Interactive Education on Sleep Hygiene with a Social Robot at a Pediatric Oncology Outpatient Clinic: Feasibility, Experiences, and Preliminary Effectiveness

Kelly L.A. van Bindsbergen; Hinke van der Hoek; Marloes van Gorp; Mike E.U. Ligthart; Koen V. Hindriks; Mark A. Neerincx; Tanja Alderliesten; Peter A.N. Bosman; Johannes H.M. Merks; Martha A. Grootenhuis; Raphaële R.L. van Litsenburg

doi:10.3390/cancers14153792

Interactive Education on Sleep Hygiene with a Social Robot at a Pediatric Oncology Outpatient Clinic: Feasibility, Experiences, and Preliminary Effectiveness

Kelly L.A. van Bindsbergen, Hinke van der Hoek, Marloes van Gorp, Mike E.U. Ligthart, Koen V. Hindriks, Mark A. Neerincx, Tanja Alderliesten, Peter A.N. Bosman, Johannes H.M. Merks, Martha A. Grootenhuis^*, Raphaële R.L. van Litsenburg

^*Corresponding author for this work

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

Objectives: Children with cancer often experience sleep problems, which are associated with many negative physical and psychological health outcomes, as well as with a lower quality of life. Therefore, interventions are strongly required to improve sleep in this population. We evaluated interactive education with respect to sleep hygiene with a social robot at a pediatric oncology outpatient clinic regarding the feasibility, experiences, and preliminary effectiveness. Methods: Researchers approached children (8 to 12 years old) who were receiving anticancer treatment and who were visiting the outpatient clinic with their parents during the two-week study period. The researchers completed observation forms regarding feasibility, and parents completed the Children’s Sleep Hygiene Scale before and two weeks after the educational regimen. The experiences of children and parents were evaluated in semi-structured interviews. We analyzed open answers by labeling each answer with a topic reflecting the content and collapsed these topics into categories. We used descriptive statistics to describe the feasibility and experiences, and a dependent-samples t-test to evaluate the preliminary effectiveness. Results: Twenty-eight families participated (58% response rate) and all interactions with the robot were completed. The children and parents reported that they learned something new (75% and 50%, respectively), that they wanted to learn from the robot more often (83% and 75%, respectively), and that they applied the sleeping tips from the robot afterwards at home (54%). Regarding the preliminary effectiveness, children showed a statistically significant improvement in their sleep hygiene (p = 0.047, d = 0.39). Conclusions: Providing an educational regimen on sleep hygiene in a novel, interactive way by using a social robot at the outpatient clinic seemed feasible, and the children and parents mostly exhibited positive reactions. We found preliminary evidence that the sleep hygiene of children with cancer improved.

Original language	English
Article number	3792
Pages (from-to)	1-13
Number of pages	13
Journal	Cancers
Volume	14
Issue number	15
DOIs	https://doi.org/10.3390/cancers14153792
Publication status	Published - 1 Aug 2022

Bibliographical note

Special Issue Recent Advances in Pediatric, Adolescent and Young Adult (AYA) Psycho-Oncology.

Funding Information:
Peter Bosman, Koen Hindriks, Mark Neerincx, Johannes Merks, Martha Grootenhuis, and Tanja Alderliesten report a grant from the Nederlandse Organisatie voor Wetenschappelijk Onderzoek, Stichting voor de Technische Wetenschappen (NWO-STW) and KWF Kankerbestrijding (grant number: 15198) during the conduct of the study. The funder had no involvement in the collection, analysis, or interpretation of the data, the writing of the report, or the decision to submit the article for publication.

Publisher Copyright:
© 2022 by the authors.

Funding

Peter Bosman, Koen Hindriks, Mark Neerincx, Johannes Merks, Martha Grootenhuis, and Tanja Alderliesten report a grant from the Nederlandse Organisatie voor Wetenschappelijk Onderzoek, Stichting voor de Technische Wetenschappen (NWO-STW) and KWF Kankerbestrijding (grant number: 15198) during the conduct of the study. The funder had no involvement in the collection, analysis, or interpretation of the data, the writing of the report, or the decision to submit the article for publication.

Funders	Funder number
NWO-STW
Nederlandse Organisatie voor Wetenschappelijk Onderzoek
Stichting voor de Technische Wetenschappen
KWF Kankerbestrijding	15198

Keywords

innovation
interactive education
outpatient clinic
pediatric oncology
psycho-oncology
sleep hygiene
social robots

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.3390/cancers14153792

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van Bindsbergen, K. L. A., van der Hoek, H., van Gorp, M., Ligthart, M. E. U., Hindriks, K. V., Neerincx, M. A., Alderliesten, T., Bosman, P. A. N., Merks, J. H. M., Grootenhuis, M. A., & van Litsenburg, R. R. L. (2022). Interactive Education on Sleep Hygiene with a Social Robot at a Pediatric Oncology Outpatient Clinic: Feasibility, Experiences, and Preliminary Effectiveness. Cancers, 14(15), 1-13. Article 3792. https://doi.org/10.3390/cancers14153792

