Assistant without Master? Some Conceptual Implications of Assistive Robotics in Health Care

The subject of “technical assistants” in inpatient care is currently being widely discussed in scientific and public circles. In many cases, though, it has become apparent that the umbrella term “assistive technologies”, also in the context of robotics, is very contrived. Against this background, the authors of this article reflect on the meaning of “assistance” in socio-technical systems, and critically review its relevance. To understand and demonstrate “assistive” functions, it is essential to establish a frame of reference. The re-evaluation of an empirical study of people with dementia in inpatient care has revealed the functional character of technical assistance systems. The results, however, show that the theoretical debate on the social and organisational function of “assistance” in these technical fields is still lacking. Therefore, the reflections in this paper may also provide some starting points for this debate

Robotic devices and ICT in long-term care in Japan: Their potential and limitations from a workplace perspective

In light of its rapidly aging society, Japan is pressured to full-heartedly address the labor shortage in long-term care. Among the various policy options currently in discussion, government agencies and business sector representatives agree that robotic devices and information and communication technology (ICT) constitute a suitable countermeasure. However, during our research in Japan in 2019, we found that robotic devices and ICT are only reluctantly being introduced into long-term care facilities. Based on our field visits and interviews as well as supplementary document research, this paper discusses the potential that facility managers ascribe to robotic devices and ICT when it comes to alleviating the labor shortage in the long-term care institutions they run. Of particular interest is the question to what degree the usage of robotic devices and ICT could reduce the physical hardships and mental stress that staff in long-term caregiving experience. This paper will further our understanding of the labor situation in long-term care facilities and contribute to the research field of robotic devices and ICT in Japan’s labor market

Conversational affective social robots for ageing and dementia support

Socially assistive robots (SAR) hold significant potential to assist older adults and people with dementia in human engagement and clinical contexts by supporting mental health and independence at home. While SAR research has recently experienced prolific growth, long-term trust, clinical translation and patient benefit remain immature. Affective human-robot interactions are unresolved and the deployment of robots with conversational abilities is fundamental for robustness and humanrobot engagement. In this paper, we review the state of the art within the past two decades, design trends, and current applications of conversational affective SAR for ageing and dementia support. A horizon scanning of AI voice technology for healthcare, including ubiquitous smart speakers, is further introduced to address current gaps inhibiting home use. We discuss the role of user-centred approaches in the design of voice systems, including the capacity to handle communication breakdowns for effective use by target populations. We summarise the state of development in interactions using speech and natural language processing, which forms a baseline for longitudinal health monitoring and cognitive assessment. Drawing from this foundation, we identify open challenges and propose future directions to advance conversational affective social robots for: 1) user engagement, 2) deployment in real-world settings, and 3) clinical translation

Robots in Service and Nursing Care - An Investigation into Japan’s Robot Use and Development

