Hospitalization is a stressful experience for children. Socially assistive robots (SARs), designed to interact with humans, might be a means to mitigate a child’s stress and support its well-being. A systematic state-of-the-art review was performed to inventorize the use of SARs in hospital to support children’s well-being and what the effects are. We searched five databases (Cinahl, Medline, Embase, PsycInfo, IEEE), combining terms for ‘distress’, ‘relaxation’ and ‘well-being’ with terms for social robot and child, and did an additional hand search. Ten publications (on eight studies) out of 563 unique titles were considered relevant. Six different robots were used (one humanoid, five pet-like) for distraction during medical procedure, emotional support for dealing with a disease or support of well-being during hospital stay. Positive effects on the children were noted, such as experiencing distraction and engagement, and less stress or pain, more relaxation, smiling and openness or better communication. On a psychiatric ward some youngsters felt unsafe with the robot. The outcomes suggest that SARs may have a potentially positive influence on a child’s well-being. Further research is needed to determine the effect of using SARs and how to integrate the use in the working routines of health personnel.
AlemiMGhanbarzadehAMeghdariA, et al. (2016) Clinical application of a humanoid robot in pediatric cancer interventions. International Journal of Social Robotics8: 743.
2.
AnguloCGarriga-BergaCLuacesC, et al. (2012) Pain and anxiety treatment based on social robot interaction with children to improve patient experience. Ongoing Research. In:RuizFJAgellNOrtegaJA (eds) Actas de XIV Jornados de ARCA Sistemas Cualitativos y sus Aplicaciones en Diagnosis, Robótica en Inteligencia Ambienta. ISBN 978-84-616-2007-4(c).
3.
BarlowJHEllardDR (2006) The psychosocial well-being of children with chronic disease, their parents and siblings: an overview of the research evidence base. Child: Care, Health and Development32: 19–31.
4.
BemelmansRGelderblomGJJonkerP, et al. (2012) Socially assistive robots in elderly care: a systematic review into effects and effectiveness. Journal of the American Medical Directors Association13: 114–120.
5.
BeranTNRamirez-SerranoAVanderkooiOG, et al. (2013) Reducing children’s pain and distress towards flu vaccinations: a novel and effective application of humanoid robotics. Vaccine31(25): 2772–2777.
6.
BeranTNRamirez-SerranoAVanderkooiOG, et al. (2015) Humanoid robotics in health care: an exploration of children’s and parents’ emotional reactions. Journal of Health Psychology20(7): 984–989.
7.
BesioSBulgarelliDStancheva-PopkostadinovaV (2016) Play Development in Children with Disabilities. Berlin: Walter de Gruyter GmbH & Co KG.
8.
BroekensJHeerinkMRosendalH (2009) Assistive social robots in elderly care: a review. Gerontology8: 94–103.
9.
CabibihanJJJavedHAngMJr, et al. (2013) Why robots? A survey on the roles and benefits of social robots for the therapy of children with autism. International Journal of Social Robotics5(4): 593–618.
10.
CanameroLLewisM (2016) Making new ‘new AI’ friends: designing a social robot for diabetic children from an embodied AI perspective. International Journal of Social Robotics8: 523–537.
11.
CarnevaleFAGaudreaultF (2013) The experience of critically ill children: a phenomenological study of discomfort and comfort. Dynamics (Spring)24(1): 19–27.
12.
CarterB (2012) Children’s well-being: priorities and considerations. Journal of Child Health Care16(2): 107–108.
13.
ChambersCTTaddioAUmanLS, et al. (2009) Psychological interventions for reducing pain and distress during routine childhood immunizations: a systematic review. Clinical Therapeutics31(Suppl 2): S77–S103.
14.
Chur-HansenAMcArthurMWinefieldH, et al. (2014) Animal-assisted interventions in children’s hospitals: a critical review of the literature. Anthrozoös27(1): 5–18.
15.
Committee on Hospital Care and Child Life Council (2014) Policy statement: child life services. Pediatrics5(1): 1471–1478.
16.
CoyneI (2006) Children’s experiences of hospitalization. Journal of Child Health Care10(4): 326–336.
17.
CrossmanMKKazdinAEKittER (2018) The influence of a socially assistive robot on mood, anxiety, and arousal in children. Professional Psychology49(1): 48–56.
18.
DeciELRyanRM (2002) Handbook of Self-Determination Research. Rochester: University of Rochester Press.
19.
