Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-23T14:47:02.845Z Has data issue: false hasContentIssue false

Social Commitment Robots and Dementia*

Published online by Cambridge University Press:  16 February 2012

Kerstin Roger*
Affiliation:
University of Manitoba
Lorna Guse
Affiliation:
University of Manitoba
Elaine Mordoch
Affiliation:
University of Manitoba
Angela Osterreicher
Affiliation:
University of Manitoba
*
Correspondence and requests for offprints should be sent to / La correspondance et les demandes de tirés-à-part doivent être adressées à: Kerstin Roger Department of Family Social Sciences Faculty of Human Ecology 221 Human Ecology 35 Chancellor’s Circle University of Manitoba R3T 2N2 ([email protected])

Abstract

In 2010, approximately 500,000 Canadians suffered from a dementia-related illness. The number of sufferers is estimated to double in about 25 years. Due to this growing demographic, dementia (most frequently caused by Alzheimer’s disease) will increasingly have a significant impact on our aging community and their caregivers. Dementia is associated with challenging behaviours such as agitation, wandering, and aggression. Care providers must find innovative strategies that facilitate the quality of life for this population; moreover, such strategies must value the individual person. Social commitment robots – designed specifically with communication and therapeutic purposes – provide one means towards attaining this goal. This paper describes a study in which Paro (a robotic baby harp seal) was used as part of a summer training program for students. Preliminary conclusions suggest that the integration of social commitment robots may be clinically valuable for older, agitated persons living with dementia in long-term care settings.

Résumé

En 2010, 500 000 Canadiens étaient atteint d’une maladie liée à une démence. On estime que le nombre des malades va doubler en environ 25 ans. Pour cause de ce groupe démographique croissant, la démence de plus en plus (le plus souvent causée par la maladie d’Alzheimer) exercera un impact significatif sur notre communauté vieillissante et ses soignants. La démence est associée à des comportements difficiles tels que l’agitation, l’errance et l’agression. Les prestataires de soins doivent trouver des stratégies novatrices afin de faciliter la qualité de vie pour cette population; d’ailleurs, de telles stratégies doivent valoriser l’individu. Les robots socialement engagés – conçu spécifiquement à la communication et aux fins thérapeutiques – fournir un moyen d’atteindre cet objectif. Cet article décrit une étude dans laquelle Paro (un bébé phoque robotique) a été utilisé dans le cadre d’un programme de formation d’été pour étudiants. Les conclusions préliminaires suggèrent que l’integration des robots socialement engagés peuvent se révéler comme utiles cliniquement en milieux de soins de longue durée.

Type
Research Note / Note de recherche
Copyright
Copyright © Canadian Association on Gerontology 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

*

We thank the Deer Lodge Foundation and Deer Lodge Centre for ongoing support of the Interdisciplinary Summer Research Program and to Michael Kaan, manager of the Collaborative Research Unit and Jo-Ann Laopinte-McKenzie, chief nursing officer, for their inspiration and encouragement. We also appreciate the residents and families who so willingly assisted us with our research.

