A Healthcare Robot for Monitoring Adverse Drug Reactions in...

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Transcript of A Healthcare Robot for Monitoring Adverse Drug Reactions in...

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    The 9th International Conference on Ubiquitous Robots and Ambient Intelligence (URAI 2012)Nov. 26-28, 2012 in Daejeon Convention Center(DCC), Daejeon, Korea

    A Healthcare Robot for Monitoring Adverse Drug Reactions in Older PeopleChandan Datta1, Hong Yul Yang1, Priyesh Tiwari1, and Bruce A MacDonald1

    1University of Auckland, New Zealand; E-mail: [email protected]

    Abstract -The problems in the current healthcare system suggest

    that patients should be monitored for pain and symptomssuggestive of possibilities of side-effects or adverse drugreactions (ADR) resulting from the prescribed medica-tions. The research conducted by the multi-disciplinarygroup at the University of Auckland aims to use a Sta-tionary Robotic Medication Management System to de-sign, implement and monitor systematic therapeutic planswhich would produce desired outcomes from medicationregimes, thereby improving the quality of older peoples’lives. In essence, a key part of our research is design-ing a system to focus on medication error prevention andcollaboration to eliminate the asymmetry that exists informing successful therapeutic relationships. Medicationadherence alongwith safety is a concern that can be ad-dressed using the robot.

    Keywords -interactive robots, medication management, human-

    robot-interaction, health-monitoring, adverse drug reac-tions

    1. IntroductionHealthcare systems around the world are looking for-

    ward to the adoption of emerging technologies that canimprove the aging experience[9] for older people. Theaim of the multi-disciplinary research group at the Uni-versity of Auckland is to analyze long term usability ofa Stationary Robotic Medication Management System.The interactive robot used for our experiment is called”Super iRobiQ”, a variant of the iRobiQ robot manu-factured by our collaborators from Yujin Robot, SouthKorea. Its shown in Fig. 1. The interactive robot [10]is small in size, and measures 45x32x32cm and weighsabout 7kg. The robot is capable of self navigation to anynumber of landmark targets and can intelligently avoidobstacles in its path. Physically, the robot has 2 armswhich are used mainly for emotional interaction and ges-turing. It is also equipped with a number of touch sensorsat different locations of its body. This enables realisticresponses when a user pats, taps, touches, or nudges therobot. Further, it has a touch-screen LCD display on its

    This work was jointly supported by the R&D program of the KoreaMinistry of Knowledge and Economy (MKE) and Korea Evaluation In-stitute of Industrial Technology (KEIT). [KI001836], Development ofMediated Interface Technology for HRI] and the New Zealand Foun-dation for Research, Science and Technology IIOF (13635). We thankElectronics and Telecommunications Research Institute (ETRI) for theirvaluable contributions and help with the research. We would also liketo thank Yujin Robot for their technical support and our colleagues ofUniversity of Auckland HealthBots research team for their ongoing sup-port.

    Fig. 1 Super iRobiQ used at an older person’s apart-ment at an Aged Care Facility

    body. The robot has been used for delivering educationalservices to Kindergarten children and used as an effectivetool for teaching and learning in Korea [3],[2, p. 74]. Inthe Healthbots project, we have used this robot as a plat-form for developing healthcare scenarios for older peopleliving independently in an aged care facility. In the sce-nario presented in this paper, the robot’s role is to delivertimely instructions and automated guidance to older peo-ple and helps monitor the side-effects from medication.

    2. Research background and methodologyA side effect [8, p. 175], [4] is an expected and known

    effect of a drug that is not the intended therapeutic out-come. In medical literature, it has been recommendedthat this term should generally be avoided in favor of Ad-verse Drug Reaction [7]. Lazarou [5] reports ADRs tocause nearly 2.1 million injuries and 100,000 deaths inUS alone. In older people ADRs can be an importantcause of morbidity and death and cause of admission tohospitals [6].