@article{bdbf3f7b62034574938962cf3ff3b3ae,

title = "Interactive Education on Sleep Hygiene with a Social Robot at a Pediatric Oncology Outpatient Clinic: Feasibility, Experiences, and Preliminary Effectiveness",

abstract = "Objectives: Children with cancer often experience sleep problems, which are associated with many negative physical and psychological health outcomes, as well as with a lower quality of life. Therefore, interventions are strongly required to improve sleep in this population. We evaluated interactive education with respect to sleep hygiene with a social robot at a pediatric oncology outpatient clinic regarding the feasibility, experiences, and preliminary effectiveness. Methods: Researchers approached children (8 to 12 years old) who were receiving anticancer treatment and who were visiting the outpatient clinic with their parents during the two-week study period. The researchers completed observation forms regarding feasibility, and parents completed the Children{\textquoteright}s Sleep Hygiene Scale before and two weeks after the educational regimen. The experiences of children and parents were evaluated in semi-structured interviews. We analyzed open answers by labeling each answer with a topic reflecting the content and collapsed these topics into categories. We used descriptive statistics to describe the feasibility and experiences, and a dependent-samples t-test to evaluate the preliminary effectiveness. Results: Twenty-eight families participated (58% response rate) and all interactions with the robot were completed. The children and parents reported that they learned something new (75% and 50%, respectively), that they wanted to learn from the robot more often (83% and 75%, respectively), and that they applied the sleeping tips from the robot afterwards at home (54%). Regarding the preliminary effectiveness, children showed a statistically significant improvement in their sleep hygiene (p = 0.047, d = 0.39). Conclusions: Providing an educational regimen on sleep hygiene in a novel, interactive way by using a social robot at the outpatient clinic seemed feasible, and the children and parents mostly exhibited positive reactions. We found preliminary evidence that the sleep hygiene of children with cancer improved.",

keywords = "innovation, interactive education, outpatient clinic, pediatric oncology, psycho-oncology, sleep hygiene, social robots",

author = "{van Bindsbergen}, {Kelly L.A.} and {van der Hoek}, Hinke and {van Gorp}, Marloes and Ligthart, {Mike E.U.} and Hindriks, {Koen V.} and Neerincx, {Mark A.} and Tanja Alderliesten and Bosman, {Peter A.N.} and Merks, {Johannes H.M.} and Grootenhuis, {Martha A.} and {van Litsenburg}, {Rapha{\"e}le R.L.}",

note = "Special Issue Recent Advances in Pediatric, Adolescent and Young Adult (AYA) Psycho-Oncology. Funding Information: Peter Bosman, Koen Hindriks, Mark Neerincx, Johannes Merks, Martha Grootenhuis, and Tanja Alderliesten report a grant from the Nederlandse Organisatie voor Wetenschappelijk Onderzoek, Stichting voor de Technische Wetenschappen (NWO-STW) and KWF Kankerbestrijding (grant number: 15198) during the conduct of the study. The funder had no involvement in the collection, analysis, or interpretation of the data, the writing of the report, or the decision to submit the article for publication. Publisher Copyright: {\textcopyright} 2022 by the authors.",

year = "2022",

month = aug,

day = "1",

doi = "10.3390/cancers14153792",

language = "English",

volume = "14",

pages = "1--13",

journal = "Cancers",

issn = "2072-6694",

publisher = "MDPI Multidisciplinary Digital Publishing Institute",

number = "15",

}

van Bindsbergen, KLA, van der Hoek, H, van Gorp, M, Ligthart, MEU , Hindriks, KV, Neerincx, MA, Alderliesten, T, Bosman, PAN, Merks, JHM, Grootenhuis, MA & van Litsenburg, RRL 2022, 'Interactive Education on Sleep Hygiene with a Social Robot at a Pediatric Oncology Outpatient Clinic: Feasibility, Experiences, and Preliminary Effectiveness', Cancers, vol. 14, no. 15, 3792, pp. 1-13. https://doi.org/10.3390/cancers14153792

Interactive Education on Sleep Hygiene with a Social Robot at a Pediatric Oncology Outpatient Clinic: Feasibility, Experiences, and Preliminary Effectiveness. / van Bindsbergen, Kelly L.A.; van der Hoek, Hinke; van Gorp, Marloes et al.
In: Cancers, Vol. 14, No. 15, 3792, 01.08.2022, p. 1-13.

Research output: Contribution to Journal › Article › Academic › peer-review

TY - JOUR

T1 - Interactive Education on Sleep Hygiene with a Social Robot at a Pediatric Oncology Outpatient Clinic: Feasibility, Experiences, and Preliminary Effectiveness

AU - van Bindsbergen, Kelly L.A.

AU - van der Hoek, Hinke

AU - van Gorp, Marloes

AU - Ligthart, Mike E.U.

AU - Hindriks, Koen V.

