A Minimal Design of a Human Infant Presence: A Case Study Toward Interactive Doll Therapy for Older Adults With Dementia

We introduce a minimal design approach to manufacture an infant-like robot for interactive doll therapy that provides emotional interactions for older people with dementia. Our approach stimulates their imaginations and then facilitates positive engagement with the robot by just expressing the most basic elements of humanlike features. Based on this approach, we developed HIRO, a baby-sized robot with an abstract body representation and no facial features. The recorded voice of a real human infant emitted by robots enhances the robot’s human-likeness and facilitates positive interaction between older adults and the robot. Although we did not find any significant difference between HIRO and an infant-like robot with a smiling face, a field study showed that HIRO was accepted by older adults with dementia and facilitated positive interaction by stimulating their imagination. We also discuss the importance of a minimal design approach in elderly care during post–COVID-19 world.

[1]  H. O’Donnell,et al.  The therapeutic use of doll therapy in dementia. , 2013, British journal of nursing.

[2]  L. Flicker.  Dementia Reconsidered: the Person Comes First , 1999, BMJ.

[3]  Beatrice de Gelder,et al.  I Feel Your Voice , 2010, Psychological science.

[4]  T. Partonen,et al.  Comparison of verbal and emotional responses of elderly people with mild/moderate dementia and those with severe dementia in responses to seal robot, PARO , 2014 .

[5]  Karl F. MacDorman,et al.  The Uncanny Valley [From the Field] , 2012, IEEE Robotics Autom. Mag..

[6]  Toshiyo Tamura,et al.  Baby dolls as therapeutic tools for severe dementia patients , 2001 .

[7]  J. Vroomen,et al.  The perception of emotions by ear and by eye , 2000 .

[8]  M. Lombard,et al.  Content Analysis in Mass Communication: Assessment and Reporting of Intercoder Reliability , 2002 .

[9]  Takashi Minato,et al.  Minimal Human Design Approach for sonzai-kan Media: Investigation of a Feeling of Human Presence , 2014, Cognitive Computation.

[10]  Takanori Shibata,et al.  Comparison of Verbal and Emotional Responses of Elderly People with Mild/Moderate Dementia and Those with Severe Dementia in Responses to Seal Robot, PARO , 2014, Front. Aging Neurosci..

[11]  I. James,et al.  Doll use in care homes for people with dementia , 2006, International journal of geriatric psychiatry.

[12]  Jiska Cohen-Mansfield,et al.  What affects pleasure in persons with advanced stage dementia? , 2012, Journal of psychiatric research.

[13]  Wendy Moyle,et al.  The Effectiveness of Social Robots for Older Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Studies , 2018, The Gerontologist.

[14]  Gary Mitchell,et al.  Ethical considerations of doll therapy for people with dementia , 2014, Nursing ethics.

[15]  J. Broekens,et al.  Assistive social robots in elderly care: a review , 2009 .

[16]  Takashi Minato,et al.  Revisiting ancient design of human form for communication avatar: Design considerations from chronological development of Dogū , 2013, 2013 IEEE RO-MAN.

[17]  K. Stein,et al.  How do “robopets” impact the health and well‐being of residents in care homes? A systematic review of qualitative and quantitative evidence , 2019, International journal of older people nursing.

[18]  J. Henry,et al.  A meta-analytic review of emotion recognition and aging: Implications for neuropsychological models of aging , 2008, Neuroscience & Biobehavioral Reviews.

[19]  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.

[20]  T. Komatsu,et al.  Adaptation gap hypothesis : How differences between users ’ expected and perceived agent functions affect their subjective impression , 2010 .

[21]  Takanori Shibata,et al.  Trends of Robot Therapy with Neurological Therapeutic Seal Robot, PARO , 2014, J. Robotics Mechatronics.

[22]  Masayoshi Kanoh,et al.  A Robot as "Receiver of Care" in Symbiosis with People , 2015 .

[23]  Tanya McCance,et al.  Therapeutic use of dolls for people living with dementia: A critical review of the literature , 2016, Dementia.

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

[25]  Jiska Cohen-Mansfield,et al.  Can persons with dementia be engaged with stimuli? , 2010, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.

[26]  R. Bruffaerts,et al.  Attachment in old age: theoretical assumptions, empirical findings and implications for clinical practice. , 2013, Clinical psychology review.

[27]  T. Fukawa.  Prevalence of dementia among the elderly population in Japan , 2018 .

[28]  E. Mukaetova-Ladinska,et al.  Behavioral and Psychological Symptoms of Dementia , 2012, Front. Neur..

[29]  Heloir,et al.  The Uncanny Valley , 2019, The Animation Studies Reader.

[30]  Jan B. F. van Erp,et al.  Effects of Aging in Multisensory Integration: A Systematic Review , 2017, Front. Aging Neurosci..

[31]  Takanori Shibata,et al.  Therapeutic Seal Robot as Biofeedback Medical Device: Qualitative and Quantitative Evaluations of Robot Therapy in Dementia Care , 2012, Proceedings of the IEEE.

[32]  Kaiko Kuwamura,et al.  Can We Talk through a Robot As if Face-to-Face? Long-Term Fieldwork Using Teleoperated Robot for Seniors with Alzheimer's Disease , 2016, Front. Psychol..

[33]  Takanori Shibata,et al.  Cross-Cultural Studies on Subjective Evaluation of a Seal Robot , 2009, Adv. Robotics.

[34]  Meritxell Valentí Soler,et al.  Social robots in advanced dementia , 2015, Front. Aging Neurosci..

[35]  C. Snow.  The development of conversation between mothers and babies , 1977, Journal of Child Language.

[36]  Hiroshi Ishiguro,et al.  Intimate Touch Conversation through Teleoperated Android: Toward Enhancement of Interpersonal Closeness in Elderly People , 2018, 2018 27th IEEE International Symposium on Robot and Human Interactive Communication (RO-MAN).

[37]  Takanori Shibata,et al.  Living With Seal Robots—Its Sociopsychological and Physiological Influences on the Elderly at a Care House , 2007, IEEE Transactions on Robotics.

[38]  Leah Bisiani,et al.  Doll therapy: A therapeutic means to meet past attachment needs and diminish behaviours of concern in a person living with dementia – a case study approach , 2013, Dementia.

[39]  R. Ardito,et al.  Can Doll therapy preserve or promote attachment in people with cognitive, behavioral, and emotional problems? A pilot study in institutionalized patients with dementia , 2014, Front. Psychol..