Longitudinal changes following the introduction of socially assistive robots in nursing homes: a qualitative study with ICF framework and causal loop diagramming.

IF 3.4 2区 医学 Q2 GERIATRICS & GERONTOLOGY BMC Geriatrics Pub Date : 2024-12-21 DOI:10.1186/s12877-024-05628-4
Eri Otaka, Kenji Sato, Daiki Shimotori, Tsuneki Ninomiya, Naoki Sugimoto, Yoshihiro Nakabo, Yoshio Matsumoto, Taiki Yoshida, Izumi Kondo
{"title":"Longitudinal changes following the introduction of socially assistive robots in nursing homes: a qualitative study with ICF framework and causal loop diagramming.","authors":"Eri Otaka, Kenji Sato, Daiki Shimotori, Tsuneki Ninomiya, Naoki Sugimoto, Yoshihiro Nakabo, Yoshio Matsumoto, Taiki Yoshida, Izumi Kondo","doi":"10.1186/s12877-024-05628-4","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Socially assistive robots introduced in nursing care settings have multidimensional psychological impacts on care recipients and caregivers. This study aims to explore the longitudinal changes induced by socially assistive robots, focusing on a chain of human behaviors.</p><p><strong>Methods: </strong>In this qualitative study, nine participants from two nursing homes who had experience in manipulating socially assistive robots were interviewed in a semi-structured focus group using a topic guide to explore the changes in care recipients and caregivers. Following the framework analysis method, the transcripts were coded using the International Classification of Functioning, Disability, and Health (ICF). The identified codes were charted for each side-care recipients and caregivers sides- using a causal loop diagram, a tool used to visualize nonlinear dynamics in complex systems.</p><p><strong>Results: </strong>Three and seven kinds of codes in the domains of \"body functions\" and \"activities and participation\", respectively, were identified on the care recipients' side; whereas on the caregivers' side, one and five kinds of codes in the domains of \"body functions\" and \"activities and participation\", respectively, were found. The codes obtained from the facility with longer experience were represented graphically as a reinforcing feedback loop, in which favorable changes were amplified in a chain of events. Robot use directly changed the mental functions of care recipients, and the caregivers' perceptions of these positive changes led to their own emotional and behavioral changes, which would reduce the burden of care. Moreover, the findings suggest that sharing information regarding these changes and objectively recognizing the effectiveness of robots among staff members can be the key to continuous robot use in nursing care settings. Conversely, the figure obtained from the novice facility shows fragmented chain relationships of the codes, indicating that all the effects of robot use are recognizable and form a chain reaction after continuous robot use for more than several months.</p><p><strong>Conclusions: </strong>This study revealed important aspects regarding the longitudinal effects of socially assistive robots in nursing care settings. These implications should be broadly implemented for effective robot use and reduction of the burden of care in nursing care settings.</p><p><strong>Clinical trial number: </strong>Not applicable.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"24 1","pages":"1026"},"PeriodicalIF":3.4000,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Geriatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12877-024-05628-4","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Socially assistive robots introduced in nursing care settings have multidimensional psychological impacts on care recipients and caregivers. This study aims to explore the longitudinal changes induced by socially assistive robots, focusing on a chain of human behaviors.

Methods: In this qualitative study, nine participants from two nursing homes who had experience in manipulating socially assistive robots were interviewed in a semi-structured focus group using a topic guide to explore the changes in care recipients and caregivers. Following the framework analysis method, the transcripts were coded using the International Classification of Functioning, Disability, and Health (ICF). The identified codes were charted for each side-care recipients and caregivers sides- using a causal loop diagram, a tool used to visualize nonlinear dynamics in complex systems.

Results: Three and seven kinds of codes in the domains of "body functions" and "activities and participation", respectively, were identified on the care recipients' side; whereas on the caregivers' side, one and five kinds of codes in the domains of "body functions" and "activities and participation", respectively, were found. The codes obtained from the facility with longer experience were represented graphically as a reinforcing feedback loop, in which favorable changes were amplified in a chain of events. Robot use directly changed the mental functions of care recipients, and the caregivers' perceptions of these positive changes led to their own emotional and behavioral changes, which would reduce the burden of care. Moreover, the findings suggest that sharing information regarding these changes and objectively recognizing the effectiveness of robots among staff members can be the key to continuous robot use in nursing care settings. Conversely, the figure obtained from the novice facility shows fragmented chain relationships of the codes, indicating that all the effects of robot use are recognizable and form a chain reaction after continuous robot use for more than several months.

Conclusions: This study revealed important aspects regarding the longitudinal effects of socially assistive robots in nursing care settings. These implications should be broadly implemented for effective robot use and reduction of the burden of care in nursing care settings.

Clinical trial number: Not applicable.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
求助全文
约1分钟内获得全文 去求助
来源期刊
BMC Geriatrics
BMC Geriatrics GERIATRICS & GERONTOLOGY-
CiteScore
5.70
自引率
7.30%
发文量
873
审稿时长
20 weeks
期刊介绍: BMC Geriatrics is an open access journal publishing original peer-reviewed research articles in all aspects of the health and healthcare of older people, including the effects of healthcare systems and policies. The journal also welcomes research focused on the aging process, including cellular, genetic, and physiological processes and cognitive modifications.
期刊最新文献
A correlation study between blood glucose fluctuation and chronic pain in the older people with type 2 diabetes mellitus. Longitudinal changes following the introduction of socially assistive robots in nursing homes: a qualitative study with ICF framework and causal loop diagramming. Prevalence of cognitive impairment and metabolic syndrome among older adults in calabar metropolis and the associated risk factors. Digital divide as a determinant of health in the U.S. older adults: prevalence, trends, and risk factors. Empowering informal caregivers and nurses to take a person-centred view: adaptation and clinical utility of the Integrated Palliative Outcome Scale (IPOS-Dem) for use in acute and community care settings.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1