Socially Assistive Robots for Helping Pediatric Distress and Pain: A Review of Current Evidence and Recommendations for Future Research and Practice

Socially Assistive Robots for Helping Pediatric Distress and Pain: A Review of Current Evidence and Recommendations for Future Research and Practice
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用于帮助儿科痛苦和疼痛的社交辅助机器人:对当前证据的回顾以及对未来研究和实践的建议

DOI:
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发表时间:
2019
期刊:
The Clinical Journal of Pain
影响因子:
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通讯作者:
M. Matarić
M. Matarić
中科院分区:
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文献类型:
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作者:
Margaret J Trost;Adam R. Ford;Lynn Kysh;J. Gold;M. Matarić

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目的:与社会辅助机器人(SAR)的互动已被证明会影响人类的行为和情绪。本研究旨在回顾SAR干预在医疗环境中减少儿童窘迫和疼痛的文献。方法:在医学图书馆员的帮助下检索数据库(PubMed, Cochrane Library, CINAHL, PsycINFO, ERIC, Web of Science, Engineering Village, Scopus,谷歌Scholar, IEEE Xplore),从数据库建立到2018年1月。纳入的研究检查了与身体或精神护理相关的任何SAR干预措施,以减轻疼痛或改善儿童的情绪健康,并通过一些定量测量来评估结果。采用改进的Downs和Black检查表(max。分数,28)。该审查已在PROSPERO注册(CRD42016043018)。结果:8项研究符合入选标准,共纳入206名儿童。在使用Wong-Baker 's FACES量表的2项研究中,1项研究声称在减轻疼痛方面有效(Cohen d=0.49至0.62),而另一项研究只有在父母和孩子共同使用SAR时才有效。在4项研究中使用有效的测量方法评估了痛苦,其中3项研究显示痛苦减少,而一项研究显示没有差异。4项研究的满意度调查显示,儿童对再次使用SAR有兴趣。质量得分从8分到26分不等。结论:有有限的证据表明SAR干预可以减少痛苦,没有明确的证据表明在医疗环境中可以减少儿童的疼痛。工程师们在儿科人群中使用SAR进行干预。卫生保健提供者应参与与儿童有关的技术研究,以促进测试和提高这些系统的有效性。
Objectives: Interacting with socially assistive robots (SAR) has been shown to influence human behaviors and emotions. This study sought to review the literature on SAR intervention for reducing pediatric distress and pain in medical settings. Methods: Databases (PubMed, Cochrane Library, CINAHL, PsycINFO, ERIC, Web of Science, Engineering Village, Scopus, Google Scholar, IEEE Xplore) were searched from database inception to January 2018 with the aid of a medical librarian. Included studies examined any SAR intervention for reducing pain or improving emotional well-being in children related to physical or psychiatric care, with outcomes assessed by some quantitative measure. Study quality was assessed using the modified Downs and Black checklist (max. score, 28). The review is registered in PROSPERO (CRD42016043018). Results: Eight studies met the eligibility criteria and represented 206 children. Of the 2 studies using Wong-Baker’s FACES scale, 1 study claimed to be effective at reducing pain (Cohen d=0.49 to 0.62), while the other appeared effective only when parents and child interacted with SAR together. Distress was evaluated using validated measures in 4 studies, 3 of which showed reduction in distress while one showed no difference. Satisfaction surveys from 4 studies showed that children were interested in using SAR again. Quality scores ranged from 8 to 26. Conclusions: There is limited evidence suggesting that SAR interventions may reduce distress and no clear evidence showing reduction in pain for children in medical settings. Engineers are conducting interventions using SAR in pediatric populations. Health care providers should be engaged in technology research related to children to facilitate testing and improve the effectiveness of these systems.