; 22(7): 580-585.

Association AVM: Animal-assisted interventions: Definitions. Available at https://www.avma.org/policies/animal-assisted-interventions-definitions. Accessed January

Abrahamson K, Cai Y, Richards E, et al.: Perceptions of a hospital-based animal assisted intervention program: An exploratory study. Complement Ther Clin Pract. 2016; 25: 150-154.

Khan M, Farrag N: Animal-assisted activity and infection control implications in a healthcare setting. J Hosp Infect. 2000; 46(1): 4-11.

DiSalvo H, Haiduven D, Johnson N, et al.: Who let the dogs out? Infection control did: Utility of dogs in health care settings and infection control aspects. Am J Infect Control. 2006; 34(5): 301-307.

Guay DR: Pet-assisted therapy in the nursing home setting: Potential for zoonosis. Am J Infect Control. 2001; 29(3): 178-186.

Kanamori M, Suzuki M, Oshiro H, et al.: Pilot study on improvement of quality of life among elderly using a pettype robot. In Paper Presented at the Proceedings 2003 IEEE International Symposium on Computational Intelligence in Robotics and Automation. Computational Intelligence in Robotics and Automation for the New Millennium (Cat. No. 03EX694). 2003.

Tamura T, Yonemitsu S, Itoh A, et al.: Is an entertainment robot useful in the care of elderly people with severe dementia? J Gerontol A Biol Sci Med Sci. 2004; 59(1): 83-85.

Fernaeus Y, Håkansson M, Jacobsson M, et al.: How do you play with a robotic toy animal?: A long-term study of Pleo. In Paper Presented at Proceedings of the 9th international Conference on interaction Design and Children. 2010.

Austin D: Therapeutic Recreation: Processes and Techniques. New York: Wiley, 1982.

Morrison ML: Health benefits of animal-assisted interventions. Complement Health Pract Rev. 2007; 12(1): 51-62.

McConnell AR, Brown CM, Shoda TM, et al.: Friends with benefits: On the positive consequences of pet ownership. J Pers Soc Psychol. 2011; 101(6): 1239.

Tapus A, T¸a˘pus¸ C, Mataric´ MJ: User—Robot personality matching and assistive robot behavior adaptation for poststroke rehabilitation therapy. Intell Serv Robot. 2008; 1(2): 169.

Broadbent E, Stafford R, MacDonald B: Acceptance of healthcare robots for the older population: Review and future directions. Int J Soc Robot. 2009; 1(4): 319.

Yu R, Hui E, Lee J, et al.: Use of a therapeutic, socially assistive pet robot (PARO) in improving mood and stimulating social interaction and communication for people with dementia: Study protocol for a randomized controlled trial. JMIR Res Protoc. 2015; 4(2): e45.

Bemelmans R, Gelderblom GJ, Jonker P, et al.: Socially assistive robots in elderly care: A systematic review into effects and effectiveness. J Am Med Dir Assoc. 2012; 13(2): 114-120.e111.

Kidd CD, Taggart W, Turkle S: A sociable robot to encourage social interaction among the elderly. In Paper Presented at Proceedings 2006 IEEE International Conference on Robotics and Automation, 2006. ICRA 2006. 2006.

Wada K, Kouzuki Y, Inoue K: Field test of manual for robot therapy using seal robot. In Paper Presented at 2012 4th IEEE RAS & EMBS International Conference on Biomedical Robotics and Biomechatronics (BioRob). 2012.

Wada K, Shibata T, Saito T, et al.: Analysis of factors that bring mental effects to elderly people in robot assisted activity. In Paper Presented at IEEE/RSJ International Conference on Intelligent Robots and Systems. 2002.

Yuill N, Hollis V: A systematic review of cognitive stimulation therapy for older adults with mild to moderate dementia: An occupational therapy perspective. Occup Ther Int. 2011; 18(4): 163-186.

Spector A, Thorgrimsen L, Woods B, et al.: Efficacy of an evidence-based cognitive stimulation therapy programme for people with dementia: Randomised controlled trial. Br J Psychiatry Suppl. 2003; 183(3): 248-254.

Howard GS, Dailey PR: Response-shift bias: A source of contamination of self-report measures. J Appl Psychol. 1979; 64(2): 144.

Pratt CC, McGuigan WM, Katzev AR: Measuring program outcomes: Using retrospective pretest methodology. Am J Eval. 2000; 21(3): 341-349.

Skeff KM, Stratos GA, Bergen MR: Evaluation of a medical faculty development program: A comparison of traditional pre/post and retrospective pre/post self-assessment ratings. Eval Health Prof. 1992; 15(3): 350-366.

Bhanji F, Gottesman R, de Grave W, et al.: The retrospective pre–post: A practical method to evaluate learning from an educational program. Acad Emerg Med. 2012; 19(2): 189-194.

VanNieuwenborg L, Goossens M, De Lepeleire J, et al.: Continuing medical education for general practitioners: A practice format. Postgrad Med J. 2016; 92(1086): 217-222.

Cervero RM, Gaines JK: The impact of CME on physician performance and patient health outcomes: An updated synthesis of systematic reviews. J Contin Educ Health Prof. 2015; 35(2): 131-138.

Meyerson BE, Agley JD, Davis A, et al.: Predicting pharmacy naloxone stocking and dispensing following a statewide standing order, Indiana 2016. J Alcohol Drug Depend. 2018; 188: 187-192.

Randall N, Šabanović S, Chang W: Engaging older adults with depression as co-designers of assistive in- home robots. In Paper Presented at Proceedings of the 12th EAI International Conference on Pervasive Computing Technologies for Healthcare. 2018.

Abbott R, Orr N, McGill P, et al.: How do “robopets” impact the health and well-being of residents in care homes? A systematic review of qualitative and quantitative evidence. Int J Older People Nurs. 2019; 14(3): e12239.

Mervin MC, Moyle W, Jones C, et al.: The cost-effectiveness of using PARO, a therapeutic robotic seal, to reduce agitation and medication use in dementia: Findings from a cluster–randomized controlled trial. J Am Med Dir Assoc. 2018; 19(7): 619-622.e611.

Eskander R, Tewari K, Osann K, et al.: Pilot study of the PARO therapeutic robot demonstrates decreased pain, fatigue, and anxiety among patients with recurrent ovarian carcinoma. Gynecol Oncol. 2013; 130(1): e144-e145.

Kang HS, Makimoto K, Konno R, et al.: Review of outcome measures in PARO robot intervention studies for dementia care. Geriatr Nurs. 2019; 41(3): 207-214.

Published

04/01/2020

How to Cite

Eldridge, MS, CTRS, Prevention Insights, School of Public Health, Indiana University, Bloo, L., Nagata, PhD, CTRS, S., Piatt, PhD, CTRS, J., Stanojevic, MS, EAT, CTRS, C., Šabanović, PhD, S., Bennett, PhD, C., & Randall, MS, N. (2020). Utilization of socially assistive robots in recreational therapy. American Journal of Recreation Therapy, 19(2), 35–45. https://doi.org/10.5055/ajrt.2020.0212

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