References

Alzheimer Society of Canada. (2010). Rising tide: The impact of dementia on Canadian society. Retrieved July 2010 fromhttp://www.alzheimer.ca/docs/RisingTide/Rising%20Tide_Full%20Report_Eng_FINAL_Secured%20version.pdf.Google Scholar
Arkin, S.M. (1999). Elder rehab: A student-supervised exercise program for Alzheimer’s patients. The Gerontologist, 39(6), 729735.CrossRefGoogle Scholar
Banks, M.R., Willoughby, L.M., & Banks, W.A. (2008). Animal-assisted therapy and loneliness in nursing homes: Use of robotic versus living dogs. Journal of the American Medical Directors Association, 9(3), 173177.CrossRefGoogle ScholarPubMed
Bittman, B.B., Bruhn, K.T., Lim, P.B., Neve, A., Stevens, C.K., & Knudsen, C. (2004). Testing the power of music-making. Provider, 30(11), 3941.Google ScholarPubMed
Briller, S., Proffitt, M., Perez, K., Marsden, J.P., & Calkins, M.P. (2001). Creating successful dementia care settings: Maximizing cognitive and functional abilities (Vol. 2). Winnipeg, Manitoba, Canada: Health Professions Press.Google Scholar
Buettner, L.L., & Fitzsimmons, S. (2004). Recreational therapy exercise on the special care unit: Impact on Behaviors. American Journal of Recreation Therapy, 3(4), 824.Google Scholar
Buettner, L.L., Fitzsimmons, S., & Atav, A.S. (2006). Predicting outcomes of therapeutic recreation interventions for older adults with dementia and behavioral symptoms. Therapeutic Recreation Journal, 40(1), 3347.Google Scholar
Canadian Study of Health and Aging Working Group. (1994). Canadian study of health and aging. Ottawa, Ontario, Canada.Google Scholar
Canadian Therapeutic Recreation Association. (2008). Therapeutic recreation philosophy statement. Retrieved July 2010 fromhttp://www.canadian-tr.org/.Google Scholar
Cheng, S.T., Chan, A.C., & Yu, E.C. (2006). An exploratory study of the effect of mahjong on the cognitive functioning of persons with dementia. International Journal of Geriatric Psychiatry, 21(7), 611617.CrossRefGoogle ScholarPubMed
Cohen-Mansfield, J., Dakheel-Ali, M., & Marx, M. (2009). Engagement in persons with dementia: The concept and its measurement. American Journal of Geriatric Psychiatry, 17(4), 299307.CrossRefGoogle ScholarPubMed
Coker, E. (1998). Does your care plan tell my story? Documenting aspects of personhood in long-term care. Journal of Holistic Nursing, 16(4), 435452.CrossRefGoogle ScholarPubMed
Cowdell, F. (2006). Preserving personhood in dementia research: A literature review. International Journal of Older People Nursing, 1(2), 8594.CrossRefGoogle ScholarPubMed
Filan, S.L., & Llewellyn-Jones, R. (2006). Animal-assisted therapy for dementia: A review of the literature. International Psychogeriatrics, 18(4), 597611.CrossRefGoogle ScholarPubMed
Fontaine, K.L. (2000). Healing Practices: Alternative therapies for nursing. Upper Saddle, NJ: Prentice Hall.Google Scholar
Gammonley, J., & Yates, J. (1991). Pet projects animal assisted therapy in nursing homes. Journal of Gerontological Nursing, 17(1), 1215.CrossRefGoogle ScholarPubMed
Hare, L., & Frisby, W. (1989). The job competencies and educational needs of therapeutic recreationists in Ontario. Journal of Applied Recreation Research, 15(1), 1524.Google Scholar
Hellstrom, I., Nolan, M., & Lundh, U. (2005). ‘We do things together’: A case study of ‘couplehood’ in dementia. Dementia, 4(1), 722.CrossRefGoogle Scholar
Keady, J., Gilliard, J., Evers, C., & Milton, S. (1999). The DIAL-log study: Support in the early stages of dementia. British Journal of Nursing, 8, 432436.CrossRefGoogle ScholarPubMed
Kidd, C., Taggart, W., & Turkle, S. (2006). A sociable robot to encourage social interaction among the elderly. Paper presented at IEEE International Conference on Robotics and Automation (ICRA), Orlando, FL.CrossRefGoogle Scholar
Kitwood, T. (1997). Dementia reconsidered: The person comes first. Buckingham, UK: Open University Press.Google Scholar
Murdoch, E., Roger, K., Guse, L., & Osterreicher, A.(in preparation). Families, dementia and long term care: Are social commitments robots useful?Google Scholar
Odetti, L., Anerdi, G., Barbieri, M.P., Mazzei, D., Rizza, E., Dario, P., et al. . (2007). Preliminary experiments on the acceptability of animaloid companion robots by older people with early dementia. Engineering in Medicine and Biology Society, 2007. EMBS 2007. 29th Annual International Conference of the IEEE, Lyon, France, 18161819. doi: 10.1109/IEMBS.2007.4352666Google ScholarPubMed
Pink Tentacle, 2008. 1,000 Paro robots migrating to Denmark. Pink Tentacle. Retrieved July 2010 fromhttp://pinktentacle.com/2008/11/1000-paro-robots-migrating-to-denmark.Google Scholar
