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A Social Robot to Deliver an 8-Week Intervention for Diabetes Management: Initial Test of Feasibility in a Hospital Clinic

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Social Robotics (ICSR 2020)

Abstract

Social robots show significant potential as a healthcare coach for chronic life-long conditions and within medical settings. This 8-week feasibility trial explored a robot-delivered talk-based program for adolescents with Type 1 Diabetes to coach diabetes management with a focus on healthy eating habits. Trial objectives were to assess initial recruitment uptake, treatment effects, and evaluations of the program before a larger deployment. A NAO robot delivered two 60-minute coaching sessions and two 15-minute videos over an 8-week period. Initial findings revealed the robot program had a 44% uptake rate (n = 4). The robot program helped two participants achieve a 70% reduction in their high-sugar food and drink consumption, including increased motivation and self-efficacy scores. Program evaluation found the robot-delivered content did elicit discussion around personal incentives, goals, strategies, goal planning and consideration to improve diabetes management. Robot evaluation scores increased over time for improved likability, helpfulness, trust, and capacity to help change behavior. Qualitative evaluation found sessions were rated as interactive, supportive, and helpful for their self-management. Results found preliminary support for a robot-delivered program to be offered in conjunction with a hospital outpatient clinic, but more recruitment to increase sample size is needed. The next stage involves technical refinement, better integration into an existing service, and trial extension or replication in a larger sample to further substantiate these findings.

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References

  1. Alemi, M., Ghanbarzadeh, A., Meghdari, A., Moghadam, L.J.: Clinical application of a humanoid robot in pediatric cancer interventions. Int. J. Soc. Robot. 8(5), 743–759 (2015). https://doi.org/10.1007/s12369-015-0294-y

    Article  Google Scholar 

  2. American Diabetes Association: Diagnosis and classification of diabetes mellitus. Diab. Care 37(1), S81–S90 (2014). https://doi.org/10.2337/dc14-S081

    Article  Google Scholar 

  3. Andrade, J., Khalil, M., Dickson, J., May, J., Kavanagh, D.J.: Functional imagery training to reduce snacking: testing a novel motivational intervention based on elaborated intrusion theory. Appetite 100, 256–262 (2016). https://doi.org/10.1016/j.appet.2016.02.015

    Article  Google Scholar 

  4. Babler, E., Strickland, C.J.: Moving the journey towards independence: adolescents transitioning to successful diabetes self-management. J. Pediatr. Nurs. 30(5), 648–660 (2015). https://doi.org/10.1016/j.pedn.2015.06.005

    Article  Google Scholar 

  5. Baroni, I., et al.: What a robotic companion could do for a diabetic child. In: IEEE International Symposium on Robot and Human Interactive Communication, pp. 936–941 (2014)

    Google Scholar 

  6. Beran, T.N., Ramirez-Serrano, A., Vanderkooi, O.G., Kuhn, S.: Reducing children’s pain and distress towards flu vaccinations: a novel and effective application of humanoid robotics. Vaccine 31(25), 2772–2777 (2013). https://doi.org/10.1016/j.vaccine.2013.03.056

    Article  Google Scholar 

  7. Bryden, K.S., Peveler, R.C., Stein, A., Neil, A., Mayou, R.A., Dunger, D.B.: Clinical and psychological course of diabetes from adolescence to young adulthood - a longitudinal cohort study. Diab. Care 24(9), 1536–1540 (2001). https://doi.org/10.2337/diacare.24.9.1536

    Article  Google Scholar 

  8. Calderita, L.V., Manso, L.J., Bustos, P., Suárez-Mejías, C., Fernández, F., Bandera, A.: THERAPIST: towards an autonomous socially interactive robot for motor and neurorehabilitation therapies for children. JMIR Rehabil. Assist. Technol. 1(1), e1 (2014). https://doi.org/10.2196/rehab.3151

    Article  Google Scholar 

  9. Cañamero, L., Lewis, M.: Making new “New AI” friends: designing a social robot for diabetic children from an embodied AI perspective. Int. J. Soc. Robot. 8(4), 523–537 (2016). https://doi.org/10.1007/s12369-016-0364-9

    Article  Google Scholar 

  10. Carlsen, S., et al.: Glycemic control and complications in patients with type 1 diabetes-Â a registry-based longitudinal study of adolescents and young adults. Pediatr. Diab. 18(3), 188–195 (2017). https://doi.org/10.1111/pedi.12372

    Article  Google Scholar 

  11. Christie, D., Channon, S.: Using motivational interviewing to engage adolescents and young adults with diabetes. Pract. Diab. 31(6), 252–256 (2014). https://doi.org/10.1002/pdi.1878

