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. 2022 Apr 19;9(4):e36094. doi: 10.2196/36094

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]