关键词: dementia focus group institutional care robot-assisted therapy user-centered design

来  源:   DOI:10.3389/frobt.2024.1258847   PDF(Pubmed)

Abstract:
UNASSIGNED: Many countries are facing a shortage of healthcare workers. Furthermore, healthcare workers are experiencing many stressors, resulting in psychological issues, impaired health, and increased intentions to leave the workplace. In recent years, different technologies have been implemented to lighten workload on healthcare workers, such as electronic patient files. Robotic solutions are still rather uncommon. To help with acceptance and actual use of robots their functionalities should correspond to the users\' needs.
UNASSIGNED: In the pilot study Care4All-Initial, we developed and field-tested applications for a mobile service robot in a psychosocial, multimodal group therapy for people with dementia. To guide the process and assess possible facilitators and barriers, we conducted a reoccurring focus group including people with dementia, therapists, professional caregivers as well as researchers from different disciplines with a user-centered design approach. The focus group suggested and reviewed applications and discussed ethical implications. We recorded the focus group discussions in writing and used content analysis.
UNASSIGNED: The focus group discussed 15 different topics regarding ethical concerns that we used as a framework for the research project: Ethical facilitators were respect for the autonomy of the people with dementia and their proxies regarding participating and data sharing. Furthermore, the robot had to be useful for the therapists and attendees. Ethical barriers were the deception and possible harm of the people with dementia or therapists. The focus group suggested 32 different applications. We implemented 13 applications that centered on the robot interacting with the people with dementia and lightening the workload off the therapists. The implemented applications were facilitated through utilizing existing hard- and software and building on applications. Barriers to implementation were due to hardware, software, or applications not fitting the scope of the project.
UNASSIGNED: To prevent barriers of robot employment in a group therapy for people with dementia, the robot\'s applications have to be developed sufficiently for a flawless and safe use, the use of the robot should not cause irritation or agitation, but rather be meaningful and useful to its users. To facilitate the development sufficient time, money, expertise and planning is essential.
摘要:
许多国家都面临着医护人员短缺的问题。此外,医护人员正在经历许多压力源,导致心理问题,健康受损,并增加了离开工作场所的意愿。近年来,实施了不同的技术来减轻医护人员的工作量,如电子病人档案。机器人解决方案仍然相当罕见。为了帮助接受和实际使用机器人,其功能应符合用户的需求。
在初步研究Care4All-Initial中,我们开发并现场测试了移动服务机器人在心理社会中的应用,痴呆症患者的多模式团体治疗。指导过程并评估可能的促进者和障碍,我们进行了一个反复发作的焦点小组,包括痴呆症患者,治疗师,专业护理人员以及来自不同学科的研究人员,以用户为中心的设计方法。焦点小组建议并审查了应用程序,并讨论了道德含义。我们以书面形式记录焦点小组讨论,并使用内容分析。
焦点小组讨论了15个关于道德问题的不同主题,我们将其用作研究项目的框架:道德促进者尊重痴呆症患者的自主权及其在参与和数据共享方面的代理人。此外,机器人必须对治疗师和参与者有用。道德障碍是痴呆症患者或治疗师的欺骗和可能的伤害。焦点小组建议了32种不同的应用。我们实施了13个应用程序,这些应用程序集中在机器人与痴呆症患者的互动上,减轻了治疗师的工作量。通过利用现有的硬件和软件以及基于应用程序的构建来促进实现的应用程序。实施的障碍是由于硬件,软件,或不适合项目范围的应用程序。
为了防止在痴呆症患者的集体治疗中使用机器人的障碍,机器人的应用程序必须开发足够的完美和安全的使用,机器人的使用不应引起刺激或激动,而是对其用户有意义和有用。为了促进发展足够的时间,钱,专业知识和规划至关重要。
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