scholarly journals Acceptance of long-term care from intelligent robots: A study of attitudes among the elderly in China

2021 ◽  
pp. 1-7
Author(s):  
Zehao Zhang ◽  
Sifeng Zhang ◽  
Linling Xie
Keyword(s):  
Long Term Care ◽  
The Elderly ◽  
Physical Contact ◽  
Future Research ◽  
Term Care ◽  
Intelligent Robots ◽  
Disabled Elderly ◽  
Intelligent Tools ◽  
The Impact

BACKGROUND: China has the world’s largest elderly population, as well as the largest population of disabled elderly. Existing literature shows that there have been increased efforts to develop intelligent robots to address the shortage of caregivers for the elderly. However, there has been little research on elders’ acceptance of care from intelligent robots. AIMS: The purpose of this study was to examine the acceptance of intelligent robots among disabled elderly in need of long-term care. METHODS: We used structured questionnaires and interview methods during a social survey. In total, 3060 questionnaires and 50 interviews were collected. RESULTS: An overwhelming majority of the 3060 participants (79.39%) indicated that they would reject robot care. DISCUSSION: Future research should consider the background of the interviewees and the influence of the economy and social development across different regions, in order to distinguish the impact of each type of basic information on the acceptance of intelligent machines by the elderly. CONCLUSIONS: Most elderly adults were reluctant to allow robots to provide services that involved physical contact. Therefore, the development and design of robots should consider elderly individuals’ attitudes toward non-human services, in addition to broadening the scope of activities that intelligent robots could cover, and providing intelligent tools and products that the elderly would be more likely to gradually accept.

scholarly journals Acceptance of long-term care from intelligent robots: a study of attitudes among the elderly in China

2019 ◽  
Author(s):  
Zehao Zhang ◽  
Sifeng Zhang ◽  
Linling Xie
Keyword(s):  
Long Term Care ◽  
The Elderly ◽  
Physical Contact ◽  
Term Care ◽  
Intelligent Machines ◽  
Intelligent Robots ◽  
Disabled Elderly ◽  
Intelligent Tools ◽  
The Impact

Abstract Background China has the world's largest elderly population, as well as the largest population of disabled elderly. Existing literature shows that there have been increased efforts to develop intelligent robots to address the shortage of caregivers for the elderly. However, there has been little research on elders’ acceptance of care from intelligent robots. Aims The purpose of this study was to examine the acceptance of intelligent robots among disabled elderly in need of long-term care. Methods We used structured questionnaire and interview methods during a social survey. In total, 3060 questionnaires and 50 interviews were collected. Results An overwhelming majority of the 3060 participants (79.39%) indicated that they would reject robot care. Discussion In further research, should consider more about the background of interviewees, the influence of the economy and social development across different regions, and distinguish the impact of each type of basic information on the acceptance of intelligent machines by the elderly. Conclusions Most elderly adults were reluctant to allow robots to provide services that involved physical contact. Therefore, the development and design of robots should consider elderly individuals’ attitudes toward non-human services, in addition to broadening the scope of activities that intelligent robots could cover, and providing intelligent tools and products that the elderly would be more likely to gradually accept.

scholarly journals Impact of Frailty on Medical and Long-Term Care Expenditures for the Elderly Age 75 or Over in Japan

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 176-176
Author(s):  
Hiroto Yoshida ◽  
Yuriko Kihara
Keyword(s):  
Long Term Care ◽  
The Elderly ◽  
Elderly Age ◽  
Term Care ◽  
Intentional Weight Loss ◽  
Long Term Care Insurance ◽  
And Gender ◽  
The Impact

Abstract This study examined the impact of frailty on medical and long-term care expenditures in an older Japanese population. The subjects were those aged 75 years and over who responded to the survey (March 2018) in Bibai, Hokkaido, Japan (n=1,203) and have never received certification of long-term care insurance at the survey. We followed up 867 individuals (72.1%) until the end of December 2018 (10 month-period). We defined frailty as a state in performing 4 items and over of 15 items which were composed of un-intentional weight loss, history of falls, etc. Among 867 subjects, 233 subjects (26.9%) were judged to be frailty group, and 634 subjects (73.1%) non-frailty group. We compared period to the new certification of long-term care insurance (LTCI), accumulated medical and long-term care expenditures adjusted for age and gender between the two groups during the follow-up period. Cox proportional hazard models were used to examine the association between baseline frailty and the new certification of LTCI. The relative hazard ratio (HR) was higher in frailty group than non-frailty group (HR=3.51, 95% CI：1.30-9.45, P=.013). The adjusted mean accumulated medical and long-term care expenditures per capita during the follow-up were significantly (P=.002) larger for those in the frailty group (629,699 yen), while those in the non-frailty group were 450,995 yen. We confirmed strong economic impact of frailty in the elderly aged 75 or over in Japan.

