The Effects of a Humanoid Socially Assistive Robot Versus Tablet Training on Psychosocial and Physical Outcomes of Persons With Dementia: Protocol for a Mixed Methods Study (Preprint)

BACKGROUND New technologies, like socially assistive robots (SARs), may have the potential to support caregivers at home. Still, the evidence for people with dementia in home care is unclear because a lot of studies are performed in a laboratory or institutional setting, and mainly use robots in prototype stages. OBJECTIVE This study aims to explore the effects of the refined, commercially-available, humanoid SAR Pepper combined with a tablet PC–based dementia training program (Coach Pepper) versus an exclusively tablet PC–based dementia training program on psychosocial and physical outcomes of people with dementia living at home, including caregivers and dementia trainers. We hypothesize that Coach Pepper has a more positive effect on the primary outcome motivation (stable or decreased apathy) of people with dementia. METHODS A mixed methods study will be performed, including a randomized controlled, parallel, 2-arm study with a complementary qualitative part. This sample includes 40 PWD living at home and 40 relatives, each complemented with five professional caregivers and dementia trainers. The intervention group will receive Coach Pepper (a SAR connected with a tablet PC–based dementia training program), and the control group will receive exclusively tablet PC–based training without the SAR. The duration of the intervention will be three weeks per household. Data will be collected at baseline and during and after the intervention by standardized questionnaires, sensor data of the robot, and tablet PC, as well as semistructured interviews, focus groups, and observation. RESULTS To date, no results are available for this study protocol. The study intervention started in May 2019 and will end in Spring 2020. CONCLUSIONS The intervention of this study can be seen as a nonpharmacological intervention, including cognitive and physical training by a robot. This study will help to further refine SAR for the specific needs of people with dementia living at home. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/14927

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Effects of a Humanoid Socially Assistive Robot Versus Tablet Training on Psychosocial and Physical Outcomes of Persons With Dementia: Protocol for a Mixed Methods Study

JMIR Research Protocols ◽

10.2196/14927 ◽

2020 ◽

Vol 9 (2) ◽

pp. e14927 ◽

Cited By ~ 1

Author(s):

Sandra Schüssler ◽

Julia Zuschnegg ◽

Lucas Paletta ◽

Maria Fellner ◽

Gerald Lodron ◽

...

Keyword(s):

Mixed Methods ◽

Training Program ◽

Mixed Methods Study ◽

Sensor Data ◽

Institutional Setting ◽

Control Group ◽

Tablet Pc ◽

People With Dementia ◽

Physical Outcomes ◽

At Home

Background New technologies, like socially assistive robots (SARs), may have the potential to support caregivers at home. Still, the evidence for people with dementia in home care is unclear because a lot of studies are performed in a laboratory or institutional setting, and mainly use robots in prototype stages. Objective This study aims to explore the effects of the refined, commercially-available, humanoid SAR Pepper combined with a tablet PC–based dementia training program (Coach Pepper) versus an exclusively tablet PC–based dementia training program on psychosocial and physical outcomes of people with dementia living at home, including caregivers and dementia trainers. We hypothesize that Coach Pepper has a more positive effect on the primary outcome motivation (stable or decreased apathy) of people with dementia. Methods A mixed methods study will be performed, including a randomized controlled, parallel, 2-arm study with a complementary qualitative part. This sample includes 40 PWD living at home and 40 relatives, each complemented with five professional caregivers and dementia trainers. The intervention group will receive Coach Pepper (a SAR connected with a tablet PC–based dementia training program), and the control group will receive exclusively tablet PC–based training without the SAR. The duration of the intervention will be three weeks per household. Data will be collected at baseline and during and after the intervention by standardized questionnaires, sensor data of the robot, and tablet PC, as well as semistructured interviews, focus groups, and observation. Results To date, no results are available for this study protocol. The study intervention started in May 2019 and will end in Spring 2020. Conclusions The intervention of this study can be seen as a nonpharmacological intervention, including cognitive and physical training by a robot. This study will help to further refine SAR for the specific needs of people with dementia living at home. International Registered Report Identifier (IRRID) DERR1-10.2196/14927

