Table 2.
Barriers and facilitators to the implementation discussed in the included papers.
| Factors | References of the papers | |||
| Barriers | ||||
|
|
Organizational | |||
|
|
|
Noisy environment during interaction | [16,18,48] | |
|
|
|
Storage area necessary | [46] | |
|
|
|
Charging necessary | [46] | |
|
|
|
Hygiene measures necessary | [46] | |
|
|
|
Staff/caregivers resistant to implementation | [18,66] | |
|
|
|
Increased workload for staff/caregivers | [8,66] | |
|
|
|
Frequency of sessions not adapted to patients’ needs | [61] | |
|
|
Clinical | |||
|
|
|
Participants with an advanced cognitive decline | [18-20,54,66] | |
|
|
|
Participants with a hearing impairment | [20,63] | |
|
|
|
Difficult disengagement after the robot’s removal | [55] | |
|
|
|
Risk of deception | [49,51,66] | |
|
|
|
Participants with a language impairment | [50] | |
|
|
|
Interaction with the robot seemed infantilizing | [8,51] | |
|
|
|
Participants feared the robot | [22] | |
|
|
|
Participants misunderstood the purposes of the study | [8] | |
|
|
|
Frustrating interruption of activities | [57] | |
|
|
Technical | |||
|
|
|
Robot was difficult to understand | [16,21,63] | |
|
|
|
Robot’s touchscreen was difficult to use | [16,48] | |
|
|
|
Robot’s voice recognition system was deficient | [18,48] | |
|
|
|
Limited visibility of the robot’s screen display | [21] | |
|
|
|
Robot’s speech rhythm deficient (too fast, long pauses, etc) | [21,62,63] | |
|
|
|
Robot was too noisy | [8,56,61] | |
|
|
|
Connection between devices was unstable | [8] | |
|
|
|
Robot was fragile | [8] | |
|
|
|
Robot was heavy | [8,61] | |
|
|
|
Robot was too big | [8] | |
|
|
|
Robot interrupted conversations | [63] | |
|
|
|
Robot spoke a limited number of languages | [19,48] | |
| Facilitators | ||||
|
|
Organizational | |||
|
|
|
Staff/caregivers had a positive perception of the robot | [18,46,66] | |
|
|
|
Staff/caregivers received training | [8,9,16,22,46,49,51-55,57,60,64-66] | |
|
|
|
Staff/caregivers promoted the use of the robot | [46,66] | |
|
|
|
Robot was easily available | [10,47] | |
|
|
|
Low cost | [10,19,47] | |
|
|
|
Robot was named by participants | [55] | |
|
|
|
Demonstration at the beginning of the intervention | [21,53,56] | |
|
|
|
Intervention did not replace usual activities | [49] | |
|
|
|
Hygiene measures were easily applicable | [51] | |
|
|
|
Participants were given ownership of their robot | [10] | |
|
|
|
Cleaning protocol was developed | [66] | |
|
|
|
Sessions were carried out in a quiet separate room | [8,53,54,56] | |
|
|
|
Exclusion of patients uninterested by the robot | [53,54] | |
|
|
|
Activities with the robot were organized (eg, bingo, listening to music) | [53] | |
|
|
|
Verbal/written instructions for staff/caregivers | [53,56] | |
|
|
|
Length of sessions were flexible | [16,56] | |
|
|
|
Facilitator was present during sessions | [8,49,56,62,63] | |
|
|
Technical | |||
|
|
|
Robot’s appearance was pleasing | [10,16,18,21,22,47,51,61] | |
|
|
|
Addition of stylus pen to facilitate the use of the robot’s touchscreen | [16,48] | |
|
|
|
Robot was easy to use, little training required | [21,47] | |
|
|
|
Robot was responsive to patients’ touch | [9,47,66] | |
|
|
|
Robot’s speech modalities were adequate | [61,66] | |
|
|
|
Robot was voice- and face-activated | [21] | |
|
|
|
Robot’s sound was clear | [10,21,22,62] | |
|
|
|
Robot’s voice/face recognition feature was adequate | [21] | |
|
|
|
Contextual interaction (intervention within augmented reality display) | [49] | |
|
|
|
Robot had entertaining features (apps, images, music) | [16,18,21,48,63] | |