PROCEEDINGS OF THE IEEE, VOL. 92, NO. 11, NOVEMBER 2004Effects of Robot-Assisted
Activity for Elderly People and Nurses at a Day Service Center
KAZUYOSHI WADA, TAKANORI SHIBATA, MEMBER, IEEE, TOMOKO SAITO, AND KAZUO TANIE, FELLOW, IEEEInvited Paper    Mental commit robots have
been developed to provide psychological, physiological, and social effects
in human beings through physical interaction. The appearance of these robots
is designed to emulate real animals such as a cat or a seal. The seal robot
was developed especially for therapeutic applications. Seal robots have been
applied to assisting the activity of the elderly at a day service center.
In order to investigate the effects of seal robots on elderly people, their
mood was evaluated using face scales (which express moods by identifying the
appropriate facial illustration) and questionnaires. Changes in reaction to
stress in the elderly was measured using urinary tests. In addition, stress
of nursing staff was investigated. Their mental state was evaluated using
a “burnout scale.� The day service center was provided with seal
robots for five weeks. As a result, the feelings of elderly people improved
by the interaction with the robots. Urinary tests showed that their ability
to overcome stress were also improved. Moreover, the stress levels of the
nursing staff decreased because the elderly people required less supervision
when interacting with the robots. Consequently, the seal robots were judged
to be useful at institutions for the elderly, such as the day service center.
 Â
   Â
Keywords—Elderly people, human–robot interaction, mental commit robot, robot-assisted activity.    Manuscript received May 15, 2003; revised April 15, 2004.
    K. Wada, T. Saito, and K. Tanie are with the Intelligent Systems Institute,
National Institute of Advanced Science and Technology (AIST), Tsukuba 305-8568,
Japan (e-mail: k-wada@aist.go.jp; tomo-saito@aist.go.jp; tanie.k@aist.go.jp).
    T. Shibata is with the Intelligent Systems Institute, National Institute
of Advanced Science and Technology (AIST), Tsukuba 305-8568, Japan, and also
with Precursory Research for Embryonic Science and Technology (PRESTO), Japan
Science and Technology Agency (JST), Kawaguchi 332-0012, Japan (e-mail: shibata-takanori@aist.go.jp).
Digital Object Identifier:
10.1109/JPROC.2004.835378
0018-9219/04$20.00 © 2004 IEEE
I.  INTRODUCTION
    A.  Aged Society
    B.  Animal-Assisted Therapy and Activity
    C.  Mental Commit Robot
    D.  Robot-Assisted Therapy and Activity
II.  SPECIFICATIONS OF THE SEAL ROBOT
    A.  Proactive Behavior
        1)  Behavior-Planning Layer
        2)  Behavior-Generation Layer
        3)  Long-Term Memory
    B.  Reactive Behavior
    C.  Physiological Behavior
III.  ROBOT-ASSISTED ACTIVITY FOR ELDERLY PEOPLE
    A.  Method of Interaction
    B.  Methods of Evaluation
    C.  Results of Evaluation
IV.  INFLUENCE ON MENTAL IMPOVERISHMENT OF NURSING STAFF
    A.  Method of Evaluation
    B.  Results of Evaluation
V.  DISCUSSIONS
VI.  CONCLUSION
ACKNOWLEDGMENTREFERENCESI.  INTRODUCTION
    A.  Aged Society
    According to the United Nations, the proportion of people 65 years old and
over in the population of a country exceeding 7% indicates an aging society,
with the proportion exceeding 14% indicating an aged society. Fig. 1 shows the changing proportions in most advanced
countries. Countries other than the United States have become aged societies [1]. Such percentages are
expected to increase, together with the number of elderly people who require
nursing due to dementia, becoming bedridden, etc., together with the number
being institutionalized for long periods in care facilities for the elderly.
Moreover, the nursing staff's bodily and mental stress occasioned by manpower
shortages and increasing work loads is becoming a big problem. Especially,
mental stress in nursing causes Burnout syndrome [2]. It makes the nursing staff irritable, with
loss of sympathy for patients. Thus, it is important to improve the quality
of life (QOL) of elderly people, as this helps them to have
healthy and independent lives. It also saves the social costs of elderly people.
