Published 2025-08-31
Keywords
- Aging Population,
- Healthcare Communication,
- Robot
How to Cite
Abstract
Introduction: Healthcare communication robots are being introduced in hospitals and nursing homes in Japan. To facilitate their implementation in such settings, it is essential to explore healthcare communication robots-related issues. Objective: This study aimed to evaluate the utilization of healthcare communication robots and identify issues related to their use immediately after introduction and 2 years later. Methods: In August 2022, focus group interviews were conducted with 11 healthcare providers (seven nurses, two occupational therapists and two care workers) at a cooperating facility for 1 h to discuss concerns related to the use of healthcare communication robots immediately after their introduction and 2 years later. The interviews were recorded using an IC recorder, transcribed, and analyzed. Results: Immediately after the introduction of Pepper a humanoid robot that supports users’ daily lives by providing recreation and conversation medical staff, particularly those responsible for managing Pepper, reported finding it “difficult to operate Pepper” and feeling “confused by the unfamiliar tasks.” Two years later, the medical staff recognized the benefits of Pepper’s use in recreational activities. Furthermore, patients at the facility looked forward to these activities. Conclusion: Although positive outcomes were observed, several challenges remained, including “Pepper’s inadequate interactive communication,” “hesitancy to handle the expensive and heavy Pepper,” “safety concerns,” and “periodic updates and malfunctions.”
References
- Aldebaran, a part of United Robotics Group: Nao. Retrieved November 7, 2024, from https://www.aldebaran.com/en/nao
- Betriana, F., Tanioka, R., Yokotani, T., Matsumoto, K., Zhao, Y., Osaka, K., Miyagawa, M., Kai, Y., Schoenhofer, S., Locsin, R. C., & Tanioka, T. (2022). Characteristics of interactive communication between Pepper robot, patients with schizophrenia, and healthy persons. Belitung Nursing Journal, 8(2), 176–184. https://doi.org/10.33546/bnj.1998
- Care Work Foundation. Reiwa5 Kaigoroudou jittai cho-sa (2024). Retrieved November 23, 2024, from https://www.kaigo-center.or.jp/content/files/report/2023_jittai_chousagaiyou.pdf (in Japanese).
- The Headquarters for Japan’s Economic Revitalization: New robot strategy – Vision, strategy, action plan. Retrieved October 31, 2024, from https://www.cas.go.jp/jp/seisaku/seicho/pdf/robot_honbun_150210EN.pdf
- International Council of Nurses. The ICN code of ethics for nurses, revised 2021. Retrieved November 21, 2024, from https://www.icn.ch/sites/default/files/inline-files/ICN_Code-of-Ethics_EN_Web.pdf
- Japanese Nursing Association. JNA code of ethics for nurses 2021. Retrieved November 21, 2024, from https://www.nurse.or.jp/nursing/assets/pdf/nursing/jna-code-of-ethics-for-nurses.pdf
- Mibu, N., Mori, C., Nagashima, M., Tsuruoka, K., & Takeuchi, S. (2022) (in Japanese). Introduction of nursing care robots to long-term care welfare facilities and related issues, Results of postal and on-site surveys, Japanese. Journal of Gerontology, 44(1), 19–29.
- Ministry of Health, Labour and Welfare (2019). Iryoujyujisya no jyukyu nikansuru kentoukai, chukan torimatome. Retrieved October 31, 2024, from https://www.mhlw.go.jp/content/10805000/000567572.pdf (in Japanese).
- Ministry of Health, Labour and Welfare [Press release]. Retrieved November 5, 2024, from https://www.mhlw.go.jp/content/12300000/001268138.pdf (in Japanese).
- Miyagawa, M., Kai, Y., Yasuhara, Y., Ito, H., Betriana, F., Tanioka, T., & Locsin, R. C. (2020). Consideration of safety management when using Pepper, a humanoid robot for care of older adults. Intelligent Control and Automation, 11(1), 15–24. https://doi.org/10.4236/ica.2020.111002
- National Institute of Population and Social Security Research. (2023).
- (Population Projections for Japan (2023 revision) 2021 to 2070: Tokyo, Japan, Population projections for Japan. Retrieved October 31, 2024, from https://www.ipss.go.jp/pp-zenkoku/e/zenkoku_e2023/pp2023e_Summary.pdf
- Osaka, K., Tanioka, R., Betriana, F., Tanioka, T., Kai, Y., Locsin, R. C., & Robot Therapy Program for Patients with Dementia. (February 2021). Its framework and effectiveness. IntechOpen Limited. https://doi.org/10.5772/intechopen.96410
- Fuji soft: PALRO. Retrieved November 3, 2024, from https://www.palro.jp/en/feature
- Softbank robotics. (n.d.). Pepper is a healthcare robot. https://developer.softbankrobotics.com/pepper-qisdk/design/pepper-humanoid-robot
- The Qualitative Research Implementation Network of Nursing. Japan (QUARIN-J). Retrieved February 25, 2025, from https://quarin.jp/guideline/srqr (in Japanese).
- SoftBank. Pepper. Retrieved November 7, 2024, from https://www.softbank.jp/en/robot
- Takahashi, T., Higashimura, S., Ninomiya, T., Fujimura, S., Sugimoto, N., Horai, T., Abe, T., Kitamura, A., Matsumoto, M., Nakagami, G., & Sanada, H. (2025, January 18). The long-term use of communication robots by users of visiting healthcare services: Development of an integrated vital signs measurement system. Cureus, 17(1), Article e77635. https://doi.org/10.7759/cureus.77635, PubMed: 39968438, PubMed Central: PMC11832359
- Tanioka, R., Locsin, R. C., Yasuhara, Y., & Tanioka, T. (2018). Potential legal issues and care implications during care-prevention gymnastic exercises for the elderly using Pepper in long term health care facilities, Intelligent. Control and Automation, 9(3), 85–93. https://doi.org/10.4236/ica.2018.93007
- Tanioka, T., Yokotani, T., Tanioka, R., Betriana, F., Matsumoto, K., Locsin, R., Zhao, Y., Osaka, K., Miyagawa, M., & Schoenhofer, S. (2021, April 24). Development issues of healthcare robots: Compassionate communication for older adults with dementia. International Journal of Environmental Research and Public Health, 18(9), 4538. https://doi.org/10.3390/ijerph18094538, PubMed: 33923353, PubMed Central: PMC8123161
- World Health Organization. (2021). Journal of Aging and Health. Retrieved January 31, 2025, from https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
- Xing, I. N. C. Retrieved January 28, 2025, from https://xing.co.jp (in Japanese).
- Yasuhara, Y. (2021). Expectations and ethical dilemmas concerning healthcare communication robots in healthcare settings: A nurse’s perspective. IntechOpen. https://doi.org/10.5772/intechopen.96396
- Yoshikawa, Y., Kumazaki, H., & Kato, T. A. (2021, May 1). Future perspectives of robot psychiatry: Can communication robots assist psychiatric evaluation in the COVID-19 pandemic era? Current Opinion in Psychiatry, 34(3), 277–286. https://doi.org/10.1097/YCO.0000000000000692, PubMed: 33560019