Acceptance of Enhanced Robotic Assistance Systems in People With Amyotrophic Lateral Sclerosis–Associated Motor Impairment: Observational Online Study
BackgroundAmyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease characterized by a progressive paresis of the extremities and the loss of manual functioning. Due to the severe functional impairment that the disease entails, ALS requires the provision of com...
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| Format: | Article |
| Language: | English |
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JMIR Publications
2021-12-01
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| Series: | JMIR Rehabilitation and Assistive Technologies |
| Online Access: | https://rehab.jmir.org/2021/4/e18972 |
| _version_ | 1827858823132479488 |
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| author | André Maier Cornelia Eicher Joern Kiselev Robert Klebbe Marius Greuèl Dagmar Kettemann Marcel Gaudlitz Bertram Walter Ursula Oleimeulen Christoph Münch Thomas Meyer Susanne Spittel |
| author_facet | André Maier Cornelia Eicher Joern Kiselev Robert Klebbe Marius Greuèl Dagmar Kettemann Marcel Gaudlitz Bertram Walter Ursula Oleimeulen Christoph Münch Thomas Meyer Susanne Spittel |
| author_sort | André Maier |
| collection | DOAJ |
| description |
BackgroundAmyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease characterized by a progressive paresis of the extremities and the loss of manual functioning. Due to the severe functional impairment that the disease entails, ALS requires the provision of comprehensive nursing care and a complex set of assistive technology devices. To relieve caregivers and promote autonomy of people with ALS, robotic assistance systems are being developed. This trial aims to evaluate the acceptance of technology, in general, and of robotic arm assistance among people with ALS in order to lay the groundwork for the development of a semiautomatic robotic arm that can be controlled by humans via a multimodal user interface and that will allow users to handle objects and attend to their own bodies.
ObjectiveThe aim of this study was to perform a systematic analysis of technology commitment and acceptance of robotic assistance systems from the perspective of physically limited people living with ALS.
MethodsThe investigation was conducted as a study of a prospective cohort. Participants were only included if they had received a medical diagnosis of ALS. Data collection took place via an online questionnaire on the Ambulanzpartner Soziotechnologie internet platform. Technological commitment was measured using the Neyer short scale. Furthermore, a multidimensional questionnaire was specially developed to analyze participant acceptance of robotic arm assistance: the Acceptance Measure of Robotic Arm Assistance (AMRAA). This questionnaire was accompanied by a video introducing the robot arm. ALS severity was ascertained using the ALS Functional Rating Scale–Extended (ALSFRS-EX).
ResultsA total of 268 people with ALS participated in the survey. Two-thirds of the participants were male. The overall mean ALS severity score was 42.9 (SD 11.7) points out of 60 on the ALSFRS-EX, with the most relevant restrictions on arms and legs (<60% of normal functioning). Technological commitment ranked high, with the top third scoring 47.2 points out of 60. Younger participants and males showed significantly higher values. The AMRAA score was, again, significantly higher among younger participants. However, the gender difference within the overall cohort was not significant. The more limited the arm functioning of participants according to the ALSFRS-EX subscale, the higher the acceptance rate of robotic assistance. This relationship proved significant.
ConclusionsPeople with ALS display high technological commitment and feel positive about using technological assistance systems. In our study, younger participants were more open to technology use, in general, and robotic assistance, in particular. Self-appraisal of technology acceptance, competence, and control conviction were generally higher among men. However, any presumed gender difference vanished when users were asked to rate the anticipated usefulness of the technology, in particular the robotic arm. The acceptance was also reflected in users’ increased willingness to use a robotic arm as the functionality of their own arms decreased. From the perspective of people with ALS, robotic assistance systems are critical to promoting individual autonomy. Another key consideration in the development of future assistive technologies should be the reduction of caregiver burden.
