Friends from the Future: A Scoping Review of Research into Robots and Computer Agents to Combat Loneliness in Older People

Norina Gasteiger,1,2 Kate Loveys,1 Mikaela Law,1 Elizabeth Broadbent1 1Department of Psychological Medicine, The University of Auckland, Auckland, New Zealand; 2School of Health Sciences, The University of Manchester, Manchester, UKCorrespondence: Elizabeth BroadbentThe University of Auckland, Build...

Full description

Bibliographic Details
Main Authors: Gasteiger N, Loveys K, Law M, Broadbent E
Format: Article
Language:English
Published: Dove Medical Press 2021-05-01
Series:Clinical Interventions in Aging
Subjects:
Online Access:https://www.dovepress.com/friends-from-the-future-a-scoping-review-of-research-into-robots-and-c-peer-reviewed-fulltext-article-CIA
_version_ 1830207368793686016
author Gasteiger N
Loveys K
Law M
Broadbent E
author_facet Gasteiger N
Loveys K
Law M
Broadbent E
author_sort Gasteiger N
collection DOAJ
description Norina Gasteiger,1,2 Kate Loveys,1 Mikaela Law,1 Elizabeth Broadbent1 1Department of Psychological Medicine, The University of Auckland, Auckland, New Zealand; 2School of Health Sciences, The University of Manchester, Manchester, UKCorrespondence: Elizabeth BroadbentThe University of Auckland, Building 507, 28 Park Avenue, Grafton, Auckland, 1023, New ZealandTel +64 9 923 6756Email e.broadbent@auckland.ac.nzBackground and Aim: Loneliness is a common problem in older adults and contributes to poor health. This scoping review aimed to synthesize and report evidence on the effectiveness of interventions using social robots or computer agents to reduce loneliness in older adults and to explore intervention strategies.Methods: The review adhered to the Arksey and O’Malley process for conducting scoping reviews. The SCOPUS, PUBMED, Web of Science, EMBASE, CINAHL, PsycINFO, ACM Digital Library and IEEE Xplore databases were searched in November, 2020. A two-step selection process identified eligible research. Information was extracted from papers and entered into an Excel coding sheet and summarised. Quality assessments were conducted using the Mixed Methods Appraisal Tool.Results: Twenty-nine studies were included, of which most were of moderate to high quality. Eighteen were observational and 11 were experimental. Twenty-four used robots, four used computer agents and one study used both. The majority of results showed that robots or computer agents positively impacted at least one loneliness outcome measure. Some unintended negative consequences on social outcomes were reported, such as sadness when the robot was removed. Overall, the interventions helped to combat loneliness by acting as a direct companion (69%), a catalyst for social interaction (41%), facilitating remote communication with others (10%) and reminding users of upcoming social engagements (3%).Conclusion: Evidence to date suggests that robots can help combat loneliness in older adults, but there is insufficient research on computer agents. Common strategies for reducing loneliness include direct companionship and enabling social interactions. Future research could investigate other strategies used in human interventions (eg, addressing maladaptive social cognition and improving social skills), and the effects of design features on efficacy. It is recommended that more robust experimental and mixed methods research be conducted, using a combination of validated self-report, observational, and interview measures of loneliness.Keywords: robots, embodied conversational agents, computer agents, older adults, loneliness, review
first_indexed 2024-12-18T04:30:00Z
format Article
id doaj.art-d44f11a08b6f408790e17b70a0c27400
institution Directory Open Access Journal
issn 1178-1998
language English
last_indexed 2024-12-18T04:30:00Z
publishDate 2021-05-01
publisher Dove Medical Press
record_format Article
series Clinical Interventions in Aging
