scholarly journals Barriers and facilitators to the implementation of social robots for older adults and people with dementia: a scoping review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wei Qi Koh ◽  
Simone Anna Felding ◽  
Kübra Beliz Budak ◽  
Elaine Toomey ◽  
Dympna Casey
Keyword(s):  
Older Adults ◽  
Real World ◽  
Contextual Factors ◽  
Internal Validity ◽  
Social Robots ◽  
Barriers And Facilitators ◽  
Future Research ◽  
Psychosocial Needs ◽  
Implementation Framework ◽  
People With Dementia

Abstract Background Psychosocial issues, such as social isolation and loneliness among older adults and people with dementia, continue to pose challenges with a rapidly aging population worldwide. Social robots are a rapidly emerging field of technology, developed to help address the psychosocial needs of this population. Although studies have reported positive findings regarding their psychosocial benefits, their implementation in real-world practice remains a challenge. Nevertheless, little is known about the factors affecting their implementation. The purpose of this review is to provide a systematic overview of the barriers and facilitators affecting the implementation of social robots for older adults and people with dementia. Method The Arksey and O’Malley approach with methodological enhancement by Levac et al. was used to guide the conduct of this review. Seven electronic databases were searched. In addition, hand searching and backward citation tracing was conducted. Three independent reviewers were involved in the screening and data charting process. Findings were synthesised and categorised into the five domains outlined in the Consolidated Framework of Implementation Research (CFIR). Results A total of 53 studies were included in the final review. Most of the included studies were based in participants’ homes and in care facilities. Barriers and facilitators were mapped onto 18 constructs in the five domains of the CFIR. The most frequently cited barriers were mapped to the constructs within the domain of “Intervention characteristics”, where issues such as the complexity of using the technology and technical obstacles impeded implementation. Most facilitators were mapped onto the domain “Patient needs and resources”. Overall, existing research are disproportionately focused on the internal validity (i.e. characteristics) of social robots, and there is significantly less research investigating their external validity, such as organisational or wider contextual factors that can affect their implementation in real-world practice. Conclusion This review has identified and synthesised the breadth of evidence on the barriers and facilitators to the implementation of social robots for older adults and people with dementia. Future research should pay more attention to investigating the contextual factors, using an implementation framework, to identify barriers and facilitators to guide the implementation of social robots.

scholarly journals Barriers and facilitators to the implementation of social robots for older adults and people with dementia: a scoping review protocol

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Wei Qi Koh ◽  
Simone Anna Felding ◽  
Elaine Toomey ◽  
Dympna Casey
Keyword(s):  
Older Adults ◽  
Scoping Review ◽  
Evidence Synthesis ◽  
Methodological Approach ◽  
Psychosocial Health ◽  
Social Robots ◽  
Barriers And Facilitators ◽  
Link Type ◽  
People With Dementia ◽  
Scoping Reviews

Abstract Background Psychosocial health issues such as depression and social isolation are an important cause of morbidity and premature mortality for older adults and people with dementia. Social robots are promising technological innovations to deliver effective psychosocial interventions to promote psychosocial wellbeing. Studies have reported positive findings regarding this technology on the psychosocial health of older adults and people with dementia. However, despite positive findings of the effects of social robots for older adults and people with dementia, little is known about factors affecting their implementation in practice. Methods This study follows Arksey and O’Malley’s approach and methodological enhancement by Levac et al. Relevant articles will be identified by searching electronic databases: MEDLINE, Embase, PsycINFO, Scopus, Web of Science, Compendex and PubMed. A two-phase screening process will be undertaken by two independent reviewers to determine articles’ inclusion. Findings will be summarised and reported thematically based on domains in the Consolidated Framework of Implementation Research (CFIR) and presented narratively. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR) will guide the reporting of findings. Discussion Reporting the protocol in advance of conducting the review will ensure that rigorous and transparent methodological approach is undertaken. The outcomes of the review include identifying variants in terminologies used to describe implementation, identifying the scope of the literature regarding the barriers and facilitators affecting the implementation of social robots and identifying research gaps to guide further empirical research in this field. This evidence synthesis constitutes part of a bigger project aimed to develop implementation guidelines for social robotics for older adults with dementia. Since the methodological process consists of reviewing and collecting data from publicly available data, this study does not require approval from a research ethics board. Scoping review registration Our protocol is registered with the Open Science Framework (https://osf.io/2x3y9/) as an open access article, under the Creative Commons Attribution Non Commercial (CC BY-NC-4.0) license, which allows others to distribute, remix, adapt and build on this work on a non-commercial basis, and license their derivative work using different terms, on the basis that the original basis is properly cited and the use is non-commercial (http://creativecommons.org/licenses/by-nc/4.0/).

