A Conversational Robotic Approach to Dementia Symptoms: Measuring Its Effect on Older Adults

The purpose of this study was to investigate the effect of robotic mediation in promoting conversation of older adults with dementia for improving behavioral and psychological symptoms of dementia (BPSD). In the longitudinal study, we explored how the BPSD in older adults could be affected by use of a teleoperated android robot named Telenoid that could potentially promote conversation. This study was conducted at a long-term residential care facility, and it was a prospective, 10-week, single arm, exploratory user study. Diminishing the barrier of digital divide, the android robot provided those with dementia with a way to remotely communicate with others. BPSD were assessed using the Neuropsychiatric Inventory Nursing Home Version (NPI-NH), and we investigated changes in the participants over time. According to NPI-NH scores, Telenoid could improve BPSD in older adults with "anxiety," and "appetite and eating change." The results indicate that as a non-pharmacological approach, daily use of the conversation promoting android robot could have a therapeutic effect on the BPSD in older adults.

[1]  David C. Steffens,et al.  Mental and behavioral disturbances in dementia: Findings from the cache county study on memory in aging , 2000, Neurobiology of Aging.

[2]  J. Sømme,et al.  Neuropsychiatric symptoms in amnestic mild cognitive impairment: Increased risk and faster progression to dementia , 2011, Alzheimer's & Dementia.

[3]  G. Meyer,et al.  Psychosocial interventions for reducing antipsychotic medication in care home residents. , 2012, The Cochrane database of systematic reviews.

[4]  Majda Azermai,et al.  Dealing with behavioral and psychological symptoms of dementia: a general overview , 2015, Psychology research and behavior management.

[5]  Richard Ward,et al.  A different story: exploring patterns of communication in residential dementia care , 2008, Ageing and Society.

[6]  G. G. Stokes "J." , 1890, The New Yale Book of Quotations.

[7]  W. Marsden I and J , 2012 .

[8]  S. Czaja,et al.  Telecommunications Technology as an Aid to Family Caregivers of Persons With Dementia , 2002, Psychosomatic medicine.

[9]  L. Teri,et al.  Anxiety, anxiety symptoms, and associations among older people with dementia in assisted-living facilities. , 2011, International journal of mental health nursing.

[10]  M. Kunik,et al.  Anxiety in dementia: a critical review. , 2008, Clinical psychology review.

[11]  R. Yamazaki,et al.  A Pilot Study of Robot Reminiscence in Dementia Care , 2018 .

[12]  Takanori Shibata,et al.  Robot Therapy in a Care House - Results of Case Studies - , 2006, ROMAN 2006 - The 15th IEEE International Symposium on Robot and Human Interactive Communication.

[13]  C. Ihlebæk,et al.  Effects on Symptoms of Agitation and Depression in Persons With Dementia Participating in Robot-Assisted Activity: A Cluster-Randomized Controlled Trial. , 2015, Journal of the American Medical Directors Association.

[14]  Kenneth J. Gergen,et al.  The challenge of absent presence , 2002 .

[15]  Kiyoshi Yasuda,et al.  Networked reminiscence therapy for individuals with dementia by using photo and video sharing , 2006, Assets '06.

[16]  P. Shekelle,et al.  Off-label use of atypical antipsychotics: an update , 2011 .

[17]  A. Schreiner,et al.  Positive affect among nursing home residents with Alzheimer's dementia: The effect of recreational activity , 2005, Aging & mental health.

[18]  Shuichi Nishio,et al.  Teleoperated android as an embodied communication medium: A case study with demented elderlies in a care facility , 2012, 2012 IEEE RO-MAN: The 21st IEEE International Symposium on Robot and Human Interactive Communication.

[19]  Silvia Coradeschi,et al.  User-centered evaluation of robotic telepresence for an elderly population , 2010 .

[20]  Shinichi Sato,et al.  Conversational assessment of cognitive dysfunction among residents living in long-term care facilities , 2017, International Psychogeriatrics.

[21]  G. Riva,et al.  A Novel Technique for Improving Bodily Experience in a Non-operable Super–Super Obesity Case , 2016, Front. Psychol..

[22]  Takashi Minato,et al.  Telenoid: tele-presence android for communication , 2011, SIGGRAPH '11.

[23]  B. Winblad,et al.  Influence of social network on occurrence of dementia: a community-based longitudinal study , 2000, The Lancet.

[24]  Majda Azermai,et al.  Systematic appraisal of dementia guidelines for the management of behavioural and psychological symptoms , 2012, Ageing Research Reviews.

[25]  J. Cummings,et al.  The use of the neuropsychiatric inventory in nursing home residents. Characterization and measurement. , 2000, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.

[26]  Tsuyoshi Murata,et al.  {m , 1934, ACML.

[27]  C. Estabrooks,et al.  Health care aides use of time in a residential long-term care unit: a time and motion study. , 2013, International journal of nursing studies.

[28]  Lon S Schneider,et al.  Risk of death with atypical antipsychotic drug treatment for dementia: meta-analysis of randomized placebo-controlled trials. , 2005, JAMA.

[29]  Naomi S. Baron Always On: Language in an Online and Mobile World , 2008 .

[30]  H. Ishiguro,et al.  Intimacy in Phone Conversations: Anxiety Reduction for Danish Seniors with Hugvie , 2016, Front. Psychol..

[31]  Peter Gregor,et al.  Issues surrounding the user-centred development of a new interactive memory aid , 2003, Universal Access in the Information Society.

[32]  O. Hellzén,et al.  Swedish assistant nurses’ experiences of job satisfaction when caring for persons suffering from dementia and behavioural disturbances. An interview study , 2006 .

[33]  M. Mega,et al.  The Neuropsychiatric Inventory , 1994, Neurology.

[34]  M. Lindwall,et al.  Relationships between physical activity and perceived qualities of life in old age. Results of the SNAC study , 2009, Aging & mental health.

[35]  J. Woo,et al.  A Telemedicine System As a Care Modality for Dementia Patients in Korea , 2000, Alzheimer disease and associated disorders.

[36]  C. Reynolds,et al.  Late-life depression and risk of vascular dementia and Alzheimer's disease: systematic review and meta-analysis of community-based cohort studies , 2013, British Journal of Psychiatry.

[37]  A. Mitchell,et al.  A meta-analysis of the accuracy of the mini-mental state examination in the detection of dementia and mild cognitive impairment. , 2009, Journal of psychiatric research.

[38]  S. Zwakhalen,et al.  The relation between mood, activity, and interaction in long-term dementia care , 2018, Aging & mental health.

[39]  S. Finkel,et al.  Introduction to behavioural and psychological symptoms of dementia (BPSD) , 2000, International journal of geriatric psychiatry.

[40]  Dawn Brooker,et al.  Wellbeing and activity in dementia: A comparison of group reminiscence therapy, structured goal-directed group activity and unstructured time , 2000 .

[41]  H. Ishiguro,et al.  Huggable communication medium decreases cortisol levels , 2013, Scientific Reports.

[42]  L. Miles,et al.  2000 , 2000, RDH.

[43]  Florindo Stella,et al.  Nonpharmacological Interventions to Reduce Behavioral and Psychological Symptoms of Dementia: A Systematic Review , 2015, BioMed research international.