Menzies Health Institute Queensland, Griffith University, Brisbane, Queensland, Australia.
School of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia.
J Adv Nurs. 2022 Feb;78(2):587-594. doi: 10.1111/jan.15106. Epub 2021 Nov 26.
This study aims to test the feasibility of the PainChek app to assess pain for people with dementia living in residential aged care facilities (RACFs). It will also identify the optimal dosage and efficacy of a social robot (personal assistant robot [PARO]) intervention on chronic pain for people with dementia.
This is a feasibility randomized controlled trial with three groups.
Forty-five residents living with dementia and chronic pain will be recruited from one RACF. The intervention consists of an individual 15-min non-facilitated session with a PARO robot twice a day (Group 1), a PARO robot once a day (Group 2), or a Plush-Toy (non-robotic PARO) once a day (Group 3) from Monday to Friday for 4 weeks. Participants will be followed at 4 and 8 weeks after baseline assessments. The primary outcome will be the feasibility of using the PainChek app to measure changes in pain levels before and after each session. Secondary outcomes include staff-rated pain levels, neuropsychiatric symptoms, quality of life and changes in psychotropic and analgesic medication use. Participants, staff and family perceptions of using PARO and the PainChek app will be collected after the 4-week intervention.
This study will test the use of the PainChek app and PARO to improve pain management for people with dementia. Results from this study will help determine its usefulness, feasibility and acceptability for pain management in people with dementia living in RACFs.
As pain is a significant problem for people with dementia, this project will generate evidence on the use of the PainChek to measure the efficacy of a social robot intervention that has the potential to improve the quality of pain care in people with dementia.
Australian and New Zealand Clinical Trials Registry number (ACTRN12621000837820) date registered 30/06/2021.
本研究旨在测试 PainChek 应用程序评估居住在养老院(RACF)中的痴呆症患者疼痛的可行性。它还将确定社交机器人(个人助理机器人 [PARO])干预对痴呆症患者慢性疼痛的最佳剂量和疗效。
这是一项具有三组的可行性随机对照试验。
将从一个 RACF 招募 45 名患有痴呆症和慢性疼痛的居民。干预措施包括每天两次与 PARO 机器人进行 15 分钟的非辅导会议(第 1 组),每天一次与 PARO 机器人(第 2 组)或每天一次与毛绒玩具(非机器人 PARO)(第 3 组)进行一次,为期 4 周。参与者将在基线评估后 4 周和 8 周进行随访。主要结果将是使用 PainChek 应用程序在每次会议前后测量疼痛程度变化的可行性。次要结果包括员工评定的疼痛程度、神经精神症状、生活质量以及精神药物和镇痛药使用的变化。在 4 周干预结束后,将收集参与者、工作人员和家属对使用 PARO 和 PainChek 应用程序的看法。
本研究将测试使用 PainChek 应用程序和 PARO 改善痴呆症患者的疼痛管理。这项研究的结果将有助于确定其在 RACF 中管理痴呆症患者疼痛的有用性、可行性和可接受性。
由于疼痛是痴呆症患者的一个重大问题,该项目将提供有关使用 PainChek 测量社交机器人干预效果的证据,该干预措施有可能改善痴呆症患者的疼痛护理质量。
澳大利亚和新西兰临床试验注册中心编号(ACTRN12621000837820),于 2021 年 6 月 30 日注册。