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B.  Animal-Assisted Therapy and Activity
    Interaction with animals has long been
known to be emotionally beneficial to people. In recent years, the effects
of animals on humans have been researched and proved scientifically. Friedmann
investigated the one-year survival of patients were who discharged from a
coronary care unit, finding that survival among those who kept pets was higher
than those who did not [3]. Baum et al. reported that blood pressure dropped when people petted
their dogs [4]. Garrity et al. studied
elderly people who were socially isolated and lost their partner within the
previous year and found that the depth of depression among those who had no
pets was higher than those who did [5]. Dan et al. investigated the influences of pet owning on elderly
people by telephone interviews. He revealed mortality and attrition were higher
for former owners than current owners [6]. Lynette studied the social influences of animals on people. He
found that the number of friendly approaches by strangers to people with dogs
were greater than to people without dogs [7].
    In medical
applications, especially in the United States, animal-assisted therapy (AAT)
and animal-assisted activities (AAA) are becoming widely used in hospitals
and nursing homes. AAT has clear goals set out in therapy programs designed
by doctors, nurses, or social workers, in cooperation with volunteers. In
contrast, AAA refers to patients interacting with animals without particular
therapeutic goals, and depends on volunteers. AAT and AAA are expected to
have three effects:
| Â Â Â 1Â | psychological effect (e.g., relaxation, motivation);
|
| Â Â Â 2Â | physiological effect (e.g., improvement of vital signs);
|
| Â Â Â 3Â | social effect (e.g., stimulation of communication among
inpatients and caregivers).
|
   Â
| Fig. 1. Ratio
of people 65 years old and over to the total population of the most advanced
countries.
| |
For example, a hospitalized child who was in significant pain because
of his disease was afraid to get up and walk around. However, when he was
asked to take a therapy dog for a walk, he immediately agreed and walked off
happily, as if all his pain diminished. Moreover, the dog acted as a medium
for interaction between him and the other children
[8]. In another case, a boy who, as a fetus, was
exposed to crack cocaine could not speak and walk. However, through interaction
with therapy dogs and birds, he improved both his linguistic and motor ability
[9].
    As for people with
AIDS, it is important to reduce their stress because there is a strong relationship
between the complications of stress and immune deficiency. AAT brings the
effects of relaxation to them and helps them to stay connected with the world
[10].
    In addition to
these effects, AAT and AAA at nursing homes provides the effects of rehabilitation
to elderly people and offers laughter and enjoyment to a patient who has little
remaining life
[11].
Moreover, there are some cases where the therapy has improved the state of
elderly people with dementia.
    However, most hospitals and nursing homes,
especially in Japan, do not accept animals, even though they admit the positive
effects of AAT and AAA. They are afraid of negative effects of animals on
human beings, such as allergy, infection, bites, and scratches.
   Â
C.  Mental Commit Robot    Science and technology are developed on the basis of objectivity, and this
development has been designed for universality and commonness. “Technology,�
as an application of the practice of science, is the skill of modifying and
processing events in nature so that they become useful to human life. Science,
which is the foundation of technology, is a body of knowledge which is systematic
and empirically verifiable.
    On the other hand, “art� is the activity and asset of humans
who attempt to create and express aesthetic value by making full use of certain
materials, techniques, and methods. It is the industrial arts that create
practical objects with aesthetic value.
    Robotics has been applied to automation in industrial manufacturing. Most
robots are machines for optimizing a practical system in terms of objective
measures such as accuracy, speed, and cost
[12]. Therefore, humans give machines suitable methods, purposes, and
goals
[13],
[14]. Machines are the passive
tools of humans.