Trial RegistrationGerman Clinical Trials Register DRKS00012803; https://tinyurl.com/w9yzduhd |
| first_indexed | 2024-03-12T12:59:39Z |
| format | Article |
| id | doaj.art-93eb65d9da5a4857af031cce895fd11a |
| institution | Directory Open Access Journal |
| issn | 2369-2529 |
| language | English |
| last_indexed | 2024-03-12T12:59:39Z |
| publishDate | 2021-12-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Rehabilitation and Assistive Technologies |
| spelling | doaj.art-93eb65d9da5a4857af031cce895fd11a2023-08-28T19:56:47ZengJMIR PublicationsJMIR Rehabilitation and Assistive Technologies2369-25292021-12-0184e1897210.2196/18972Acceptance of Enhanced Robotic Assistance Systems in People With Amyotrophic Lateral Sclerosis–Associated Motor Impairment: Observational Online StudyAndré Maierhttps://orcid.org/0000-0003-2473-4116Cornelia Eicherhttps://orcid.org/0000-0003-3238-7070Joern Kiselevhttps://orcid.org/0000-0002-8657-1669Robert Klebbehttps://orcid.org/0000-0001-7182-4232Marius Greuèlhttps://orcid.org/0000-0001-6605-3947Dagmar Kettemannhttps://orcid.org/0000-0001-5084-8526Marcel Gaudlitzhttps://orcid.org/0000-0002-6830-8066Bertram Walterhttps://orcid.org/0000-0001-9086-5179Ursula Oleimeulenhttps://orcid.org/0000-0002-9351-5788Christoph Münchhttps://orcid.org/0000-0001-9603-0623Thomas Meyerhttps://orcid.org/0000-0002-2736-7350Susanne Spittelhttps://orcid.org/0000-0001-9471-7798 BackgroundAmyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease characterized by a progressive paresis of the extremities and the loss of manual functioning. Due to the severe functional impairment that the disease entails, ALS requires the provision of comprehensive nursing care and a complex set of assistive technology devices. To relieve caregivers and promote autonomy of people with ALS, robotic assistance systems are being developed. This trial aims to evaluate the acceptance of technology, in general, and of robotic arm assistance among people with ALS in order to lay the groundwork for the development of a semiautomatic robotic arm that can be controlled by humans via a multimodal user interface and that will allow users to handle objects and attend to their own bodies. ObjectiveThe aim of this study was to perform a systematic analysis of technology commitment and acceptance of robotic assistance systems from the perspective of physically limited people living with ALS. MethodsThe investigation was conducted as a study of a prospective cohort. Participants were only included if they had received a medical diagnosis of ALS. Data collection took place via an online questionnaire on the Ambulanzpartner Soziotechnologie internet platform. Technological commitment was measured using the Neyer short scale. Furthermore, a multidimensional questionnaire was specially developed to analyze participant acceptance of robotic arm assistance: the Acceptance Measure of Robotic Arm Assistance (AMRAA). This questionnaire was accompanied by a video introducing the robot arm. ALS severity was ascertained using the ALS Functional Rating Scale–Extended (ALSFRS-EX). ResultsA total of 268 people with ALS participated in the survey. Two-thirds of the participants were male. The overall mean ALS severity score was 42.9 (SD 11.7) points out of 60 on the ALSFRS-EX, with the most relevant restrictions on arms and legs (<60% of normal functioning). Technological commitment ranked high, with the top third scoring 47.2 points out of 60. Younger participants and males showed significantly higher values. The AMRAA score was, again, significantly higher among younger participants. However, the gender difference within the overall cohort was not significant. The more limited the arm functioning of participants according to the ALSFRS-EX subscale, the higher the acceptance rate of robotic assistance. This relationship proved significant. ConclusionsPeople with ALS display high technological commitment and feel positive about using technological assistance systems. In our study, younger participants were more open to technology use, in general, and robotic assistance, in particular. Self-appraisal of technology acceptance, competence, and control conviction were generally higher among men. However, any presumed gender difference vanished when users were asked to rate the anticipated usefulness of the technology, in particular the robotic arm. The acceptance was also reflected in users’ increased willingness to use a robotic arm as the functionality of their own arms decreased. From the perspective of people with ALS, robotic assistance systems are critical to promoting individual autonomy. Another key consideration in the development of future assistive technologies should be the reduction of caregiver burden. Trial RegistrationGerman Clinical Trials Register DRKS00012803; https://tinyurl.com/w9yzduhdhttps://rehab.jmir.org/2021/4/e18972 |
| spellingShingle | André Maier Cornelia Eicher Joern Kiselev Robert Klebbe Marius Greuèl Dagmar Kettemann Marcel Gaudlitz Bertram Walter Ursula Oleimeulen Christoph Münch Thomas Meyer Susanne Spittel Acceptance of Enhanced Robotic Assistance Systems in People With Amyotrophic Lateral Sclerosis–Associated Motor Impairment: Observational Online Study JMIR Rehabilitation and Assistive Technologies |
| title | Acceptance of Enhanced Robotic Assistance Systems in People With Amyotrophic Lateral Sclerosis–Associated Motor Impairment: Observational Online Study |
| title_full | Acceptance of Enhanced Robotic Assistance Systems in People With Amyotrophic Lateral Sclerosis–Associated Motor Impairment: Observational Online Study |
| title_fullStr | Acceptance of Enhanced Robotic Assistance Systems in People With Amyotrophic Lateral Sclerosis–Associated Motor Impairment: Observational Online Study |
| title_full_unstemmed | Acceptance of Enhanced Robotic Assistance Systems in People With Amyotrophic Lateral Sclerosis–Associated Motor Impairment: Observational Online Study |
| title_short | Acceptance of Enhanced Robotic Assistance Systems in People With Amyotrophic Lateral Sclerosis–Associated Motor Impairment: Observational Online Study |
| title_sort | acceptance of enhanced robotic assistance systems in people with amyotrophic lateral sclerosis associated motor impairment observational online study |
| url | https://rehab.jmir.org/2021/4/e18972 |
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