A new concept of human-machine-interaction for the care of people with dementia in long-term care facilities

ISRCTN ISRCTN17968122
DOI https://doi.org/10.1186/ISRCTN17968122
Secondary identifying numbers 100294374
Submission date
13/12/2024
Registration date
19/02/2025
Last edited
19/02/2025
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
This research is looking at whether a robot is beneficial in group therapy for people with dementia. Before examining the effect of the robot, this study will examine whether the robot is accepted by the therapists, therapy attendees and their relatives.

Who can participate?
As the study is limited to the place where the robot is, only residents of the Wohnpark Elsa Fenske in Dresden, their informal caregivers and professional caregivers working there can participate. Participants need to be 18 years or older.

What does the study involve?
The residents will attend group therapy multiple times a week. The therapy is called MAKS and is usually administered by two trained therapists. At different times during the study, a social robot will be part of the therapy as well providing different functions to the therapist and attendees.

What are the possible benefits and risks of participating?
Group therapy is proven to benefit its attendees regarding their autonomy and cognition. The feedback from all participants will influence how the robot is developed further. All methods are non-invasive. The robot is certified to be used in public spaces and does not pose a risk to the participants.

Where is the study run from?
The study is a project between the Universitätsklinikum Erlangen, the University of Applied Science Dresden and the Cultus gGmbH in Dresden. All parts of the study are carried out in Dresden, Germany.

When is the study starting and how long is it expected to run for?
July 2017 to September 2022

Who is funding the study?
The European Union via the European Fund for Regional Development.

Who is the main contact?
Elmar Graessel, elmar.graessel@fau.de

Contact information

Prof Elmar Graessel
Public, Scientific, Principal Investigator

Schwabachanlage 6
Erlangen
91054
Germany

Phone +49 9131 8534 810
Email elmar.graessel@fau.de

Study information

Study designProspective single-centre longitudinal interventional study
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Care home
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet.
Scientific titleCare4All - Initial - A new concept of human-machine-interaction for the care of people with dementia
Study acronymCare4All
Study objectivesWhat changes due to the deployment of a social robot in a group therapy for people with dementia regarding the acceptance of the robot by professional caregivers, informal caregivers and therapy attendees?
Ethics approval(s)

Approved 25/07/2018, Ethics Committee of the Friedrich-Alexander University Erlangen-Nuremberg (Ethik-Kommission der Friedrich-Alexander-Universität Erlangen-Nürnberg) (Krankenhausstr. 12, Erlangen, 91054, Germany; +49-9131-8522270; ethikkommission@fau.de), ref: 252_18 B

Health condition(s) or problem(s) studiedGroup therapy for residents of long-term care facility with mild to moderate dementia
InterventionThis is a prospective single-centre longitudinal interventional study on the deployment of a social robot in group therapy for people with dementia without a control group.

A social robot is deployed as a complement to the therapist in the psychosocial group therapy "MAKS" for a group of people with dementia in a long-term care facility. The functions of the robot are developed throughout the study and are designed to assist the therapist, e.g. taking attendance, reading news aloud, and singing karaoke with the attendees. The robot does not provide nursing care. The acceptance of the robot by professional and informal caregivers is assessed via questionnaires, and the acceptance by the therapy attendees is assessed using observational measures (Facial Action Coding System).
Intervention typeOther
Primary outcome measure1. Therapy attendees: Observed emotions are measured using the Facial Action Coding System (FACS) at baseline, 5, 12, 16, and 31 months after baseline
2. Professional Caregivers: Technology acceptance measured using the Unified Theory of Acceptance and Use of Technology (UTAUT) at 13 months after start of study
3. Informal Caregivers: Technology acceptance measured using UTAUT at 13 months after start of study
Secondary outcome measuresThere are no secondary outcome measures
Overall study start date01/07/2017
Completion date30/09/2022

Eligibility

Participant type(s)Health professional, Carer, Resident
Age groupMixed
Lower age limit18 Years
SexBoth
Target number of participants172
Total final enrolment172
Key inclusion criteriaResident:
1. Mild to moderate dementia (Mini-Mental Status Examination score between 23 and 10)
2. Resident of long-term care facility
3. Consent to participate

Health professional:
1. Working at a long-term care facility
2. consent to participate

Carer:
1. Informal caregiver of the resident of the long-term care facility
2. Consent to participate
Key exclusion criteriaResident:
Unfit to participate in group setting

Health professional:
None

Carer:
None
Date of first enrolment09/11/2017
Date of final enrolment15/08/2021

Locations

Countries of recruitment

  • Germany

Study participating centre

Cultus gGmbH Dresden Wohnpark Elsa Fenske
Freiberger Str. 18
Dresden
01067
Germany

Sponsor information

Hochschule für Technik und Wirtschaft Dresden – University of Applied Sciences
University/education

Friedrich-List-Platz 1
Dresden
01069
Germany

Phone +49 351 462 2540
Email hans-joachim.boehme@htw-dresden.de

Funders

Funder type

Government

European Fund for Regional Developement (EFRD)

No information available

Results and Publications

Intention to publish date30/06/2025
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a peer-reviewed journal. Acceptance of social robot by people with dementia: Got bot? - Video analysis of a mobile service robot in psychosocial group therapy for people with dementia. Under review: BMC digital health
IPD sharing planThe datasets generated during and/or analysed during the current study will be availabe upon request from Elmar Graessel, elmar.graessel@fau.de.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Other publications 31/12/2020 17/12/2024 Yes No
Results article 01/07/2022 17/12/2024 Yes No

Editorial Notes

17/12/2024: Study's existence confirmed by the Ethics Committee of the Friedrich-Alexander University Erlangen-Nuremberg (Ethik-Kommission der Friedrich-Alexander-Universität Erlangen-Nürnberg).