Change in quality of life in older people with dementia participating in Paro‐activity: a cluster‐randomized controlled trial

Jøranson, Nina; Pedersen, Ingeborg; Rokstad, Anne Marie Mork; Ihlebæk, Camilla

doi:10.1111/jan.13076

Cited by 125 publications

(194 citation statements)

References 85 publications

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“…Although no previous study of the Sonas programme has measured the effect by stratifying on cognitive function, the findings from our study are consistent with a previous study [36] where they measured the effect of robot-assisted activity on quality of life, reporting a significant effect among people with severe dementia.…”

Section: Discussionsupporting

confidence: 91%

Effect of the Sonas Programme on Communication in People with Dementia: A Randomized Controlled Trial

Strøm

Engedal

Benth

et al. 2017

Dement Geriatr Cogn Disord Extra

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Background: Strategies to improve communication in people with dementia are warranted. We examined the effect of the Sonas programme on communication ability in persons with moderate to severe dementia. Methods: A 24-week 3-armed (Sonas, reading, and control group) randomized controlled trial including 120 nursing home residents with dementia was conducted; 105 completed the follow-up assessments. The main outcome was change in communication abilities measured by the Holden Communication Scale (HCS). Results: We found no overall significant effect of the Sonas programme with regard to communication ability as measured by the HCS. However, an effect between the Sonas group and the reading group and between the Sonas group and the control group from T0 to T1 and T2 was found, as well as a significant improvement in communication in the Sonas group. Among people with severe dementia, the Sonas group scored significantly better on the HCS compared to the reading group after 12 weeks, but not after 24 weeks. Conclusion: This study failed to document an overall effect of the Sonas programme on communication; however, the findings indicate that the Sonas programme has a significant effect on communication among those with severe dementia.

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Section: Discussionsupporting

confidence: 91%

Effect of the Sonas Programme on Communication in People with Dementia: A Randomized Controlled Trial

Strøm

Engedal

Benth

et al. 2017

Dement Geriatr Cogn Disord Extra

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“…The initial searches identified 2,931 unique papers. Of these, 344 were selected for full‐text review and 19 studies (reported in 27 papers) met the inclusion criteria (see Figure for reasons for exclusion): 10 qualitative studies (Birks, Bodak, Barlas, Harwood, & Pether, ; Chang & Sabanovic, ; Chang, Sabanovic, & Huber, ; Giusti & Marti, ; Gustafsson, Svanberg, & Müllersdorf, ; Iacono & Marti, ; Jung, van der Leij, & Kelders, ; Moyle et al, ; Niemelä, Määttä, & Ylikauppila, ; Pfadenhauer & Dukat, ), 2 mixed methods (randomised trials with qualitative elements), reported across 8 papers (Mervin et al, ; Moyle, ; Moyle, ; Moyle, ; Moyle, ; Moyle, ; Robinson, Macdonald, Kerse, & Broadbent, , ) and seven randomised trials reported in nine papers (Banks, Willoughby, & Banks, ; Joranson, Pedersen, Rokstad, & Ihlebaek, , ; Libin & Cohen‐Mansfield, ; Moyle et al, ; Petersen, Houston, Qin, Tague, & Studley, ; Thodberg, Sorensen, Christensen, et al, ; Thodberg, Sørensen, Videbech, et al, ; Valenti Soler et al, ). An update search, carried out in July 2018 across all databases with de‐duping against those already screened, found no additional included papers or studies.…”

Section: Resultsmentioning

confidence: 99%

How do “robopets” impact the health and well‐being of residents in care homes? A systematic review of qualitative and quantitative evidence