scholarly journals Impacts of Low-cost Robotic Pets for Older Adults and People With Dementia: Scoping Review

10.2196/25340 ◽  
2021 ◽  
Vol 8 (1) ◽  
pp. e25340
Author(s):  
Wei Qi Koh ◽  
Faith Xin Hui Ang ◽  
Dympna Casey
Keyword(s):  
Older Adults ◽  
Infection Control ◽  
Ethical Issues ◽  
Low Cost ◽  
Research Question ◽  
Well Being ◽  
Social Robots ◽  
Psychosocial Needs ◽  
Live Animal ◽  
People With Dementia

Background Older adults and people with dementia are particularly vulnerable to social isolation. Social robots, including robotic pets, are promising technological interventions that can benefit the psychosocial health of older adults and people with dementia. However, issues such as high costs can lead to a lack of equal access and concerns about infection control. Although there are previous reviews on the use of robotic pets for older adults and people with dementia, none have included or had a focus on low-cost and familiarly and realistically designed pet robots. Objective The aim of this review is to synthesize evidence on the delivery and impact of low-cost, familiarly and realistically designed interactive robotic pets for older adults and people with dementia. Methods The Arksey and O’Malley framework was used to guide this review. First, the research question was identified. Second, searches were conducted on five electronic databases and Google Scholar. Studies were selected using a two-phase screening process, where two reviewers independently screened and extracted data using a standardized data extraction form. Finally, the results were discussed, categorized, and presented narratively. Results A total of 9 studies were included in the review. Positive impacts related to several psychosocial domains, including mood and affect, communication and social interaction, companionship, and other well-being outcomes. Issues and concerns associated with its use included misperceptions of the robotic pets as a live animal, ethical issues of attachment, negative reactions by users, and other pragmatic concerns such as hygiene and cost. Conclusions Overall, the findings resonate with previous studies that investigated the effectiveness of other social robots, demonstrating the promise of these low-cost robotic pets in addressing the psychosocial needs of older adults and people with dementia. The affordability of these robotic pets appeared to influence the practicalities of real-world use, such as intervention delivery and infection control, which are especially relevant in light of COVID-19. Moving forward, studies should also consider comparing the effects of these low-cost robots with other robotic pets.

Impacts of low-cost robotic pets for older adults and people with dementia: A scoping review (Preprint)

2020 ◽  
Author(s):  
Wei Qi Koh ◽  
Faith Xin Hui Ang ◽  
Dympna Casey
Keyword(s):  
Older Adults ◽  
Infection Control ◽  
Ethical Issues ◽  
Low Cost ◽  
Research Question ◽  
Well Being ◽  
Social Robots ◽  
Psychosocial Needs ◽  
Live Animal ◽  
People With Dementia

BACKGROUND Older adults and people with dementia are particularly vulnerable to social isolation. Social robots, including robotic pets, are promising technological interventions that can benefit the psychosocial health of older adults and people with dementia. However, issues such as high costs can lead to a lack of equal access and concerns about infection control. Although there are previous reviews on the use of robotic pets for older adults and people with dementia, none have included or had a focus on low-cost, familiarly and realistically designed pet robots. OBJECTIVE The aim of this review was to synthesise evidence on the delivery and impact of low-cost, familiarly and realistically designed interactive robotic pets for older adults and people with dementia. METHODS The Arksey and O’Malley framework was used to guide this review. First, the research question was identified. Next, searches were conducted on five electronic databases and Google Scholar. Studies were selected using a two-phase screening process, where two reviewers independently screened and extracted data using a standardized data extraction form. Finally, the results were discussed, categorised and presented narratively. RESULTS A total of nine studies were included in the review. Positive impacts related to several psychosocial domains, including mood and affect, communication and social interaction, companionship, and other well-being outcomes. Issues and concerns associated with its use included misperceptions of the robotic pets as a live animal, ethical issues of attachment, negative reactions by users, and other pragmatic concerns such as hygiene and cost. CONCLUSIONS Overall, findings resonate with previous studies that investigated the effectiveness of other social robots, demonstrating the promise of these low-cost robotic pets in addressing the psychosocial needs of older adults and people with dementia. The affordability of these robotic pets appeared to influence the practicalities of real-world use, such as intervention delivery and infection control, which are especially relevant in light of COVID-19. Moving forward, studies should also consider comparing the effects of these low-cost robots with other robotic pets. CLINICALTRIAL

scholarly journals Barriers and Facilitators to the Implementation of Social Robots for Older Adults and People with Dementia: A Scoping Review Protocol

