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AuthorMoyle, Wendy
AuthorJones, Cindy
AuthorMurfield, Jenny
AuthorThalib, Lukman
AuthorBeattie, Elizabeth
AuthorShum, David
AuthorO’Dwyer, Siobhan
AuthorMervin, M. Cindy
AuthorDraper, Brian
Available date2018-02-08T05:51:00Z
Publication Date2018-04-01
Publication NameMaturitas
Identifierhttp://dx.doi.org/10.1016/j.maturitas.2018.01.007
CitationW. Moyle et al. , Effect of a robotic seal on the motor activity and sleep patterns of older people with dementia, as measured by wearable technology: A clusterrandomised controlled trial, Maturitas, Volume 110, April 2018, Pages 10-17
ISSN03785122
URIhttps://www.sciencedirect.com/science/article/pii/S0378512217310848
URIhttp://hdl.handle.net/10576/6253
AbstractAbstract ObjectivesThe robotic seal, PARO, has been used as an alternative to animal-assisted therapies with residents with dementia in long-term care, yet understanding of its efficacy is limited by a paucity of research. We explored the effects of PARO on motor activity and sleep patterns, as measured by a wearable triaxial accelerometer. Study designCluster-randomised controlled trial, involving 28 facilities in Queensland, Australia. Nine facilities were randomised to the PARO group (individual, non-facilitated, 15-min sessions three afternoons per week for 10 weeks), 10 to a plush toy (PARO with robotic features disabled) and nine to usual care. Main outcome measuresChanges in day- and nighttime motor activity and sleep after the 10-week intervention, as measured by SenseWear® armbands, worn by participants continuously for 24 h at baseline, during two single intervention days in weeks 5 and 10 respectively, and post-intervention (week 15). Analyses followed intention-to-treat, using repeated-measures mixed-effects models. ResultsAfter 10 weeks, the PARO group showed a greater reduction in daytime step count than usual care (p = 0.023), and in nighttime step count (p = 0.028) and daytime physical activity (p = 0.026) compared with the plush toy group. At post-intervention, the PARO group showed a greater reduction in daytime step count than the plush toy group (p = 0.028), and at nighttime compared with both the plush toy group (p = 0.019) and the usual-care group (p = 0.046). The PARO group also had a greater reduction in nighttime physical activity than the usual-care group (p = 0.015). ConclusionsPARO may have some effect on motor activity of older people with dementia in long-term care, but not on sleep patterns.Australian New Zealand Clinical Trials Registry (ACTRN12614000508673).
Languageen
PublisherElsevier
SubjectAgitation
Long-term care
BPSD
Accelerometers
Wearable technology
PARO
TitleEffect of a robotic seal on the motor activity and sleep patterns of older people with dementia, as measured by wearable technology: A cluster-randomised controlled trial
TypeArticle
Pagination10 - 17
Volume Number110
ESSN1873-4111
dc.accessType Abstract Only


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