Home-care Professionals’ Ethical Perceptions of the Development and Use of Home-care Robots for Older Adults in Japan

ABSTRACT Because of the workforce shortage in Japan, the use of home-care robots, or carebots, is increasingly perceived as a realistic option. Developing and implementing these carebots requires careful consideration of the ethical implications for all types of users. Few studies, however, have addressed the ethical principles and concepts involved in carebot use, and consequently, the discussion regarding roboethics in the home-care environment has been inadequate. This questionnaire study explored the relationship between the willingness of home-care professionals to use carebots, their experiences with robots, and their ethical perceptions. The principal factors affecting home-care staff perceptions were perceived benefit, use of personal information, the protection of privacy, and perceptions of risk. While perceived benefit was the common predictor affecting home-care staff willingness to use a robot for the care of all user types, concerns regarding the use of personal information were more prominent for older people.

[1]  S. Zwijsen,et al.  Ethics of using assistive technology in the care for community-dwelling elderly people: An overview of the literature , 2011, Aging & mental health.

[2]  Lina Zhou,et al.  The determinants of home healthcare robots adoption: An empirical investigation , 2014, Int. J. Medical Informatics.

[3]  Paul A. Pavlou,et al.  Consumer Acceptance of Electronic Commerce: Integrating Trust and Risk with the Technology Acceptance Model , 2003, Int. J. Electron. Commer..

[4]  S. Athar Principles of Biomedical Ethics , 2011, The Journal of IMA.

[5]  C. Kels,et al.  Ethical Considerations in Electronic Monitoring of the Cognitively Impaired , 2017, The Journal of the American Board of Family Medicine.

[6]  D. Tzovaras,et al.  Assessment of Perceived Attractiveness, Usability, and Societal Impact of a Multimodal Robotic Assistant for Aging Patients With Memory Impairments , 2018, Front. Neurol..

[7]  J. Brady,et al.  The Belmont Report. Ethical principles and guidelines for the protection of human subjects of research. , 2014, The Journal of the American College of Dentists.

[8]  T. Rantanen,et al.  The adoption of care robots in home care—A survey on the attitudes of Finnish home care personnel , 2018, Journal of clinical nursing.

[9]  D. Peterson,et al.  Ethics and assistive technology service provision , 2006, Disability and rehabilitation. Assistive technology.

[10]  L. Cruces,et al.  REGULAR ARTICLES Recommended Sample Size for Conducting Exploratory Factor Analysis on Dichotomous Data , 2010 .

[11]  Smitesh Jain Ethical values as factors for acceptance of Smart Energy Systems , 2017 .

[12]  E. Mordoch,et al.  Use of social commitment robots in the care of elderly people with dementia: a literature review. , 2013, Maturitas.

[13]  Rajiv Khosla,et al.  Human Robot Engagement and Acceptability in Residential Aged Care , 2017, Int. J. Hum. Comput. Interact..

[14]  K. Wada,et al.  How Effective Is Robot Therapy?: PARO and People with Dementia , 2011 .

[15]  Anne Marie Piper,et al.  Rethinking the Design of Robotic Pets for Older Adults , 2016, Conference on Designing Interactive Systems.

[16]  Mayumi Hayashi The Japanese voluntary sector's responses to the increasing unmet demand for home care from an ageing population , 2014, Ageing and Society.

[17]  Bernd Carsten Stahl,et al.  Ethics of healthcare robotics: Towards responsible research and innovation , 2016, Robotics Auton. Syst..

[18]  Chris Todd,et al.  Older adults' perceptions of technologies aimed at falls prevention, detection or monitoring: A systematic review , 2014, Int. J. Medical Informatics.

[19]  B. Draper,et al.  Does Cognitive Impairment and Agitation in Dementia Influence Intervention Effectiveness? Findings From a Cluster-Randomized-Controlled Trial With the Therapeutic Robot, PARO. , 2018, Journal of the American Medical Directors Association.

[20]  Timothy Teo,et al.  Assessing the intention to use technology among pre-service teachers in Singapore and Malaysia: A multigroup invariance analysis of the Technology Acceptance Model (TAM) , 2009, Comput. Educ..

[21]  M. Prince,et al.  World Alzheimer Report 2015 - The Global Impact of Dementia: An analysis of prevalence, incidence, cost and trends , 2015 .

[22]  Rajiv Khosla,et al.  Socially Assistive Robots in Elderly Care: A Mixed-Method Systematic Literature Review , 2014, Int. J. Hum. Comput. Interact..

[23]  Gordon B. Davis,et al.  User Acceptance of Information Technology: Toward a Unified View , 2003, MIS Q..

[24]  Bernd Carsten Stahl,et al.  Ethics of healthcare robotics , 2016 .

[25]  Ben J. A. Kröse,et al.  Assessing Acceptance of Assistive Social Agent Technology by Older Adults: the Almere Model , 2010, Int. J. Soc. Robotics.

[26]  C. Gastmans,et al.  The use of care robots in aged care: A systematic review of argument-based ethics literature. , 2018, Archives of gerontology and geriatrics.