Humanoid robot intervention vs. treatment as usual for loneliness in long-term care homes: Study protocol for a pilot randomized controlled trial

Paola Lavin, Myriam Lesage, Edward Monroe, Michael Kanevsky, Johanna Gruber, Karin Cinalioglu, Soham Rej, Harmehr Sekhon, Paola Lavin, Myriam Lesage, Edward Monroe, Michael Kanevsky, Johanna Gruber, Karin Cinalioglu, Soham Rej, Harmehr Sekhon

Abstract

Background: Loneliness affects up to 42% of long-term care residents and is associated with poor health outcomes. Humanoid robot interventions hold promise for reducing loneliness and decreasing barriers to social interaction in long-term care settings, such as the current COVID-19 safety measures in many countries, limited mobility, and poor health. We present a protocol describing an assessor-blinded randomized controlled trial comparing the effects of a humanoid robot intervention to treatment as usual, on loneliness and mental health outcomes in long-term care residents.

Methods: Seventy-four (n = 74) older adults experiencing loneliness in 3 long-term care homes will be randomized 1:1 to an 8-week, twice a week social intervention with the Grace humanoid robot vs. a treatment as usual active control. We will assess change (baseline to week 8) in (1) loneliness (primary outcome), (2) depression severity, and (3) stress (secondary outcomes), as well as (4) other exploratory outcomes: anxiety, quality of life and reduction in acute healthcare utilization. We will also assess the feasibility and acceptability of the intervention using qualitative methods.

Discussion: The proposed study will assess the effects of a social robot on loneliness and other mental health outcomes, as well as the feasibility of the intervention in older adults living in long-term care settings.

Trial registration: NCT05423899.

Keywords: depression; humanoid robot; loneliness; long-term care; stress.

Conflict of interest statement

SR receives a salary award from the Fonds de Recherche de Québec Santé FRQS is a consultant for AbbVie and a shareholder of Aifred Health. HS has a CIHR fellowship award, MITACS fellowship award, and AGE-WELL award. MK is affiliated with CONNECTIN and subsidiaries is partnered with Awakening Health and consults globally for public and private sector organizations to heal a fragmented medical system. EM was employed by Awakening Health Limited. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Copyright © 2022 Lavin, Lesage, Monroe, Kanevsky, Gruber, Cinalioglu, Rej and Sekhon.

