Interactive Education on Sleep Hygiene with a Social Robot at a Pediatric Oncology Outpatient Clinic: Feasibility, Experiences, and Preliminary Effectiveness

Objectives: Children with cancer often experience sleep problems, which are associated with many negative physical and psychological health outcomes, as well as with a lower quality of life. Therefore, interventions are strongly required to improve sleep in this population. We evaluated interactive...

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Main Authors: Kelly L. A. van Bindsbergen, Hinke van der Hoek, Marloes van Gorp, Mike E. U. Ligthart, Koen V. Hindriks, Mark A. Neerincx, Tanja Alderliesten, Peter A. N. Bosman, Johannes H. M. Merks, Martha A. Grootenhuis, Raphaële R. L. van Litsenburg
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/14/15/3792
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author Kelly L. A. van Bindsbergen
Hinke van der Hoek
Marloes van Gorp
Mike E. U. Ligthart
Koen V. Hindriks
Mark A. Neerincx
Tanja Alderliesten
Peter A. N. Bosman
Johannes H. M. Merks
Martha A. Grootenhuis
Raphaële R. L. van Litsenburg
author_facet Kelly L. A. van Bindsbergen
Hinke van der Hoek
Marloes van Gorp
Mike E. U. Ligthart
Koen V. Hindriks
Mark A. Neerincx
Tanja Alderliesten
Peter A. N. Bosman
Johannes H. M. Merks
Martha A. Grootenhuis
Raphaële R. L. van Litsenburg
author_sort Kelly L. A. van Bindsbergen
collection DOAJ
description Objectives: Children with cancer often experience sleep problems, which are associated with many negative physical and psychological health outcomes, as well as with a lower quality of life. Therefore, interventions are strongly required to improve sleep in this population. We evaluated interactive education with respect to sleep hygiene with a social robot at a pediatric oncology outpatient clinic regarding the feasibility, experiences, and preliminary effectiveness. Methods: Researchers approached children (8 to 12 years old) who were receiving anticancer treatment and who were visiting the outpatient clinic with their parents during the two-week study period. The researchers completed observation forms regarding feasibility, and parents completed the Children’s Sleep Hygiene Scale before and two weeks after the educational regimen. The experiences of children and parents were evaluated in semi-structured interviews. We analyzed open answers by labeling each answer with a topic reflecting the content and collapsed these topics into categories. We used descriptive statistics to describe the feasibility and experiences, and a dependent-samples <i>t</i>-test to evaluate the preliminary effectiveness. Results: Twenty-eight families participated (58% response rate) and all interactions with the robot were completed. The children and parents reported that they learned something new (75% and 50%, respectively), that they wanted to learn from the robot more often (83% and 75%, respectively), and that they applied the sleeping tips from the robot afterwards at home (54%). Regarding the preliminary effectiveness, children showed a statistically significant improvement in their sleep hygiene (<i>p</i> = 0.047, <i>d</i> = 0.39). Conclusions: Providing an educational regimen on sleep hygiene in a novel, interactive way by using a social robot at the outpatient clinic seemed feasible, and the children and parents mostly exhibited positive reactions. We found preliminary evidence that the sleep hygiene of children with cancer improved.