2020 ◽  
Author(s):  
Wei Qi Koh ◽  
Simone Anna Felding ◽  
Elaine Toomey ◽  
Dympna Casey
Keyword(s):  
Older Adults ◽  
Scoping Review ◽  
Evidence Synthesis ◽  
Methodological Approach ◽  
Psychosocial Health ◽  
Social Robots ◽  
Barriers And Facilitators ◽  
Screening Process ◽  
People With Dementia ◽  
Scoping Reviews

Abstract Background Psychosocial health issues such as depression and social isolation are an important cause of morbidity and premature mortality for older adults and people with dementia. Social robots are promising technological innovations to deliver effective psychosocial interventions to promote psychosocial wellbeing. Studies have reported positive findings regarding this technology on the psychosocial health of older adults and people with dementia. However, despite positive findings of the effects of social robots for older adults and people with dementia, little is known about factors affecting their implementation in practice.Methods This study follows Arksey and O’Malley’s approach and methodological enhancement by Levac et al (2010). Relevant articles will be identified by searching electronic databases: MEDLINE, EMBASE, PsycINFO, Scopus, Web of Science, Compendex and PubMed A two-phase screening process will be undertaken by two independent reviewers to determine articles’ inclusion. Findings will be summarized and reported thematically based on domains in the Consolidated Framework of Implementation Research (CFIR) and presented narratively. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR) will guide the reporting of findings.Discussion Reporting the protocol in advance of conducting the review will ensure a rigorous and transparent methodological approach is undertaken. The outcomes of the review include identifying variants in terminologies used to describe implementation, identifying the scope of the literature regarding the barriers and facilitators affecting the implementation of social robots, and identify research gaps to guide further empirical research in this field. This evidence synthesis constitutes part of a bigger project aimed to develop implementation guidelines for social robotics for older adults with dementia. Since the methodological process consists of reviewing and collecting data from publicly available data, this study does not require approval from a research ethics board.Scoping Review Registration Our protocol is registered with the Open Science Framework (https://osf.io/2x3y9/) as an open access article, under the Creative Commons Attribution Non Commercial (CC BY-NC-4.0) license, which allows others to distribute, remix, adapt and build on this work on a non-commercial basis, and license their derivative work using different terms, on the basis that the original basis is properly cited and the use is non-commercial (http://creativecommons.org/licenses/by-nc/4.0/).

scholarly journals Barriers and Facilitators to the Implementation of Social Robots for Older Adults and People with Dementia: A Scoping Review Protocol

2021 ◽  
Author(s):  
Wei Qi Koh ◽  
Simone Anna Felding ◽  
Elaine Toomey ◽  
Dympna Casey
Keyword(s):  
Older Adults ◽  
Scoping Review ◽  
Evidence Synthesis ◽  
Methodological Approach ◽  
Psychosocial Health ◽  
Social Robots ◽  
Barriers And Facilitators ◽  
Screening Process ◽  
People With Dementia ◽  
Scoping Reviews

Abstract Background Psychosocial health issues such as depression and social isolation are an important cause of morbidity and premature mortality for older adults and people with dementia. Social robots are promising technological innovations to deliver effective psychosocial interventions to promote psychosocial wellbeing. Studies have reported positive findings regarding this technology on the psychosocial health of older adults and people with dementia. However, despite positive findings of the effects of social robots for older adults and people with dementia, little is known about factors affecting their implementation in practice.Methods This study follows Arksey and O’Malley’s approach and methodological enhancement by Levac et al (2010). Relevant articles will be identified by searching electronic databases: MEDLINE, EMBASE, PsycINFO, Scopus, Web of Science, Compendex and PubMed. A two-phase screening process will be undertaken by two independent reviewers to determine articles’ inclusion. Findings will be summarized and reported thematically based on domains in the Consolidated Framework of Implementation Research (CFIR) and presented narratively. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR) will guide the reporting of findings.Discussion Reporting the protocol in advance of conducting the review will ensure a rigorous and transparent methodological approach is undertaken. The outcomes of the review include identifying variants in terminologies used to describe implementation, identifying the scope of the literature regarding the barriers and facilitators affecting the implementation of social robots, and identify research gaps to guide further empirical research in this field. This evidence synthesis constitutes part of a bigger project aimed to develop implementation guidelines for social robotics for older adults with dementia. Since the methodological process consists of reviewing and collecting data from publicly available data, this study does not require approval from a research ethics board.Scoping Review Registration Our protocol is registered with the Open Science Framework (https://osf.io/2x3y9/) as an open access article, under the Creative Commons Attribution Non Commercial (CC BY-NC-4.0) license, which allows others to distribute, remix, adapt and build on this work on a non-commercial basis, and license their derivative work using different terms, on the basis that the original basis is properly cited and the use is non-commercial (http://creativecommons.org/licenses/by-nc/4.0/).

