Skip to main content
Log in

Design Attributes of Socially Assistive Robots for People with Dementia: A Systematic Review

  • Review
  • Published:
International Journal of Social Robotics Aims and scope Submit manuscript

Abstract

Socially assistive robots (SARs) have shown promise in the care of people with dementia and in mitigating behavioural and psychological symptoms of dementia. Although SARs are continually tested for efficacy, no current literature outlines a comprehensive strategy that industrial designers may employ to progress the technology of SARs. It was, therefore, essential to expand on existing literature by providing a straightforward approach to SAR design with the recommended design attributes. A systematic review was conducted to formulate recommendations for designing SARs to improve the quality of life of people with dementia. Six databases, including CINAHL, Embase, IEEE, Medline, ProQuest, and Scopus, were searched for relevant articles published between 2011 and 2022. Covidence software was used for screening, data extraction and quality testing. Of the 160 references extracted, 16 studies met the study inclusion criteria. The studies were predominately small sample sizes using various robotic platforms and technologies. Incorporating personal preferences linked to a user’s life experience and choice is a crucial ability of SARs. Natural speech communication is also an important design attribute. However, the overwhelming conclusion is that more research is needed on aesthetics, materials, and interaction capabilities. All stakeholders should be part of a holistic user-centred design process to ensure a fit-for-purpose product.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

Data Availability

There are no additional data available for this review.

References

  1. Royal Commission into Aged, Care Q, Safety (2019) Dementia in Australia: nature, prevalence and care. Royal Commission into Aged Care Quality and Safety

  2. Dowrick C, Book (2019) Whole, 1 edn. Routledge Ltd, Milton. https://doi.org/10.4324/9780429026386

  3. Global action plan on the public health response to dementia 2017–2025 (2017) Global action plan on the public health response to dementia 2017–2025. Geneva: World Health Organization; 2017. Licence: CC BY-NC-SA 3.0 IGO.

  4. Livingston G, Sommerlad A, Orgeta V, Costafreda SG, Huntley J, Ames D, Ballard C, Banerjee S, Burns A, Cohen-Mansfield J, Cooper C, Fox N, Gitlin LN, Howard R, Kales HC, Larson EB, Ritchie K, Rockwood K, Sampson EL, Samus Q, Schneider LS, Selbaek G, Teri L, Mukadam N (2017) Dementia prevention, intervention, and care. Lancet 390(10113):2673–2734. https://doi.org/10.1016/S0140-6736(17)31363-6

    Article  PubMed  Google Scholar 

  5. World Alzheimer Report 2021 (2021) Journey through the diagnosis of dementia

  6. Braun A, Trivedi DP, Dickinson A, Hamilton L, Goodman C, Gage H, Ashaye K, Iliffe S, Manthorpe J (2019) Managing behavioural and psychological symptoms in community dwelling older people with Dementia: 2. A systematic review of qualitative studies. Dementia-International J Social Res Pract 18(7–8):2950–2970. https://doi.org/10.1177/1471301218762856

    Article  Google Scholar 

  7. The World Alzheimer Report 2019: Attitudes to dementia (2019). Alzheimer’s Disease International, London

  8. Brown L, Hansnata E, La HA (2017) Economic cost of Dementia in Australia 2016–2056. Report prepared for Alzheimer’s Australia. Alzheimer’s Australia, Australia

    Google Scholar 

  9. Bemelmans R, Gelderblom GJ, Jonker P, de Witte L (2012) Socially assistive robots in elderly care: a systematic review into effects and effectiveness. J Am Med Dir Assoc 13(2):114–U142. https://doi.org/10.1016/j.jamda.2010.10.002

    Article  PubMed  Google Scholar 

  10. Sumioka H, Yamato N, Shiomi M, Ishiguro H (2021) A minimal design of a human infant presence: a case study toward interactive doll therapy for older adults with dementia. Front Robot AI 8:633378. https://doi.org/10.3389/frobt.2021.633378

    Article  PubMed  PubMed Central  Google Scholar 

  11. Mordoch E, Osterreicher A, Guse L, Roger K, Thompson G (2013) Use of social commitment robots in the care of elderly people with dementia: a literature review. Maturitas 74(1):14–20. https://doi.org/10.1016/j.maturitas.2012.10.015

    Article  PubMed  Google Scholar 

  12. Abdi J, Al-Hindawi A, Ng T, Vizcaychipi MP (2018) Scoping review on the use of socially assistive robot technology in elderly care. Bmj Open 8(2):ARTNe018815. https://doi.org/10.1136/bmjopen-2017-018815