spelling doaj.art-d44f11a08b6f408790e17b70a0c274002022-12-21T21:21:00ZengDove Medical PressClinical Interventions in Aging1178-19982021-05-01Volume 1694197165103Friends from the Future: A Scoping Review of Research into Robots and Computer Agents to Combat Loneliness in Older PeopleGasteiger NLoveys KLaw MBroadbent ENorina Gasteiger,1,2 Kate Loveys,1 Mikaela Law,1 Elizabeth Broadbent1 1Department of Psychological Medicine, The University of Auckland, Auckland, New Zealand; 2School of Health Sciences, The University of Manchester, Manchester, UKCorrespondence: Elizabeth BroadbentThe University of Auckland, Building 507, 28 Park Avenue, Grafton, Auckland, 1023, New ZealandTel +64 9 923 6756Email e.broadbent@auckland.ac.nzBackground and Aim: Loneliness is a common problem in older adults and contributes to poor health. This scoping review aimed to synthesize and report evidence on the effectiveness of interventions using social robots or computer agents to reduce loneliness in older adults and to explore intervention strategies.Methods: The review adhered to the Arksey and O’Malley process for conducting scoping reviews. The SCOPUS, PUBMED, Web of Science, EMBASE, CINAHL, PsycINFO, ACM Digital Library and IEEE Xplore databases were searched in November, 2020. A two-step selection process identified eligible research. Information was extracted from papers and entered into an Excel coding sheet and summarised. Quality assessments were conducted using the Mixed Methods Appraisal Tool.Results: Twenty-nine studies were included, of which most were of moderate to high quality. Eighteen were observational and 11 were experimental. Twenty-four used robots, four used computer agents and one study used both. The majority of results showed that robots or computer agents positively impacted at least one loneliness outcome measure. Some unintended negative consequences on social outcomes were reported, such as sadness when the robot was removed. Overall, the interventions helped to combat loneliness by acting as a direct companion (69%), a catalyst for social interaction (41%), facilitating remote communication with others (10%) and reminding users of upcoming social engagements (3%).Conclusion: Evidence to date suggests that robots can help combat loneliness in older adults, but there is insufficient research on computer agents. Common strategies for reducing loneliness include direct companionship and enabling social interactions. Future research could investigate other strategies used in human interventions (eg, addressing maladaptive social cognition and improving social skills), and the effects of design features on efficacy. It is recommended that more robust experimental and mixed methods research be conducted, using a combination of validated self-report, observational, and interview measures of loneliness.Keywords: robots, embodied conversational agents, computer agents, older adults, loneliness, reviewhttps://www.dovepress.com/friends-from-the-future-a-scoping-review-of-research-into-robots-and-c-peer-reviewed-fulltext-article-CIArobotsembodied conversational agentscomputer agentsolder adultslonelinessreview
spellingShingle Gasteiger N
Loveys K
Law M
Broadbent E
Friends from the Future: A Scoping Review of Research into Robots and Computer Agents to Combat Loneliness in Older People
Clinical Interventions in Aging
robots
embodied conversational agents
computer agents
older adults
loneliness
review
title Friends from the Future: A Scoping Review of Research into Robots and Computer Agents to Combat Loneliness in Older People
title_full Friends from the Future: A Scoping Review of Research into Robots and Computer Agents to Combat Loneliness in Older People
title_fullStr Friends from the Future: A Scoping Review of Research into Robots and Computer Agents to Combat Loneliness in Older People
title_full_unstemmed Friends from the Future: A Scoping Review of Research into Robots and Computer Agents to Combat Loneliness in Older People
title_short Friends from the Future: A Scoping Review of Research into Robots and Computer Agents to Combat Loneliness in Older People
title_sort friends from the future a scoping review of research into robots and computer agents to combat loneliness in older people
topic robots
embodied conversational agents
computer agents
older adults
loneliness
review
url https://www.dovepress.com/friends-from-the-future-a-scoping-review-of-research-into-robots-and-c-peer-reviewed-fulltext-article-CIA
work_keys_str_mv AT gasteigern friendsfromthefutureascopingreviewofresearchintorobotsandcomputeragentstocombatlonelinessinolderpeople
AT loveysk friendsfromthefutureascopingreviewofresearchintorobotsandcomputeragentstocombatlonelinessinolderpeople
AT lawm friendsfromthefutureascopingreviewofresearchintorobotsandcomputeragentstocombatlonelinessinolderpeople
AT broadbente friendsfromthefutureascopingreviewofresearchintorobotsandcomputeragentstocombatlonelinessinolderpeople