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Experiences of informal caregivers of people with dementia with nursing care in acute hospitals: A descriptive mixed‐methods study

Journal of Advanced Nursing ◽

10.1111/jan.15042 ◽

2021 ◽

Vol 77 (12) ◽

pp. 4887-4899

Author(s):

Annette Keuning‐Plantinga ◽

Petrie Roodbol ◽

Barbara C. Munster ◽

Evelyn J. Finnema

Keyword(s):

Mixed Methods ◽

Nursing Care ◽

Informal Caregivers ◽

Mixed Methods Study ◽

People With Dementia ◽

Acute Hospitals

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Impact of legal status change on undocumented migrants’ health and well-being (Parchemins): protocol of a 4-year, prospective, mixed-methods study

BMJ Open ◽

10.1136/bmjopen-2018-028336 ◽

2019 ◽

Vol 9 (5) ◽

pp. e028336 ◽

Cited By ~ 2

Author(s):

Yves Jackson ◽

Delphine S Courvoisier ◽

Aline Duvoisin ◽

Giovanni Ferro-Luzzi ◽

Patrick Bodenmann ◽

...

Keyword(s):

Mixed Methods ◽

Health Status ◽

Legal Status ◽

Well Being ◽

Living Conditions ◽

Mixed Methods Study ◽

Control Group ◽

Undocumented Migrants ◽

The Impact ◽

Health And Well Being

IntroductionMigrants without residency permit, known as undocumented, tend to live in precarious conditions and be exposed to an accumulation of adverse determinants of health. Only scarce evidence exists on the social, economic and living conditions-related factors influencing their health status and well-being. No study has assessed the impact of legal status regularisation. The Parchemins study is the first prospective, mixed-methods study aiming at measuring the impact on health and well-being of a regularisation policy on undocumented migrants in Europe.Methods and analysisThe Parchemins study will compare self-rated health and satisfaction with life in a group of adult undocumented migrants who qualify for applying for a residency permit (intervention group) with a group of undocumented migrants who lack one or more eligibility criteria for regularisation (control group) in Geneva Canton, Switzerland. Asylum seekers are not included in this study. The total sample will include 400 participants. Data collection will consist of standardised questionnaires complemented by semidirected interviews in a subsample (n=38) of migrants qualifying for regularisation. The baseline data will be collected just before or during the regularisation, and participants will subsequently be followed up yearly for 3 years. The quantitative part will explore variables about health (ie, health status, occupational health, health-seeking behaviours, access to care, healthcare utilisation), well-being (measured by satisfaction with different dimensions of life), living conditions (ie, employment, accommodation, social support) and economic situation (income, expenditures). Several confounders including sociodemographic characteristics and migration history will be collected. The qualitative part will explore longitudinally the experience of change in legal status at individual and family levels.Ethics and disseminationThis study was approved by the Ethics Committee of Geneva, Switzerland. All participants provided informed consent. Results will be shared with undocumented migrants and disseminated in scientific journals and conferences. Fully anonymised data will be available to researchers.

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The knowledge and learning needs of health professionals in providing support for parents of premature babies at home: A mixed-methods study

Journal of Neonatal Nursing ◽

10.1016/j.jnn.2019.07.002 ◽

2019 ◽

Vol 25 (6) ◽

pp. 277-284 ◽

Cited By ~ 4

Author(s):

Julia Petty ◽

Lisa Whiting ◽

Alison Mosenthal ◽

Cathrine Fowler ◽

Doug Elliott ◽

...

Keyword(s):

Mixed Methods ◽

Health Professionals ◽

Mixed Methods Study ◽

Learning Needs ◽

Premature Babies ◽

At Home

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P4-276: Health services development research with people with dementia: Key features, factors, and learning from a multi-site, mixed methods study

Alzheimer s & Dementia ◽

10.1016/j.jalz.2015.08.105 ◽

2015 ◽

Vol 11 (7S_Part_19) ◽

pp. P891-P891

Author(s):

Michael Bowen ◽

Rosa Pepe ◽

Sarah Buchanan ◽

David Edgar ◽

Lesley Hall ◽

...

