RoboCare - Technology in Care Homes
- Conditions
- Dementia
- Interventions
- Other: No intervention
- Registration Number
- NCT05439304
- Lead Sponsor
- Helse Stavanger HF
- Brief Summary
This study primary objective of this study is to identify promoting and hindering factors that affect the implementation of a smart robot in a care home setting.
- Detailed Description
People living with dementia represents a vulnerable group with a high need for person centred care to maintain a high quality of life. Loneliness and social isolation is already a common problem in care homes and has become a global challenge during the pandemic because of its negative effect on health. As a response to missing social interactions, technology with the intent to enhance communication and encourage activities have been introduced in care homes. However, there is a lack of knowledge about the introduction and use of technology. To gain insight into this, Centre for Age-Related Medicine at Stavanger University Hospital SESAM has carried out a pilot project made possible by DAM Foundation, where the smart robot Berntsen (hereinafter referred to as Berntsen) was used for video communication. The pilot project show that the use requires organizational leadership, motivated care staff and a well-organized introduction, and that there is a great need for more knowledge about these factors in order to develop a good implementation strategy.
Hence, SESAM has started the ground breaking project "RoboCare - Effectiveness, efficiency, uptake and use of a smart robot in care homes: A cluster randomized trial and implementation study" to investigate if Berntsen can reduce loneliness and social isolation, increase residents' quality of life and increase staff job satisfaction. Berntsen is an iPad on a stand with wheels or a tripod suitable for tabled tops, with content that can be customized to the user. It can promote person centred activities, tailored schedules and facilitate video communication. Berntsen can also act as a personal trainer with customized exercise videos in collaboration with a physical therapist.
This study will be part of the cluster RCT to explore which factors are important for implementation from the micro-level (person with dementia, family member and staff) perspective, and what must be set for optimal use of Berntsen in a care home.
It is of vital importance that all stakeholders are involved in an implementation process to integrate technology. These aspects are however less described in research concerning development of technological interventions in care homes. Consequently, knowledge concerning care staff, residents and informal carers is scarce.
Design: An explorative qualitative study consisting of 3 sub studies:
1. A qualitative study to investigate the resident, family member and care staff perspective on implementation and use of technology in a care home setting
2. A qualitative study to investigate the resident, family member and care staff experience using Berntsen as part of daily practice and for communication.
3. A qualitative observational study to investigate the dynamic between people living with dementia and family member during communication through Berntsen.
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 40
- Dementia diagnosis at the time of inclusion equivalent with stage 5 (Moderately severe cognitive decline) on the Functional Assessment Staging Tool (FAST)
- Any participants who are not able to give informed consent themselves or through a consultee will not be included in the project.
Family member
- All family members of included residents will be invited to participate in the project
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Residents No intervention - Care staff No intervention - Family members No intervention -
- Primary Outcome Measures
Name Time Method Hindering and promoting factors to technology implementation Three years Measured using qualitative interviews with care staff, residents and family members and observation of residents and family members
- Secondary Outcome Measures
Name Time Method Implementation and use of technology in a care home setting July - December 2022 Measured by qualitative focus group interviews with care staff, and individual interviews with residents and family members in dyads. Interviews will be based on semi-structured interview guide.
People with dementia and family member communication through Berntsen July - December 2023 Measured by observation of people living with dementia and family members during communication through Berntsen. Observations will be based on an observation guide.
User perspective on Berntsen January - June 2023 Measured by qualitative focus group interviews with care staff, and individual interviews with residents and family members in dyads. Interviews will be based on semi-structured interview guide.