Perception of Social Robots as Communication Partners in Healthcare for Older Adults

The shortage of healthcare staff is a challenge in geriatric care. To address this, robots can be integrated into care settings to provide assistance and emotional support. A promising application is walking guidance, particularly benefiting older adults as navigation skills deteriorate with aging. As walking guidance involves direct contact, the aim of this study is to understand how older adults perceive and respond to different touch modes during guided walking. 24 older adults (68 - 88 yrs.) walked four times a ten-meter trajectory guided by the robot TIAGo Pro in four contact conditions: no physical contact (NC); physical contact through holding the robot's wrist with the hand (HH); physical interaction through linking arms with the robot (LA); and physical contact through resting the forearm on the robots forearm (FC). A multimodal assessment approach included electrocardiogram, electrodermal activity, contact force, distance to robot, and questionnaires. Physiological results reveal a slight increase in stress levels during robot interaction. Behavioural and subjective measures, however, show overall acceptance of robotic touch. The two conditions corresponding to larger interaction forces (HH and FC) were associated with lower relative distances between participant and robot, indicating a higher trust and confidence. Questionnaire responses supported these findings, evidencing greater perceived safety, trust and comfort in these conditions. This study provides insights for the design of robotic walking guidance assistance, indicating that gentle, stable touch is preferred by older adults in comparison to contactless interaction.

Frailty assessments are crucial to evaluate the risk of adverse events and the health and social care needs of older adults, yet their administration remains resource-intensive and typically relies on coarse clinical outcomes, such as task completion times, which may overlook biomechanical indicators of functional decline. To address this, we present a robotic framework that guides older adults through standardised frailty and fall-risk tests while capturing clinical scores and additional frailty-related metrics, offering a deeper insight into a user's condition. The system uses a Behaviour Tree architecture that coordinates perception, decision-making, interaction, and measurement modules. Using vision-based skeleton tracking, the robot evaluates established clinical tests, including the Short Physical Performance Battery (SPPB) and the Timed Up and Go (TUG). The framework was co-designed with healthcare professionals and evaluated in situ during six months in a rehabilitation centre's research lab with N=81 older adults. Robot-derived measurements were compared against therapist assessments and clinical reference instruments, including a gait analysis walkway and an inertial measurement unit (IMU). Results showed excellent agreement for most test completion times and gait-related parameters ($ICC > 0.9$). And, substantial agreement for the overall SPPB score comparing the robot and the therapist ($k = 0.67$) and moderate agreement comparing the robot and the IMU ($k=0.55$). The findings highlight that social robots can provide reliable and objective frailty assessments in healthcare settings while enabling the collection of relevant mobility indicators beyond conventional outcomes.

Many children experience challenges in emotional regulation and social interaction, which can limit their participation in everyday activities and therapeutic programs. For socially assistive robots to be effective in this context, it is essential that children remain consistently and meaningfully engaged. We explore engagement strategies for a tactile robot designed to support children suffering from anxiety disorders through daily interactions. The robot delivers either synthetic emotional feedback or point rewards to encourage user participation. We evaluated these strategies through two studies: a preference assessment with 16 school children aged 6-8 years, and a behavioral study with 14 university students aged 20-27 years in naturalistic environments. The study with school children indicated a preference for emotional engagement over points-based approaches. The follow up study with university students across a full day of interactions revealed contrasting results: points-based systems produced significantly higher task accuracy (p < 0.05) and sustained performance over time. Findings from different user groups suggest that stated preferences and behavioral outcomes can diverge depending on engagement context, highlighting the importance of validating design assumptions through observed interaction. This work contributes insights into age-related differences in engagement strategy effectiveness in human-robot interaction design.