Alle Publikationen
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2019
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(2019): The benefits of and barriers to using a social robot PARO in care settings: a scoping review. In: BMC geriatrics 19 (1). DOI: 10.1186/s12877-019-1244-6
DOI: http://www.ncbi.nlm.nih.gov/pubmed/31443636 Abstract: BACKGROUND Given the complexity of providing dementia care in hospitals, integrating technology into practice is a high challenge and an important opportunity. Although there are a growing demand and interest in using social robots in a variety of care settings to support dementia care, little is known about the impacts of the robotics and their application in care settings, i.e., what worked, in which situations, and how. METHODS Scientific databases and Google Scholar were searched to identify publications published since 2000. The inclusion criteria consisted of older people with dementia, care setting, and social robot PARO. RESULTS A total of 29 papers were included in the review. Content analysis identified 3 key benefits of and 3 barriers to the use of PARO. Main benefits include: reducing negative emotion and behavioral symptoms, improving social engagement, and promoting positive mood and quality of care experience. Key barriers are: cost and workload, infection concerns, and stigma and ethical issues. This review reveals 3 research gaps: (a) the users' needs and experiences remain unexplored, (b) few studies investigate the process of how to use the robot effectively to meet clinical needs, and (c) theory should be used to guide implementation. CONCLUSIONS Most interventions conducted have been primarily researcher-focused. Future research should pay more attention to the clinical needs of the patient population and develop strategies to overcome barriers to the adoption of PARO in order to maximize patient benefits.
Keywords: 80 and over, Affect, Aged, Cost-Benefit Analysis, Delivery of Health Care, Dementia, economics, Humans, Methods, physiology, PSYCHOLOGY, Robotics, Therapy, Trends 2018
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(2018): Ethical adoption: A new imperative in the development of technology for dementia. In: Alzheimer’s & Dementia 14 (9), S. 1104-1113. DOI: 10.1016/j.jalz.2018.04.012
DOI: http://www.sciencedirect.com/science/article/pii/S1552526018301390 Abstract: Introduction Technology interventions are showing promise to assist persons with dementia and their carers. However, low adoption rates for these technologies and ethical considerations have impeded the realization of their full potential. Methods Building on recent evidence and an iterative framework development process, we propose the concept of “ethical adoption”: the deep integration of ethical principles into the design, development, deployment, and usage of technology. Results Ethical adoption is founded on five pillars, supported by empirical evidence: (1) inclusive participatory design; (2) emotional alignment; (3) adoption modelling; (4) ethical standards assessment; and (5) education and training. To close the gap between adoption research, ethics and practice, we propose a set of 18 practical recommendations based on these ethical adoption pillars. Discussion Through the implementation of these recommendations, researchers and technology developers alike will benefit from evidence-informed guidance to ensure their solution is adopted in a way that maximizes the benefits to people with dementia and their carers while minimizing possible harm.
2017
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(2017): Toward an intelligent long-term assistance for people with dementia in the context of navigation in indoor environments : Intelligente Langzeit-Unterstützung für Menschen mit Demenz im Kontext der Navigation in Gebäuden. In: Universität Würzburg, Graduate School of Science and Technology
Abstract: Designed and examined a system for indoor environments for people with moderate to severe dementia, who are unable or reluctant to use smartphone technology. To this end, a series of 10 studies was conducted with total of 35 adults with dementia. In the first step, a user-centered design approach was adopted to gather context and requirements of people with dementia in order to understand needs and difficulties (especially in spatial disorientation and wayfinding problems) experienced in dementia care facilities. Then, an "Implicit Interactive Intelligent (III) Environment" for people with dementia was proposed emphasizing implicit interaction and natural interface. The backbone of this III Environment is based on supporting orientation and navigation tasks with three systems: a monitoring system, an intelligent system, and a guiding system. The monitoring system and intelligent system automatically detect and interpret the locations and activities performed by the users i.e. people with dementia. This approach (implicit input) reduces cognitive workload as well as physical workload on the user to provide input. The intelligent system is also aware of context, predicts next situations (location, activity), and decides when to provide an appropriate service to the users. The guiding system with intuitive and dynamic environmental cues (lighting with color) has the responsibility for guiding the users to the places they need to be. Overall, three types of a monitoring system with Ultra-Wideband and iBeacon technologies, different techniques and algorithms were implemented for different contexts of use. They showed a high user acceptance with a reasonable price as well as decent accuracy and precision. In the intelligent system, models were built to recognize the users' current activity, detect the erroneous activity, predict the next location and activity, and analyze the history data, detect issues, notify them and suggest solutions to caregivers via visualized web interfaces. Regarding the guiding systems, five studies were conducted to test and evaluate the effect of lighting with color on people with dementia. The results were promising. Although several components of III Environment in general and three systems, in particular, are in place (implemented and tested separately), integrating them all together and employing this as a fully properly evaluation with formal stakeholders (people with dementia and caregivers) need to be examined in future research.
