Robot-assisted home hazard assessment for fall prevention: a feasibility study

Author:

Sadasivam Rajani S12,Luger Tana M23,Coley Heather L4,Taylor Benjamin B5,Padir Taskin6,Ritchie Christine S78,Houston Thomas K123

Affiliation:

1. Quantitative Health Sciences, Division of Health Informatics and Implementation Science, University of Massachusetts Medical School, Worcester, USA

2. VA E-health Quality Enhancement Research Initiative, Bedford VAMC, Massachusetts, USA

3. Center for Healthcare Organization and Implementation Research, Bedford VAMC, Massachusetts, USA

4. Department of Medicine, Division of Infectious Diseases, University of Alabama at Birmingham, USA

5. Department of Medicine, Division of General Internal Medicine, University of Alabama at Birmingham, USA

6. Department of Electrical and Computer Engineering, Worcester Polytechnic Institute, Massachusetts, USA

7. Department of Medicine, Geriatrics Division, University of California, San Francisco, USA

8. San Francisco VAMC, San Francisco, CA, USA

Abstract

Summary We examined the feasibility of using a remotely manoeuverable robot to make home hazard assessments for fall prevention. We employed use-case simulations to compare robot assessments with in-person assessments. We screened the homes of nine elderly patients (aged 65 years or more) for fall risks using the HEROS screening assessment. We also assessed the participants' perspectives of the remotely-operated robot in a survey. The nine patients had a median Short Blessed Test score of 8 (interquartile range, IQR 2-20) and a median Life-Space Assessment score of 46 (IQR 27-75). Compared to the in-person assessment (mean = 4.2 hazards identified per participant), significantly more home hazards were perceived in the robot video assessment (mean = 7.0). Only two checklist items (adequate bedroom lighting and a clear path from bed to bathroom) had more than 60% agreement between in-person and robot video assessment. Participants were enthusiastic about the robot and did not think it violated their privacy. The study found little agreement between the in-person and robot video hazard assessments. However, it identified several research questions about how to best use remotely-operated robots.

Publisher

SAGE Publications

Subject

Health Informatics

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