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spelling doaj.art-733469e210854936ac75796dc56174bc2023-11-30T22:14:54ZengMDPI AGCancers2072-66942022-08-011415379210.3390/cancers14153792Interactive Education on Sleep Hygiene with a Social Robot at a Pediatric Oncology Outpatient Clinic: Feasibility, Experiences, and Preliminary EffectivenessKelly L. A. van Bindsbergen0Hinke van der Hoek1Marloes van Gorp2Mike E. U. Ligthart3Koen V. Hindriks4Mark A. Neerincx5Tanja Alderliesten6Peter A. N. Bosman7Johannes H. M. Merks8Martha A. Grootenhuis9Raphaële R. L. van Litsenburg10Princess Máxima Center for Pediatric Oncology, 3584 CS Utrecht, The NetherlandsPrincess Máxima Center for Pediatric Oncology, 3584 CS Utrecht, The NetherlandsPrincess Máxima Center for Pediatric Oncology, 3584 CS Utrecht, The NetherlandsDepartment of Computer Science, Vrije Universiteit Amsterdam, 1081 HV Amsterdam, The NetherlandsDepartment of Computer Science, Vrije Universiteit Amsterdam, 1081 HV Amsterdam, The NetherlandsTNO, Organization for Applied Scientific Research, 3769 DE Soesterberg, The NetherlandsDepartment of Radiation Oncology, Leiden University Medical Center, 2300 RC Leiden, The NetherlandsCentrum Wiskunde & Informatica, 1098 XG Amsterdam, The NetherlandsPrincess Máxima Center for Pediatric Oncology, 3584 CS Utrecht, The NetherlandsPrincess Máxima Center for Pediatric Oncology, 3584 CS Utrecht, The NetherlandsPrincess Máxima Center for Pediatric Oncology, 3584 CS Utrecht, The NetherlandsObjectives: Children with cancer often experience sleep problems, which are associated with many negative physical and psychological health outcomes, as well as with a lower quality of life. Therefore, interventions are strongly required to improve sleep in this population. We evaluated interactive education with respect to sleep hygiene with a social robot at a pediatric oncology outpatient clinic regarding the feasibility, experiences, and preliminary effectiveness. Methods: Researchers approached children (8 to 12 years old) who were receiving anticancer treatment and who were visiting the outpatient clinic with their parents during the two-week study period. The researchers completed observation forms regarding feasibility, and parents completed the Children’s Sleep Hygiene Scale before and two weeks after the educational regimen. The experiences of children and parents were evaluated in semi-structured interviews. We analyzed open answers by labeling each answer with a topic reflecting the content and collapsed these topics into categories. We used descriptive statistics to describe the feasibility and experiences, and a dependent-samples <i>t</i>-test to evaluate the preliminary effectiveness. Results: Twenty-eight families participated (58% response rate) and all interactions with the robot were completed. The children and parents reported that they learned something new (75% and 50%, respectively), that they wanted to learn from the robot more often (83% and 75%, respectively), and that they applied the sleeping tips from the robot afterwards at home (54%). Regarding the preliminary effectiveness, children showed a statistically significant improvement in their sleep hygiene (<i>p</i> = 0.047, <i>d</i> = 0.39). Conclusions: Providing an educational regimen on sleep hygiene in a novel, interactive way by using a social robot at the outpatient clinic seemed feasible, and the children and parents mostly exhibited positive reactions. We found preliminary evidence that the sleep hygiene of children with cancer improved.https://www.mdpi.com/2072-6694/14/15/3792sleep hygieneinteractive educationsocial robotspediatric oncologypsycho-oncologyinnovation
spellingShingle Kelly L. A. van Bindsbergen
Hinke van der Hoek
Marloes van Gorp
Mike E. U. Ligthart
Koen V. Hindriks
Mark A. Neerincx
Tanja Alderliesten
Peter A. N. Bosman
Johannes H. M. Merks
Martha A. Grootenhuis
Raphaële R. L. van Litsenburg
Interactive Education on Sleep Hygiene with a Social Robot at a Pediatric Oncology Outpatient Clinic: Feasibility, Experiences, and Preliminary Effectiveness
Cancers
sleep hygiene
interactive education
social robots
pediatric oncology
psycho-oncology
innovation
title Interactive Education on Sleep Hygiene with a Social Robot at a Pediatric Oncology Outpatient Clinic: Feasibility, Experiences, and Preliminary Effectiveness
title_full Interactive Education on Sleep Hygiene with a Social Robot at a Pediatric Oncology Outpatient Clinic: Feasibility, Experiences, and Preliminary Effectiveness
title_fullStr Interactive Education on Sleep Hygiene with a Social Robot at a Pediatric Oncology Outpatient Clinic: Feasibility, Experiences, and Preliminary Effectiveness
title_full_unstemmed Interactive Education on Sleep Hygiene with a Social Robot at a Pediatric Oncology Outpatient Clinic: Feasibility, Experiences, and Preliminary Effectiveness
title_short Interactive Education on Sleep Hygiene with a Social Robot at a Pediatric Oncology Outpatient Clinic: Feasibility, Experiences, and Preliminary Effectiveness
title_sort interactive education on sleep hygiene with a social robot at a pediatric oncology outpatient clinic feasibility experiences and preliminary effectiveness
topic sleep hygiene
interactive education
social robots
pediatric oncology
psycho-oncology
innovation
url https://www.mdpi.com/2072-6694/14/15/3792
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