A Pilot Randomized Trial of a Companion Robot for People With Dementia Living in the Community
A Pilot Randomized Trial of a Companion Robot for People With Dementia Living in the Community
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DOI：
10.1016/j.jamda.2017.05.019
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发表时间：
2017-10-01
影响因子：
7.6
通讯作者：
Broadbent, Elizabeth
中科院分区：
文献类型：
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作者：
Liang, Amy;Piroth, Isabell;Broadbent, Elizabeth
目的：为了调查的情感，社会，行为和生理的影响的伴侣机器人帕罗痴呆症患者在日托中心和家庭setting.Design：一个试点块随机对照试验超过12周。参与者被随机分为干预组（Paro）和对照组（标准护理组）。设置：新西兰奥克兰的两个痴呆症日托中心和参与者的家中。参与者：30对夫妇（包括痴呆症患者和他们的护理者）参加了这项研究。所有护理对象都参加了塞尔温基金会的痴呆症日托中心，并接受了痴呆症的正式诊断。干预措施：在日托中心与帕罗进行30分钟的非结构化小组会议，每周进行2至3次，持续6周。研究方法：在日托中心，采用时间抽样法，观察被看护者的行为、情感和社会反应。还记录了干预措施参与者与Paro互动的观察结果。血压和唾液皮质醇收集从照顾收件人之前和之后的会议在日托。在家庭环境中，在基线、6周和12周时测量认知水平、抑郁症状、神经精神症状、行为激越和血压。头发皮质醇措施收集在基线和6 weeks.Results：观察结果表明，帕罗显着改善面部表情（影响）和沟通与工作人员（社会互动）在日托中心。亚组分析显示，认知障碍较少的护理对象对帕罗的反应明显更好。有没有显着差异，在照顾收件人痴呆症状，也没有干预和对照group.Conclusion之间的生理措施：帕罗显示承诺，在提高情感和社会的某些个人与痴呆症在社区范围内的结果。需要在社区环境中进行更大规模的随机对照试验，时间范围更长，以进一步说明Paro最有益的背景和特征。(C)2017年AMDA -急性后和长期护理医学协会。
Objectives: To investigate the affective, social, behavioral, and physiological effects of the companion robot Paro for people with dementia in both a day care center and a home setting.Design: A pilot block randomized controlled trial over 12 weeks. Participants were randomized to the intervention (Paro) or control condition (standard care).Setting: Two dementia day care centers and participants' homes in Auckland, New Zealand.Participants: Thirty dyads (consisting of a care recipient with dementia and their caregiver) took part in this study. All care recipients attended dementia day care centers at Selwyn Foundation and had a formal diagnosis of dementia.Intervention: Thirty-minute unstructured group sessions with Paro at the day care center were run 2 to 3 times a week for 6 weeks. Participants also had Paro at home for 6 weeks.Measurements: At the day care centers, observations of the care recipients' behavior, affect, and social responses were recorded using a time sampling method. Observations of interactions with Paro for participants in the intervention were also recorded. Blood pressure and salivary cortisol were collected from care recipients before and after sessions at day care. In the home setting, level of cognition, depressive symptoms, neuropsychiatric symptoms, behavioral agitation, and blood pressure were measured at baseline, 6 weeks, and 12 weeks. Hair cortisol measures were collected at baseline and at 6 weeks.Results: Observations showed that Paro significantly improved facial expressions (affect) and communication with staff (social interaction) at the day care centers. Subanalyses showed that care recipients with less cognitive impairment responded significantly better to Paro. There were no significant differences in care recipient dementia symptoms, nor physiological measures between the intervention and control group.Conclusion: Paro shows promise in enhancing affective and social outcomes for certain individuals with dementia in a community context. Larger randomized controlled trials in community settings, with longer time frames, are needed to further specify the contexts and characteristics for which Paro is most beneficial. (C) 2017 AMDA - The Society for Post-Acute and Long-Term Care Medicine.