    We have been researching robots in contrast to such machines. If a robot
were able to generate its motivation and behave voluntarily, it would have
significant influence over an interacting human. At the same time, the robot
would not be a simple tool for the human nor could it be evaluated only in
terms of objective measures. We have been designing animal-type robots as
examples of artificial emotional creatures
[15][16][17][18][19][20][21][22][23][24][25][26][27][28][29]. The animal-type robots have physical bodies and exhibit active
behavior while generating goals and motivations by themselves. They interact
with human beings physically. People recognize the robots and subjectively
interpret their movement based on their knowledge and experience.
| Fig. 2. Seal
robot Paro.
| |
| Fig. 3. Interaction
between inpatient and seal robot, and social interaction between children.
| |
When we engage physically with an animal-type robot, it stimulates
our affection. We then experience positive emotions such as happiness and
love, or negative emotions such as anger and fear. Through physical interaction,
we develop an attachment to the animal-type robot, while regarding it as either
intelligent or stupid from our subjective measures. In this research, animal-type
robots that give mental value to human beings are referred to as mental commit
robots. Three examples that we have developed are dog, cat, and seal robots.
   Â
D.  Robot-Assisted Therapy and Activity    We have proposed robot therapy
[15]. We have used a seal robot named Paro (
Fig. 2), instead of real animals, in pediatric therapy at a university
hospital
[23],
[24], termed robot-assisted
therapy (RAT). The children's ages were from 2 to 15 years, some of them having
immunity problems. Paro was given to them three times a day for 11 days.
| Fig. 4. Interaction
between child inpatient on bed and seal robot.
| |
The children's moods improved
on interaction with Paro, encouraging
the children to communicate with each other and caregivers (
Fig. 3). In one striking instance, a young autistic
patient recovered his appetite and his speech abilities during the weeks when
Paro was at the hospital. In another case,
Fig. 4 shows interaction between Paro and a long-term inpatient. She felt
pain when she moved her body, arms, and legs and could not move from her bed.
However, when Paro was given to her, she smiled and was willing
to stroke Paro. A nurse said that Paro had a rehabilitative function as well
as a mental effect.
    Other animal-type robots (such as Furby, AIBO
[30], NeCoRo, etc.) have been released by several
companies. Then robot-assisted activity that uses those robots has been tried.
For example, Yokoyama used AIBO in a pediatrics ward and observed the interaction
between children and AIBO
[31]. He pointed out that the stimulus received from AIBO was strong;
however, the stability was quite weak, compared with living animals. In other
words, when people meet AIBO for the first time, they are interested in it
for a while. However, relaxation effects such as those obtained from petting
a real dog are never felt from AIBO.
    In this paper, we discuss the application of the seal robots to assist
elderly people at a day service center, observing their psychological and
social effects. Urinary tests were conducted to establish the physiological
effects,. Here, space limitations prevent full discussion of the results.
However, details are described in
[27]. Moreover, we discuss the influences to mental impoverishment of
nursing staff.
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Section II describes a seal robot
that was used for robot-assisted activity (RAA).
Section III describes ways of experiments and explains the effects
of RAA on elderly people.
Section IV explains
the effects of RAA on nursing staff.
Section V discusses current results of RAA and future works. Finally,
Section VI offers conclusions.
II.  SPECIFICATIONS OF THE SEAL ROBOT
    The seal robot Paro was developed to physically interact with human beings
(Fig. 2). Paro's appearance is that
of a baby harp seal, which has white fur for three weeks after birth. As for
perception, Paro has tactile, vision, auditory, and posture sensors beneath
its soft white artificial fur. In order that Paro should have a soft body,
an air-bag-type tactile sensor was developed and implemented. To provide movement,
the robot has eight actuators; two for upper and lower eyelids, one for rotation
of eyes, two for the neck, one for each front fin, and one for two rear fins.
Paro weighs about 2.8 kg.
    Paro has a behavior-generation system consisting of two hierarchical layers
of processes: proactive and reactive (Fig. 5). These two layers generate three types of behavior: proactive, reactive,
and physiological behaviors.
| Fig. 5. Behavioral
generation system of Paro.
| |
   Â
A.  Proactive Behavior    Paro has two layers to generate its proactive behavior: a behavior-planning
layer and a behavior-generation layer. By addressing its internal states of
stimuli, desires, and a rhythm, Paro generates proactive behavior.