scholarly journals Barriers and Facilitators to the Implementation of Social Robots for Older Adults: A Scoping Review Protocol

2020 ◽  
Author(s):  
Wei Qi Koh ◽  
Simone Anne Felding ◽  
Dympna Casey
Keyword(s):  
Older Adults ◽  
Scoping Review ◽  
Evidence Synthesis ◽  
Methodological Approach ◽  
Psychosocial Health ◽  
Social Robots ◽  
Barriers And Facilitators ◽  
Screening Process ◽  
People With Dementia ◽  
Scoping Reviews

Abstract Background Psychosocial health issues such as depression and social isolation are an important cause of morbidity and premature mortality for older adults. Social robots are promising technological innovations to deliver effective psychosocial interventions to promote the psychosocial wellbeing of older adults, including people with dementia. Studies have reported positive findings regarding this technology on the psychosocial health of older adults and people with dementia. However, despite positive findings of the effects of social robots for older adults, little is known about factors affecting their implementation in practice. Methods This study follows Arksey and O’Malley’s approach and methodological enhancement by Levac et al (2010). Relevant articles will be identified by searching electronic databases. A two-phase screening process will be undertaken by two independent reviewers to determine articles’ inclusion. Findings will be summarized and reported thematically based on domains in the Consolidated Framework of Implementation Research (CFIR). The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews (PRISMA-SCr) will be used to guide the reporting of findings. Discussion Reporting the protocol in advance of conducting the review will ensure a rigorous and transparent methodological approach is undertaken. The outcomes of the review include variants in terminologies used to describe implementation, identify the scope of the literature regarding the barriers and facilitators affecting the implementation of social robots, and identify research gaps to guide further empirical research in this field. This evidence synthesis constitutes part of a bigger project aimed to develop implementation guidelines for social robotics for older adults with dementia. Since the methodological process consists of reviewing and collecting data from publicly available data, this study does not require approval from a research ethics board. Scoping Review Registration Our protocol is registered with the Open Science Framework (https://osf.io/2x3y9/) as an open access article, under the Creative Commons Attribution Non Commercial (CC BY-NC-4.0) license, which allows others to distribute, remix, adapt and build on this work on a non-commercial basis, and license their derivative work using different terms, on the basis that the original basis is properly cited and the use is non-commercial (http://creativecommons.org/licenses/by-nc/4.0/).

scholarly journals Evaluating the national multisite implementation of dialectical behaviour therapy in a community setting: A mixed methods approach

2019 ◽  
Author(s):  
Daniel Flynn ◽  
Mary Joyce ◽  
Conall Gillespie ◽  
Mary Kells ◽  
Michaela Swales ◽  
...  
Keyword(s):  
Mixed Methods ◽  
National Level ◽  
Team Leader ◽  
Barriers And Facilitators ◽  
Future Research ◽  
Evidence Based ◽  
Community Settings ◽  
Team Leaders ◽  
Implementation Framework ◽  
Mixed Methods Approach

Abstract Background The implementation of evidence-based interventions for borderline personality disorder in community settings is important given that individuals with this diagnosis are often extensive users of both inpatient and outpatient mental health services. Although work in this area is limited, previous studies have identified facilitators and barriers to successful DBT implementation. This study seeks to expand on previous work by evaluating a coordinated implementation of DBT in community settings at a national level. The Consolidated Framework for Implementation Research (CFIR) [1] provided structural guidance for this national level coordinated implementation.Methods A mixed methods approach was utilised to explore the national multi-site implementation of DBT from the perspective of team leaders and therapists who participated in the coordinated training and subsequent implementation of DBT. Qualitative interviews with DBT team leaders ( n = 8) explored their experiences of implementing DBT in their local service and was analysed using content analysis. Quantitative surveys from DBT therapists ( n = 74) examined their experience of multiple aspects of the implementation process including orienting the system, and preparations and support for implementation. Frequencies of responses were calculated. Written qualitative feedback was analysed using content analysis.Results Five themes were identified from the interview data: team formation, implementation preparation, client selection, service level challenges and team leader role. Participants identified team size and support for the team leader as key points for consideration in DBT implementation. Key challenges encountered were the lack of system support to facilitate phone coaching and a lack of allocated time to focus on DBT. Implementation facilitators included having dedicated team members and support from management.Conclusions The barriers and facilitators identified in this study are broadly similar to those reported in previous research. Barriers and facilitators were identified across several domains of the CFIR and are consistent with a recently published DBT implementation Framework [2]. Future research should pay particular attention to the domain of characteristics of individuals involved in DBT implementation. The results highlight the importance of a mandated service plan for the coordinated implementation of an evidence-based treatment in a public health service.