scholarly journals Places of living and places of dying: the case for preventing suicide in residential long-term care

2020 ◽  
pp. 1-16
Author(s):  
Briony Jain ◽  
Viktoryia Kalesnikava ◽  
Joseph E. Ibrahim ◽  
Briana Mezuk
Keyword(s):  
Older Adults ◽  
Suicide Prevention ◽  
Residential Care ◽  
Long Term Care ◽  
Public Health Problem ◽  
Future Research ◽  
Term Care ◽  
The Impact ◽  
Residential Long Term Care

Abstract This commentary addresses the increasing public health problem of suicide in later life and presents the case for preventing suicide in residential long-term care settings. We do so by examining this issue from the perspective of three levels of stakeholders – societal, organisational and individual – considering the relevant context, barriers and implications of each. We begin by discussing contemporary societal perspectives of ageing; the potential impact of ageism on prevention of late-life suicide; and the roles of gender and masculinity. This is followed by a historical analysis of the origin of residential long-term care; current organisational challenges; and person-centred care as a suicide prevention strategy. Finally, we consider suicide in long-term care from the perspective of individuals, including the experience of older adults living in residential care settings; the impact of suicide on residential care health professionals and other staff; and the impact of suicide bereavement on family, friends and other residents. We conclude with recommendations for policy reform and future research. This commentary aims to confront the often unspoken bias associated with preventing suicide among older adults, particularly those living with complex medical conditions, and invoke an open dialogue about suicide prevention in this population and setting.

scholarly journals Review of evolution of the public long-term care insurance (LTCI) system in different countries: influence and challenge

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Linhong Chen ◽  
Lu Zhang ◽  
Xiaocang Xu
Keyword(s):  
Long Term Care ◽  
The Elderly ◽  
Term Care ◽  
The Public ◽  
Disabled Elderly ◽  
The Disabled ◽  
Long Term Care Insurance ◽  
The Relationship

Abstract Background The growing demand for LTC (Long-term care) services for disabled elderly has become a daunting task for countries worldwide, especially China, where population aging is particularly severe. According to CSY (China Statistical Yearbook,2019), the elderly aged 65 or above has reached 167 million in 2018, and the number of disabled elderly is as high as 54%. Germany and other countries have alleviated the crisis by promoting the public LTCI (Long-Term Care Insurance) system since the 1990s, while China’s public LTCI system formal pilot only started in 2016. Therefore, the development of the public LTCI system has gradually become a hot topic for scholars in various countries, including China. Methods This review has been systematically sorted the existing related literature to discuss the development of public LTCI (Long-Term Care Insurance)system form four aspects, namely, the comparison of public LTCI systems in different countries, the influence of public LTCI, challenge of public LTCI, and the relationship between public LTCI and private LTCI. We searched some databases including Web of Science Core Collection, Medline, SCOPUS, EBSCO, EMBASE, ProQuest and PubMed from January 2008 to September 2020. The quality of 38 quantitative and 21 qualitative articles was evaluated using the CASP(Critical Appraisal Skills Programme) critical evaluation checklist. Results The review systematically examines the development of public LTCI system from four aspects, namely, the comparison of public LTCI systems in different countries, the influence of public LTCI, the challenge of public LTCI, and the relationship between public LTCI and private LTCI. For example, LTCI has a positive effect on the health and life quality of the disabled elderly. However, the role of LTCI in alleviating the financial burden on families with the disabled elderly may be limited. Conclusion Some policy implications on the future development of China’s LTCI system can be obtained. For example, the government should fully consider the constraints such as price rise, the elderly disability rate, and the substantial economic burden. It also can strengthen the effective combination of public LTCI and private LTCI. It does not only help to expand the space for its theoretical research but also to learn the experiences in the practice of the LTCI system in various countries around the world. It will significantly help the smooth development and further promote the in-depth reform of the LTCI system in China.

scholarly journals VIDEO RECORDING FOR CAPTURING INTERACTIONS BETWEEN RESIDENTS WITH DEMENTIA AND STAFF: A SYSTEMATIC REVIEW

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S335-S336
Author(s):  
Da Eun Kim ◽  
Hae Sagong ◽  
Eunjoo Kim ◽  
Ah Ram Jang ◽  
Ju Young Yoon
Keyword(s):  
Systematic Review ◽  
Long Term Care ◽  
Psychological Symptoms ◽  
Video Recording ◽  
Experimental Studies ◽  
The Elderly ◽  
Future Research ◽  
Care Practice ◽  
Term Care

