Using a therapeutic companion robot for dementia symptoms in long-term care: reflections from a cluster-RCT
AGING & MENTAL HEALTH, vol.23, no.3, pp.329-336, 2019 (SCI-Expanded, SSCI, Scopus)
- Publication Type: Article / Article
- Volume: 23 Issue: 3
- Publication Date: 2019
- Doi Number: 10.1080/13607863.2017.1421617
- Journal Name: AGING & MENTAL HEALTH
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus
- Page Numbers: pp.329-336
- Yıldız Technical University Affiliated: No
Abstract
Objectives: We undertook a cluster-randomised controlled trial exploring the effect of a therapeutic companion robot (PARO) compared to a look-alike plush toy and usual care on dementia symptoms of long-term care residents. Complementing the reported quantitative outcomes , this paper provides critical reflection and commentary on individual participant responses to PARO, observed through video recordings , with a view to informing clinical practice and research. Method: A descriptive, qualitative design with five participants selected from the PARO intervention arm of the trial. The trial is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12614000508673). Results: The five participants and their responses to PARO are presented in terms of three issues: i.) Different pre-intervention clinical presentations and different responses; ii.) Same individual, different response - the need for continual assessment and review; and iii.) The ethics of giving and retrieving PARO. Implications for clinical practice and future research are discussed in relation to each issue. Conclusion: The findings suggest that one approach does not fit all, and that there is considerable variation in responses to PARO. A number of recommendations are discussed to aid the delivery of psychosocial interventions with PARO in practice, as well as to guide future research.