Reimer, M.A., Slaughter, S., Donaldson, C., Currie, G., & Eliasziw, M. (2004). Special care facility compared with traditional care environments for dementia care. Journal of the American Geriatrics Society, 52, 10851092.CrossRefGoogle ScholarPubMed
Richeson, N.E., & Neill, D.J. (2004). Therapeutic recreation music intervention to decrease mealtime agitation and increase food intake in older adults with dementia. American Journal of Recreation Therapy, 3(1), 3741.Google Scholar
Roger, K.S. (2006a). Understanding social changes in the experience of dementia. Alzheimer Care Quarterly, 7(3), 185193.Google Scholar
Roger, K.S. (2006b). Literature review of palliative care, end of life, and dementia. Palliative and Supportive Care, 4, 110.CrossRefGoogle ScholarPubMed
Roger, K.S. (2007a). It’s a problem for other people, because I am seen as a Nuisance: Hearing the voices of people with dementia. Alzheimer Care Quarterly, 8(1), 1725.Google Scholar
Roger, K.S. (2007b). End-of-life care and dementia. Geriatrics and Aging, 10(6), 380384.Google Scholar
Roger, K.S. (2010). Perceptions of communications of formal and informal care providers and persons with Parkinson’s Disease and Multiple Sclerosis. Journal of Health Communications (Accepted for publication).CrossRefGoogle Scholar
Roger, K.S., & Medved, M.I. (2010). Living with Parkinson’s disease: Managing identity together. International Journal of Qualitative Studies on Health and Well-being, 5(2). Retrieved fromhttp://www.ijqhw.net/index.php/qhw/article/viewArticle/5129/5530.Google Scholar
Sabat, S. (2005). Capacity for decision making in Alzheimer’s disease: Selfhood, positioning, and semiotics. Australian and New Zealand Journal of Psychiatry, 39, 10301035.CrossRefGoogle Scholar
Savundranayagam, M.Y., Hummert, M.L., & Montgomery, R. (2005). Investigating the effects of communication problems on caregiver burden. Journal of Gerontology Social Sciences, 608(1), S48S55.CrossRefGoogle Scholar
Shibata, T. (2004). Ubiquitous surface tactile sensor. TExCRA ’04. First IEEE Technical Exhibition Based Conference on Robotics and Automation Proceedings, Tokyo, Japan, 56. doi:10.1109/TEXCRA.2004.1424966.Google Scholar
Sikma, S.K. (2006). Staff perceptions of caring: The importance of a supportive environment. Journal of Gerontological Nursing, 32(6), 2231.Google ScholarPubMed
Tamura, T., Yonemitsu, S., Itoh, A., Oikawa, D., Kawakami, A., Higashi, Y., et al. . (2004). Is an entertainment robot useful in the care of elderly people with severe dementia? Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 59A(1), 8385.CrossRefGoogle Scholar
Touhy, T.A. (2004). Dementia, personhood, and nursing: Learning from a nursing situation. Nursing Science Quarterly, 17(1), 4349.CrossRefGoogle ScholarPubMed
Trevitt, C., & MacKinlay, E. (2006). “I am just an ordinary person...”: Spiritual reminiscence in older people with memory loss. Journal of Religion, Spirituality, and Aging, 18(2–3), 7991.CrossRefGoogle Scholar
Wada, K., & Shibata, T. (2007). Living with seal robots - Its sociopsychological and physiological influences on the elderly at a care house. Robotics, IEEE Transactions, 23(5), 972980.CrossRefGoogle Scholar
Wada, K., Shibata, T., Saito, T., & Tanie, K. (2003). Psychological and social effects of robot assisted activity to elderly people who stay at a health service facility for the aged. Robotics and Automation, IEEE International Conference, 3(14–19), 39964001.Google Scholar
Wada, K., Shibata, T., Saito, T., & Tanie, K. (2004). Effects of robot-assisted activity for elderly people and nurses at a day service center. Proceedings of the IEEE, 92(11), 17801788. doi: 10.1109/JPROC.2004.835378.CrossRefGoogle Scholar
Wada, K., Shibata, T., Sakamoto, K., & Tanie, K. (2005). Psychological and social effects of one year robot assisted activity on elderly people at a health service facility for the aged. ICRA 2005. Proceedings of the 2005 IEEE International Conference on Robotics and Automation, Barcelona, Spain, 27852790. doi: 10.1109/ROBOT.2005.1570535Google Scholar
Wang, J.J. (2007). Group reminiscence therapy for cognitive and affective function of demented elderly in Taiwan. International Journal of Geriatric Psychiatry, 22(12), 12351240.CrossRefGoogle ScholarPubMed
Werezak, L.J., & Morgan, D.G. (2003). Creating a therapeutic psychosocial environment in dementia care: A preliminary framework. Journal of Gerontological Nursing, 29(12), 1825.CrossRefGoogle Scholar
Wise, J.B. (2002). Social cognitive theory: A framework for therapeutic recreation practice. Therapeutic Recreation Journal, 36(4), 335351.Google Scholar