Abstract The use of video-recording offers important advantages in observing and assessing the relationships between specific behaviors in health care settings. The purpose of this systematic review is to investigate and synthesize the methodological characteristics of studies using video-technology for measuring interactions between the older persons with dementia and staff in long-term care facilities. We searched Medline, Embase and CINHAL databases for published articles in English using a video-recording method for both staff and persons with dementia. Quantitative research design studies (e.g., descriptive studies or an experimental studies) were included. Among 5,605 searched papers, a total of 20 studies were selected for this review. Situations of video-recording were providing personal care (n=12), mealtime (n=6), and conversation (n=3). Concepts of measuring by video-recording were classified into two groups: 1) Staff [care practice by staff (n=13) and communication by staff (n=11)] and 2) residents [communication by resident (n=4), activities of daily life function of resident (n=8), and behavioral and psychological symptoms of dementia (n=10)]. This review demonstrates that video technologies are actively used to evaluate the relationship between quality of care and health outcomes of the elderly with dementia in many international nursing studies. This study provides the foundation for a future research using video-recording technologies to examine the interactions and relationship between staff and the residents in long-term care settings.

scholarly journals Function-Focused Person–Environment Fit for Long-Term Care Residents With Dementia: Impact on Apathy

2020 ◽  
Author(s):  
Ying-Ling Jao ◽  
Wen Liu ◽  
Habib Chaudhury ◽  
Jyotsana Parajuli ◽  
Sarah Holmes ◽  
...  
Keyword(s):  
Physical Function ◽  
Long Term Care ◽  
Future Research ◽  
Common Symptom ◽  
Cross Sectional ◽  
Term Care ◽  
Housing Enabler ◽  
The Impact ◽  
The Relationship

Abstract Background and Objectives Apathy is a common symptom in dementia and is associated with rapid cognitive decline, poor quality of life, and higher mortality. Lawton’s Competence and Environmental Press model suggests that an individual’s behavior and affect are influenced by the fit of their functional abilities with the environmental demands. Yet, empirical evidence on the association between person–environment (P–E) fit and apathy is lacking. Thus, this study examined the relationship between P–E fit and apathy in dementia. Specifically, this study focused on the extent the physical environment fits individual functional limitations. Research Design and Methods This is a cross-sectional study using the baseline data from long-term care residents with dementia. The sample included 199 residents with moderate-to-severe cognitive impairment from 4 assisted living and 4 nursing homes. Function-focused P–E fit was measured using the Housing Enabler scale. Apathy was measured using the Apathy Evaluation Scale. Multilevel linear models were used to analyze the relationship between P–E fit and apathy. Results Findings revealed that greater P–E fit, specifically indoor environment, was significantly associated with lower apathy after controlling for age, gender, and years living in the facility. Yet, the association became not significant after controlling for individual physical function. Discussion and Implications Findings support the association between function-focused P–E fit and apathy, but the association is no longer significant after physical function is adjusted. Future research may explore other aspects of P–E fit and the impact of social and organizational environment on apathy in dementia.

scholarly journals PENGARUH EDUKASI PERAWATAN JANGKA PANJANG PADA LANSIA DENGAN PENGETAHUAN KADER KESEHATAN DI AREA KOMUNITAS

2019 ◽  
Vol 2 (2) ◽  
pp. 1
Author(s):  
Thomas Erjinyuare Aquino Amigo ◽  
Cornelia Dede Yoshima Nekada
Keyword(s):  
Long Term Care ◽  
Hypothesis Test ◽  
The Elderly ◽  
Statistical Hypothesis ◽  
Control Group ◽  
Term Care ◽  
Care Education ◽  
Significant Difference ◽  
The Impact

The elderly population which increases rapidly along with the downgrading of various systems generate impacts on the health condition of the elderly, thus, long-term care is required. The long-term care requires health cadres or caregivers who support the health workers, however, health cadres or caregivers need to conceive a decent knowledge regarding long-term care on the elderly. According to this phenomenon, therefore, the researchers were interested to conduct a study concerning the impact of the long-term care education for elderly on the knowledge of health cadres. This research aimed to discover the impact of long-term care education for elderly on the knowledge of health cadres in Pokoh Hamlet, Wedomartani, Ngemplak, Sleman, Yogyakarta Special Region. The research was performed through a quasi-experimental method with nonequivalent control group pre and posttest design. The knowledge of the respondent was measured before the education regarding long-term care is provided, then, the respondents were educated, and the knowledge of cadre about long-term care was measured at end of the meeting. Respondents involved in this research were individuals who follow the education and cadres or local people who nurse the elderly. The knowledge of cadres was measured through the questionnaire of long-term care. The statistical hypothesis test was performed on the obtained data through Wilcoxon’s test. A total sampling was used as the sampling technique in this research which resulted in 16 respondents as the sample. The results of this research indicated that the median score of the knowledge of health cadres was 39.5 before the intervention and 45 after the intervention with 0.000 of p-value, there was a significant difference of knowledge between before and after the long-term care education was given on health cadres. The conclusion is that there was a significant difference between the long-term care education with the knowledge of health cadres. Health cadres are expected to be able of performing screening on elderly who require long-term care and also capable of performing long-term care on the elderly which focused on the fulfillment of basic needs. 

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