Exploring Use of Companion Robot Pets for Older Adults in Care Homes

NCT ID: NCT04168463

Last Updated: 2021-02-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

83 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-01-01

Study Completion Date

2021-01-01

Brief Summary

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This study will assess the use and impact of the affordable 'Joy for All' robot pets for older people with and without dementia living in the care homes in South West England.

Robot pets such as Paro have shown potential in improving wellbeing (including reduced agitation, loneliness, medication use, anxiety and depression), however previous work conducted by the investigators suggests Paro is less acceptable to older adults than alternative devices; the Joy for All cat and dog. Paro is also much more expensive (£5000 compared to £100) limiting its use within the real world, and limiting the number of people able to benefit.

The investigators therefore wish to explore the potential of these more affordable robots in achieving wellbeing benefits.

Detailed Description

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This study will be an eight month stepped-wedge, cluster randomised control trial exploring the use and impact of 'Joy for All' robot pets with older people living in care homes in South West England. Participants will include individuals with and without dementia.

The study aims to:

* See if affordable robot pets lead to improved wellbeing and are robust and engaging over 4-8 months in care homes and nursing homes.
* Identify under what circumstances, for which care home residents, and with what impact the robot pets are used.

The wellbeing outcomes to be explored include; neuropsychiatric symptoms, challenging behaviour, communication and loneliness.

Additional outcomes include monitoring of medication use, 1:1 care applications, and maintenance of a usage chart.

Qualitative data will also be collected through reflective diaries maintained by care staff, and interviews following completion of the study.

The study will include residents of eight care homes, which will be stratified into two clusters based on size and dementia service. The two clusters will then be randomised to immediate start (and receive robot animals immediately), or delayed start (and receive robot animals after four months). This provides a period of control. The sample size is primarily informed by feasibility, and the number of residents in each home likely to participate. In total there are approximately 190 residents of which the investigators estimate 100 across the 8 homes will give consent and interact with the robots. If 70% residents (across both arms and over the whole study) benefit from interacting with the robots the 95% confidence interval is 61-79%. This is of sufficient precision.

Measures will be completed at baseline, 4 months and 8 months. Interviews will be conducted at 8 months, and analysed alongside reflective diary entries.

This study should provide understanding of the potential for these more affordable robot pets in improving wellbeing for older people, and insight into their use and implementation.

Conditions

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Aging Dementia Neuropsychiatric Symptoms Wellbeing

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Stepped-wedge, cluster randomised control trial
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

N/A not possible

Study Groups

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Immediate Intervention

This cluster of four homes will receive robot animals immediately at commencement of the eight month trial.

Group Type EXPERIMENTAL

Two Joy for All robots (one cat and one dog)

Intervention Type DEVICE

Intervention will include the opportunity to interact with the Joy for All robot animals.

Delayed Intervention

This cluster of four homes will receive robot animals four months after commencement of the 8 month trial. The four months without robots will serve as a control period.

Group Type OTHER

Two Joy for All robots (one cat and one dog)

Intervention Type DEVICE

Intervention will include the opportunity to interact with the Joy for All robot animals.

Interventions

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Two Joy for All robots (one cat and one dog)

Intervention will include the opportunity to interact with the Joy for All robot animals.

Intervention Type DEVICE

Other Intervention Names

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Robot pets Companion robots

Eligibility Criteria

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Inclusion Criteria

* Any resident at a collaborating care home or nursing home that has consent to participate.

Exclusion Criteria

* Any resident at a collaborating home without consent to participate.
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Plymouth

OTHER

Sponsor Role lead

Responsible Party

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Hannah Bradwell

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hannah L Bradwell, MSc

Role: PRINCIPAL_INVESTIGATOR

PhD Student, School of Nursing and Midwifery, University of Plymouth

Locations

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University of Plymouth

Plymouth, Devon, United Kingdom

Site Status

Countries

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United Kingdom

References

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Moniz-Cook E, Woods R, Gardiner E, Silver M, Agar S. The Challenging Behaviour Scale (CBS): development of a scale for staff caring for older people in residential and nursing homes. Br J Clin Psychol. 2001 Sep;40(3):309-22. doi: 10.1348/014466501163715.

Reference Type BACKGROUND
PMID: 11593958 (View on PubMed)

Strom BS, Engedal K, Saltyte Benth J, Grov EK. Psychometric evaluation of the Holden Communication Scale (HCS) for persons with dementia. BMJ Open. 2016 Dec 13;6(12):e013447. doi: 10.1136/bmjopen-2016-013447.

Reference Type BACKGROUND
PMID: 27965255 (View on PubMed)

Bradwell H, Edwards KJ, Winnington R, Thill S, Allgar V, Jones RB. Implementing Affordable Socially Assistive Pet Robots in Care Homes Before and During the COVID-19 Pandemic: Stratified Cluster Randomized Controlled Trial and Mixed Methods Study. JMIR Aging. 2022 Aug 24;5(3):e38864. doi: 10.2196/38864.

Reference Type DERIVED
PMID: 35830959 (View on PubMed)

Related Links

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Other Identifiers

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268571

Identifier Type: -

Identifier Source: org_study_id

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