Abbott

Orr

McGill

et al. 2019

Int J Older People Nursing

117

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Background Robopets are small animal‐like robots which have the appearance and behavioural characteristics of pets. Objective To bring together the evidence of the experiences of staff, residents and family members of interacting with robopets and the effects of robopets on the health and well‐being of older people living in care homes. Design Systematic review of qualitative and quantitative research. Data sources We searched 13 electronic databases from inception to July 2018 and undertook forward and backward citation chasing. Methods Eligible studies reported the views and experiences of robopets from residents, family members and staff (qualitative studies using recognised methods of qualitative data collection and analysis) and the effects of robopets on the health and well‐being of care home residents (randomised controlled trials, randomised crossover trials and cluster randomised trials). Study selection was undertaken independently by two reviewers. We used the Wallace criteria and the Cochrane Risk of Bias tool to assess the quality of the evidence. We developed a logic model with stakeholders and used this as a framework to guide data extraction and synthesis. Where appropriate, we used meta‐analysis to combine effect estimates from quantitative studies. Results Nineteen studies (10 qualitative, 2 mixed methods and 7 randomised trials) met the inclusion criteria. Interactions with robopets were described as having a positive impact on aspects of well‐being including loneliness, depression and quality of life by residents and staff, although there was no corresponding statistically significant evidence from meta‐analysis for these outcomes. Meta‐analysis showed evidence of a reduction in agitation with the robopet “Paro” compared to control (−0.32 [95% CI −0.61 to −0.04, p = 0.03]). Not everyone had a positive experience of robopets. Conclusions Engagement with robopets appears to have beneficial effects on the health and well‐being of older adults living in care homes, but not all chose to engage. Whether the benefits can be sustained are yet to be investigated. Implications for practice Robopets have the potential to benefit people living in care homes, through increasing engagement and interaction. With the robopet acting as a catalyst, this engagement and interaction may afford comfort and help reduce agitation and loneliness.

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“…The characteristics of the included articles are summarized in Table 2. Of the 14 studies, six used a quasi-experimental design with one group pre-/post-test or post-test only design [48][49][50][51][52][53], two used retrospective exploratory design [54,55], two used randomize control trial (RCT) [56,57], one used cluster RCT [58,59], one used mixed-method design [14], one used qualitative design [60], and one used cross-sectional design [61]. Most of the studies were conducted in the United States (n= 7), followed by two in Australia, and one each in South Korea, Taiwan, Israel, Norway, and Spain.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…Three studies discussed a companion pet robot with the appearance of baby harp seal [58,59,63]. Of them, two RCTs demonstrated the effectiveness of animal-assisted therapy using the robot on maintaining quality of life [59,63] and decreasing symptoms of depression [58] and agitation [58] among older adults with moderate to severe dementia. One study qualitatively evaluating the robot from therapists' perspectives showed a positive attitude toward offering animal-assisted therapy when used by nurses in their practice [60].…”

Section: Robots With Aimentioning

confidence: 99%

Informatics and Artificial Intelligence Approaches that Promote Use of Integrative Health Therapies in Nursing Practice: A Scoping Review

Lu¹,

Delaney²,

Tracy³

et al. 2020

OBM ICM

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Integrative health (IH) therapies are increasingly used to manage health conditions, but barriers hindering nurses from offering IH therapies persist. Informatics and artificial intelligence (AI) approaches have potential to promote nurses' professional use of IH therapies. The purposes of this review are to (1) describe the state of the science of informatics and AI approaches promoting nurses' use of IH therapies and (2) identify gaps in literature for future investigations. This systematic scoping review followed the systematic review guideline published by the Centre for Review and Dissemination. Five databases were used to retrieve relevant literature published between 2008 and 2018. Sixteen articles describing fourteen studies met predefined eligibility criteria and were reviewed. A descriptive numerical summary method and thematical analysis were used to synthesize the included literature. A fourfold typology emerged to label the informatics and AI approaches, including robots with AI, computer-and mobile-based applications, electronic communication using an information system, and information standards and standardized terminologies. The reviewed studies suggested that informatics and AI approaches could enhance the safety, accessibility, and communication of nursing IH therapies, as well as enable nursing IH data for IH-related knowledge discovery. Several gaps for future research were identified. There is a need of theory-informed research with more rigorous design and a larger scale to provide robust evidence for implementing existing applications and future innovations. Literature suggests progress toward use of informatics and AI approaches to support nurses' professional use of IH therapies. Further high-quality and theory-informed research is needed regarding the applications used in conventional healthcare in supporting nurses' use of IH therapies.

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Change in quality of life in older people with dementia participating in Paro‐activity: a cluster‐randomized controlled trial

Cited by 125 publications

References 85 publications

Effect of the Sonas Programme on Communication in People with Dementia: A Randomized Controlled Trial

Effect of the Sonas Programme on Communication in People with Dementia: A Randomized Controlled Trial

How do “robopets” impact the health and well‐being of residents in care homes? A systematic review of qualitative and quantitative evidence

Informatics and Artificial Intelligence Approaches that Promote Use of Integrative Health Therapies in Nursing Practice: A Scoping Review

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