AU - Neerincx, Mark A.

AU - Alderliesten, Tanja

AU - Bosman, Peter A.N.

AU - Merks, Johannes H.M.

AU - Grootenhuis, Martha A.

AU - van Litsenburg, Raphaële R.L.

N1 - Special Issue Recent Advances in Pediatric, Adolescent and Young Adult (AYA) Psycho-Oncology. Funding Information: Peter Bosman, Koen Hindriks, Mark Neerincx, Johannes Merks, Martha Grootenhuis, and Tanja Alderliesten report a grant from the Nederlandse Organisatie voor Wetenschappelijk Onderzoek, Stichting voor de Technische Wetenschappen (NWO-STW) and KWF Kankerbestrijding (grant number: 15198) during the conduct of the study. The funder had no involvement in the collection, analysis, or interpretation of the data, the writing of the report, or the decision to submit the article for publication. Publisher Copyright: © 2022 by the authors.

PY - 2022/8/1

Y1 - 2022/8/1

N2 - Objectives: Children with cancer often experience sleep problems, which are associated with many negative physical and psychological health outcomes, as well as with a lower quality of life. Therefore, interventions are strongly required to improve sleep in this population. We evaluated interactive education with respect to sleep hygiene with a social robot at a pediatric oncology outpatient clinic regarding the feasibility, experiences, and preliminary effectiveness. Methods: Researchers approached children (8 to 12 years old) who were receiving anticancer treatment and who were visiting the outpatient clinic with their parents during the two-week study period. The researchers completed observation forms regarding feasibility, and parents completed the Children’s Sleep Hygiene Scale before and two weeks after the educational regimen. The experiences of children and parents were evaluated in semi-structured interviews. We analyzed open answers by labeling each answer with a topic reflecting the content and collapsed these topics into categories. We used descriptive statistics to describe the feasibility and experiences, and a dependent-samples t-test to evaluate the preliminary effectiveness. Results: Twenty-eight families participated (58% response rate) and all interactions with the robot were completed. The children and parents reported that they learned something new (75% and 50%, respectively), that they wanted to learn from the robot more often (83% and 75%, respectively), and that they applied the sleeping tips from the robot afterwards at home (54%). Regarding the preliminary effectiveness, children showed a statistically significant improvement in their sleep hygiene (p = 0.047, d = 0.39). Conclusions: Providing an educational regimen on sleep hygiene in a novel, interactive way by using a social robot at the outpatient clinic seemed feasible, and the children and parents mostly exhibited positive reactions. We found preliminary evidence that the sleep hygiene of children with cancer improved.

AB - Objectives: Children with cancer often experience sleep problems, which are associated with many negative physical and psychological health outcomes, as well as with a lower quality of life. Therefore, interventions are strongly required to improve sleep in this population. We evaluated interactive education with respect to sleep hygiene with a social robot at a pediatric oncology outpatient clinic regarding the feasibility, experiences, and preliminary effectiveness. Methods: Researchers approached children (8 to 12 years old) who were receiving anticancer treatment and who were visiting the outpatient clinic with their parents during the two-week study period. The researchers completed observation forms regarding feasibility, and parents completed the Children’s Sleep Hygiene Scale before and two weeks after the educational regimen. The experiences of children and parents were evaluated in semi-structured interviews. We analyzed open answers by labeling each answer with a topic reflecting the content and collapsed these topics into categories. We used descriptive statistics to describe the feasibility and experiences, and a dependent-samples t-test to evaluate the preliminary effectiveness. Results: Twenty-eight families participated (58% response rate) and all interactions with the robot were completed. The children and parents reported that they learned something new (75% and 50%, respectively), that they wanted to learn from the robot more often (83% and 75%, respectively), and that they applied the sleeping tips from the robot afterwards at home (54%). Regarding the preliminary effectiveness, children showed a statistically significant improvement in their sleep hygiene (p = 0.047, d = 0.39). Conclusions: Providing an educational regimen on sleep hygiene in a novel, interactive way by using a social robot at the outpatient clinic seemed feasible, and the children and parents mostly exhibited positive reactions. We found preliminary evidence that the sleep hygiene of children with cancer improved.

KW - innovation

KW - interactive education

KW - outpatient clinic

KW - pediatric oncology

KW - psycho-oncology

KW - sleep hygiene

KW - social robots

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UR - http://www.scopus.com/inward/citedby.url?scp=85136781064&partnerID=8YFLogxK

U2 - 10.3390/cancers14153792

DO - 10.3390/cancers14153792

M3 - Article

SN - 2072-6694

VL - 14

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JO - Cancers

JF - Cancers

IS - 15

M1 - 3792

ER -

Interactive Education on Sleep Hygiene with a Social Robot at a Pediatric Oncology Outpatient Clinic: Feasibility, Experiences, and Preliminary Effectiveness

Abstract

Bibliographical note

Funding

Keywords

UN SDGs

Access to Document

Persistent URL (handle)

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