    1)  Behavior-Planning Layer:    This has
a state transition network based on the internal states of Paro and Paro's
desire, produced by its internal rhythm. Paro has internal states that can
be named with words indicating emotions. Each state has a numerical level
which is changed by stimulation. The state also decays in time. Interaction
changes the internal states and creates the character of Paro. The behavior-planning
layer sends basic behavioral patterns to behavior-generation layer. The basic
behavioral patterns include several poses and movements. Here, although the
term “proactive� is used, the proactive behavior is very primitive
compared with that of human beings. We implemented behavior in Paro similar
to that of a real seal.
    2)  Behavior-Generation Layer:    This layer
generates control references for each actuator to perform the determined behavior.
The control reference depends on magnitude of the internal states and their
variation. For example, parameters can change the speed of movement and the
number of instances of the same behavior. Therefore, although the number of
basic patterns is finite, the number of emerging behaviors is infinite because
of the varying number of parameters. This creates lifelike behavior. In addition,
to gain attention, the behavior-generation layer adjusts parameters of priority
of reactive behaviors and proactive behaviors based on the magnitude of the
internal states. This function contributes to the behavioral situation of
Paro, and makes it difficult for a subject to predict Paro's action.
    3)  Long-Term Memory:    Paro has a function
of reinforcement learning. It has positive value on preferred stimulation
such as stroking. It also has negative value on undesired stimulation such
as beating. Paro assigns values to the relationship between stimulation and
behavior. Gradually, Paro can be tuned to preferred behaviors of its owner.
   Â
B.  Reactive Behavior   Â
| Fig. 6. Scene
of usual activity of elderly people at a day service center.
| |
Paro reacts to sudden stimulation. For example, when it hears a sudden
loud sound, Paro pays attention to it and looks in the direction of the sound.
There are several patterns of combination of stimulation and reaction. These
patterns are assumed as conditioned and unconscious behavior.
   Â
C.  Physiological Behavior    Paro has a diurnal rhythm. It has several spontaneous needs, such as sleep,
based on this rhythm.
III.  ROBOT-ASSISTED ACTIVITY FOR ELDERLY PEOPLE
    We applied Paro to RAA for elderly people at a day service center in order
to investigate its effects on the elderly. The day service center is an institution
that aims to decrease nursing load for a family by keeping elderly people
during the daytime (9:00–15:30). Services such as bathing, massage,
physical exercise, and games are provided to the elderly people there. Fig. 6 shows activity of the elderly people.
They communicated little and the atmosphere was gloomy.
    Before starting the RAA, we explained the purposes and procedure to the
elderly people and received their approval.
    Some people could not be questioned
(no answer to questionnaires, bedridden, etc). So we questioned the nursing
staff, who knew the elderly people well, to determine who would participate.
Twenty-three subjects were finally chosen. All of them were women, aged between
73 and 93Â years old. Several subjects presented dementia, in which case,
the nursing staff judged the dementia level of each subject in terms of the
revised Hasegawa's dementia scale (HDS-R). Their dementia levels were as follows:
| Â Â Â 1Â | nondementia: 15 people;
|
| Â Â Â 2Â | slight degree: three people;
|
| Â Â Â 3Â | slightly high degree: three people;
|
| Â Â Â 4Â | high degree: two people.
|
   Â
A.  Method of Interaction    Paro was given to the elderly people at the day service center three days
per week for five weeks. They interacted with Paro from one to three days
a week, because they did not attend the center every day.
| Fig. 7. Interaction
between elderly people and seal robot.
| |
We prepared a desk for Paro in the center of the table, and up to
eight people were arranged as shown in
Fig. 7. If there were more than eight persons, they were divided randomly
into two groups. First one and then the other group interacted with Paro for
about 20 min at a time. When the number of people was small, they could interact
with Paro for about 40 min, if they wished.