Keyword(s):

Mixed Methods ◽

Health Services ◽

Mixed Methods Study ◽

Development Research ◽

People With Dementia ◽

Key Features

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Commissioning care for people with dementia at the end of life: a mixed - methods study

BMJ Open ◽

10.1136/bmjopen-2016-013554 ◽

2016 ◽

Vol 6 (12) ◽

pp. e013554 ◽

Cited By ~ 4

Author(s):

Zoe M Gotts ◽

Nicole Baur ◽

Emma McLellan ◽

Claire Goodman ◽

Louise Robinson ◽

...

Keyword(s):

Mixed Methods ◽

End Of Life ◽

Mixed Methods Study ◽

People With Dementia

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Clinical judgment model-based nursing simulation scenario for patients with upper gastrointestinal bleeding: A mixed methods study

PLoS ONE ◽

10.1371/journal.pone.0251029 ◽

2021 ◽

Vol 16 (5) ◽

pp. e0251029

Author(s):

AeRi Jang ◽

Hyunyoung Park

Keyword(s):

Mixed Methods ◽

Gastrointestinal Bleeding ◽

Clinical Judgment ◽

Upper Gastrointestinal Bleeding ◽

Mixed Methods Study ◽

Control Group ◽

Self Confidence ◽

Nursing Simulation ◽

Simulation Scenario ◽

Upper Gastrointestinal

Assisting patients with upper gastrointestinal bleeding is a crucial role for nurses, and as future nurses, students should demonstrate sound clinical judgment. Well-structured, high-quality simulations are useful alternatives to prepare students for clinical practice. However, nursing simulation scenarios focused on enhancing clinical judgment in managing upper gastrointestinal bleeding are limited. This study aims to develop, apply, and evaluate an effective nursing simulation scenario for patients with upper gastrointestinal bleeding based on Tanner’s clinical judgment model using a mixed methods study design. A high-fidelity patient simulation was conducted among 80 undergraduate nursing students divided into a simulated control group (n = 39) and an experimental group (n = 41). Subsequent student performance evaluations used questionnaires and video recordings. After scenario simulations, the students showed a statistically significant increase in theoretical knowledge (p = 0.001) and clinical performance skills (p < 0.001), but there was no significant increase in self-confidence (p = 0.291). According to the video analysis, the “noticing” clinical judgment phase was the most frequently observed phase, while “reflection” was the least frequently observed phase. Additionally, “education” was the most frequently observed nursing domain, and “anxiety” was the least frequently observed domain. Although further simulation repetitions are required to reinforce students’ self-confidence when caring for patients with upper gastrointestinal bleeding, the scenario was deemed effective. Moreover, emphasis should be placed on developing various scenarios to strengthen students’ clinical judgment skills, especially “reflecting” and “emotional care.”

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Development of a Caregivers’ Support Platform (Connected Health Sustaining Home Stay in Dementia): Protocol for a Longitudinal Observational Mixed Methods Study

JMIR Research Protocols ◽

10.2196/13280 ◽

2019 ◽

Vol 8 (8) ◽

pp. 13280

Author(s):

Estefania Guisado-Fernandez ◽

Brian Caulfield ◽

Paula Alexandra Silva ◽

Laura Mackey ◽

David Singleton ◽

...

Keyword(s):

