Cargando…
Quality of Care Perceived by Older Patients and Caregivers in Integrated Care Pathways With Interviewing Assistance From a Social Robot: Noninferiority Randomized Controlled Trial
BACKGROUND: Society is facing a global shortage of 17 million health care workers, along with increasing health care demands from a growing number of older adults. Social robots are being considered as solutions to part of this problem. OBJECTIVE: Our objective is to evaluate the quality of care per...
Autores principales: | , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
JMIR Publications
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7511864/ https://www.ncbi.nlm.nih.gov/pubmed/32902387 http://dx.doi.org/10.2196/18787 |
_version_ | 1783586042269401088 |
---|---|
author | Boumans, Roel van Meulen, Fokke van Aalst, William Albers, Joyce Janssen, Marèse Peters-Kop, Marieke Huisman - de Waal, Getty van de Poll, Alexandra Hindriks, Koen Neerincx, Mark Olde Rikkert, Marcel |
author_facet | Boumans, Roel van Meulen, Fokke van Aalst, William Albers, Joyce Janssen, Marèse Peters-Kop, Marieke Huisman - de Waal, Getty van de Poll, Alexandra Hindriks, Koen Neerincx, Mark Olde Rikkert, Marcel |
author_sort | Boumans, Roel |
collection | PubMed |
description | BACKGROUND: Society is facing a global shortage of 17 million health care workers, along with increasing health care demands from a growing number of older adults. Social robots are being considered as solutions to part of this problem. OBJECTIVE: Our objective is to evaluate the quality of care perceived by patients and caregivers for an integrated care pathway in an outpatient clinic using a social robot for patient-reported outcome measure (PROM) interviews versus the currently used professional interviews. METHODS: A multicenter, two-parallel-group, nonblinded, randomized controlled trial was used to test for noninferiority of the quality of care delivered through robot-assisted care. The randomization was performed using a computer-generated table. The setting consisted of two outpatient clinics, and the study took place from July to December 2019. Of 419 patients who visited the participating outpatient clinics, 110 older patients met the criteria for recruitment. Inclusion criteria were the ability to speak and read Dutch and being assisted by a participating health care professional. Exclusion criteria were serious hearing or vision problems, serious cognitive problems, and paranoia or similar psychiatric problems. The intervention consisted of a social robot conducting a 36-item PROM. As the main outcome measure, the customized Consumer Quality Index (CQI) was used, as reported by patients and caregivers for the outpatient pathway of care. RESULTS: In total, 75 intermediately frail older patients were included in the study, randomly assigned to the intervention and control groups, and processed: 36 female (48%) and 39 male (52%); mean age 77.4 years (SD 7.3), range 60-91 years. There was no significant difference in the total patient CQI scores between the patients included in the robot-assisted care pathway (mean 9.27, SD 0.65, n=37) and those in the control group (mean 9.00, SD 0.70, n=38): P=.08, 95% CI –0.04 to 0.58. There was no significant difference in the total CQI scores between caregivers in the intervention group (mean 9.21, SD 0.76, n=30) and those in the control group (mean 9.09, SD 0.60, n=35): P=.47, 95% CI –0.21 to 0.46. No harm or unintended effects occurred. CONCLUSIONS: Geriatric patients and their informal caregivers valued robot-assisted and nonrobot-assisted care pathways equally. TRIAL REGISTRATION: ClinicalTrials.gov NCT03857789; https://clinicaltrials.gov/ct2/show/NCT03857789 |
format | Online Article Text |
id | pubmed-7511864 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | JMIR Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-75118642020-10-05 Quality of Care Perceived by Older Patients and Caregivers in Integrated Care Pathways With Interviewing Assistance From a Social Robot: Noninferiority Randomized Controlled Trial Boumans, Roel van Meulen, Fokke van Aalst, William Albers, Joyce Janssen, Marèse Peters-Kop, Marieke Huisman - de Waal, Getty van de Poll, Alexandra Hindriks, Koen Neerincx, Mark Olde Rikkert, Marcel J Med Internet Res Original Paper BACKGROUND: Society is facing a global shortage of 17 million health care workers, along with increasing health care demands from a growing number of older adults. Social robots are being considered as solutions to part of this problem. OBJECTIVE: Our objective is to evaluate the quality of care perceived by patients and caregivers for an integrated care pathway in an outpatient clinic using a social robot for patient-reported outcome measure (PROM) interviews versus the currently used professional interviews. METHODS: A multicenter, two-parallel-group, nonblinded, randomized controlled trial was used to test for noninferiority of the quality of care delivered through robot-assisted care. The randomization was performed using a computer-generated table. The setting consisted of two outpatient clinics, and the study took place from July to December 2019. Of 419 patients who visited the participating outpatient clinics, 110 older patients met the criteria for recruitment. Inclusion criteria were the ability to speak and read Dutch and being assisted by a participating health care professional. Exclusion criteria were serious hearing or vision