Improving well-being in patients with major neurodegenerative disorders: differential efficacy of brief social robot-based intervention for 3 neuropsychiatric profiles

Manon Demange,1,2 Hermine Lenoir,1,2 Maribel Pino,1,2 Inge Cantegreil-Kallen,1,2 Anne Sophie Rigaud,1,2 Victoria Cristancho-Lacroix1,2 1Department of Geriatrics, Broca Hospital, Greater Paris University Hospitals (APHP), Paris, France; 2Research Team 4468, Paris Descartes University, Paris, France...

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Autores principales:	Demange M, Lenoir H, Pino M, Cantegreil-Kallen I, Rigaud AS, Cristancho-Lacroix V
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	neurodegenerative disorders agitation depression apathy well-being social robot Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/49dc220ebaf644749f01b0d8d8167432
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spelling	oai:doaj.org-article:49dc220ebaf644749f01b0d8d81674322021-12-02T04:25:54ZImproving well-being in patients with major neurodegenerative disorders: differential efficacy of brief social robot-based intervention for 3 neuropsychiatric profiles1178-1998https://doaj.org/article/49dc220ebaf644749f01b0d8d81674322018-07-01T00:00:00Zhttps://www.dovepress.com/improving-well-being-in-patients-with-major-neurodegenerative-disorder-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Manon Demange,1,2 Hermine Lenoir,1,2 Maribel Pino,1,2 Inge Cantegreil-Kallen,1,2 Anne Sophie Rigaud,1,2 Victoria Cristancho-Lacroix1,2 1Department of Geriatrics, Broca Hospital, Greater Paris University Hospitals (APHP), Paris, France; 2Research Team 4468, Paris Descartes University, Paris, France Background: Behavioral and psychological symptoms of dementia (BPSD) affect patients’ daily life and subjective well-being. International recommendations stress nonpharmacological interventions as first-line treatment. While newer psychosocial initiatives adapted to geriatric populations based on social robot therapy have emerged, to our knowledge, no studies on differential efficacy depending on BPSD profiles have been conducted yet.Objectives: This pilot study examined the impact of short exposure to a social robot (Paro®) on the subjective emotional well-being of patients with major neurocognitive disorder as well as its impact on differential effects for 3 BPSD profiles.Methods: Seventeen patients with major NCD with apathy (n=6), depression (n=7), and agitation (n=4) were recruited. The intervention was composed of four 15-minute individual sessions. Exposure occurred without the simultaneous presence of a health care provider. A pre–post assessment of emotional well-being was conducted with the International Positive and Negative Affect Schedule Short-Form, which measures positive and negative affectivity.Results: Overall findings showed a significant increase of positive affectivity (p=0.02). Subgroup analysis demonstrated that agitated patients reduced negative affectivity significantly more than depressed patients (p=0.03). Results also confirmed users’ overall acceptability of the robot.Conclusion: These findings support the usefulness of brief interactive sessions with the Paro robot for elderly patients with major NCD. These preliminary results encourage further research focused on brief interventions using social robotics, as well as on their specific benefits depending on the behavioral typology of patients with neurocognitive disorders. Keywords: neurodegenerative disorders, agitation, depression, apathy, well-being, social robotDemange MLenoir HPino MCantegreil-Kallen IRigaud ASCristancho-Lacroix VDove Medical Pressarticleneurodegenerative disordersagitationdepressionapathywell-beingsocial robotGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 1303-1311 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	neurodegenerative disorders agitation depression apathy well-being social robot Geriatrics RC952-954.6
spellingShingle	neurodegenerative disorders agitation depression apathy well-being social robot Geriatrics RC952-954.6 Demange M Lenoir H Pino M Cantegreil-Kallen I Rigaud AS Cristancho-Lacroix V Improving well-being in patients with major neurodegenerative disorders: differential efficacy of brief social robot-based intervention for 3 neuropsychiatric profiles
description	Manon Demange,1,2 Hermine Lenoir,1,2 Maribel Pino,1,2 Inge Cantegreil-Kallen,1,2 Anne Sophie Rigaud,1,2 Victoria Cristancho-Lacroix1,2 1Department of Geriatrics, Broca Hospital, Greater Paris University Hospitals (APHP), Paris, France; 2Research Team 4468, Paris Descartes University, Paris, France Background: Behavioral and psychological symptoms of dementia (BPSD) affect patients’ daily life and subjective well-being. International recommendations stress nonpharmacological interventions as first-line treatment. While newer psychosocial initiatives adapted to geriatric populations based on social robot therapy have emerged, to our knowledge, no studies on differential efficacy depending on BPSD profiles have been conducted yet.Objectives: This pilot study examined the impact of short exposure to a social robot (Paro®) on the subjective emotional well-being of patients with major neurocognitive disorder as well as its impact on differential effects for 3 BPSD profiles.Methods: Seventeen patients with major NCD with apathy (n=6), depression (n=7), and agitation (n=4) were recruited. The intervention was composed of four 15-minute individual sessions. Exposure occurred without the simultaneous presence of a health care provider. A pre–post assessment of emotional well-being was conducted with the International Positive and Negative Affect Schedule Short-Form, which measures positive and negative affectivity.Results: Overall findings showed a significant increase of positive affectivity (p=0.02). Subgroup analysis demonstrated that agitated patients reduced negative affectivity significantly more than depressed patients (p=0.03). Results also confirmed users’ overall acceptability of the robot.Conclusion: These findings support the usefulness of brief interactive sessions with the Paro robot for elderly patients with major NCD. These preliminary results encourage further research focused on brief interventions using social robotics, as well as on their specific benefits depending on the behavioral typology of patients with neurocognitive disorders. Keywords: neurodegenerative disorders, agitation, depression, apathy, well-being, social robot
format	article
author	Demange M Lenoir H Pino M Cantegreil-Kallen I Rigaud AS Cristancho-Lacroix V
author_facet	Demange M Lenoir H Pino M Cantegreil-Kallen I Rigaud AS Cristancho-Lacroix V
author_sort	Demange M
title	Improving well-being in patients with major neurodegenerative disorders: differential efficacy of brief social robot-based intervention for 3 neuropsychiatric profiles
title_short	Improving well-being in patients with major neurodegenerative disorders: differential efficacy of brief social robot-based intervention for 3 neuropsychiatric profiles
title_full	Improving well-being in patients with major neurodegenerative disorders: differential efficacy of brief social robot-based intervention for 3 neuropsychiatric profiles
title_fullStr	Improving well-being in patients with major neurodegenerative disorders: differential efficacy of brief social robot-based intervention for 3 neuropsychiatric profiles
title_full_unstemmed	Improving well-being in patients with major neurodegenerative disorders: differential efficacy of brief social robot-based intervention for 3 neuropsychiatric profiles
title_sort	improving well-being in patients with major neurodegenerative disorders: differential efficacy of brief social robot-based intervention for 3 neuropsychiatric profiles
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/49dc220ebaf644749f01b0d8d8167432
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Improving well-being in patients with major neurodegenerative disorders: differential efficacy of brief social robot-based intervention for 3 neuropsychiatric profiles

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