Health Care ◽

Mixed Methods ◽

Home Care ◽

Informal Caregivers ◽

Intervention Group ◽

Well Being ◽

Mixed Methods Study ◽

Care Plan ◽

Connected Health ◽

At Home

Background Dementia disease is a chronic condition that leads a person with dementia (PwD) into a state of progressive deterioration and a greater dependence in performing their activities of daily living (ADL). It is believed nowadays that PwDs and their informal caregivers can have a better life when provided with the appropriate services and support. Connected Health (CH) is a new technology-enabled model of chronic care delivery where the stakeholders are connected through a health portal, ensuring continuity and efficient flow of information. CH has demonstrated promising results regarding supporting informal home care and Aging in Place, and it has been increasingly considered by researchers and health care providers as a method for dementia home care management. Objective This study aims to describe the development and implementation protocol of a CH platform system to support informal caregivers of PwDs at home. Methods This is a longitudinal observational mixed methods study where quantitative and qualitative data will be combined for determining the utility of the CH platform for dementia home care. Dyads, consisting of a PwD and their informal caregiver living in the community, will be divided into 2 groups: the intervention group, which will receive the CH technology package at home, and the usual care group, which will not have any CH technology at all. Dyads will be followed up for 12 months during which they will continue with their traditional care plan, but in addition, the intervention group will receive the CH package for their use at home during 6 months (months 3 to 9 of the yearly follow-up). Further comprehensive assessments related to the caregiver’s and PwD’s emotional and physical well-being will be performed at the initial assessment and at 3, 6, 9, and 12 months using international and standardized validated questionnaires and semistructured individual interviews. Results This 3-year funded study (2016-2019) is currently in its implementation phase and is expected to finish by December 2019. We believe that CH can potentially change the PwD current care model, facilitating a proactive and preventive model, utilizing self-management–based strategies, and enhancing caregivers’ involvement in the management of health care at home for PwDs. Conclusions We foresee that our CH platform will provide knowledge and promote autonomy for the caregivers, which may empower them into greater control of the care for PwDs, and with it, improve the quality of life and well-being for the person they are caring for and for themselves through a physical and cognitive decline predictive model. We also believe that facilitating information sharing between all the PwDs’ care stakeholders may enable a stronger relationship between them, facilitate a more coordinated care plan, and increase the feelings of empowerment in the informal caregivers. International Registered Report Identifier (IRRID) DERR1-10.2196/13280

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Effects of an Internationalization at Home (IAH) Programme on Cultural Awareness among Medical and Nursing Students in Hong Kong and Indonesia During the COVID-19 Pandemic: A Mixed-Methods Study

10.21203/rs.3.rs-1187682/v1 ◽

2022 ◽

Author(s):

Patrick Pui Kin KOR ◽

Clare YU ◽

Ida ayu TRIASTUTI ◽

Mitra Andini SIGILIPOE ◽

Haryo Dimasto KRISTIYANTO ◽

...

Keyword(s):

Hong Kong ◽

Mixed Methods ◽

Nursing Students ◽

Learning Outcomes ◽

Cultural Awareness ◽

Learning Experience ◽

Mixed Methods Study ◽

Face To Face ◽

Internationalization At Home ◽

At Home

Abstract Background: The COVID-19 pandemic has severely impacted the learning experience of students by limiting their opportunities for face-to-face intercultural exchanges. Given the importance of cultural competence in medical education, there is a need to develop a programme that promotes cultural awareness, but that offers more flexibility in terms of outbound mobility. This study aims to evaluate the effectiveness of an internationalization at home programme and to explore the learning experiences of medical and nursing students from Hong Kong and Indonesia. Methods: Students were recruited from two universities in Hong Kong and Indonesia. They attended an online internationalization at home programme designed by members of the research team from both countries. A mixed-methods study was conducted. A pre-test post-test design was used to evaluate the effects of the programme on cultural awareness, and four focus group interviews were conducted to explore the students’ experiences in the programme. Quantitative and qualitative data were analysed by T-test and thematic analysis. Data were integrated via triangulation. Results: One hundred and forty-eight students from Hong Kong and Indonesia participated in the study. After the programme, there was a significant improvement in cultural awareness. Three themes were identified: (1) learning process: enjoyable, but a desire remains for face-to-face cross-cultural communication; (2) learning outcomes: gained cultural awareness, developed cultural sensitivity, had an opportunity to practice language and learn about new learning styles; (3) factors influencing learning outcomes: facilitators (micro-movie and active communication) and barriers (language barrier, inappropriate time arrangement, insufficient prior briefing). Conclusion: This programme achieved the learning outcomes by successfully enhancing the cultural awareness of students during a time of pandemic when outbound student exchanges were not possible. Further adaptations of the programme are required to further enhance learning outcomes.

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