Use of a Robotic Seal as a Therapeutic Tool to Improve Dementia Symptoms: A Cluster-Randomized Controlled Trial
To test the effects of individual, nonfacilitated sessions with PARO (version 9), when compared against a look-alike plush toy and usual care, on the emotional and behavioral symptoms of dementia for people living in long-term care facilities. Parallel, 3-group, cluster-randomized controlled trial c...
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| Veröffentlicht in: | Journal of the American Medical Directors Association 2017-09, Vol.18 (9), p.766-773 |
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| creator | Moyle, Wendy Jones, Cindy J. Murfield, Jenny E. Thalib, Lukman Beattie, Elizabeth R.A. Shum, David K.H. O'Dwyer, Siobhan T. Mervin, M. Cindy Draper, Brian M. |
| description | To test the effects of individual, nonfacilitated sessions with PARO (version 9), when compared against a look-alike plush toy and usual care, on the emotional and behavioral symptoms of dementia for people living in long-term care facilities.
Parallel, 3-group, cluster-randomized controlled trial conducted between June 14, 2014, and May 16, 2015.
Twenty-eight long-term care facilities operated by 20 care organizations located in South-East Queensland, Australia.
Four hundred fifteen participants aged ≥60 years, with a documented diagnosis of dementia.
Stratified by private/not-for-profit status and randomized using a computer-generated sequence, 9 facilities were randomized to the PARO group (individual, nonfacilitated, 15-minute sessions 3 times per week for 10 weeks); 10 to plush toy (same, but given PARO with robotic features disabled); and 9 to usual care. Treatment allocation was masked to assessors.
Primary outcomes were changes in levels of engagement, mood states, and agitation after a 10-week intervention, assessed by coded video observations (baseline, weeks 1, 5, 10, and 15) and Cohen-Mansfield Agitation Inventory–Short Form (baseline, weeks 10 and 15). Analyses followed intention-to-treat, using repeated measures mixed effects models. Australian New Zealand Clinical Trials Registry (ACTRN12614000508673).
Video data showed that participants in the PARO group were more verbally [3.61, 95% confidence interval (CI): 6.40–0.81, P = .011] and visually engaged (13.06, 95% CI: 17.05–9.06, P |
| doi_str_mv | 10.1016/j.jamda.2017.03.018 |
| format | Article |
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Parallel, 3-group, cluster-randomized controlled trial conducted between June 14, 2014, and May 16, 2015.
Twenty-eight long-term care facilities operated by 20 care organizations located in South-East Queensland, Australia.
Four hundred fifteen participants aged ≥60 years, with a documented diagnosis of dementia.
Stratified by private/not-for-profit status and randomized using a computer-generated sequence, 9 facilities were randomized to the PARO group (individual, nonfacilitated, 15-minute sessions 3 times per week for 10 weeks); 10 to plush toy (same, but given PARO with robotic features disabled); and 9 to usual care. Treatment allocation was masked to assessors.
Primary outcomes were changes in levels of engagement, mood states, and agitation after a 10-week intervention, assessed by coded video observations (baseline, weeks 1, 5, 10, and 15) and Cohen-Mansfield Agitation Inventory–Short Form (baseline, weeks 10 and 15). Analyses followed intention-to-treat, using repeated measures mixed effects models. Australian New Zealand Clinical Trials Registry (ACTRN12614000508673).
Video data showed that participants in the PARO group were more verbally [3.61, 95% confidence interval (CI): 6.40–0.81, P = .011] and visually engaged (13.06, 95% CI: 17.05–9.06, P < .0001) than participants in plush toy. Both PARO (−3.09, 95% CI: −0.45 to −5.72, P = .022) and plush toy (−3.58, 95% CI: −1.26 to −5.91, P = .002) had significantly greater reduced neutral affect compared with usual care, whilst PARO was more effective than usual care in improving pleasure (1.12, 95% CI: 1.94–0.29, P = .008). Videos showed that PARO was more effective than usual care in improving agitation (3.33, 95% CI: 5.79–0.86, P = .008). When measured using the CMAI-SF, there was no difference between groups.