problems, serious cognitive problems, and paranoia or similar psychiatric problems. The intervention consisted of a social robot conducting a 36-item PROM. As the main outcome measure, the customized Consumer Quality Index (CQI) was used, as reported by patients and caregivers for the outpatient pathway of care. RESULTS: In total, 75 intermediately frail older patients were included in the study, randomly assigned to the intervention and control groups, and processed: 36 female (48%) and 39 male (52%); mean age 77.4 years (SD 7.3), range 60-91 years. There was no significant difference in the total patient CQI scores between the patients included in the robot-assisted care pathway (mean 9.27, SD 0.65, n=37) and those in the control group (mean 9.00, SD 0.70, n=38): P=.08, 95% CI –0.04 to 0.58. There was no significant difference in the total CQI scores between caregivers in the intervention group (mean 9.21, SD 0.76, n=30) and those in the control group (mean 9.09, SD 0.60, n=35): P=.47, 95% CI –0.21 to 0.46. No harm or unintended effects occurred. CONCLUSIONS: Geriatric patients and their informal caregivers valued robot-assisted and nonrobot-assisted care pathways equally. TRIAL REGISTRATION: ClinicalTrials.gov NCT03857789; https://clinicaltrials.gov/ct2/show/NCT03857789 JMIR Publications 2020-09-09 /pmc/articles/PMC7511864/ /pubmed/32902387 http://dx.doi.org/10.2196/18787 Text en ©Roel Boumans, Fokke van Meulen, William van Aalst, Joyce Albers, Marèse Janssen, Marieke Peters-Kop, Getty Huisman - de Waal, Alexandra van de Poll, Koen Hindriks, Mark Neerincx, Marcel Olde Rikkert. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 09.09.2020. https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on http://www.jmir.org/, as well as this copyright and license information must be included. |
spellingShingle | Original Paper Boumans, Roel van Meulen, Fokke van Aalst, William Albers, Joyce Janssen, Marèse Peters-Kop, Marieke Huisman - de Waal, Getty van de Poll, Alexandra Hindriks, Koen Neerincx, Mark Olde Rikkert, Marcel Quality of Care Perceived by Older Patients and Caregivers in Integrated Care Pathways With Interviewing Assistance From a Social Robot: Noninferiority Randomized Controlled Trial |
title | Quality of Care Perceived by Older Patients and Caregivers in Integrated Care Pathways With Interviewing Assistance From a Social Robot: Noninferiority Randomized Controlled Trial |
title_full | Quality of Care Perceived by Older Patients and Caregivers in Integrated Care Pathways With Interviewing Assistance From a Social Robot: Noninferiority Randomized Controlled Trial |
title_fullStr | Quality of Care Perceived by Older Patients and Caregivers in Integrated Care Pathways With Interviewing Assistance From a Social Robot: Noninferiority Randomized Controlled Trial |
title_full_unstemmed | Quality of Care Perceived by Older Patients and Caregivers in Integrated Care Pathways With Interviewing Assistance From a Social Robot: Noninferiority Randomized Controlled Trial |
title_short | Quality of Care Perceived by Older Patients and Caregivers in Integrated Care Pathways With Interviewing Assistance From a Social Robot: Noninferiority Randomized Controlled Trial |
title_sort | quality of care perceived by older patients and caregivers in integrated care pathways with interviewing assistance from a social robot: noninferiority randomized controlled trial |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7511864/ https://www.ncbi.nlm.nih.gov/pubmed/32902387 http://dx.doi.org/10.2196/18787 |
work_keys_str_mv | AT boumansroel qualityofcareperceivedbyolderpatientsandcaregiversinintegratedcarepathwayswithinterviewingassistancefromasocialrobotnoninferiorityrandomizedcontrolledtrial AT vanmeulenfokke qualityofcareperceivedbyolderpatientsandcaregiversinintegratedcarepathwayswithinterviewingassistancefromasocialrobotnoninferiorityrandomizedcontrolledtrial AT vanaalstwilliam qualityofcareperceivedbyolderpatientsandcaregiversinintegratedcarepathwayswithinterviewingassistancefromasocialrobotnoninferiorityrandomizedcontrolledtrial AT albersjoyce qualityofcareperceivedbyolderpatientsandcaregiversinintegratedcarepathwayswithinterviewingassistancefromasocialrobotnoninferiorityrandomizedcontrolledtrial AT janssenmarese qualityofcareperceivedbyolderpatientsandcaregiversinintegratedcarepathwayswithinterviewingassistancefromasocialrobotnoninferiorityrandomizedcontrolledtrial AT peterskopmarieke qualityofcareperceivedbyolderpatientsandcaregiversinintegratedcarepathwayswithinterviewingassistancefromasocialrobotnoninferiorityrandomizedcontrolledtrial AT huismandewaalgetty qualityofcareperceivedbyolderpatientsandcaregiversinintegratedcarepathwayswithinterviewingassistancefromasocialrobotnoninferiorityrandomizedcontrolledtrial AT vandepollalexandra qualityofcareperceivedbyolderpatientsandcaregiversinintegratedcarepathwayswithinterviewingassistancefromasocialrobotnoninferiorityrandomizedcontrolledtrial AT hindrikskoen qualityofcareperceivedbyolderpatientsandcaregiversinintegratedcarepathwayswithinterviewingassistancefromasocialrobotnoninferiorityrandomizedcontrolledtrial AT neerincxmark qualityofcareperceivedbyolderpatientsandcaregiversinintegratedcarepathwayswithinterviewingassistancefromasocialrobotnoninferiorityrandomizedcontrolledtrial AT olderikkertmarcel qualityofcareperceivedbyolderpatientsandcaregiversinintegratedcarepathwayswithinterviewingassistancefromasocialrobotnoninferiorityrandomizedcontrolledtrial |