    The experiment design was based on the methodolo-gies of Grounded Theory (GT) and Participatory Design(PD) within four Action Research (AR) cycles. The re-search elicited design implications and tested the designconfiguration addressing the unique task requirements.Tiwari’s [11] paper details the AR cycles and the chosenmethodology in greater detail. Together with the Robo-Gen [1] platform, the research questions we try to addressare the following:• can the robot be used for gathering patient specific in-formation for ADR monitoring?• can the robot be used for identifying patient’s drug ther-apy problems?• can the robot be used for providing the clinician withinformation which will aid in arresting or slowing theprogression of a disease?• can the robot be used for the reporting and prevention

    978-1-4673-3112-8/12/$31.00 ©2012 IEEE

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    The 9th International Conference on Ubiquitous Robots and Ambient Intelligence (URAI 2012)Nov. 26-28, 2012 in Daejeon Convention Center(DCC), Daejeon, Korea

    A Healthcare Robot for Monitoring Adverse Drug Reactions in Older PeopleChandan Datta1, Hong Yul Yang1, Priyesh Tiwari1, and Bruce A MacDonald1

    1University of Auckland, New Zealand; E-mail: [email protected]

    Abstract -The problems in the current healthcare system suggest

    that patients should be monitored for pain and symptomssuggestive of possibilities of side-effects or adverse drugreactions (ADR) resulting from the prescribed medica-tions. The research conducted by the multi-disciplinarygroup at the University of Auckland aims to use a Sta-tionary Robotic Medication Management System to de-sign, implement and monitor systematic therapeutic planswhich would produce desired outcomes from medicationregimes, thereby improving the quality of older peoples’lives. In essence, a key part of our research is design-ing a system to focus on medication error prevention andcollaboration to eliminate the asymmetry that exists informing successful therapeutic relationships. Medicationadherence alongwith safety is a concern that can be ad-dressed using the robot.

    Keywords -interactive robots, medication management, human-

    robot-interaction, health-monitoring, adverse drug reac-tions

    1. IntroductionHealthcare systems around the world are looking for-

    ward to the adoption of emerging technologies that canimprove the aging experience[9] for older people. Theaim of the multi-disciplinary research group at the Uni-versity of Auckland is to analyze long term usability ofa Stationary Robotic Medication Management System.The interactive robot used for our experiment is called”Super iRobiQ”, a variant of the iRobiQ robot manu-factured by our collaborators from Yujin Robot, SouthKorea. Its shown in Fig. 1. The interactive robot [10]is small in size, and measures 45x32x32cm and weighsabout 7kg. The robot is capable of self navigation to anynumber of landmark targets and can intelligently avoidobstacles in its path. Physically, the robot has 2 armswhich are used mainly for emotional interaction and ges-turing. It is also equipped with a number of touch sensorsat different locations of its body. This enables realisticresponses when a user pats, taps, touches, or nudges therobot. Further, it has a touch-screen LCD display on its

    This work was jointly supported by the R&D program of the KoreaMinistry of Knowledge and Economy (MKE) and Korea Evaluation In-stitute of Industrial Technology (KEIT). [KI001836], Development ofMediated Interface Technology for HRI] and the New Zealand Foun-dation for Research, Science and Technology IIOF (13635). We thankElectronics and Telecommunications Research Institute (ETRI) for theirvaluable contributions and help with the research. We would also liketo thank Yujin Robot for their technical support and our colleagues ofUniversity of Auckland HealthBots research team for their ongoing sup-port.

    Fig. 1 Super iRobiQ used at an older person’s apart-ment at an Aged Care Facility

    body. The robot has been used for delivering educationalservices to Kindergarten children and used as an effectivetool for teaching and learning in Korea [3],[2, p. 74]. Inthe Healthbots project, we have used this robot as a plat-form for developing healthcare scenarios for older peopleliving independently in an aged care facility. In the sce-nario presented in this paper, the robot’s role is to delivertimely instructions and automated guidance to older peo-ple and helps monitor the side-effects from medication.

    2. Research background and methodologyA side effect [8, p. 175], [4] is an expected and known

    effect of a drug that is not the intended therapeutic out-come. In medical literature, it has been recommendedthat this term should generally be avoided in favor of Ad-verse Drug Reaction [7]. Lazarou [5] reports ADRs tocause nearly 2.1 million injuries and 100,000 deaths inUS alone. In older people ADRs can be an importantcause of morbidity and death and cause of admission tohospitals [6].