Although more effective than usual care in improving mood states and agitation, PARO was only more effective than a plush toy in encouraging engagement.</description><identifier>ISSN: 1525-8610</identifier><identifier>EISSN: 1538-9375</identifier><identifier>DOI: 10.1016/j.jamda.2017.03.018</identifier><identifier>PMID: 28780395</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Aged, 80 and over ; Agitation ; Australia ; BPSD ; Cluster Analysis ; Dementia - physiopathology ; Dementia - therapy ; engagement ; Female ; Humans ; Male ; mood state ; older people ; PARO ; Play and Playthings - psychology ; Queensland ; Robotics</subject><ispartof>Journal of the American Medical Directors Association, 2017-09, Vol.18 (9), p.766-773</ispartof><rights>2017 AMDA – The Society for Post-Acute and Long-Term Care Medicine</rights><rights>Copyright © 2017 AMDA – The Society for Post-Acute and Long-Term Care Medicine. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-7eef15eaa48c146a1c9000a333a8a9e7635dc94813044b019b87a9e21e27ba443</citedby><cites>FETCH-LOGICAL-c470t-7eef15eaa48c146a1c9000a333a8a9e7635dc94813044b019b87a9e21e27ba443</cites><orcidid>0000-0003-3004-9019</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1525861017301895$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28780395$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moyle, Wendy</creatorcontrib><creatorcontrib>Jones, Cindy J.</creatorcontrib><creatorcontrib>Murfield, Jenny E.</creatorcontrib><creatorcontrib>Thalib, Lukman</creatorcontrib><creatorcontrib>Beattie, Elizabeth R.A.</creatorcontrib><creatorcontrib>Shum, David K.H.</creatorcontrib><creatorcontrib>O'Dwyer, Siobhan T.</creatorcontrib><creatorcontrib>Mervin, M. Cindy</creatorcontrib><creatorcontrib>Draper, Brian M.</creatorcontrib><title>Use of a Robotic Seal as a Therapeutic Tool to Improve Dementia Symptoms: A Cluster-Randomized Controlled Trial</title><title>Journal of the American Medical Directors Association</title><addtitle>J Am Med Dir Assoc</addtitle><description>To test the effects of individual, nonfacilitated sessions with PARO (version 9), when compared against a look-alike plush toy and usual care, on the emotional and behavioral symptoms of dementia for people living in long-term care facilities.
Parallel, 3-group, cluster-randomized controlled trial conducted between June 14, 2014, and May 16, 2015.
Twenty-eight long-term care facilities operated by 20 care organizations located in South-East Queensland, Australia.
Four hundred fifteen participants aged ≥60 years, with a documented diagnosis of dementia.
Stratified by private/not-for-profit status and randomized using a computer-generated sequence, 9 facilities were randomized to the PARO group (individual, nonfacilitated, 15-minute sessions 3 times per week for 10 weeks); 10 to plush toy (same, but given PARO with robotic features disabled); and 9 to usual care. Treatment allocation was masked to assessors.
Primary outcomes were changes in levels of engagement, mood states, and agitation after a 10-week intervention, assessed by coded video observations (baseline, weeks 1, 5, 10, and 15) and Cohen-Mansfield Agitation Inventory–Short Form (baseline, weeks 10 and 15). Analyses followed intention-to-treat, using repeated measures mixed effects models. Australian New Zealand Clinical Trials Registry (ACTRN12614000508673).
Video data showed that participants in the PARO group were more verbally [3.61, 95% confidence interval (CI): 6.40–0.81, P = .011] and visually engaged (13.06, 95% CI: 17.05–9.06, P < .0001) than participants in plush toy. Both PARO (−3.09, 95% CI: −0.45 to −5.72, P = .022) and plush toy (−3.58, 95% CI: −1.26 to −5.91, P = .002) had significantly greater reduced neutral affect compared with usual care, whilst PARO was more effective than usual care in improving pleasure (1.12, 95% CI: 1.94–0.29, P = .008). Videos showed that PARO was more effective than usual care in improving agitation (3.33, 95% CI: 5.79–0.86, P = .008). When measured using the CMAI-SF, there was no difference between groups.
Although more effective than usual care in improving mood states and agitation, PARO was only more effective than a plush toy in encouraging engagement.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Agitation</subject><subject>Australia</subject><subject>BPSD</subject><subject>Cluster Analysis</subject><subject>Dementia - physiopathology</subject><subject>Dementia - therapy</subject><subject>engagement</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>mood state</subject><subject>older people</subject><subject>PARO</subject><subject>Play and Playthings - psychology</subject><subject>Queensland</subject><subject>Robotics</subject><issn>1525-8610</issn><issn>1538-9375</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1r3DAQhkVpaT7aX1AoOvZiR7JkWy7kELZtEggUks1ZjOVZqkWytpK8kPz6artpjj1peHlGM_MQ8omzmjPeXWzrLfgJ6obxvmaiZly9Iae8FaoaRN--PdRNW6mOsxNyltKWsYIO3Xty0qheMTG0pyQ8JqRhQ4HehzFka-gDgqOQSrL-hRF2uBzSdQiO5kBv_S6GPdJv6HHOFujDk9_l4NNXekVXbkkZY3UP8xS8fcaJrsKcY3CulOtowX0g7zbgEn58ec_J44_v69VNdffz-nZ1dVcZ2bNc9Ygb3iKAVIbLDrgZGGMghAAFA_adaCczSMUFk3IsV42qL3nDselHkFKcky_Hf8u6vxdMWXubDDoHM4YlaT403aCYFG1BxRE1MaQUcaN30XqIT5ozfTCtt_qvaX0wrZnQxXTp-vwyYBk9Tq89_9QW4PIIYDlzbzHqZCzOBicb0WQ9BfvfAX8AgaePiQ</recordid><startdate>20170901</startdate><enddate>20170901</enddate><creator>Moyle, Wendy</creator><creator>Jones, Cindy J.