Skip to main content
Log in

Education by a social robot on nutrition and catheter care in pediatric oncology patients

  • Research
  • Published:
Supportive Care in Cancer Aims and scope Submit manuscript

Abstract

Purpose

To improve knowledge on nutrition and catheter care in children with cancer by an educational intervention with a social robot.

Methods

We conducted a cohort study on pediatric cancer patients in a high complexity Hospital in Bogotá, Colombia. We included 14 patients (8–17 years old) who underwent an educational intervention with the help of a humanoid robot (Nao V6). The robot was programmed to transmit educational messages about self-care in feeding and using the central venous catheter. A survey with yes–no questions was administered before and after the intervention.

Results

We found an improvement in understanding of the subject matter related to nutrition and catheter care, when comparing the knowledge on topics before and after the educational intervention (p < .001).

Conclusion

Education by a social robot on nutrition and catheter care showed a positive effect on children’s knowledge on these topics. Therefore, it potentially decreases the risk of poor feeding habits and inadequate central venous catheter management, and improves adherence to recommendations and quality of life.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Erker C, Yan K, Zhang L, Bingen K, Flynn KE, Panepinto J (2018) Impact of pediatric cancer on family relationships. Cancer Med [Internet]. [cited 2022 Oct 9];7(5):1680–8. Available from: https://onlinelibrary.wiley.com/doi/full/10.1002/cam4.1393

  2. Wedekind MF, Dennis R, Sturm M, Koch T, Stanek J, O’Brien SH (2016) The effects of hospital length of stay on readmissions for children with newly diagnosed acute lymphoblastic leukemia. J Pediatr Hematol Oncol [Internet]. [cited 2022 Oct 9];38(5):329–33. Available from: https://journals.lww.com/jpho-online/Fulltext/2016/07000/The_Effects_of_Hospital_Length_of_Stay_on.1.aspx

  3. Bryan G, Kelly P, Chesters H, Franklin J, Griffiths H, Langton L et al (2021) Access to and experience of education for children and adolescents with cancer: a scoping review protocol. Syst Rev [Internet]. [cited 2022 Oct 9];10(1):1–11. Available from: https://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-021-01723-4

  4. Friedman DN, Tonorezos ES, Cohen P (2019) Diabetes and Metabolic Syndrome in Survivors of Childhood Cancer. Horm Res Paediatr [Internet]. [cited 2022 Oct 9];91(2):118–27. Available from: https://www.karger.com/Article/FullText/495698

  5. Barr RD, Stevens MCG (2020) The influence of nutrition on clinical outcomes in children with cancer. Pediatr Blood Cancer [Internet]. [cited 2022 Oct 9];67(S3):e28117. Available from: https://onlinelibrary.wiley.com/doi/full/10.1002/pbc.28117

  6. Crocoli A, Cesaro S, Cellini M, Rossetti F, Sidro L, Pinelli F et al (2020) In defense of the use of peripherally inserted central catheters in pediatric patients. [Internet]. [cited 2022 Oct 9];22(3):333–6. https://doi.org/10.1177/1129729820936411. Available from: https://journals.sagepub.com/doi/10.1177/1129729820936411?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub++0pubmed

  7. Zhang JJ, Nataraja RM, Lynch A, Barnes R, Ferguson P, Pacilli M (2022) Factors affecting mechanical complications of central venous access devices in children. Pediatr Surg Int [Internet]. [cited 2022 Oct 9];38(7):1067–73. Available from: https://link.springer.com/article/10.1007/s00383-022-05130-1

  8. Raybin JL, Krajicek M (2020) Creative Arts Therapy in the Context of Children With Cancer: A Concept Analysis. J Pediatr Oncol Nurs [Internet]. [cited 2022 Oct 10];37(2):82–90. Available from: https://pubmed.ncbi.nlm.nih.gov/31592707/

  9. Meghdari A, Shariati A, Alemi M, Vossoughi GR, Eydi A, Ahmadi E et al (2018) Arash: A social robot buddy to support children with cancer in a hospital environment. Proc Inst Mech Eng H [Internet]. [cited 2022 Sep 7];232(6):605–18. Available from: https://journals.sagepub.com/doi/10.1177/0954411918777520?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub++0pubmed

  10. Logan DE, Breazeal C, Goodwin MS, Jeong S, O’Connell B, Smith-Freedman D et al (2019) Social robots for hospitalized children. Pediatrics [Internet]. [cited 2022 Oct 9];144(1). Available from: https://publications.aap.org/pediatrics/article/144/1/e20181511/76828/Social-Robots-for-Hospitalized-Children

  11. Lopez-Rodriguez MM, Fernández-Millan A, Ruiz-Fernández MD, Dobarrio-Sanz I, Fernández-Medina IM (2020) New Technologies to Improve Pain, Anxiety and Depression in Children and Adolescents with Cancer: A Systematic Review. International Journal of Environmental Research and Public Health 2020, Vol 17, Page 3563 [Internet]. [cited 2022 Sep 6];17(10):3563. Available from: https://www.mdpi.com/1660-4601/17/10/3563/htm

  12. Jurdi S, Montaner J, Garcia-Sanjuan F, Jaen J, Nacher V (2018) A systematic review of game technologies for pediatric patients. Comput Biol Med 1(97):89–112

    Article  Google Scholar 

  13. Beran TN, Ramirez-Serrano A, Vanderkooi OG, Kuhn S (2013) Humanoid robotics in health care: An exploration of children’s and parents’ emotional reactions. https://doi.org/10.1177/1359105313504794 [Internet]. [cited 2022 Oct 17];20(7):984–9. Available from: https://journals.sagepub.com/doi/10.1177/1359105313504794

  14. Alemi M, Meghdari A, Ghanbarzadeh A, Moghadam LJ, Ghanbarzadeh A (2014) Effect of utilizing a humanoid robot as a therapy-assistant in reducing anger, anxiety, and depression. 2014 2nd RSI/ISM International Conference on Robotics and Mechatronics, ICRoM 2014. 17;748–53.

