본문 바로가기
KERD
논문KCI 등재

Effectiveness of artificial intelligence robot interventions on psychological health in community-dwelling older adults: A systematic review

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류간호학

초록

Purpose: The global older adult population is rapidly growing, intensifying the burden of elderly care. To alleviate this challenge of an aging society, interventions utilizing artificial intelligence (AI) technology are becoming widespread. This review aimed to examine the effects of AI robot interventions on the psychological outcomes of community-dwelling older adults through a systematic literature review. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method was employed to identify and select relevant studies. Seven electronic databases were thoroughly searched for eligible studies from June 1st to 30th, 2023. Methodological quality was assessed using RoB 2.0 or RoBANS 2. Results: Thirteen studies (five randomized controlled trials and eight quasi-experimental studies) were selected in the systematic review. Among the selected studies, eight provided AI robot interventions individually, whereas five used a group format, primarily addressing older adults with cognitive impairment or dementia. Depression was the most frequently addressed psychological outcome, with six of ten studies reporting significant effects. Additionally, five studies each highlighted significant effects on emotions, such as positive expressiveness and enjoyment. However, quality of life, anxiety, and loneliness revealed divergent results. Conclusion: AI robots show potential in alleviating psychological challenges for older adults. However, due to the scarcity of high-quality studies, the review recommends conducting more randomized controlled trials with rigorous designs. This review is expected to provide valuable insights for planning and executing AI robot interventions to improve psychological outcomes for community-dwelling older adults in future research.

Abstract

Purpose: The global older adult population is rapidly growing, intensifying the burden of elderly care. To alleviate this challenge of an aging society, interventions utilizing artificial intelligence (AI) technology are becoming widespread. This review aimed to examine the effects of AI robot interventions on the psychological outcomes of community-dwelling older adults through a systematic literature review. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method was employed to identify and select relevant studies. Seven electronic databases were thoroughly searched for eligible studies from June 1st to 30th, 2023. Methodological quality was assessed using RoB 2.0 or RoBANS 2. Results: Thirteen studies (five randomized controlled trials and eight quasi-experimental studies) were selected in the systematic review. Among the selected studies, eight provided AI robot interventions individually, whereas five used a group format, primarily addressing older adults with cognitive impairment or dementia. Depression was the most frequently addressed psychological outcome, with six of ten studies reporting significant effects. Additionally, five studies each highlighted significant effects on emotions, such as positive expressiveness and enjoyment. However, quality of life, anxiety, and loneliness revealed divergent results. Conclusion: AI robots show potential in alleviating psychological challenges for older adults. However, due to the scarcity of high-quality studies, the review recommends conducting more randomized controlled trials with rigorous designs. This review is expected to provide valuable insights for planning and executing AI robot interventions to improve psychological outcomes for community-dwelling older adults in future research.

참고문헌 (49)

