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使用治疗性社交辅助宠物机器人(PARO)改善痴呆症患者的情绪并促进社交互动与交流:一项随机对照试验的研究方案

Use of a Therapeutic, Socially Assistive Pet Robot (PARO) in Improving Mood and Stimulating Social Interaction and Communication for People With Dementia: Study Protocol for a Randomized Controlled Trial.

作者信息

Yu Ruby, Hui Elsie, Lee Jenny, Poon Dawn, Ng Ashley, Sit Kitty, Ip Kenny, Yeung Fannie, Wong Martin, Shibata Takanori, Woo Jean

机构信息

Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China (Hong Kong).

出版信息

JMIR Res Protoc. 2015 May 1;4(2):e45. doi: 10.2196/resprot.4189.

Abstract

BACKGROUND

Socially assistive robotics is a growing area for geriatric research.

OBJECTIVE

This single-blind, randomized controlled trial (RCT) aims to investigate the use of PARO, a therapeutic, socially assistive pet robot, in improving mood, and stimulating social interaction and communication for people with dementia in the community.

METHODS

For the study, 40 community-dwelling older Chinese adults (≥60 years) with mild to moderate dementia will be recruited and randomly assigned to the PARO therapy group or the psychosocial activities control group. Both treatments consist of six, 30-minute weekly sessions, which will be conducted in a geriatric day hospital. Subjects in both groups will be assessed by a trained research assistant at baseline (pre-), during, and post-treatment. Mood (assessed with a simplified face scale), social interaction, and communication (ie, facial expressions and reactions towards each treatment, assessed with an observation table) will be the primary outcome measures. Secondary outcome measures will include assessments on cognitive function (Mini-Mental State Examination) and depressive symptoms (Cornell Scale for Depression in Dementia), as well as caregiver burden (Zarit Burden Inventory). Subjective impression towards each treatment and qualitative comments from the caregivers, facilitator, and therapists will also be obtained.

RESULTS

Recruitment to the pilot study began in 2014 and the last subject is expected to complete their post-treatment assessment in 2015.

CONCLUSIONS

This will be the first RCT using PARO to improve mood, and stimulate social interaction and communication in the care of older people with dementia, as well as provide an evidence basis for the use of PARO in dementia care in Hong Kong.

TRIAL REGISTRATION

The Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12614000037606; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12614000037606 (Archived by WebCite at http://www.webcitation.org/6Xi7uXdu9).

摘要

背景

社交辅助机器人技术是老年医学研究中一个不断发展的领域。

目的

这项单盲随机对照试验(RCT)旨在研究治疗性社交辅助宠物机器人PARO对改善社区中痴呆症患者的情绪、促进社交互动和交流的作用。

方法

本研究将招募40名年龄≥60岁、患有轻度至中度痴呆症的社区居住中国老年人,并将其随机分为PARO治疗组或心理社会活动对照组。两种治疗均包括每周6次、每次30分钟的疗程,在老年日间医院进行。两组受试者将由一名经过培训的研究助理在基线期(治疗前)、治疗期间和治疗后进行评估。情绪(用简化面部量表评估)、社交互动和交流(即面部表情以及对每种治疗的反应,用观察表评估)将作为主要结局指标。次要结局指标将包括认知功能评估(简易精神状态检查表)、抑郁症状评估(康奈尔痴呆抑郁量表)以及照顾者负担评估( Zarit负担量表)。还将获取受试者对每种治疗的主观印象以及来自照顾者、协调员和治疗师的定性评价。

结果

试点研究于2014年开始招募受试者,预计最后一名受试者将于2015年完成治疗后评估。

结论

这将是第一项使用PARO改善痴呆症老年患者护理中情绪、促进社交互动和交流的随机对照试验,同时也为PARO在香港痴呆症护理中的应用提供证据基础。

试验注册

澳大利亚新西兰临床试验注册中心(ANZCTR):ACTRN12614000037606;https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12614000037606(由WebCite存档于http://www.webcitation.org/6Xi7uXdu9)

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/83cb/4433493/1bdece99c631/resprot_v4i2e45_fig1.jpg

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