DuckworthDHenkelZWuisanS, et al. (2015) TherabotTM: the initial design of a robotic therapy support system. In:Proceedings of the tenth annual ACM/IEEE international conference on human-robot interaction, HRI’15 Extended Abstracts, Portland, Oregon, USA, 2–5 March, pp. 13–14.
20.
FongTNourbakhshIDautenhahnK (2003) A survey of socially interactive robots. Robotics and Autonomous Systems42(3–4): 143–166.
21.
FriedmannEBarkerSBAllenKM (2011) Physiological correlates of health benefits from pets. In:McCardlePMcCuneSGriffinJA, et al. (eds) How Animals Affect Us: Examining the Influences of Human–Animal Interaction on Child Development and Human Health. Washington DC: American Psychological Association, pp. 163–182.
22.
JeongSBreazealCLoganD, et al. (2017) Huggable: impact of embodiment on promoting verbal and physical engagement for young pediatric inpatients. Paper presented at the2017 26th IEEE international symposium on robot and human interactive communication (RO-MAN), Lisbon, Portugal, 28 August–1 September, pp. 121–126.
23.
JeongSLoganDGoodwinM, et al. (2015) A social robot to mitigate stress, anxiety, and pain in hospital pediatric care. In:Proceedings of the tenth annual ACM/IEEE international conference on human-robot interaction extended abstracts, Portland, Oregon, USA, 2–5 March 2015, pp. 103–104.
24.
KimuraRAbeNMatsumuraN, et al. (2004) Trial of robot assisted activity using robotic pets in children hospital. In: The Society of Instrument and Control Engineers (SICE) 2004 annual conference, vol. 1, Sapporo, Japan, 4–6 August, pp. 475–480.
25.
LooijeRNeerincxMAPetersJK, et al. (2016) Integrating robot support functions into varied activities at returning hospital visits: supporting child’s self-management of diabetes. International Journal of Social Robotics8: 483–497.
26.
MoermanCJansensRVan der HeideL, et al. (2016) How to introduce a new technology into existing health care practices and evaluate its potential: experiences from the New Pals project. Paper presented on New Friends 2016, 2nd international conference on robots in therapy and education, 2–4 November 2016, Barcelona, Spain. Available at: http://www.marcelheerink.nl/pdf/AbstractNF16-NewPals.pdf(accessed 21 April 2017).
27.
NakadoiY (2015) Usefulness of animal type robot in the treatment in child and adolescent psychiatric ward. European Child and Adolescent Psychiatry1: S281.
28.
NimerJLundahlB (2007) Animal-assisted therapy: a meta-analysis. Anthrozoös20(3): 225–238.
29.
OkitaSY (2013) Self–other’s perspective taking: the use of therapeutic robot companions as social agents for reducing pain and anxiety in pediatric patients. Cyberpsychology, Behavior, and Social Networking16(6): 436–441.
30.
RabbittSMKazdinAEScassellatiB (2015) Integrating socially assistive robotics into mental healthcare interventions: applications and recommendations for expanded use. Clinical Psychology Review35: 35–46.
31.
Ravens-SiebererUHerdmanMDevineJ, et al. (2014) The European KIDSCREEN approach to measure quality of life and well-being in children: development, current application, and future advances. Quality of Life Research23(3): 791–803.
32.
StinsonJNJibbLANathanPC, et al. (2016) Using a humanoid robot to reduce procedural pain in children with cancer: a pilot randomized controlled trial. Pediatric Blood and Cancer63(Suppl 3): S54–S55.
33.
UlrichDDiefenbachSButzA (2016) Murphy miserable robot: a companion to support children’s well-being in emotionally difficult situations. In:Proceedings of the 2016 CHI conference extended abstracts on human factors in computing systems, San Jose, CA, USA, 7–12 May, pp. 3234–3240.
34.
UmanLSBirnieKANoelM, et al. (2013) Psychological interventions for needle-related procedural pain and distress in children and adolescents. Cochrane Database of Systematic Reviews (10): CD005179. DOI: 10.1002/14651858.CD005179.pub3.
35.
VeermanJWvan YperenTA (2007) Degrees of freedom and degrees of certainty: a developmental model for the establishment of evidence-based youth care. Evaluation And Program Planning30: 212–221.
36.
WadaKShibataTSaitoT, et al. (2002) Effects of robot assisted activity for elderly people at day service center and analysis of its factors. In:Proceedings of the 4th world congress on intelligent control and automation, pp. 1301–1305. DOI: 10.1109/WCICA.2002.1020792.
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