    The experiment design was based on the methodolo-gies of Grounded Theory (GT) and Participatory Design(PD) within four Action Research (AR) cycles. The re-search elicited design implications and tested the designconfiguration addressing the unique task requirements.Tiwari’s [11] paper details the AR cycles and the chosenmethodology in greater detail. Together with the Robo-Gen [1] platform, the research questions we try to addressare the following:• can the robot be used for gathering patient specific in-formation for ADR monitoring?• can the robot be used for identifying patient’s drug ther-apy problems?• can the robot be used for providing the clinician withinformation which will aid in arresting or slowing theprogression of a disease?• can the robot be used for the reporting and prevention

    978-1-4673-3112-8/12/$31.00 ©2012 IEEE

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    The 9th International Conference on Ubiquitous Robots and Ambient Intelligence (URAI 2012)Nov. 26-28, 2012 in Daejeon Convention Center(DCC), Daejeon, Korea

    A Healthcare Robot for Monitoring Adverse Drug Reactions in Older PeopleChandan Datta1, Hong Yul Yang1, Priyesh Tiwari1, and Bruce A MacDonald1

    1University of Auckland, New Zealand; E-mail: [email protected]

    Abstract -The problems in the current healthcare system suggest

    that patients should be monitored for pain and symptomssuggestive of possibilities of side-effects or adverse drugreactions (ADR) resulting from the prescribed medica-tions. The research conducted by the multi-disciplinarygroup at the University of Auckland aims to use a Sta-tionary Robotic Medication Management System to de-sign, implement and monitor systematic therapeutic planswhich would produce desired outcomes from medicationregimes, thereby improving the quality of older peoples’lives. In essence, a key part of our research is design-ing a system to focus on medication error prevention andcollaboration to eliminate the asymmetry that exists informing successful therapeutic relationships. Medicationadherence alongwith safety is a concern that can be ad-dressed using the robot.

    Keywords -interactive robots, medication management, human-

    robot-interaction, health-monitoring, adverse drug reac-tions

    1. IntroductionHealthcare systems around the world are looking for-

    ward to the adoption of emerging technologies that canimprove the aging experience[9] for older people. Theaim of the multi-disciplinary research group at the Uni-versity of Auckland is to analyze long term usability ofa Stationary Robotic Medication Management System.The interactive robot used for our experiment is called”Super iRobiQ”, a variant of the iRobiQ robot manu-factured by our collaborators from Yujin Robot, SouthKorea. Its shown in Fig. 1. The interactive robot [10]is small in size, and measures 45x32x32cm and weighsabout 7kg. The robot is capable of self navigation to anynumber of landmark targets and can intelligently avoidobstacles in its path. Physically, the robot has 2 armswhich are used mainly for emotional interaction and ges-turing. It is also equipped with a number of touch sensorsat different locations of its body. This enables realisticresponses when a user pats, taps, touches, or nudges therobot. Further, it has a touch-screen LCD display on its

    This work was jointly supported by the R&D program of the KoreaMinistry of Knowledge and Economy (MKE) and Korea Evaluation In-stitute of Industrial Technology (KEIT). [KI001836], Development ofMediated Interface Technology for HRI] and the New Zealand Foun-dation for Research, Science and Technology IIOF (13635). We thankElectronics and Telecommunications Research Institute (ETRI) for theirvaluable contributions and help with the research. We would also liketo thank Yujin Robot for their technical support and our colleagues ofUniversity of Auckland HealthBots research team for their ongoing sup-port.

    Fig. 1 Super iRobiQ used at an older person’s apart-ment at an Aged Care Facility

    body. The robot has been used for delivering educationalservices to Kindergarten children and used as an effectivetool for teaching and learning in Korea [3],[2, p. 74]. Inthe Healthbots project, we have used this robot as a plat-form for developing healthcare scenarios for older peopleliving independently in an aged care facility. In the sce-nario presented in this paper, the robot’s role is to delivertimely instructions and automated guidance to older peo-ple and helps monitor the side-effects from medication.

    2. Research background and methodologyA side effect [8, p. 175], [4] is an expected and known

    effect of a drug that is not the intended therapeutic out-come. In medical literature, it has been recommendedthat this term should generally be avoided in favor of Ad-verse Drug Reaction [7]. Lazarou [5] reports ADRs tocause nearly 2.1 million injuries and 100,000 deaths inUS alone. In older people ADRs can be an importantcause of morbidity and death and cause of admission tohospitals [6].

    The experiment design was based on the methodolo-gies of Grounded Theory (GT) and Participatory Design(PD) within four Action Research (AR) cycles. The re-search elicited design implications and tested the designconfiguration addressing the unique task requirements.Tiwari’s [11] paper details the AR cycles and the chosenmethodology in greater detail. Together with the Robo-Gen [1] platform, the research questions we try to addressare the following:• can the robot be used for gathering patient specific in-formation for ADR monitoring?• can the robot be used for identifying patient’s drug ther-apy problems?• can the robot be used for providing the clinician withinformation which will aid in arresting or slowing theprogression of a disease?• can the robot be used for the reporting and prevention

