A Companion Robot for Children With Asthma: Descriptive Development and Feasibility Pilot Study

Consistent medication use and proper inhaler technique are essential in pediatric asthma, and young children require supportive tools to maintain these practices.

This study aimed to investigate the caregivers' ability to use a companion robot-assisted app for children with asthma, their attitudes toward the usage, and the characteristics that hinder or facilitate the implementation.

This study employed a descriptive design. The sample group consisted of 30 children with asthma aged 3-6 years who received treatment at an asthma clinic and their caregivers. The companion robot for children with asthma called "Pukkabot," which is an innovation that is developed to teach inhalation techniques and to raise awareness about consistent medication administration through positive reinforcement, was examined. Data collection included personal information questionnaires, the System Usability Scale (SUS) for evaluating usage and overall satisfaction, and interviews to gather attitudes toward apps and characteristics that hinder or facilitate. Data were analyzed with descriptive statistics and content analysis.

The study revealed that the scores for usability and overall satisfaction were 80.6, which is above the standard threshold and rated at grade A or an excellent level. Additionally, caregivers stated that the companion robots were easy to use, not complicated, had appropriately sized screens, and demonstrated clear images and sounds. The detailed steps for inhalation were exhibited, and reminders included those of medication times. The children with asthma enjoyed the app and were very interested, making most caregivers want to continue their use.

Caregivers were generally satisfied with the usability, finding it easy to use and engaging, which successfully attracted the interest of the children with asthma. Therefore, the companion robot may be used further, with the following recommendations: improving its physical design, adding content, incorporating tracking and symptom assessment systems, and creating a downloadable mobile app for greater accessibility and convenience.