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Assessing the Effects of Robotic Pets on Patients With Dementia in the Acute Care Hospital Setting

S

Sarasota Memorial Health Care System

Status

Invitation-only

Conditions

Delirium
Dementia

Treatments

Behavioral: Robotic Joy for All™ pet

Study type

Interventional

Funder types

Other

Identifiers

NCT06683443
23-MEDI-96

Details and patient eligibility

About

Robotic pets can provide a source of affection and companionship for patients. This is especially important as individuals with dementia may receive infrequent visitation from family members if their families struggle with how to cope and communicate with their loved one. Several options such as the "Joy for All™" and "Paro" robotic pets offer a source of companionship that is both interactive and comforting.

Sarasota Memorial Health Care System (SMHCS) researchers are seeking to make companion pets available to patients with dementia to provide them with a supplemental enrichment experience that enhances their overall care and lowers their risk for superimposed delirium. The intervention will consist of providing a robotic pet to the patient within 48 hours of admission, which the patient will keep with them throughout their hospital stay and upon discharge. SMHCS researchers will evaluate the effects of the robotic pet interaction on patient delirium scores, as measured by the Nursing Delirium Screening Scale (Nu-DESC), length of stay, and the use of intravenous psychotropic medications, code greys, falls occurrence, restraint use, and IV dislodgement in patients with mild-to-moderate dementia. The Nu-DESC scale is a short assessment tool, estimated to take approximately 3-5 minutes to complete and is already part of standard care at SMHCS. This tool is used by nursing staff with minimal additional training and shows consistent sensitivity (85.7%) and specificity (86.8%) in detecting delirium. The NuDESC score may be positive in a patient with dementia, since some characteristics of dementia can be similar to delirium. However, patients with dementia are at higher risk for developing delirium, so the NuDESC is a helpful tool for the nurse. A score of 2 or higher is considered screening positive for delirium. For this study, the NuDESC tool will be used as a guideline to assist in the screening of delirium. The patients will have to score a 4 or less to be included in the study. Patients that are scoring >4 will be excluded. Theoretic Framework of Acceptability (TFA) is a questionnaire which will be used to assess health care provider acceptability of the companion animal. This tool is currently not in use at SMHCS, but it will be used as part of this study to assess whether health care providers accept (or reject) the robotic pets as companion animals.

Enrollment

106 estimated patients

Sex

All

Ages

65+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Patients with:

    • Dementia indicated in the patient's chart
    • Admitted to the designated medical-surgical units at Sarasota Memorial Health Care System
    • Ages 65 and older
    • NuDESC score will be 0-4 during study enrollment.

Exclusion criteria

  • Patients who are:

    • <65 years old
    • NuDESC score >4 during study enrollment
    • Patients at risk for alcohol withdrawal or substance abuse withdrawal
    • Enhanced isolation precautions (c.diff)
    • Presenting with paranoia, hallucinations, or severe agitation

Trial design

Primary purpose

Supportive Care

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

106 participants in 2 patient groups

Robotic Pet
Experimental group
Description:
The intervention group will receive the robotic Joy for All™ pet.
Treatment:
Behavioral: Robotic Joy for All™ pet
Control
No Intervention group
Description:
Control group will receive the current standard of care, no robotic pet.

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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