    978-1-4673-3112-8/12/$31.00 ©2012 IEEE

  • The 9th International Conference on Ubiquitous Robots and Ambient Intelligence (URAI 2012)Nov. 26-28, 2012 in Daejeon Convention Center(DCC), Daejeon, Korea

    A Healthcare Robot for Monitoring Adverse Drug Reactions in Older PeopleChandan Datta1, Hong Yul Yang1, Priyesh Tiwari1, and Bruce A MacDonald1

    1University of Auckland, New Zealand; E-mail: [email protected]

    Abstract -The problems in the current healthcare system suggest

    that patients should be monitored for pain and symptomssuggestive of possibilities of side-effects or adverse drugreactions (ADR) resulting from the prescribed medica-tions. The research conducted by the multi-disciplinarygroup at the University of Auckland aims to use a Sta-tionary Robotic Medication Management System to de-sign, implement and monitor systematic therapeutic planswhich would produce desired outcomes from medicationregimes, thereby improving the quality of older peoples’lives. In essence, a key part of our research is design-ing a system to focus on medication error prevention andcollaboration to eliminate the asymmetry that exists informing successful therapeutic relationships. Medicationadherence alongwith safety is a concern that can be ad-dressed using the robot.

    Keywords -interactive robots, medication management, human-

    robot-interaction, health-monitoring, adverse drug reac-tions

    1. IntroductionHealthcare systems around the world are looking for-

    ward to the adoption of emerging technologies that canimprove the aging experience[9] for older people. Theaim of the multi-disciplinary research group at the Uni-versity of Auckland is to analyze long term usability ofa Stationary Robotic Medication Management System.The interactive robot used for our experiment is called”Super iRobiQ”, a variant of the iRobiQ robot manu-factured by our collaborators from Yujin Robot, SouthKorea. Its shown in Fig. 1. The interactive robot [10]is small in size, and measures 45x32x32cm and weighsabout 7kg. The robot is capable of self navigation to anynumber of landmark targets and can intelligently avoidobstacles in its path. Physically, the robot has 2 armswhich are used mainly for emotional interaction and ges-turing. It is also equipped with a number of touch sensorsat different locations of its body. This enables realisticresponses when a user pats, taps, touches, or nudges therobot. Further, it has a touch-screen LCD display on its

    This work was jointly supported by the R&D program of the KoreaMinistry of Knowledge and Economy (MKE) and Korea Evaluation In-stitute of Industrial Technology (KEIT). [KI001836], Development ofMediated Interface Technology for HRI] and the New Zealand Foun-dation for Research, Science and Technology IIOF (13635). We thankElectronics and Telecommunications Research Institute (ETRI) for theirvaluable contributions and help with the research. We would also liketo thank Yujin Robot for their technical support and our colleagues ofUniversity of Auckland HealthBots research team for their ongoing sup-port.

    Fig. 1 Super iRobiQ used at an older person’s apart-ment at an Aged Care Facility

    body. The robot has been used for delivering educationalservices to Kindergarten children and used as an effectivetool for teaching and learning in Korea [3],[2, p. 74]. Inthe Healthbots project, we have used this robot as a plat-form for developing healthcare scenarios for older peopleliving independently in an aged care facility. In the sce-nario presented in this paper, the robot’s role is to delivertimely instructions and automated guidance to older peo-ple and helps monitor the side-effects from medication.

    2. Research background and methodologyA side effect [8, p. 175], [4] is an expected and known

    effect of a drug that is not the intended therapeutic out-come. In medical literature, it has been recommendedthat this term should generally be avoided in favor of Ad-verse Drug Reaction [7]. Lazarou [5] reports ADRs tocause nearly 2.1 million injuries and 100,000 deaths inUS alone. In older people ADRs can be an importantcause of morbidity and death and cause of admission tohospitals [6].

    The experiment design was based on the methodolo-gies of Grounded Theory (GT) and Participatory Design(PD) within four Action Research (AR) cycles. The re-search elicited design implications and tested the designconfiguration addressing the unique task requirements.Tiwari’s [11] paper details the AR cycles and the chosenmethodology in greater detail. Together with the Robo-Gen [1] platform, the research questions we try to addressare the following:• can the robot be used for gathering patient specific in-formation for ADR monitoring?• can the robot be used for identifying patient’s drug ther-apy problems?• can the robot be used for providing the clinician withinformation which will aid in arresting or slowing theprogression of a disease?• can the robot be used for the reporting and prevention

    978-1-4673-3112-8/12/$31.00 ©2012 IEEE