    Article  Google Scholar 

  12. Darke, S., Hall, W., Wodaki, A., Heather, N., Ward, J.: Development and validation of a multidimensional instrument for assessing outcome of treatment among opiate users: the opiate treatment index. Br. J. Addict. 87(5), 733–742 (1992). https://doi.org/10.1111/j.1360-0443.1992.tb02719.x

    Article  Google Scholar 

  13. Delamater, A., de Wit, M., McDarby, V., Malik, J., Acerini, C.: ISPAD clinical practice consensus guidelines 2014 compendium. Pediatr. Diab. 15(S20), 232–244 (2014). https://doi.org/10.1111/pedi.12191

    Article  Google Scholar 

  14. van Der Drift, E., Beun, R.J., Looije, R., Blanson Henkemans, O., Neerincx, M.: A remote social robot to motivate and support diabetic children in keeping a diary. In: ACM/IEEE International Conference on Human-Robot Interaction, pp. 463–470 (2014)

    Google Scholar 

  15. Grossman, H.Y., Brink, S., Hauser, S.T.: Self-efficacy in adolescent girls and boys with insulin-dependent diabetes mellitus. Diab. Care 10(3), 324–329 (1987). https://doi.org/10.2337/diacare.10.3.324

    Article  Google Scholar 

  16. Guest, G., MacQueen, K.M., Namey, E.E.: Applied Thematic Analysis. Sage Publications, Thousand Oaks (2011)

    Google Scholar 

  17. Hare, M.J., Shaw, J.E., Zimmet, P.Z.: Current controversies in the use of haemoglobin A1c. J. Internal Med. 271(3), 227–236 (2012). https://doi.org/10.1111/j.1365-2796.2012.02513.x

    Article  Google Scholar 

  18. Holmes, E.A., Mathews, A.: Mental imagery in emotion and emotional disorders. Clin. Psychol. Rev. 30(3), 349–362 (2010). https://doi.org/10.1016/j.cpr.2010.01.001

    Article  Google Scholar 

  19. Kavanagh, D.J., Robinson, N., Connolly, J., Connor, J., Andrade, J., May, J.: The revised four-factor motivational thought frequency and state motivation scales for alcohol control. Addict. Behav. 87, 69–73 (2018). https://doi.org/10.1016/j.addbeh.2018.05.026

    Article  Google Scholar 

  20. Kruijff-Korbayová, I., et al.: Effects of off-activity talk in human-robot interaction with diabetic children. In: IEEE International Symposium on Robot and Human Interactive Communication, pp. 649–654 (2014)

    Google Scholar 

  21. Levine, B.S., Anderson, B.J., Butler, D.A., Antisdel, J.E., Brackett, J., Laffel, L.M.B.: Predictors of glycemic control and short-term adverse outcomes in youth with type 1 diabetes. J. Pediatr. 139(2), 197–203 (2001). https://doi.org/10.1067/mpd.2001.116283

    Article  Google Scholar 

  22. Levine, B.S., Anderson, B.J., Butler, D.A., Antisdel, J.E., Brackett, J., Laffel, L.M.: Predictors of glycemic control and short-term adverse outcomes in youth with type 1 diabetes. J. Pediatr. 139(2), 197–203 (2001). https://doi.org/10.1067/mpd.2001.116283

    Article  Google Scholar 

  23. Malik, N.A., Yussof, H., Hanapiah, F.A.: Potential use of social assistive robot based rehabilitation for children with cerebral palsy. In: IEEE International Symposium on Robotics and Manufacturing Automation, pp. 1–6. IEEE (2016)

    Google Scholar 

  24. Martí Carrillo, F., Butchart, J., Knight, S., Scheinberg, A., Wise, L., Sterling, L., McCarthy, C.: In-situ design and development of a socially assistive robot for Paediatric rehabilitation. In: ACM/IEEE International Conference on Human-Robot Interaction, pp. 199–200 (2017)

    Google Scholar 

  25. Miller, W.R., Rollnick, S.: Motivational Interviewing: Helping People Change, vol. 3rd. Guilford Press, New York (2013)

    Google Scholar 

  26. Moerman, C.J., van der Heide, L., Heerink, M.: Social robots to support children’s well-being under medical treatment: a systematic state-of-the-art review. J. Child Health Care 23(4), 596–612 (2019). https://doi.org/10.1177/1367493518803031

    Article  Google Scholar 

  27. Neerincx, A., Sacchitelli, F., Kaptein, R., van der Pal, S., Oleari, E., Neerincx, M.A.: Child’s culture-related experiences with a social robot at diabetes camps. In: ACM/IEEE International Conference on Human-Robot Interaction, pp. 485–486 (2016)

    Google Scholar 

  28. Okita, S.Y.: Self-other’s perspective taking: the use of therapeutic robot companions as social agents for reducing pain and anxiety in pediatric patients. Cyberpsychol. Behav. Soc. Netw. 16(6), 436–441 (2013). https://doi.org/10.1089/cyber.2012.0513

