Effects of Robotic Touch on Older Users During Walking Guidance by a Humanoid Robot

Addressing the global caregiver shortage through socially assistive robots necessitates a deep understanding of their psychological and physiological impacts on older adults during human-robot interaction (HRI). This study addresses whether social robots can serve as effective interaction partners compared to humans, and if "positive prompts" can similarly enhance these interactions. We conducted a comparative study with 35 participants (aged 70+). Our multi-modal analysis, integrating facial expression data, heart rate variability, and subjective questionnaires, revealed no significant differences in overall stress levels between human and robot interactions. Facial expression analysis confirmed that the robot was accepted as a valid interaction partner, while physiological data showed slightly lower heart rates during robot interactions, suggesting a more relaxed state compared to human-led sessions. These findings indicate that social robots can engage older adults without inducing psychological strain and are capable of alleviating caregiver burden by performing structured tasks, such as health-sensing surveys. Future work should address the identified "appearance-content mismatch" in robot design to facilitate even more natural and effective interactions.

Affective touch in human-robot interaction is shaped not only by emotional intent, but also by robot embodiment, including touch location, physical constraints, and perceived agency or social role. Existing HRI studies typically focus on one or two isolated body parts, limiting understanding of how affective touch generalises across the full humanoid body. We present a study with 32 participants interacting with the iCub robot, which is equipped with full-body distributed tactile sensors. Participants expressed eight emotions under three conditions: free touch, arm-only touch, and torso-only touch. Results show that body region and spatial constraints jointly shaped both touch location and dynamics. In free touch, participants preferred socially accessible upper-body regions, while less frequently touched areas showed stronger emotion-specific selectivity. Emotion-related variation was more evident in motion features for arm-only touch and pressure features for torso-only touch. Touch strategies also did not transfer directly between free and constrained conditions, even within the same coarse body region. Participants reported increased closeness to the robot after interaction, with around 30 percent reporting a change in perceived social relationship. Together, these findings show that affective touch expression is strongly body-region dependent and shaped by embodiment constraints.

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.