  15. van Bindsbergen KLA, van der Hoek H, van Gorp M, Ligthart MEU, Hindriks K V., Neerincx MA, et al (2022) Interactive Education on Sleep Hygiene with a Social Robot at a Pediatric Oncology Outpatient Clinic: Feasibility, Experiences, and Preliminary Effectiveness. Cancers 2022, Vol 14, Page 3792 [Internet]. [cited 2023 Mar 7];14(15):3792. Available from: https://www.mdpi.com/2072-6694/14/15/3792/htm

  16. Henkemans OAB, Bierman BPB, Janssen J, Looije R, Neerincx MA, van Dooren MMM et al (2017) Design and evaluation of a personal robot playing a self-management education game with children with diabetes type 1. Int J Hum Comput Stud 1(106):63–76

    Article  Google Scholar 

  17. Viscardi S, Quilodrán J, Escobar Y, Salazar B, Marileo L, Viscardi S et al (2021) Nutrition education intervention for children with cancer and their parents. Revista chilena de nutrición [Internet]. [cited 2022 Oct 9];48(5):782–8. Available from: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-75182021000500782&lng=en&nrm=iso&tlng=en

  18. Zhang FF, Kelly MJ, Must A (2017) Early Nutrition and Physical Activity Interventions in Childhood Cancer Survivors. Current Obesity Reports 2017 6:2 [Internet]. [cited 2022 Sep 8];6(2):168–77. Available from: https://link.springer.com/article/10.1007/s13679-017-0260-0

  19. Bélanger V, Delorme J, Napartuk M, Bouchard I, Meloche C, Curnier D et al (2022) Early Nutritional Intervention to Promote Healthy Eating Habits in Pediatric Oncology: A Feasibility Study. Nutrients 2022, Vol 14, Page 1024 [Internet]. [cited 2022 Sep 6];14(5):1024. Available from: https://www.mdpi.com/2072-6643/14/5/1024/htm

  20. Santos KMB, Husain SS, Torres V, Huang CC, Jacob E (2019) Multi-level Intervention Program – A Quality Improvement Initiative to Decrease Central Line-Associated Bloodstream Infections in the Pediatric Acute and Hematology/Oncology Units. J Pediatr Nurs 1(48):106–113

    Article  Google Scholar 

  21. Cesaro S, Cavaliere M, Pegoraro A, Gamba P, Zadra N, Tridello G (2016) A comprehensive approach to the prevention of central venous catheter complications: results of 10-year prospective surveillance in pediatric hematology-oncology patients. Annals of Hematology 2016 95:5 [Internet]. [cited 2022 Sep 7];95(5):817–25. Available from: https://link.springer.com/article/10.1007/s00277-016-2634-x

  22. Corrêa VB, Nunes MDR, Silveira ALD da, Silva LF da, Sá SPC, Góes FGB (2020) Educational practices for families of children and adolescents using a permanent venous catheter. Rev Bras Enferm [Internet]. [cited 2022 Oct 9];73:e20190129. Available from: http://www.scielo.br/j/reben/a/DgF8h7M56CcHfNh5R5qJPYS/?lang=en

Download references

Author information

Authors and Affiliations

Authors

Contributions

All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by Juan Sebastián Lozano Mosos, Juan Hernández Leal and, Soraya Colina Matiz. The first draft of the manuscript was written by Juan Sebastián Lozano Mosos, Juan Hernández Leal1, Soraya Colina Matiz and Paula Tatiana Muñoz-Vargas and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Juan Sebastián Lozano-Mosos.

Ethics declarations

Ethics approval

This research adheres to the ethical principles for human research established by the Helsinki Declaration, the Belmont Report, and Colombian Resolution 008430 of 1993. This study was considered “minimal risk”; informed consent was requested from the responsible family member and assent from the patient. We presented and approved by the Research Ethics Committee of the Central Military Hospital. The institutional endorsement was obtained under code 2017098 of December 5, 2017. This study was developed within the project “Perceptions, knowledge, and changes experienced by a group of pediatric oncology patients and their caregivers in the hospital environment of HOMIL” in 2018.

Consent to participate

Written informed consent was obtained from the parents.

Consent for publication

The authors affirm that human research participants provided informed consent for publication of the images in Fig. 1.

Competing interests

The authors declare no competing interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary file1 (DOCX 19 KB)

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lozano-Mosos, J.S., Hernández Leal, J., Colina-Matiz, S. et al. Education by a social robot on nutrition and catheter care in pediatric oncology patients. Support Care Cancer 31, 693 (2023). https://doi.org/10.1007/s00520-023-08168-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s00520-023-08168-6

Keywords

Navigation