RoboCare - Technology in Care Homes

Study Overview
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Brief Summary
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This study primary objective of this study is to identify promoting and hindering factors that affect the implementation of a smart robot in a care home setting.

Detailed Description
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People living with dementia represents a vulnerable group with a high need for person centred care to maintain a high quality of life. Loneliness and social isolation is already a common problem in care homes and has become a global challenge during the pandemic because of its negative effect on health. As a response to missing social interactions, technology with the intent to enhance communication and encourage activities have been introduced in care homes. However, there is a lack of knowledge about the introduction and use of technology. To gain insight into this, Centre for Age-Related Medicine at Stavanger University Hospital SESAM has carried out a pilot project made possible by DAM Foundation, where the smart robot Berntsen (hereinafter referred to as Berntsen) was used for video communication. The pilot project show that the use requires organizational leadership, motivated care staff and a well-organized introduction, and that there is a great need for more knowledge about these factors in order to develop a good implementation strategy. Hence, SESAM has started the ground breaking project RoboCare - Effectiveness, efficiency, uptake and use of a smart robot in care homes: A cluster randomized trial and implementation study to investigate if Berntsen can reduce loneliness and social isolation, increase residents' quality of life and increase staff job satisfaction. Berntsen is an iPad on a stand with wheels or a tripod suitable for tabled tops, with content that can be customized to the user. It can promote person centred activities, tailored schedules and facilitate video communication. Berntsen can also act as a personal trainer with customized exercise videos in collaboration with a physical therapist. This study will be part of the cluster RCT to explore which factors are important for implementation from the micro-level (person with dementia, family member and staff) perspective, and what must be set for optimal use of Berntsen in a care home. It is of vital importance that all stakeholders are involved in an implementation process to integrate technology. These aspects are however less described in research concerning development of technological interventions in care homes. Consequently, knowledge concerning care staff, residents and informal carers is scarce. Design: An explorative qualitative study consisting of 3 sub studies: A qualitative study to investigate the resident, family member and care staff perspective on implementation and use of technology in a care home setting A qualitative study to investigate the resident, family member and care staff experience using Berntsen as part of daily practice and for communication. A qualitative observational study to investigate the dynamic between people living with dementia and family member during communication through Berntsen.

Official Title
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RoboCare - Implementation of a Smart Robot in Care Homes

Conditions
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Dementia

Intervention / Treatment
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* Other: No intervention


Participation Criteria
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Eligibility Criteria
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Care staff: Any care staff in the included care homes will be invited to participate Residents Inclusion Criteria: Dementia diagnosis at the time of inclusion equivalent with stage 5 (Moderately severe cognitive decline) on the Functional Assessment Staging Tool (FAST) Exclusion Criteria: Any participants who are not able to give informed consent themselves or through a consultee will not be included in the project. Family member All family members of included residents will be invited to participate in the project
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Care staff<br> | Other: No intervention<br>* No intervention<br>|
| Residents<br> | Other: No intervention<br>* No intervention<br>|
| Family members<br> | Other: No intervention<br>* No intervention<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hindering and promoting factors to technology implementation | Measured using qualitative interviews with care staff, residents and family members and observation of residents and family members | Three years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Implementation and use of technology in a care home setting | Measured by qualitative focus group interviews with care staff, and individual interviews with residents and family members in dyads. Interviews will be based on semi-structured interview guide. | July - December 2022 | 
| User perspective on Berntsen | Measured by qualitative focus group interviews with care staff, and individual interviews with residents and family members in dyads. Interviews will be based on semi-structured interview guide. | January - June 2023 | 
| People with dementia and family member communication through Berntsen | Measured by observation of people living with dementia and family members during communication through Berntsen. Observations will be based on an observation guide. | July - December 2023 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Care home, Technology, Person centred care