Postponed access: the file will be accessible after 2020-11-30We are currently seeing a rapid growth in the investment and development of robots to assist or replace human workers and efforts in many aspects of life. Due to Japan’s proportionally large and growing elderly population along with a shrinking workforce, the Japanese government has chosen to promote the research, development, and use of robots in fields such as nursing care. Other countries are also facing the same problems as Japan but have not chosen to promote the alternative futuristic solution to the same extent. In a pursuit to better understand the impact that robots already have and will have on society and everyday life, we have researched the topic of assistive robots in the service and nursing care context. Through a design science framework and mixed methods approach, performing semi-structured interviews with robot developers, professors in robotics and nursing care staff, observations on the use of robots in real-life settings, case studies, and one experiment, we have developed a comprehensive analysis and understanding of the research problem. To analyze the data, content analysis and the grounded theory were used. An experiment and two case studies were used to investigate attitudes, perceived benefits, and disadvantages of using robots. Furthermore, interviews and observations were conducted at nursing care facilities to investigate the possibility of assisting or even substituting humans with robots in settings that usually require a sense of human warmth and care. Previous research often focusses on individual robots or on literature review without field data. It would seem like the literature is lacking a deeper perspective, while at the same time, painting a wider picture of the domain itself. Therefore, this research investigated the development and experiences with robots that already exist and have been tested in real-world settings. The findings of the study summarized the literature on robots in nursing care, attitudes towards robots across countries and Japan’s strategy for further integrating robots into their society. Other results include real experience with the use of robots in nursing facilities and theories grounded in the ideas and thoughts behind the development of robots commonly used today. An experiment exploring empathy towards robots demonstrated the distinctiveness of robots, as compared to dolls, in enhanced empathy towards them. Two case studies captured views from university students and primary school pupils based on interaction with the humanoid robot Pepper. Pupils found Pepper to be useful and likable, while university students found the interaction to be fun, but frustrating at times. Based on the field studies, we could conclude that Japanese robot developers and researches recommend robots to be inferior to users in terms of intelligence and relationship, but also capable of easy interaction and ideally reading between lines in communication. In nursing care, robots are currently taking the role of pets (Paro and Qoobo), a child (Pepper, Paro, PALRO, RoBoHon, and Smibi) and even as a staff member (Pepper), capable of entertaining and accompanying elderly to help with mental well-being. There might be a current lack of ethical and safety standards for such robots. However, safety and ethical issues are considered by developers and professors in terms of privacy, deception, attachment, mechanical safety. Current robots have different levels of cognitive capacities depending on purpose and interaction style. Goals for the future include improvement in aspects such as intelligence, marketing strategies, and educating users on robots’ capabilities and limitations.Masteroppgave i informasjonsvitenskapINFO390MASV-IKTMASV-INF

Care Robotics in Aging Japan: Creating Technical Solutions for the World’s Demographic Problem?

Japan is an ideal country for studying the effects of population aging that cause a wide range of societal issues, ranging from labor shortages and increasing pressure on the welfare state, to growing old age-related poverty and the need for improving productivity to sustain economic prosperity. The research question, which the scientific exploration at hand addresses, is what kind of technologies, generically referred to as robots, may be able to mitigate care problems and generate new solutions, and even further, improve the general health of the Japanese population or serve as a blueprint for other aging societies. Therefore, the case of Japan can be utilized to describe which strategies decision-makers face, as well as the challenges and opportunities caused by such a demographic transition to cope with the effects. The Japanese government prioritizes the large-scale introduction of robotics in areas of worsening labor shortages and daily life. The New Robot Strategy (NRS), a five-year policy-action plan compiled in 2015, is the new tool to coordinate the support for actors in the robotics industry, to finally leverage the predicted large market potential. Whereas policy-makers are concerned with creating a better infrastructure for the creation of versatile robots (e.g. regulative considerations, channeling of subsidies), the bureaucracy (e.g. METI, MHLW) is supposed to supervise the policy implementation and to link important public and private actors of robotics development (e.g. universities, robot-makers, research institutes). The coordination of this triangle of three stakeholder groups will be vital for the success of large-scale implementation of robotics to lessen the burden on caregivers, improve average health and wellbeing and exploit the economic potential of the silver market. Rapidly aging societies are a worldwide demographic phenomenon. Whatever feasible technical solution for care Japan invents for its own society is likely to have an impact elsewhere in the world. If the development of care robots works in Japan, it will likely be of fundamental relevance to other aging societies and may incidentally come to be one of the next export successes for Japan. It might be a chance for the government to kill two birds with one stone: taking care of Japan’s elderly and the Japanese economy at the same time. Whether there is a realistic chance this unique technical-driven approach to solving social problems to work out will be at the heart of this academic inquiry

A study of the possibilities and effect of assistive robots in the intramural elderly healthcare

This study examined the use of social robots in nursing homes for people with dementia – an uncomfortable topic for many people. Together with professionals, the study examined whether and how the robotic seal Paro can help to improve healthcare. Three applications were developed and implemented in three different nursing homes. Over one hundred residents and over forty healthcare professionals (nursing home doctors, psychologists and nursing assistants) participated in the study. The research found that robots can have a significant added value in the healthcare sector if they are used accurately. They helped to improve the residents' moods (less agitation and aggression and more activation) and made it easier for healthcare providers to carry out their daily tasks, such as washing and dressing residents, administering medication and giving pedicures. As a result of this study, the robotic seal will be implemented in several healthcare institutes