2016
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(2016): Social and assistive robotics in dementia care: Ethical recommendations for research and practice. In: International Journal of Social Robotics 8 (4), S. 565-573. DOI: 10.1007/s12369-016-0366-7
DOI: https://doi.org/10.1007/s12369-016-0366-7 Abstract: The steadily growing number of older adults with dementia worldwide poses a major challenge for global public health. The integration of robotics into both formal and informal dementia care opens up new possibilities for improving the life of patients and alleviating the burden on caregivers and the healthcare services. However, ethical, legal and social implications should be considered early in the development of assistive and social robots for dementia to prevent slow adoption, incorrect implementation and inappropriate use. This paper delineates the ethical landscape and provides recommendations for design and use aimed at protecting users and maximizing the benefit in assisting such vulnerable population. (PsycINFO Database Record (c) 2017 APA, all rights reserved)
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(2016) : Investigation of appropriate response time for an animal type robot: 2016 25th IEEE International Symposium on Robot and Human Interactive Communication (RO-MAN): New York City, USA: IEEE, S. 331-334
DOI: https://doi.org/10.1109/ROMAN.2016.7745151 Abstract: Robot therapy, interaction with animal type robots, is expected to have psychological, physiological and social effects as well as animal therapy. However, design method for therapeutic robots is not examined enough yet. Especially, physical interaction (e.g. touch and hug) is key point of the robot; however appropriate behaviors are veiled. In this research, we tried to investigate when the robot should respond during physical interaction between human and robot.
Keywords: Angemessen(heit) (von Technik), animal therapy, animal type robot interaction, Animals, Correlation, Dementia, human-robot interaction, ieee xplore, Interviews, medical robotics, Medical treatment, patient treatment, physical interaction, physiological effects, psychological effects, response time, Robot sensing systems, Robot Therapy, social effects, therapeutic robots 2015
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(2015): Entsprechend dem (mutmaßlichen) Willen? Ethische Anforderungen bei der Einbindung von vulnerablen Personen (am Beispiel von Personen mit Demenz) in wissenschaftlichen Projekten zur Beforschung emotionsorientierter Pflege und Betreuung mit robotischen Assistenzsystemen. In: Pflege & Gesellschaft 20 (1)
Abstract: Ethische Fragestellungen bei wissenschaftlichen Untersuchungen mit vulnerablen Personen werden reflektiert. Am Beispiel des Projekts "EmoRobot" werden ethische Probleme bei der Forschung zu robotischen Assistenzsystemen in der Pflege von Demenzkranken verdeutlicht. Zunächst wird ein Einblick in das Konstrukt des mutmaßlichen Willens als Hilfe für Teilnahmeentscheidungen bei Betroffenen gegeben, die nicht mehr selbst entscheiden können. Darauf aufbauend wird eine ethische Bewertungsgrundlage für die Ermittlung des mutmaßlichen Willens dargestellt. Diese umfasst neben grundlegenden ethischen Prinzipien den Einsatz multidisziplinärer ethischer Fallbesprechungen. Am Vorgehen des Roboterprojekts werden ethische Prinzipien und ethische Fallbesprechungen exemplarisch konkretisiert.
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(2015): Entsprechend dem (mutmaßlichen) Willen? Ethische Anforderungen bei der Einbindung von vulnerablen Personen (am Beispiel von Personen mit Demenz) in wissenschaftlichen Projekten zur Beforschung emotionsorientierter Pflege und Betreuung mit robotischen Assistenzsystemen. In: Pflege & Gesellschaft 20 (1)
Abstract: Ethische Fragestellungen bei wissenschaftlichen Untersuchungen mit vulnerablen Personen werden reflektiert. Am Beispiel des Projekts "EmoRobot" werden ethische Probleme bei der Forschung zu robotischen Assistenzsystemen in der Pflege von Demenzkranken verdeutlicht. Zunächst wird ein Einblick in das Konstrukt des mutmaßlichen Willens als Hilfe für Teilnahmeentscheidungen bei Betroffenen gegeben, die nicht mehr selbst entscheiden können. Darauf aufbauend wird eine ethische Bewertungsgrundlage für die Ermittlung des mutmaßlichen Willens dargestellt. Diese umfasst neben grundlegenden ethischen Prinzipien den Einsatz multidisziplinärer ethischer Fallbesprechungen. Am Vorgehen des Roboterprojekts werden ethische Prinzipien und ethische Fallbesprechungen exemplarisch konkretisiert.
2014
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(2014) : Aspects of Socially Assistive Robots Design for Dementia Care: 2014 IEEE 27th International Symposium on Computer-Based Medical Systems: New York, NY: IEEE, S. 396-400
DOI: https://doi.org/10.1109/CBMS.2014.16 Abstract: Increasing prevalence of dementia matched with higher demand on healthcare services poses a challenge to society. The use of innovative technologies such as robotics has been identified as one of the solutions to this predicament. The design of Socially Assistive Robots (SAR) is a multidisciplinary field that needs to incorporate the diverse requirements of people with dementia and their carers. This paper attempts to identify important considerations for the successful design of SARs and to categorize them. A taxonomy of SAR’s features is proposed, best practice design approaches, technology acceptance and ethical issues are examined. Recommendations for future areas of research are outlined.
Keywords: Dementia, dementia care, ethical aspects, ethical issues, health care services, ieee xplore, inclusive design, medical robotics, Moral & Ethik, Patient Care, roboethics, Robot sensing systems, Robotics, SAR, Senior citizens, service robot, Socially Assistive Robot (SAR), socially assistive robot design, taxonomy, technology acceptance
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