   Â
B.  Methods of Evaluation    In order to investigate the effects on the elderly people before and after
interaction with Paro, the following three types of data and additional information
were collected:
|    1 | face scale [32] (Fig. 8);
|
| Â Â Â 2Â | questionnaires concerning moods;
|
| Â Â Â 3Â | urinary tests [35][36][37];
|
| Â Â Â 4Â | comments of nursing staff.
|
    The face scale contains 20 drawings of a single face, arranged in serial
order by rows, with each face depicting a slightly different mood state. A
graphic artist was consulted so that the faces would be portrayed as genderless
and multiethnic. Subtle changes in the eyes, eyebrows, and mouth were used
to represent slightly different levels of mood. They are arranged in decreasing
order of mood and numbered from 1Â to 20, with 1 representing the most
positive mood and 20 representing the most negative mood. As the examiner
pointed at the faces, the following instructions were given to each subject: “The
faces below range from very happy at the top to very sad at the bottom. Check
the face which best shows the way you feel inside now.�
   Â
| Table 1 Questionnaires
Concerning Moods
| |
The Profile
of Mood States (POMS) is a popular questionnaire which measures a person's
moods
[33]. POMS
is used in various research fields such as medical therapy and psychotherapy.
However, it is time- consuming to answer questionnaires, because there are
so many items. Since investigation time at the day service center was limited,
and the elderly people had to be able to answer in a short time, we devised
questionnaires that consisted of six items extracted from POMS. We selected
two items that have a high significance for each of three factors of POMS:
tension–anxiety, depression–dejection, and vigor. The selected
items were shown in
Table 1. These
items were evaluated in five stages of 0–4 as used in POMS:
![[$0 ={\hbox{not~ at~ all}}$]](http://mathfigs.ieeexplore.ieee.org/iel5/5/29676/1347458/1182702.gif)
,
![[$1 ={\hbox{a~ little}}$]](http://mathfigs.ieeexplore.ieee.org/iel5/5/29676/1347458/1182703.gif)
,
![[$2 ={\hbox{moderately}}$]](http://mathfigs.ieeexplore.ieee.org/iel5/5/29676/1347458/1182704.gif)
,
![[$3 ={\hbox{quite~ a~ bit}}$]](http://mathfigs.ieeexplore.ieee.org/iel5/5/29676/1347458/1182705.gif)
, and
![[$4 ={\hbox{extremely}}$]](http://mathfigs.ieeexplore.ieee.org/iel5/5/29676/1347458/1182706.gif)
.
   Â
C.  Results of Evaluation    The face scale and questionnaires concerning moods were submitted to the
elderly people, before and after interaction with Paro. In order to examine
their moods after Paro had gone, they were also interrogated in the sixth
week of the experiment, when Paro was withdrawn.
   Â
| Table 2 Basic
Attribute of 12 Subjects
| |
Regarding the face scale, we obtained data
from 12Â people (
Table 2).
Fig. 9 indicates the average face value
(low score—positive mood; high score—negative
mood). Average scores before interaction varied from about 5.3 to 3.0. However,
scores after interaction were constant at about 3.0Â for five weeks. Moreover,
the sixth week, when Paro had been removed, was higher than the score after
interaction with Paro. Thus, interaction with Paro improved the mood state
of the subjects, and its effect was unchanged throughout during the five weeks
of interaction.
| Fig. 9. Results
of average face scale scores of 12 elderly people over six weeks.
| |
   Â
| Table 3 Basic
Attribute of 11 Subjects
| |
| Fig. 10. Average
scores of the question item “vigorous� by 11 elderly people for
six weeks.
| |
Regarding questionnaires concerning moods, we obtained data from
11 people (
Table 3).
Fig. 10 shows the average result of the question item “vigorous.�
A high score in this item expressed that people felt strong in their moods.