References

    1. Simard J, Volicer L. Loneliness and isolation in long-term care and the COVID-19 Pandemic. J Am Med Dir Assoc. (2020) 21:966–7. 10.1016/j.jamda.2020.05.006
    1. Flowers L, Houser A, Noel-Miller C, Shaw J, Bhattacharya J, Schoemaker L. Medicare Spends More on Socially Isolated Older Adults. AARP Public Policy Institute. (2017). Available online at: (accessed July 8, 2022).
    1. Donovan NJ, Blazer D. Social isolation and loneliness in older adults: review and commentary of a national academies report. Am J Geriatr Psychiatry. (2020) 28:1233–44. 10.1016/j.jagp.2020.08.005
    1. Kotwal AA, Steinman MA, Cenzer I, Smith AK. Use of high-risk medications among lonely older adults: results from a nationally representative sample. JAMA Intern Med. (2021) 181:1528. 10.1001/jamainternmed.2021.3775
    1. Frank C. Pharmacologic treatment of depression in the elderly. Can Fam Physician Med Fam Can. (2014) 60:121–6.
    1. van Poelgeest EP, Pronk AC, Rhebergen D, van der Velde N. Depression, antidepressants and fall risk: therapeutic dilemmas—a clinical review. Eur Geriatr Med. (2021) 12:585–96. 10.1007/s41999-021-00475-7
    1. Persons JB. The Role of psychotherapy in the treatment of depression: review of two practice guidelines. Arch Gen Psychiatry. (1996) 53:283. 10.1001/archpsyc.1996.01830040013003
    1. Duhatschek P. Wait times for some mental health services up to 1 year long in Waterloo-Wellington | CBC News. Available online at: (accessed July 12, 2022).
    1. COVID-19 Considerations for Long-Term Care Facilities | Technical Resources . ASPR TRACIE Available online at: (accessed July 12, 2022).
    1. Hudson J, Ungar R, Albright L, Tkatch R, Schaeffer J, Wicker ER. Robotic pet use among community-dwelling older adults. Carr DS, editor J Gerontol Ser B. (2020) 75:2018–28. 10.1093/geronb/gbaa119
    1. Tkatch R, Wu L, MacLeod S, Ungar R, Albright L, Russell D, et al. . Reducing loneliness and improving well-being among older adults with animatronic pets. Aging Ment Health. (2021) 25:1239–45. 10.1080/13607863.2020.1758906
    1. Andtfolk M, Nyholm L, Eide H, Fagerström L. Humanoid robots in the care of older persons: a scoping review. Assist Technol. (2021) 5:1–9. 10.1080/10400435.2021.1880493
    1. Torta E, Werner F, Johnson DO, Juola JF, Cuijpers RH, Bazzani M, et al. . Evaluation of a small socially-assistive humanoid robot in intelligent homes for the care of the elderly. J Intell Robot Syst. (2014) 76:57–71. 10.1007/s10846-013-0019-0
    1. Abdollahi H, Mollahosseini A, Lane JT, Mahoor MH. A Pilot Study on Using an Intelligent Life-like Robot as a Companion for Elderly Individuals with Dementia and Depression. 2017 IEEE-RAS 17th Int Conf Humanoid Robot Humanoids. (2017)
    1. Reuters . Meet Grace, the Healthcare Robot COVID-19 Created. Reuters. (2021). Available online at: (accessed July 1, 2022).
    1. Veldmeijer L, Wartena B, Terlouw G. van't Veer J. Reframing loneliness through the design of a virtual reality reminiscence artefact for older adults. Des Health. (2020) 4:407–26. 10.1080/24735132.2020.1848976
    1. Russell DW, UCLA. Loneliness Scale (Version 3): reliability, validity, and factor structure. J Pers Assess. (1996) 66:20–40. 10.1207/s15327752jpa6601_2
    1. Russell D, Peplau LA, Cutrona CE. The revised UCLA loneliness scale: concurrent and discriminant validity evidence. J Pers Soc Psychol. (1980) 39:472–80. 10.1037/0022-3514.39.3.472
    1. Cohen S. Perceived Stress Scale. (1994). Available online at: (accessed July 20, 2022).
    1. Kroenke K, Spitzer RL, Williams JBW. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. (2001) 16:606–13. 10.1046/j.1525-1497.2001.016009606.x
    1. Spitzer RL, Kroenke K, Williams JBW, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. (2006) 166:1092. 10.1001/archinte.166.10.1092
    1. Herdman M, Gudex C, Lloyd A, Janssen Mf, Kind P, Parkin D, et al. . Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Qual Life Res. (2011) 20:1727–36. 10.1007/s11136-011-9903-x
    1. Nassim M, Park H, Dikaios E, Potes A, Elbaz S, Mc Veigh C, et al. . Brief mindfulness intervention vs. health enhancement program for patients undergoing dialysis: a randomized controlled trial. Healthcare. (2021) 9:659. 10.3390/healthcare9060659
    1. Torres-Platas SG, Escobar S, Belliveau C, Wu J, Sasi N, Fotso J, et al. . Mindfulness-based cognitive therapy intervention for the treatment of late-life depression and anxiety symptoms in primary care: a randomized controlled trial. Psychother Psychosom. (2019) 88:254–6. 10.1159/000501214
    1. Fotso Soh J, Torres-Platas SG, Beaulieu S, Mantere O, Platt R, Mucsi I, et al. . Atorvastatin in the treatment of Lithium-induced nephrogenic diabetes insipidus: the protocol of a randomized controlled trial. BMC Psychiatry. (2018) 18:227. 10.1186/s12888-018-1793-9
    1. Fasola J, Mataric M, A. Socially assistive robot exercise coach for the elderly. J Hum-Robot Interact. (2013) 2:3–32. 10.5898/JHRI.2.2.Fasola
    1. Kidd CD, Breazeal C. Robots at Home: Understanding Long-Term Human-Robot Interaction. In: 2008 IEEE/RSJ International Conference on Intelligent Robots and Systems. Nice: IEEE. (2008).
    1. Boamah SA, Weldrick R, Lee TSJ, Taylor N. Social isolation among older adults in long-term care: a scoping review. J Aging Health. (2021) 33:618–32. 10.1177/08982643211004174
    1. Stanford University Institute for Human-Centered Artificial Intelligence . Artificial Intelligence Index Report 2022. (2022). Available online at:

Source: PubMed

3
구독하다