  13. Robinson H, MacDonald B, Broadbent E (2014) The role of healthcare robots for older people at home: a review. Int J Social Robot 6(4):575–591. https://doi.org/10.1007/s12369-014-0242-2

    Article  Google Scholar 

  14. Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, Shamseer L, Tetzlaff JM, Akl EA, Brennan SE, Chou R, Glanville J, Grimshaw JM, Hrobjartsson A, Lalu MM, Li T, Loder EW, Mayo-Wilson E, McDonald S, McGuinness LA, Stewart LA, Thomas J, Tricco AC, Welch VA, Whiting P, Moher D (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 372:n71. https://doi.org/10.1136/bmj.n71

    Article  PubMed  PubMed Central  Google Scholar 

  15. Zhou D, Barakova EI, An P, Rauterberg M (2022) Assistant robot enhances the perceived communication quality of people with dementia: a proof of Concept. Ieee T Hum-Mach Syst 52(3):332–342. https://doi.org/10.1109/thms.2021.3112957

    Article  Google Scholar 

  16. Hebesberger D, Koertner T, Gisinger C, Pripfl J (2017) A long-term autonomous robot at a care hospital: a mixed methods study on social acceptance and experiences of staff and older adults. Int J Social Robot 9(3):417–429. https://doi.org/10.1007/s12369-016-0391-6

    Article  Google Scholar 

  17. Gustafsson C, Svanberg C, Mullersdorf M (2015) Using a robotic cat in dementia care: a pilot study. J Gerontol Nurs 41(10):46–56. https://doi.org/10.3928/00989134-20150806-44

    Article  PubMed  Google Scholar 

  18. Koh IS, Kang HS (2018) Effects of intervention using PARO on the cognition, emotion, problem behavior, and social interaction of elderly people with dementia. J Korean Acad Community Health Nurs 29(3):300–309. https://doi.org/10.12799/jkachn.2018.29.3.300

    Article  Google Scholar 

  19. Robinson H, MacDonald BA, Kerse N, Broadbent E (2013) Suitability of healthcare robots for a dementia unit and suggested improvements. J Am Med Dir Assoc 14(1):34–40. https://doi.org/10.1016/j.jamda.2012.09.006

    Article  PubMed  Google Scholar 

  20. Lima MR, Wairagkar M, Natarajan N, Vaitheswaran S, Vaidyanathan R (2021) Robotic telemedicine for mental health: a multimodal approach to improve human-robot engagement. Front Rob Ai 8:ARTN618866. https://doi.org/10.3389/frobt.2021.618866

    Article  Google Scholar 

  21. Begum M, Huq R, Wang R, Mihailidis A (2015) Collaboration of an assistive robot and older adults with dementia. Gerontech 13(4):405–419. https://doi.org/10.4017/gt.2015.13.4.005.00

    Article  Google Scholar 

  22. Cruz-Sandoval D, Favela J (2019) Incorporating conversational strategies in a social robot to interact with people with dementia. Dement Geriatr Cogn Disord 47(3):140–148. https://doi.org/10.1159/000497801

    Article  PubMed  Google Scholar 

  23. Feng Y, Barakova EI, Yu SH, Hu J, Rauterberg GWM (2020) Effects of the level of interactivity of a social robot and the response of the augmented reality display in contextual interactions of people with dementia. Sensors 20(13):ARTN3771. https://doi.org/10.3390/s20133771

  24. Feng Y, Perugia G, Yu SH, Barakova EI, Hu J, Rauterberg GWM (2022) Context-enhanced Human-Robot Interaction: exploring the role of System Interactivity and Multimodal Stimuli on the Engagement of people with Dementia. Int J Social Robot 14(3):807–826. https://doi.org/10.1007/s12369-021-00823-4

    Article  Google Scholar 

  25. Pino M, Boulay M, Jouen F, Rigaud AS (2015) Are we ready for robots that care for us? Attitudes and opinions of older adults toward socially assistive robots. Front Aging Neurosci 7(JUL):141. https://doi.org/10.3389/fnagi.2015.00141

    Article  PubMed  PubMed Central  Google Scholar 

  26. Ke C, Lou VW, Tan KC, Wai MY, Chan LL (2020) Changes in technology acceptance among older people with Dementia: the role of social robot engagement. Int J Med Inform 141:104241. https://doi.org/10.1016/j.ijmedinf.2020.104241

    Article  PubMed  Google Scholar 

  27. Joranson N, Pedersen I, Rokstad AM, Ihlebaek C (2015) Effects on symptoms of agitation and depression in persons with Dementia participating in Robot-assisted activity: a cluster-randomized controlled trial. J Am Med Dir Assoc 16(10):867–873. https://doi.org/10.1016/j.jamda.2015.05.002

