Caregivers' requirements for in-home robotic agent for supporting community-living elderly subjects with cognitive impairment

Assistance Publique-Hópitaux de Paris Hôpital Broca 54-56, Paris, France.
Technology and health care: official journal of the European Society for Engineering and Medicine (Impact Factor: 0.7). 02/2009; 17(1):33-40. DOI: 10.3233/THC-2009-0537
Source: PubMed


Older people are an important and growing sector of the population. This demographic change raises the profile of frailty and disability within the world's population. In such conditions, many old people need aides to perform daily activities. Most of the support is given by family members who are now a new target in the therapeutic approach. With advances in technology, robotics becomes increasingly important as a means of supporting older people at home. In order to ensure appropriate technology, 30 caregivers filled out a self-administered questionnaire including questions on needs to support their proxy and requirements concerning the robotic agent's functions and modes of action. This paper points out the functions to be integrated into the robot in order to support caregivers in the care of their proxy. The results also show that caregivers have a positive attitude towards robotic agents.

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    • "were selected from results of two previous needs assessment studies carried out with elderly with cognitive impairment and their caregivers [40] [41]. The software architecture was programmed in MRDS (Microsoft Robotics Dev Studio) platform in CSharp language. "
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    ABSTRACT: Socially assistive robotics for elderly care is a growing field. However, although robotics has the potential to support elderly in daily tasks by offering specific services, the development of usable interfaces is still a challenge. Since several factors such as age or disease-related changes in perceptual or cognitive abilities and familiarity with computer technologies influence technology use they must be considered when designing interfaces for these users. This paper presents findings from usability testing of two different services provided by a social assistive robot intended for elderly with cognitive impairment: a grocery shopping list and an agenda application. The main goal of this study is to identify the usability problems of the robot interface for target end-users as well as to isolate the human factors that affect the use of the technology by elderly. Socio-demographic characteristics and computer experience were examined as factors that could have an influence on task performance. A group of 11 elderly persons with Mild Cognitive Impairment and a group of 11 cognitively healthy elderly individuals took part in this study. Performance measures (task completion time and number of errors) were collected. Cognitive profile, age and computer experience were found to impact task performance. Participants with cognitive impairment achieved the tasks committing more errors than cognitively healthy elderly. Instead younger participants and those with previous computer experience were faster at completing the tasks confirming previous findings in the literature. The overall results suggested that interfaces and contents of the services assessed were usable by older adults with cognitive impairment. However, some usability problems were identified and should be addressed to better meet the needs and capacities of target end-users.
    Full-text · Article · Jun 2013 · Technology and health care: official journal of the European Society for Engineering and Medicine
    • "They would, for example, be embarrassed if a tracking device would make noise when they are in a public place (Robinson et al., 2006). Many authors are also concerned that using AT could lead to stigmatisation (Coughlin et al., 2007;Demiris et al., 2004;Demiris, Hensel, et al., 2008;Faucounau et al., 2009;Karunanithi, 2007;Landau et al., 2010;Robinson et al., 2006Robinson et al., , 2009). Some authors offer solutions for the problem. "
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    ABSTRACT: This article provides an overview of the international literature on the most important ethical considerations in the field of assistive technology (AT) in the care for community-dwelling elderly people, focused on dementia. A systematic literature review was performed. A total of 46 papers met the inclusion criteria. Three main themes were found. The first theme, personal living environment, involves the subthemes privacy, autonomy and obtrusiveness. The second theme, the outside world, involves the subthemes stigma and human contact. The third theme, the design of AT devices, involves the subthemes individual approach, affordability and safety. The often referred to umbrella term of 'obtrusiveness' is frequently used by many authors in the discussion, while a clear description of the concept is mostly absent. When it comes to AT use in the care for elderly people living at home, ethical debate appears not to be a priority. The little discussion there relies heavily on thick concepts such as autonomy and obtrusiveness which seem to complicate the debate rather than clarify it, because they contain many underlying ambiguous concepts and assumptions. Most encountered ethical objections originate from the view that people are, or should be, independent and self-determinant. It is questionable whether the view is correct and helpful in the debate on AT use in the care for (frail) elderly people. Other ethical approaches that view people as social and reciprocal might be more applicable and shed a different light on the ethical aspects of AT use.
    No preview · Article · May 2011 · Aging and Mental Health
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    ABSTRACT: As we near a time when robots may serve a vital function by becoming caregivers, it is important to examine the ethical implications of this development. By applying the capabilities approach as a guide to both the design and use of robot caregivers, we hope that this will maximize opportunities to preserve or expand freedom for care recipients. We think the use of the capabilities approach will be especially valuable for improving the ability of impaired persons to interface more effectively with their physical and social environments. KeywordsCapabilities approach-Human flourishing-Robot ethics-Robot caregivers
    Preview · Article · Sep 2010 · Ethics and Information Technology
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