The promise of technology in the future of dementia care

Moyle, Wendy

doi:10.1038/s41582-019-0188-y

Cited by 95 publications

(73 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Advances in technology have created a vast potential for the provision of new forms of healthcare. Recently, there has been increasing interest in the use of social robots to alleviate psychological distress and encourage social interaction for older adults with dementia (Moyle, 2019). The use of social robots in LTC has led to a proliferation of studies which explore the physical and psychological outcomes of older adults with dementia (Moyle et al, 2017;Petersen et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

A social robot intervention on depression, loneliness, and quality of life for Taiwanese older adults in long-term care

Chen

Moyle

Jones

et al. 2020

Int. Psychogeriatr.

Self Cite

View full text Add to dashboard Cite

Objectives: To investigate the effect of a social robot intervention on depression, loneliness, and quality of life of older adults in long-term care (LTC) and to explore participants’ experiences and perceptions after the intervention. Design: A mixed-methods approach consisting of a single group, before and after quasi-experimental design, and individual interview. Participants: Twenty older adults with depression from four LTC facilities in Taiwan were recruited. Intervention: Each participant participated in 8 weeks of observation and 8 weeks of intervention. In the observation stage, participants received usual care or activities without any research intervention. In the intervention stage, each participant was given a Paro (Personal Assistive RobOt) to keep for 24 hours, 7 days a week. Measurements: The Geriatric Depression Scale, the UCLA Loneliness Scale Version 3, and the World Health Organization Quality of Life Questionnaire for older adults were administered at four time points. Individual qualitative interviews with thematic analysis followed. Results: A repeated multivariate analysis of variance and Friedmanʼs test showed no significant changes during the observation stage between T1 and T2 for depression and quality of life (p >.5). For the intervention stage, statistically significant changes in decreasing depression and loneliness and improving quality of life over time were identified. Three themes emerged from the interviews: (i) humanizing Paro through referring to personal experiences and engagement; (ii) increased social interaction with other people; and (iii) companionship resulting in improved mental well-being. Conclusions: There were significant improvements in mental well-being in using Paro. Further research may help us to understand the advantages of using a Paro intervention as depression therapy.

show abstract

Section: Introductionmentioning

confidence: 99%

A social robot intervention on depression, loneliness, and quality of life for Taiwanese older adults in long-term care

Chen

Moyle

Jones

et al. 2020

Int. Psychogeriatr.

Self Cite

View full text Add to dashboard Cite

show abstract

“…The average lifespan in the world almost doubled during the 20th century and has resulted in a large number of people living to old ages, causing an increased risk of developing age-related diseases, disability and dementia (Fratiglioni et al, 1999;Brown, 2015). In the coming years, the growing demand and the need to contain the costs of health care will dictate the need to reorganize the services dedicated to people at risk of developing cognitive impairment by taking advantage of technological developments (Bharucha et al, 2009;Astell, 2019;Moyle, 2019). Telerehabilitation via information and communication technologies (Brennan et al, 2011;Realdon et al, 2016;Pitt et al, 2019) represents an innovative approach to overcome the obstacles associated with face-to-face intervention.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of an Innovative Cognitive Treatment and Telerehabilitation on Subjects With Mild Cognitive Impairment: A Multicenter, Randomized, Active-Controlled Study

Manenti

Gobbi

Baglio

et al. 2020

Front. Aging Neurosci.

View full text Add to dashboard Cite

Background In recent years, the potential usefulness of cognitive training procedures in normal aging and mild cognitive impairment (MCI) have received increased attention. Objective The main aim of this study was to evaluate the efficacy of the face-to-face cognitive virtual reality rehabilitation system (VRRS) and to compare it to that of face-to-face cognitive treatment as usual for individuals with MCI. Moreover, we assessed the possibility of prolonging the effects of treatment with a telerehabilitation system. Methods A total of 49 subjects with MCI were assigned to 1 of 3 study groups in a randomized controlled trial design: (a) those who received face-to-face cognitive VRRS (12 sessions of individualized cognitive rehabilitation over 4 weeks) followed by telerehabilitation (36 sessions of home-based cognitive VRRS training, three sessions for week); (b) those who received face-to-face cognitive VRRS followed by at-home unstructured cognitive stimulation (36 sessions of home-based unstructured cognitive stimulation, three sessions for week); and (c) those who received face-to-face cognitive treatment as usual (12 sessions of face-to-face cognitive treatment as usual). Results An improvement in memory, language and visuo-constructional abilities was observed after the end of face-to-face VRRS treatment compared to face-to-face treatment as usual. The application of home-based cognitive VRRS telerehabilitation seems to induce more maintenance of the obtained gains than home-based unstructured stimulation. Discussion The present study provides preliminary evidence in support of individualized VRRS treatment and telerehabilitation delivery for cognitive rehabilitation and should pave the way for future studies aiming at identifying optimal cognitive treatment protocols in subjects with MCI. Clinical Trial Registration www.ClinicalTrials.gov , identifier NCT03486704.

show abstract

“…Ageing of the population and the development of artificial intelligence (AI) have resulted in a growing body of research on social robots aiming to meet the care needs of older adults (Moyle, 2019). Social robots are designed to establish social and affective relations with humans (Pedersen, Reid, & Aspevig, 2018).…”

Section: Introductionmentioning

confidence: 99%

How people with dementia perceive a therapeutic robot called PARO in relation to their pain and mood: A qualitative study

Moyle

Jones

2019

Journal of Clinical Nursing

Self Cite

View full text Add to dashboard Cite

Background: Interacting with social robots, such as the robotic seal PARO, has been shown to improve mood and acute pain for people with dementia. Little attention has been paid to the effect of PARO on people with dementia and chronic pain. Objective: To explore how people with mild to moderate dementia and chronic pain perceive PARO as an alternative intervention to manage their pain and mood. Design: A descriptive qualitative approach nested within a pilot randomised controlled trial. Methods: Participants with dementia and chronic pain were recruited from three residential aged care facilities. They interacted with PARO for 30 minutes, five days a week over a sixweek period. A sample of 11 participants completed individual semi-structured interviews at 2 the end of the intervention. Data were collected from January 2018 to January 2019. Inductive thematic analysis was undertaken. Reporting of findings followed the COREQ checklist. Results: Four themes emerged from the data: (1) Perceptions of PARO; (2) Therapeutic effects of PARO; (3) Limitations of PARO; and (4) Program improvement. Residents with dementia expressed positive attitudes towards the use of PARO and acknowledged the therapeutic benefits of PARO on mood improvement and relaxation for pain relief but also mentioned the limitations of its weight, voice and characteristics. Residents' responses could also fluctuate during the intervention process, and individual preferences need to be considered. Conclusions: The PARO intervention is a promising intervention to improve positive emotion and there is some anecdotal evidence that pain may be decreased from the perspectives of people living with chronic pain and dementia. Relevance to Clinical Practice: Long-term care staff may incorporate PARO therapy into daily dementia care. Understanding of individual's preferences may enhance the implementation of PARO for pain management in this group.

show abstract

The promise of technology in the future of dementia care

Cited by 95 publications

References 44 publications

A social robot intervention on depression, loneliness, and quality of life for Taiwanese older adults in long-term care

A social robot intervention on depression, loneliness, and quality of life for Taiwanese older adults in long-term care

Effectiveness of an Innovative Cognitive Treatment and Telerehabilitation on Subjects With Mild Cognitive Impairment: A Multicenter, Randomized, Active-Controlled Study

How people with dementia perceive a therapeutic robot called PARO in relation to their pain and mood: A qualitative study

Contact Info

Product

Resources

About