The scores after interaction increased from about 1.4 to 2.0. However,
these scores were higher than those preceding interaction after the second
week. As a statistical analysis, we applied Wilcoxson's sign rank sum test
[38] to the scores before
and after interaction for each week. As a result, significant changes were
seen in the second, third, fourth, and fifth weeks (
![[${p}< {\hbox{0.05}}$]](http://mathfigs.ieeexplore.ieee.org/iel5/5/29676/1347458/1182707.gif)
). Moreover, the score of the sixth week, when Paro had been
withheld, was lower than the scores after interaction with Paro in the previous
weeks. Therefore, Paro brought “vigor� to elderly people through
the interaction, and its effect was maintained for five weeks. Regarding the
item “full of pep,� differences in scores before and after interaction
were not large as “vigorous.� Moreover, scores were low in other
items such as “tense,� “uneasy,� “lonely,�
and “unhappy.� These scores were one or lower, both before and
after interaction. This means that most elderly people did not feel high tension–anxiety
or depression–defection in this investigation.
    Regarding urinary
tests, we explain the results briefly. We examined the change in stress reaction
of elderly by measuring urine 17–Ketosteroid sulfates (17-KS-S) and
17-hydroxycorticosteroids (17-OHCS) values before and after the introduction
of Paro. The 17-KS-S value, indicating the restorative degree to the stress,
has a high value in healthy individuals
[35]. The 17-OHCS value, indicating the stress load degree, rises at
the stress
[36],
[37], and the ratio of 17-KS-S/17-OHCS
indicates an inclusive living organisms reaction
[37]. The participant's 17-KS-S values and ratios
of 17-KS-S/17-OHCS were increased after introduction of Paro.
Therefore, we consider that RAA improved the ability to in the elderly to
recover from stress. More details are described in
[27].
    Regarding the comments and observations
of the nursing staff, interaction with Paro made the elderly people more active
and communicative, both with each other and nursing staff (
Fig. 7).
| Fig. 11. Average
burnout score of the six nursing staff members for six weeks.
| |
In an interesting instance, an elderly woman who rarely talked with
others began communicating after interacting with Paro. In addition, Paro
had an influence on people with dementia. A woman who had refused to help
herself and was frequently forgetful often laughed and became brighter than
usual after playing with Paro. Another elderly woman who had previously wanted
to go back home soon kept staying at the day service center
to play with Paro and looked happy.
IV.  INFLUENCE ON MENTAL IMPOVERISHMENT OF NURSING STAFF
    In the preceding section, we showed that moods of elderly people were improved
by interaction with Paro. We thought that improving of their moods would reduce
nursing loads and that the nursing staff's mental stress would
decrease. Thus, we investigated the mental impoverishment of nursing staff.
    Six nursing staff members who worked at the day service center were investigated.
Two were men. Their tasks included providing elderly people with services
such as bathing, physical exercise, games, etc. They had worked at the center
from one to four years.
   Â
A.  Method of Evaluation
    We used the burnout scale to investigate mental impoverishment of the nursing
staff [34]. Burnout
is a syndrome where nurses lose all concern or emotional feelings for the
persons they work with and come to treat them in detached or even dehumanized
manner. This occurs in nurses who have to care for too many people with continual
emotional stress [2].
The burnout scale is a questionnaire that consists of 21Â items. These
items represent three factors such as body, emotions, and mental impoverishment.
Each item is evaluated over seven stages. If total average score of the items
is 2.9Â or less, people are mentally and physically healthy and mentally
stable. If the score is 3.0–3.9, the symptoms of burnout are present.
People are judged to fall into the burnout category if the score is 4.0 or
more.
   Â
B.  Results of Evaluation
    We distributed the burnout scale to nursing staff once per week for six
weeks, from a week before introduction of Paro to the last week. Fig. 11 shows the average burnout score of the nursing
staff. All of the scores of nursing staff were smaller than 2.9. No nursing
staff had symptom of burnout in this investigation. The average burnout score
of a week before introduction of Paro was the highest, and then the average
score decreased until second week of after the introduction,
and kept the small score until the last week. As a statistical analysis, we
applied Friedman's test [39] to the burnout score. We obtained statistically significant changes
that the score decreased (
).
As a result, mental impoverishment of the nursing staff decreased through
RAA.
