The first step in using a robot in brain injury rehabilitation: patients’ and health-care professionals’ perspective

Abstract

Purpose: To evaluate the usability of a mobile telepresence robot (MTR) in a hospital training apartment (HTA). The MTR was manoeuvred remotely and was used for communication when assessing independent living skills, and for security monitoring of cognitively impaired patients. Method: Occupational therapists (OTs) and nurses received training in how to use the MTR. The nurses completed a questionnaire regarding their expectations of using the MTR. OTs and patients staying in the HTA were interviewed about their experiences of the MTR. Interviews and questionnaires were analysed qualitatively. Results: The HTA patients were very satisfied with the MTR. The OTs and nurses reported generally positive experiences. The OT’s found that assessment via the MTR was more neutral than being physically present. However, the use of the MTR implied considerable difficulties for health-care professionals. The main obstacle for the nurses was the need for fast and easy access in emergency situations while protecting the patients’ integrity. Conclusions: The results indicate that the MTR could be a useful tool to support daily living skills and safety monitoring of HTA patients. However, when designing technology for multiple users, such as health-care professionals, the needs of all users, their routines and support services involved, should also be considered.

Implications for Rehabilitation

• A mobile telepresence robot (MTR) can be a useful tool for assessments and communication in rehabilitation.

• The design of the robot has to allow easy use by remote users, particularly in emergency situations.

• When designing MTRs the needs of ALL users have to be taken into consideration.

• Assistive technology
• cognitive impairment
• elderly people
• multiprofessional rehabilitation
• smart home technology
• video communication

Acknowledgements

We would like to thank the patients and the personnel in this study who openly shared their thoughts and experiences.

Declaration of interest

This project was funded by a grant from Promobilia Foundation Stroke-Riksförbundet and Danderyds University Hospital. The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the article.