The (Cost)Effectiveness of a Social Robot in Decreasing Professional Caregiver Support and Increasing Independence for Persons in Disability Care Experiencing Problems in Daily Structure and Planning: a Multiple Baseline Case Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 32
- 试验地点
- 7
- 主要终点
- Frequency of professional caregiver support per week
研究概览
简要总结
The goal of this multiple baseline single case study is to study the (cost)effectiveness of a social robot in reducing professional caregiver support and promoting independence for individuals in long-term disability care experiencing problems with daily structure and planning. The main research questions it aims to answer are:
- What is the effect of the social robot on the frequency of moments professional caregivers support individuals experiencing problems with daily structure and planning with the execution of daily activities, compared to care as usual, after 6 weeks?
- Does the effect of the social robot persist in the long term (after 6 months)?
- What is the cost-effectiveness of the social robot?
Participants will:
- Use a social robot in their daily living environment
- Answer survey questions about their quality of life and wellbeing during the study period
- Share their experiences in interviews
Their profesional caregivers will:
- Register the frequency and duration of support they provide to the participant daily for 13 weeks and a 2-week follow-up
- Give weekly updates and score participants' goal attainment while using the social robot
- Fill in questionnaires on participants' productivity and health care consumption during the study period
- Share their experiences in interviews
详细描述
Many individuals receiving long-term disability care experience problems in daily structure and planning. This includes people with autism spectrum disorder, mild to moderate intellectual disability, acquired brain injury and/or Down syndrome.
A large number of these individuals need assistance in carrying out daily activities due to these difficulties in planning and organisation. these difficulties include for example being on time for appointments, getting up and going to bed on time, self-care (forgetting to eat or take medication), performing household tasks, and remembering information. Both professional caregivers and clients invest a significant amount of effort, time, and enery into structuring and creating an overview in daily planning.
The use of a social robot that can be programmed to assist with reminders and guidance offers opportunities for both clients and professional caregivers:
- The use of the social robot is expected to lead to more independence and improved well-being for the participant.
- Because the social robot potentially shortens or takes over support moments, professional caregivers might, for example, be deployed more efficiently.
- Positive effects may also be observed in the relationship between professional caregiver and client: when the client functions more independently and their well-being improves, professional caregivers expectedly experience more job satisfaction, which is important for the quality of care and retention of care staff.
The purpose of this study is to research the effectiveness of a social robot in long-term disability care. The study follows participants and their professional caregivers in their daily care setting, first without the social robot (care as usual), then while using the social robot. This study contributes to knowledge about the effective deployment of technology in long-term disability care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age: ≥18 years
- •Living in an inpatient long-term disability care facility
- •Participant 1) has difficulty with planning and structuring and/or remembering tasks, appointments, and activities, and/or 2) needs outside activation to execute tasks, appointments, and activities
- •Able to understand verbal instructions and willing to follow these
- •Cognitive capacity to, together with their professional caregiver, set goals to work on with the social robot
- •Motivated to work with the social robot on 3-5 goals, for which the participant receives daily or weekly guidance in their home
- •Professional caregivers are motivated to participate in the study
排除标准
- •Prone to express tension in physical aggression
- •Highly sensitive to auditory stimuli
研究组 & 干预措施
Cluster 1
As explained earlier on, all clusters receive the person-oriented intervention, which involves deploying the social robot on personal goals related to selected activities.
In this study, randomization determines the duration of study periods.
For cluster 1, periods are planned as follows:
- Control: 2 weeks (week 1-2)
- Intervention: 6 weeks (week 3-8)
- Effect measurement: 5 weeks (week 9-13)
- Follow-up: 2 weeks (week 34-35)
干预措施: Robot Tessa (Device)
Cluster 2
For cluster 2, periods are planned as follows:
- Control: 3 weeks (week 1-3)
- Intervention: 6 weeks (week 4-9)
- Effect measurement: 4 weeks (week 10-13)
- Follow-up: 2 weeks (week 35-36)
干预措施: Robot Tessa (Device)
Cluster 3
For cluster 3, periods are planned as follows:
- Control: 4 weeks (week 1-4)
- Intervention: 6 weeks (week 5-10)
- Effect measurement: 3 weeks (week 11-13)
- Follow-up: 2 weeks (week 36-37)
干预措施: Robot Tessa (Device)
Cluster 4
For cluster 4, periods are planned as follows:
- Control: 5 weeks (week 1-5)
- Intervention: 6 weeks (week 6-11)
- Effect measurement: 2 weeks (week 12-13)
- Follow-up: 2 weeks (week 37-38)
干预措施: Robot Tessa (Device)
结局指标
主要结局
Frequency of professional caregiver support per week
时间窗: During the whole study period (13 weeks) and 2 weeks follow-up
This concerns support provided by professional caregivers to the participant regarding the selected activities for which the social robot is used. This support is recorded daily by professional caregivers during the entire study period of 13 weeks and during the two-week follow-up measurement.
Frequency of professional caregiver support per week
时间窗: During the whole study period (13 weeks) and follow-up 6 months after start of the intervention (2 weeks)
This concerns support provided by professional caregivers to the participant regarding the selected activities for which the social robot is used. This support is recorded daily by professional caregivers during the entire study period of 13 weeks and during the two-week follow-up measurement.
次要结局
- Psychosocial impact of technology assessed by PIADS-10(week 13, follow-up)
- Work engagement and added value of the social robot as experienced by professional caregivers(week 13, follow-up)
- Wellbeing assessed by PWI-ID(Differs per cluster: week 2, week 8, week 9, week 13 (cluster 1); week 3, week 9, week 10, week 13 (cluster 2); week 4, week 10, week 11, week 13 (cluster 3), week 5, week 11, week 12, week 13 (cluster 4), and follow-up (all clusters))
- Goal attainment assessed by Goal Attainment Scaling (GAS)(Differs per cluster: week 4-13 (cluster 1), week 5-13 (cluster 2), week 6-13 (cluster 3), and week 7-13 (cluster 4) and follow-up 6 months after start of the intervention (2 weeks))
- Psychosocial impact of technology assessed by the 10-item Psychosocial Impact of Assistive Devices Scale (PIADS-10)(week 13, and follow-up 6 months after start of the intervention)
- Work engagement and added value of the social robot as experienced by professional caregivers(week 13, and follow-up 6 months after start of the intervention)
- Wellbeing assessed by the Personal Wellbeing Index - Intellectual Disability (PWI-ID)(Differs per cluster: week 2, week 8, week 9, week 13 (cluster 1); week 3, week 9, week 10, week 13 (cluster 2); week 4, week 10, week 11, week 13 (cluster 3), week 5, week 11, week 12, week 13 (cluster 4), and follow-up 6 months after intervention starts)
- Quality of life assessed by the ICEpop CAPability measure for Adults (ICECAP-A)(At start of baseline, in week 13, and follow-up 6 months after start of intervention)
- Medical consumption assessed by the iMTA Medical Cost Questionnaire (iMCQ)(At start of baseline, in week 13, and follow-up 6 months after start of intervention)
- Productivity cost assessed by the iMTA Productivity Cost Questionnaire (iPCQ)(At start of baseline, in week 13, and follow-up 6 months after start of intervention)
研究者
Brigitte Boon
Prof. Dr.
Academy Het Dorp