V.  DISCUSSIONS
    The investigation of effects of mental commit robots on people is still
at an early stage. Nevertheless, after interaction with Paro, the face scale
scores of elderly people were good, and their vigor scores in the questionnaires
were high, confirming that Paro improved the mood of elderly people and made
them more vigorous. In addition, Paro encouraged elderly people to communicate,
both with each other and nursing stuff. Moreover, Paro was effective for people
with dementia.
    Physiologically, urinary tests showed that the ability to recover from
stress was improved in the elderly. The details are described in [27].
    In this research, we compared the effects of the regular Paro with those of
another Paro with a program modified to repeat five types of action and one
simple reaction against stimuli. The reprogrammed Paro was offered to elderly
people two weeks after the end of the five-week experiment. However, because
of bad health and hospitalization medical checkup of the subjects, we were
unable to obtain sufficient data. In order to verify effects of Paro more
accurately, and to investigate relationship between functions of Paro and
its effects, we need experimental comparison with the reprogrammed
Paro.
    Regarding the nursing staff, their burnout scores decreased after introducing
Paro to the elderly people. We consider that improvement of elderly people's
moods reduced their dependency on nurses, and nursing staff's mental impoverishment
decreased. As a result, Paro is useful at elderly institutions such as day
care centers.
    In this initial experiment of RAA for elderly people, the frequency of
interaction was about 20 min a day, for one to three days a week, over a period
of five weeks. Moreover, questionnaires concerning the mood of the subjects
were primitive. In the future, we will improve the questionnaires and carry
out experiments with different frequencies and periods of interaction. In
addition, we will apply Paro to different types of institutions for the elderly
and make comparisons with the reprogrammed
Paro.
VI.  CONCLUSION
    We applied a mental commit robot, Paro, to RAA for elderly
people at a day service center. The experiment was carried out for six weeks
in total. The results show that interaction with Paro has psychological, physiological,
and social effects on elderly people. In addition, the RAA reduces mental
impoverishment, known as burnout, of nursing staff giving care to elderly
people.
    Following this experiment, we applied Paro to RAA for the elderly who stayed
at a health service facility for the aged. Similar effects of Paro were found [28], [29].
    We intend to conduct further experiments and research in different conditions
and situations. Moreover, we will investigate the relationship between the
functions of a mental commit robot and its effects on elderly people in RAA.
ACKNOWLEDGMENT
    The authors would like to thank
the staff members of Ousuikai Hanamuro Day Service Center for their cooperation
with our experiment.
REFERENCES
Kazuyoshi Wada received the B.Eng, and M.Eng. degrees
in mechanical and control engineering from the University of Electro-Communications,
Tokyo, Japan, in 1998 and 2000, respectively, and the Ph.D. degree in engineering
from the University of Tsukuba, Tsukuba, Japan, in 2004, respectively. Â Â Â Â He was a Technical Trainee at the Intelligent Systems Institute, National
Institute of Advanced Science and Technology (AIST), Tsukuba, Japan, from
2000 to 2004. He has been an AIST Research Staff Member at the Intelligent
Systems Institute, AIST, since 2004. His current research interests include
intelligent robotics, human–robot interaction and robot-assisted therapy.     Dr. Wada is a Member of the Robotics Society of Japan, the Japan Society
of Mechanical Engineering, and the Human Interface Society. |
Takanori Shibata was born in 1967. He received the
B.S., M.S., and Ph.D. degrees in electromechanical engineering from Nagoya
University, Nagoya, Japan, in 1989, 1991, and 1992, respectively. Â Â Â Â He was a Research Scientist in the Mechanical Engineering Laboratory, National
Institute of Advanced Science and Technology (AIST), Tsukuba, Japan, from
1993 to 1998. Concurrently, he was a Postdoctoral Associate at the Artificial
Intelligence Laboratory, Massachusetts Institute of Technology (MIT), Cambridge,
from 1995 to 1997. He was a Visiting Researcher at the Artificial Intelligence
Laboratory, University of Zürich, Zürich, Switzerland, in 1996 and
at the Artificial Intelligence Laboratory, MIT in 1998. He was a Senior Research
Scientist in the Mechanical Engineering Laboratory, AIST, from 1998 to 2001.