A comparison of immersive virtual reality with traditional neuropsychological measures in the assessment of executive functions

2017 ◽  
Vol 30 (2) ◽  
pp. 79-89 ◽  
Author(s):  
Sophie Melissa Clare Davison ◽  
Catherine Deeprose ◽  
Sylvia Terbeck
Keyword(s):  
Older Adults ◽  
Virtual Reality ◽  
Real World ◽  
Future Research ◽  
Immersive Virtual Reality ◽  
Neuropsychological Measures ◽  
Seating Arrangement ◽  
Age Related ◽  
Initial Work ◽  
Neuropsychological Tasks

ObjectiveThis study investigated immersive virtual reality (IVR), as a novel technique to test executive function of healthy younger and older adults. We predicted IVR tasks to have greater predictive power than traditional measures when assessing age-related cognitive functioning due to the real-world validity of the tasks.MethodsParticipants (n=40) completed the Stroop colour–word test and the trail-making test (TMT) as traditional and commonly used assessments of executive functioning. Participants then completed three IVR tasks; a seating arrangement task, an item location task (both set in a virtual chemistry lab), and a virtual parking simulator.ResultsYounger adults completed significantly more parking simulator levels (p<0.001), placed significantly more objects (p<0.001), and located significantly more items than older adults (p<0.01), demonstrating higher levels of performance. Significant correlations were found between performance on traditional neuropsychological measures and IVR measures. For example, Stroop CW performance significantly correlated with the number of parking simulator levels completed (τ=0.43, p<0.01). This suggests that IVR measures assess the same underlying cognitive constructs as traditional tasks. In addition, IVR measures contributed a significant percentage of the explained variance in age.ConclusionIVR measures (i.e. number of parking simulator levels completed and number of objects placed in the seating arrangement task) were found to be stronger contributors than existing traditional neuropsychological tasks in predicting age-related cognitive decline. Future research should investigate the implementation of these real-world-based tasks in clinical groups given this promising initial work.

scholarly journals Implementation of Social Needs Screening in Primary Care: A Qualitative Study Using the Health Equity Implementation Framework

2021 ◽  
Author(s):  
Connor Drake ◽  
Heather Batchelder ◽  
Tyler Lian ◽  
Meagan Cannady ◽  
Morris Weinberger ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Outcomes ◽  
Health Equity ◽  
Social Needs ◽  
Barriers And Facilitators ◽  
Future Research ◽  
Implementation Barriers ◽  
Patient Acceptability ◽  
Implementation Framework ◽  
Clinical Encounters

Abstract Background: Screening in primary care for unmet individual social needs (e.g., housing instability, food insecurity, unemployment, social isolation) is critical to addressing the deleterious effects on patients’ health outcomes. Evidence is needed regarding approaches to implementing such screening in routine clinical encounters to enhance social care integration. To our knowledge, this is the first study to apply an implementation science framework to identify implementation factors and best practices.Methods: Guided by the Health Equity Implementation Framework (HEIF), we collected qualitative data from providers and patients to evaluate barriers and facilitators to implementing the Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE), a standardized social needs screening and response protocol, in a federally qualified health center. Eligible patients (n = 2,192) who received the PRAPARE as a standard of care at three of the center’s clinics (Adult Medicine, Family Medicine, and Pediatrics) were invited to participate in semi-structured interviews. We also obtained front-line clinician perspectives in a semi-structured focus group. We used HEIF domains to inform a directed content analysis.Results: Patients and clinicians (i.e., case managers) reported implementation barriers and facilitators across multiple levels (e.g., clinical encounters, patient and provider factors, inner context, outer context, and societal influence). Implementation barriers included structural and policy level determinants related to resource availability, discrimination, and administrative burden. Facilitators included evidence-based clinical techniques for shared decision making (e.g., motivational interviewing), team-based staffing models, and beliefs related to alignment of the PRAPARE with patient-centered care. We found high levels of patient acceptability and opportunities for adaptation to increase equitable adoption and reach.Conclusion: Our results provide practical insight into the implementation of the PRAPARE or similar social needs screening and response protocols in primary care. Our findings highlight the dynamic relationship between barriers and facilitators to implementation at the individual encounter, organizational, community, and societal levels. Future research should focus on developing discrete implementation strategies to promote social needs screening and response, and associated multisector care coordination to improve health outcomes and equity for vulnerable and marginalized patient populations.

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