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Accepted for/Published in: JMIR Research Protocols

Date Submitted: Dec 22, 2023
Date Accepted: Jul 12, 2024

The final, peer-reviewed published version of this preprint can be found here:

Establishing the Foundations of Emotional Intelligence in Care Companion Robots to Mitigate Agitation Among High-Risk Patients With Dementia: Protocol for an Empathetic Patient-Robot Interaction Study

Nyamathi A, Dutt N, Lee JA, Rahmani A, Rasouli M, Krogh D, Krogh E, Sultzer D, Rashid H, Liaqat H, Jawad R, Azhar F, Ahmad A, Qamar B, Bhatti TY, Khay C, Ludlow J, Gibbs L, Rousseau J, Abbasian M, Brunswicker S

Establishing the Foundations of Emotional Intelligence in Care Companion Robots to Mitigate Agitation Among High-Risk Patients With Dementia: Protocol for an Empathetic Patient-Robot Interaction Study

JMIR Res Protoc 2024;13:e55761

DOI: 10.2196/55761

PMID: 39365656

PMCID: 11489796

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

Establishing the Foundations of Emotional Intelligence of Care Companion Robots to Mitigate Agitation among High Risk Dementia Patients via Emphatic Patient-Robot Interactions

  • Adeline Nyamathi; 
  • Nikil Dutt; 
  • Jung-Ah Lee; 
  • Amir Rahmani; 
  • Mahkameh Rasouli; 
  • Donna Krogh; 
  • Erik Krogh; 
  • David Sultzer; 
  • Humayun Rashid; 
  • Hamza Liaqat; 
  • Riyam Jawad; 
  • Farhan Azhar; 
  • Ali Ahmad; 
  • Bilal Qamar; 
  • Taha Yasin Bhatti; 
  • Chet Khay; 
  • Jocelyn Ludlow; 
  • Lisa Gibbs; 
  • Julie Rousseau; 
  • Mahyar Abbasian; 
  • Sabine Brunswicker

ABSTRACT

Background:

There are an estimated 6.7 million persons living with dementia in the U.S.; expected to double by 2060. Those at highest risk, persons experiencing moderate to severe dementia (P-MSD), are 4-5 times more likely to fall than those without dementia, as they often experience unpredictable agitation, leading to unsteady gait. Socially assistive robots fail to address the dynamically changing emotional states associated with agitation, and there is a lack of understanding how emotional states change, how they impact agitation and gait over time, and how social robots can best respond by showing empathy.

Objective:

Design and validate a foundational model of emotional intelligence for empathic patient-robot interaction that mitigates agitation among those at highest risk, P-MSD.

Methods:

A design science approach will be used to: 1) collect and store granular, personal, chronological data (Personicle), using real-time visual, audio and physiological sensing technologies in a simulation lab and Board & Care facilities; 2) develop statistical models to understand and forecast a P-MSD’s emotional state, agitation level and gait in real-time using ML/AI and the Personicle; 3) design and test an empathy-focused conversation model, focused on storytelling; and 4) test and evaluate the empathy-focused conversation model for the Care Companion Robot (CCR) in the community.

Results:

The architecture development for the Personicle has been initiated with existing open source data and a non-Human Subject approval obtained in November 2023. A Community Advisory Board was formed and met in December 2023, and an ethical board was established with international colleagues. Full IRB was submitted in December 2023.

Conclusions:

This innovative caregiving approach is designed to recognize signs of agitation, and upon recognition, intervene with empathic verbal communication. This proposal thus has the potential to have a significant impact on an emerging field of computational dementia science by reducing unnecessary agitation and falls of P-MSD, while improving caregiver burden.


 Citation

Please cite as:

Nyamathi A, Dutt N, Lee JA, Rahmani A, Rasouli M, Krogh D, Krogh E, Sultzer D, Rashid H, Liaqat H, Jawad R, Azhar F, Ahmad A, Qamar B, Bhatti TY, Khay C, Ludlow J, Gibbs L, Rousseau J, Abbasian M, Brunswicker S

Establishing the Foundations of Emotional Intelligence in Care Companion Robots to Mitigate Agitation Among High-Risk Patients With Dementia: Protocol for an Empathetic Patient-Robot Interaction Study

JMIR Res Protoc 2024;13:e55761

DOI: 10.2196/55761

PMID: 39365656

PMCID: 11489796

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