AIST was reorganized in 2001. He has been a Senior Research Scientist at Intelligent
Systems Institute, AIST, since 2001. Concurrently, he is a Research Scientist
for a project on interaction and intelligence at Precursory Research for Embryonic
Science and Technology (PRESTO), Japan Science and Technology Agency (JST),
Kawaguchi, Japan. He has published many papers and books. His research interests
include human–robot interaction, human interactive robots,
emotional robots, robot therapy, and humanitarian demining. Â Â Â Â Dr. Shibata is a Member of several scientific and technical societies.
He was certified as the inventor of a seal robot named Paro, the World's Most
Therapeutic Robot, by Guinness World Records in 2002. He has received many
awards, including the Grand Prix for Outstanding Young Person (TOYP) from
the Japan Junior Chamber and the Japanese Prime Minister's Award in 2003. |
Tomoko Saito received the B.S. degree in educational
psychology from the National Tohoku University, Sendai, Japan, in 1976, and
the M.S. and Ph.D. degree in medical sciences from University of Tsukuba,
Tsukuba, Japan, in 1996 and 2001, respectively. Â Â Â Â She was an Announcer with Ibaraki Broadcasting Systems from 1977 to 1994.
She was a Part-Time Teacher of College of Medical Technology and Nursing,
University of Tsukuba, in 1998 and 2001. She has been a Visiting Research
Scientist of the Intelligent Systems Institute of the National Institute of
Advanced Industrial Science and Technology (AIST), Tsukuba, Japan, since 2001.
Her past research includes the effects of keeping a companion animal on the
stress reaction of elderly living at home and the relationship between keeping
a companion animal and instrumental activity of daily living (IADL) of elderly
living at home. Her current research interest is the change of stress reaction
of the elderly by interaction with a robot seal in an elderly institution. Â Â Â Â Dr. Saito is a Member of the Japanese Society of Public Health and the
Japan Epidemiological Association. |
Kazuo Tanie (Fellow, IEEE) received the B.S., M.S.
and Dr. Eng. degrees in mechanical engineering from Waseda University, Tokyo,
Japan in 1969, 1971 and 1980, respectively. Â Â Â Â In 1971, he joined the Mechanical Engineering Laboratory, National Institute
of Advanced Industrial Science and Technology (AIST)-MITI, Tsukuba, Japan,
and served as the Director of the Cybernetics Division and the Biorobotics
Division in the Robotics Department, and also as Director of the Robotics
Department. From 1981 to 1982, he was also a Visiting Scholar, University
of California, Los Angeles, and in 1995, a Visiting Professor, Scuola Superiore
Sant'Anna, Pisa, Italy. Since April 1, 2001, when all MITI's laboratories
were reformed, he has been the Director of the Intelligent Systems Institute,
AIST. He has also been an Adjunctive Professor of the Cooperative Graduate
School, University of Tsukuba, Tsukuba, since 1992 and a Visiting Professor
at the Advanced Research Center of Science and Technology, Waseda University,
since 1996. He has published more than 300 papers in Japanese and international
journals and international conference proceedings. His research interests
include compliant robotic arm control, multifinger hand control with tactile
sensors, and virtual reality and its application to telerobotic systems, human-friendly
robotics, and humanoids. Â Â Â Â Dr. Tanie was a Founding Chairman of the Robotics and Mechatronics Division,
Japan Society of Mechanical Engineers (JSME), in 1988 and 1989, and a Vice
President of the Robotics Society of Japan (RSJ) in 1999 and 2000. He is a
Fellow of JSME and RSJ. He served as the General Chair and Program Chair
for several international conferences. He has been the Japanese contact person
for the International Advanced Robotics Program (IARP) since 1998 and the
President of IEEE Robotics and Automation Society (RAS) since January 2004.
He received the Joseph Engerburger Technical Award in 2001 and also several
best paper awards from Japanese academic
societies. |