</creator><creator>Murfield, Jenny E.</creator><creator>Thalib, Lukman</creator><creator>Beattie, Elizabeth R.A.</creator><creator>Shum, David K.H.</creator><creator>O'Dwyer, Siobhan T.</creator><creator>Mervin, M. Cindy</creator><creator>Draper, Brian M.</creator><general>Elsevier Inc</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3004-9019</orcidid></search><sort><creationdate>20170901</creationdate><title>Use of a Robotic Seal as a Therapeutic Tool to Improve Dementia Symptoms: A Cluster-Randomized Controlled Trial</title><author>Moyle, Wendy ; Jones, Cindy J. ; Murfield, Jenny E. ; Thalib, Lukman ; Beattie, Elizabeth R.A. ; Shum, David K.H. ; O'Dwyer, Siobhan T. ; Mervin, M. Cindy ; Draper, Brian M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-7eef15eaa48c146a1c9000a333a8a9e7635dc94813044b019b87a9e21e27ba443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Agitation</topic><topic>Australia</topic><topic>BPSD</topic><topic>Cluster Analysis</topic><topic>Dementia - physiopathology</topic><topic>Dementia - therapy</topic><topic>engagement</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>mood state</topic><topic>older people</topic><topic>PARO</topic><topic>Play and Playthings - psychology</topic><topic>Queensland</topic><topic>Robotics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moyle, Wendy</creatorcontrib><creatorcontrib>Jones, Cindy J.</creatorcontrib><creatorcontrib>Murfield, Jenny E.</creatorcontrib><creatorcontrib>Thalib, Lukman</creatorcontrib><creatorcontrib>Beattie, Elizabeth R.A.</creatorcontrib><creatorcontrib>Shum, David K.H.</creatorcontrib><creatorcontrib>O'Dwyer, Siobhan T.</creatorcontrib><creatorcontrib>Mervin, M. Cindy</creatorcontrib><creatorcontrib>Draper, Brian M.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Medical Directors Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moyle, Wendy</au><au>Jones, Cindy J.</au><au>Murfield, Jenny E.</au><au>Thalib, Lukman</au><au>Beattie, Elizabeth R.A.</au><au>Shum, David K.H.</au><au>O'Dwyer, Siobhan T.</au><au>Mervin, M. Cindy</au><au>Draper, Brian M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of a Robotic Seal as a Therapeutic Tool to Improve Dementia Symptoms: A Cluster-Randomized Controlled Trial</atitle><jtitle>Journal of the American Medical Directors Association</jtitle><addtitle>J Am Med Dir Assoc</addtitle><date>2017-09-01</date><risdate>2017</risdate><volume>18</volume><issue>9</issue><spage>766</spage><epage>773</epage><pages>766-773</pages><issn>1525-8610</issn><eissn>1538-9375</eissn><abstract>To test the effects of individual, nonfacilitated sessions with PARO (version 9), when compared against a look-alike plush toy and usual care, on the emotional and behavioral symptoms of dementia for people living in long-term care facilities.
Parallel, 3-group, cluster-randomized controlled trial conducted between June 14, 2014, and May 16, 2015.
Twenty-eight long-term care facilities operated by 20 care organizations located in South-East Queensland, Australia.
Four hundred fifteen participants aged ≥60 years, with a documented diagnosis of dementia.
Stratified by private/not-for-profit status and randomized using a computer-generated sequence, 9 facilities were randomized to the PARO group (individual, nonfacilitated, 15-minute sessions 3 times per week for 10 weeks); 10 to plush toy (same, but given PARO with robotic features disabled); and 9 to usual care. Treatment allocation was masked to assessors.
Primary outcomes were changes in levels of engagement, mood states, and agitation after a 10-week intervention, assessed by coded video observations (baseline, weeks 1, 5, 10, and 15) and Cohen-Mansfield Agitation Inventory–Short Form (baseline, weeks 10 and 15). Analyses followed intention-to-treat, using repeated measures mixed effects models. Australian New Zealand Clinical Trials Registry (ACTRN12614000508673).
Video data showed that participants in the PARO group were more verbally [3.61, 95% confidence interval (CI): 6.40–0.81, P = .011] and visually engaged (13.06, 95% CI: 17.05–9.06, P < .0001) than participants in plush toy. Both PARO (−3.09, 95% CI: −0.45 to −5.72, P = .022) and plush toy (−3.58, 95% CI: −1.26 to −5.91, P = .002) had significantly greater reduced neutral affect compared with usual care, whilst PARO was more effective than usual care in improving pleasure (1.12, 95% CI: 1.94–0.29, P = .008). Videos showed that PARO was more effective than usual care in improving agitation (3.33, 95% CI: 5.79–0.86, P = .008). When measured using the CMAI-SF, there was no difference between groups.
Although more effective than usual care in improving mood states and agitation, PARO was only more effective than a plush toy in encouraging engagement.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28780395</pmid><doi>10.1016/j.jamda.2017.03.018</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-3004-9019</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Aged, 80 and over Agitation Australia BPSD Cluster Analysis Dementia - physiopathology Dementia - therapy engagement Female Humans Male mood state older people PARO Play and Playthings - psychology Queensland Robotics |
| title | Use of a Robotic Seal as a Therapeutic Tool to Improve Dementia Symptoms: A Cluster-Randomized Controlled Trial |
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