    Article  PubMed  Google Scholar 

  28. Moyle W, Jones C, Murfield J, Thalib L, Beattie E, Shum D, O’Dwyer S, Mervin MC, Draper B (2018) Effect of a robotic seal on the motor activity and sleep patterns of older people with Dementia, as measured by wearable technology: a cluster-randomised controlled trial. Maturitas 110:10–17. https://doi.org/10.1016/j.maturitas.2018.01.007

    Article  PubMed  Google Scholar 

  29. Thodberg K, Sorensen LU, Videbech PB, Poulsen PH, Houbak B, Damgaard V, Keseler I, Edwards D, Christensen JW (2016) Behavioral responses of nursing home residents to visits from a person with a dog, a Robot Seal or a Toy Cat. Anthrozoos 29(1):107–121. https://doi.org/10.1080/08927936.2015.1089011

    Article  Google Scholar 

  30. Covidence systematic review software. Veritas Health Innovation, Melbourne, Australia. Available at www.covidence.org

  31. Higgins JP, Altman DG, Gotzsche PC, Juni P, Moher D, Oxman AD, Savovic J, Schulz KF, Weeks L, Sterne JA, Cochrane Bias Methods G, Statistical Cochrane G (2011) The Cochrane collaboration’s tool for assessing risk of bias in randomised trials. BMJ 343:d5928. https://doi.org/10.1136/bmj.d5928

    Article  PubMed  PubMed Central  Google Scholar 

  32. Kachouie R, Sedighadeli S, Khosla R, Chu MT (2014) Socially Assistive Robots in Elderly Care: a mixed-method systematic literature review. Int J Hum Comput Interact 30(5):369–393. https://doi.org/10.1080/10447318.2013.873278

    Article  Google Scholar 

  33. Oh YH, Kim J, Ju DY (2019) Investigating the preferences of older adults concerning the design elements of a companion robot analysis on type, weight and material of companion robot. Interact Stud 20(3):426–454. https://doi.org/10.1075/is.18070.oh

    Article  Google Scholar 

  34. Giaretta ADD, Michele and, Dragoni N (2018) Adding Salt to Pepper: A Structured Security Assessment over a Humanoid Robot. In, Hamburg, Germany, 2018. ARES 2018. Association for Computing Machinery, New York, NY, USA. https://doi.org/10.1145/3230833.3232807

  35. Heerink M, Krose B, Evers V, Wielinga B (2010) Assessing Acceptance of Assistive Social Agent Technology by older adults: the Almere Model. Int J Social Robot 2(4):361–375. https://doi.org/10.1007/s12369-010-0068-5

    Article  Google Scholar 

  36. Salichs MA, Castro-Gonzalez A, Salichs E, Fernandez-Rodicio E, Maroto-Gomez M, Gamboa-Montero JJ, Marques-Villarroya S, Castillo JC, Alonso-Martin F, Malfaz M (2020) Mini: a New Social Robot for the Elderly. Int J Social Robot 12(6):1231–1249. https://doi.org/10.1007/s12369-020-00687-0

    Article  Google Scholar 

  37. Bemelmans R, Gelderblom GJ, Jonker P, de Witte L (2016) How to use robot interventions in intramural psychogeriatric care; a feasibility study. Appl Nurs Res 30:154–157. https://doi.org/10.1016/j.apnr.2015.07.003

    Article  PubMed  Google Scholar 

  38. Khosla R, Chu MT, Khaksar SMS, Nguyen K, Nishida T (2021) Engagement and experience of older people with socially assistive robots in home care. Assist Technol 33(2):57–71. https://doi.org/10.1080/10400435.2019.1588805

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

A PhD scholarship from Griffith University supported this work.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Wendy Moyle.

Ethics declarations

MG and WM conceived and designed the systematic review. MG and WM completed the title and abstract screening and full-text review. MG and WM completed the quality appraisal. MG undertook data extraction of the papers, and WM confirmed the data extraction. MG wrote the draft manuscript, and WM reviewed and provided a critical contribution to the manuscript. All authors read, provided critical comments, and approved the final manuscript. The authors declare they have no conflict of interest.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Green, M., Dao, D. & Moyle, W. Design Attributes of Socially Assistive Robots for People with Dementia: A Systematic Review. Int J of Soc Robotics 16, 415–427 (2024). https://doi.org/10.1007/s12369-023-01087-w

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12369-023-01087-w

Keywords

Navigation