    Article  Google Scholar 

  29. Peyrot, M., Rubin, R.R.: Behavioral and psychosocial interventions in diabetes: a conceptual review. Diab. Care 30(10), 2433–2440 (2007). https://doi.org/10.2337/dc07-1222

    Article  Google Scholar 

  30. Rewers, M.J., Pillay, K., De Beaufort, C., Craig, M.E., Hanas, R., Acerini, C.L., Maahs, D.M.: Assessment and monitoring of glycemic control in children and adolescents with diabetes. Pediat. Diab. 15, 102–114 (2014). https://doi.org/10.1111/pedi.12190

    Article  Google Scholar 

  31. Robinson, N., Kavanagh, D., Connor, J., May, J., Andrade, J.: Assessment of motivation to control alcohol use: the motivational thought frequency and state motivation scales for alcohol control. Addict. Behav. 59, 1–6 (2016). https://doi.org/10.1016/j.addbeh.2016.02.038

    Article  Google Scholar 

  32. Robinson, N.L., Connolly, J., Hides, L., Kavanagh, D.J.: Social robots as treatment agents: pilot randomized controlled trial to deliver a behavior change intervention. Internet Interv. 21, 100320 (2020). https://doi.org/10.1016/j.invent.2020.100320

    Article  Google Scholar 

  33. Robinson, N.L., Cottier, T.V., Kavanagh, D.J.: Psychosocial health interventions by social robots: systematic review of randomized controlled trials. J. Med. Internet Res. 21(5), e13203 (2019). https://doi.org/10.2196/13203

    Article  Google Scholar 

  34. Shingleton, R.M., Palfai, T.P.: Technology-delivered adaptations of motivational interviewing for health-related behaviors: a systematic review of the current research. Patient Educ. Couns. 99(1), 17–35 (2016). https://doi.org/10.1016/j.pec.2015.08.005

    Article  Google Scholar 

  35. Smart, C.E., Annan, F., Bruno, L.P.C., Higgins, L.A., Acerini, C.L.: Nutritional management in children and adolescents with diabetes. Pediatr. Diab. 15(S20), 135–153 (2014). https://doi.org/10.1111/pedi.12175

    Article  Google Scholar 

  36. Softbank Robotics: NAO - Developers Guide

    Google Scholar 

  37. Solbrig, L., Whalley, B., Kavanagh, D.J., May, J., Parkin, T., Jones, R., Andrade, J.: Functional imagery training versus motivational interviewing for weight loss: a randomised controlled trial of brief individual interventions for overweight and obesity. Int. J. Obes. 43(4), 883–894 (2019). https://doi.org/10.1038/s41366-018-0122-1

    Article  Google Scholar 

  38. Vanderwel, B.W., Messer, L.H., Horton, L.A., McNair, B., Cobry, E.C., McFann, K.K., Chase, H.P.: Missed insulin boluses for snacks in youth with type 1 diabetes. Diab. Care 33(3), 507–508 (2010). https://doi.org/10.2337/dc09-1840

    Article  Google Scholar 

  39. Vänni, K.J., Salin, S.E.: A need for service robots among health care professionals in hospitals and housing services. In: International Conference on Social Robotics, pp. 178–187 (2017)

    Google Scholar 

  40. Aslander-van Vliet, E., Smart, C., Waldron, S.: Nutritional management in childhood and adolescent diabetes. Pediatr. Diab. 8(5), 323–339 (2007). https://doi.org/10.1111/j.1399-5448.2007.00317.x

    Article  Google Scholar 

  41. Wood, J.R., Miller, K.M., Maahs, D.M., Beck, R.W., DiMeglio, L.A., Libman, I.M., Quinn, M., Tamborlane, W.V., Woerner, S.E., Network, T.D.E.C.: Most youth with type 1 diabetes in the t1d exchange clinic registry do not meet american diabetes association or international society for pediatric and adolescent diabetes clinical guidelines. Diab. Care 36(7), 2035–2037 (2013). https://doi.org/10.2337/dc12-1959

    Article  Google Scholar 

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Acknowledgement

This work was supported by the Australian Postgraduate Award on behalf of the Department of Education and Training and by a Research Grant from the State of Queensland acting through the Department of Science, Information Technology and Innovation.

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Correspondence to Nicole L. Robinson .

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Robinson, N.L., Connolly, J., Hides, L., Kavanagh, D.J. (2020). A Social Robot to Deliver an 8-Week Intervention for Diabetes Management: Initial Test of Feasibility in a Hospital Clinic. In: Wagner, A.R., et al. Social Robotics. ICSR 2020. Lecture Notes in Computer Science(), vol 12483. Springer, Cham. https://doi.org/10.1007/978-3-030-62056-1_52

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  • DOI: https://doi.org/10.1007/978-3-030-62056-1_52

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