  1. Yoon H, "Handbook of aging, health and public policy: Perspectives from Asia", pp.1~14 (2023), Springer Nature Singapore
  2. "Population Korea" (2023)[URL]
  3. Kim Y, "Development of a housing with services model that support older adults’ aging in place", Health and Social Welfare Review, 39(2), pp.65~102 (2019)[DOI]
  4. Mois G, "The role of healthcare robotics in providing support to older adults : a socio-ecological perspective", Current Geriatrics Reports, 9(2), pp.82~89 (2020)[DOI]
  5. Vandemeulebroucke T, "The use of care robots in aged care : a systematic review of argument-based ethics literature", Archives of Gerontology and Geriatrics, 74, pp.15~25 (2018)[DOI]
  6. Kim J, "Cases and issues in caring for older adults using AI", robots during the COVID-19 pandemic in the U.S, 2021, pp.16, 16~26
  7. Lee YS, "AI-based senior care service development case analysis and prospects", Journal of the Korea Contents Association, 23(2), pp.647~656 (2023)[DOI]
  8. Bemelmans R, "Socially assistive robots in elderly care : a systematic review into effects and effectiveness", Journal of the American Medical Directors Association, 13(2), pp.114~120 (2012)[DOI]
  9. Hung L, "The benefits of and barriers to using a social robot PARO in care settings : a scoping review", BMC Geriatrics, 19(1), pp.232~ (2019)[DOI]
  10. Lee H, "The effect of cognitive function health care using artificial intelligence robots for older adults : systematic review and meta-analysis", JMIR Aging, 5(2), pp.e38896~ (2022)[DOI]
  11. Donovan NJ, "Social isolation and loneliness in older adults : review and commentary of a national academies report", American Journal of Geriatric Psychiatry, 28(12), pp.1233~1244 (2020)[DOI]
  12. Kim BJ, "Suicidal ideation associated with depression and social support : a survey-based analysis of older adults in South Korea", BMC Psychiatry, 21(1), pp.409~ (2021)[DOI]
  13. 2nd comprehensive support plan for seniors living alone (2018~2022), "Ministry of Health and Welfare", Ministry of Health and Welfare, ~ (2018)
  14. Cho MS, "Factors associated with suicidal ideation : comparisons between elderly living alone and living with others using 2017 national survey of older Koreans", Korean Journal of Health Education and Promotion, 36(2), pp.53~64 (2019)[DOI]
  15. Chen SC, "Social robots for depression in older adults : a systematic review", Journal of Nursing Scholarship, 50(6), pp.612~622 (2018)[DOI]
  16. Oh JH, "Effects of silver-care-robot program on cognitive function, depression, and activities of daily living for institutionalized elderly people", Journal of Korean Academy of Nursing, 45(3), pp.388~396 (2015)[DOI]
  17. Page MJ, "The PRISMA 2020 statement : an updated guideline for reporting systematic reviews", BMJ, 372, pp.n71~ (2021)[DOI]
  18. "Usage and prospects of artificial intelligence and machine learning in the healthcare field" (2019)[URL]
  19. Sterne JAC, "RoB 2 : a revised tool for assessing risk of bias in randomised trials", BMJ, 366, pp.l4898~ (2019)[DOI]
  20. Seo HJ, "RoBANS 2 : a revised risk of bias assessment tool for nonrandomized studies of interventions", Korean Journal of Family Medicine, 44(5), pp.249~260 (2023)[DOI]
  21. Liang A, "A pilot randomized trial of a companion robot for people with dementia living in the community", Journal of the American Medical Directors Association, 18(10), pp.871~878 (2017)[DOI]
  22. Tanaka M, "Effect of a human-type communication robot on cognitive function in elderly women living alone", Medical Science Monitor, 18(9), pp.CR550~CR557 (2012)[DOI]
  23. Otake-Matsuura M, "Cognitive intervention through photo-integrated conversation moderated by robots(PICMOR)program : a randomized controlled trial", Frontiers in Robotics and AI, 8, pp.633076~ (2021)[DOI]
  24. Park EA, "The humanoid robot sil-bot in a cognitive training program for community-dwelling elderly people with mild cognitive impairment during the COVID-19 pandemic : a randomized controlled trial", International Journal of Environmental Research and Public Health, 18(15), pp.8198~ (2021)[DOI]
  25. Sidner CL, "Creating new technologies for companionable agents to support isolated older adults", ACM Transactions on Interactive Intelligent Systems, 8(3), pp.1~27 (2018)[DOI]
  26. Fasola J, "A socially assistive robot exercise coach for the elderly", Journal of Human-Robot Interaction, 2(2), pp.3~32 (2013)[DOI]
  27. Kim S, "Effects of socially assistive robot Hyodol on depressive symptoms and quality of life among community-residing older adults", Journal of the Korean Gerontological Society, 40(5), pp.1021~1034 (2020)[DOI]
  28. Kim YI, "The effect of care-robots on improving anxiety", depression and drug compliance among the elderly in the community, 2020, pp.26(3), 218~226
  29. Pino O, "The humanoid robot NAO as trainer in a memory program for elderly people with mild cognitive impairment", International Journal of Social Robotics, 12, pp.21~33 (2020)[DOI]
  30. Tkatch R, "Reducing loneliness and improving well-being among older adults with animatronic pets", Aging & Mental Health, 25(7), pp.1239~1245 (2021)[DOI]
  31. Valentí Soler M, "Social robots in advanced dementia", Frontiers in Aging Neuroscience, 7, pp.133~ (2015)[DOI]
  32. Kim YM, "The effects of AI robot integrated management program on cognitive function, daily life activity, and depression of the elderly at home", Journal of Digital Convergence, 20(2), pp.511~523 (2022)[DOI]
  33. Krakovski M, ""Gymmy" : designing and testing a robot for physical and cognitive training of older adults", Applied Sciences, 11(14), pp.6431~ (2021)[DOI]
  34. Andtfolk M, "Humanoid robots in the care of older persons : a scoping review", Assistive Technology, 34(5), pp.518~526 (2022)[DOI]
  35. "IEEE Robotics & Automation Magazine", 2012, 98~100, 10.1109[DOI]
  36. Bedaf S, "What are the preferred characteristics of a service robot for the elderly? A multi-country focus group study with older adults and caregivers", Assistive Technology, 31(3), pp.147~157 (2019)[DOI]
  37. Tu YC, "Age-related differences in the uncanny valley effect", Gerontology, 66(4), pp.382~392 (2020)[DOI]
  38. Song CS, "The role of the human-robot interaction in consumers’ acceptance of humanoid retail service robots", Journal of Business Research, 146, pp.489~503 (2022)[DOI]
  39. Miyagawa M, "The optimization of humanoid robot’s dialog in improving communication between humanoid robot and older adults", Intelligent Control and Automation, 10(3), pp.118~127 (2019)[DOI]
  40. Ma B, "Artificial intelligence in elderly healthcare : a scoping review", Ageing Research Reviews, 83, pp.101808~ (2023)[DOI]
  41. Jo KH, "Frequency of depressive disorders according to cognitive continuum in the elderly living in the community", Journal of Korean Geriatric Psychiatry, 24(1), pp.1~9 (2020)[DOI]
  42. Kim EJ, "The effects of community-based rehabilitation(CBR)on the elderly with mild cognitive impairment(MCI) : a systematic review and meta analysis", Journal of the Korea Contents Association, 19(7), pp.628~637 (2019)[DOI]
  43. Loveys K, "Artificial intelligence for older people receiving long-term care : a systematic review of acceptability and effectiveness studies", The Lancet : Healthy Longevity, 3(4), pp.e286~e297 (2022)[DOI]
  44. Yoon D, "Technology acceptance in later life : a review of two decades(2000 to 2020)in South Korea", Journal of the Korean Gerontological Society, 43(4), pp.393~419 (2023)[DOI]
  45. Abendschein B, "Novelty experience in prolonged interaction : a qualitative study of socially-isolated college students’ in-home use of a robot companion animal", Frontiers in Robotics and AI, 9, pp.733078~ (2022)[DOI]
  46. Tak SH, "Gerontological nursing in the era of the fourth industrial revolution", Journal of Korean Gerontological Nursing, 20(Suppl 1), pp.160~165 (2018)[DOI]
  47. Jacob L, "Relationship between living alone and common mental disorders in the 1993, 2000 and 2007 National Psychiatric Morbidity Surveys", PLoS One, 14(5), pp.e0215182~ (2019)[DOI]
  48. Liu X, "Reporting guidelines for clinical trial reports for interventions involving artificial intelligence : the CONSORT-AI extension", Nature Medicine, 26(9), pp.1364~1374 (2020)[DOI]
  49. "Why the idea of ‘care robots’ could be bad news for the elderly" (2019)[URL]

관련 논문AI추천

이 간행물의 다른 논문 (10건)