Managing Cognitive Decline Through a Social Robot-Based Intervention: Protocol for the engAGE Proof of Concept and
Giulio Amabili1, Elvira Maranesi1, Arianna Margaritini1
1Scientific Direction, IRCCS INRCA, Ancona, Italy.
JMIR Research Protocols
|September 2, 2025
Summary
The engAGE project developed a tech platform using a social robot and app to help older adults with mild cognitive impairment (MCI). This intervention aims to improve cognitive function, quality of life, and daily habits.
Area of Science:
- Gerontology
- Human-Computer Interaction
- Cognitive Science
Background:
- Dementia poses significant societal challenges, impacting quality of life and healthcare costs.
- Mild cognitive impairment (MCI) often precedes dementia, presenting an opportunity for intervention.
- Lifestyle and cognitive therapies show promise in mitigating cognitive decline in MCI patients.
Purpose of the Study:
- To develop and test the engAGE technological platform for managing cognitive decline in older adults with MCI.
- To assess the platform's effectiveness in improving cognitive function, lifestyle, and well-being.
- To evaluate the acceptability and usability of the engAGE system.
Main Methods:
- A 6-month randomized controlled trial (RCT) involving older adults with MCI across Italy, Switzerland, and Norway.
- Utilized a social robot (Pepper) for cognitive therapy, complemented by a mobile app and activity tracker for daily monitoring.
- Assessed cognitive capacity (MoCA, MAC-Q), social engagement (UCLA Loneliness Scale), quality of life (WEMWBS), and system usability (SUS, UTAUT).
Main Results:
- The proof of concept enrolled 49 participants, with 40 in the experimental group and 9 in the control group.
- Data collection occurred from November 2023 to July 2024.
- Full data analysis concluded in November 2024, with results anticipated by 2026.
Conclusions:
- The engAGE proof of concept demonstrated an innovative, technology-based, multidomain intervention for older adults with MCI.
- The study aimed to counteract cognitive decline while enhancing users' quality of life, social engagement, and sleep quality.
Keywords:
cognitive trainingdigital healthinnovation in health caremild cognitive impairmentolder adultsolder peoplesocial roboticstechnology for elderlyMore Related Videos
Related Concept Videos
Cognitive Development During Adulthood
255
Cognitive development continues throughout adulthood, undergoing significant shifts across early, middle, and late stages. Individual transition occurs from adolescent idealism to pragmatic and adaptable thinking in early adulthood. During this period, individuals learn to integrate personal beliefs with the recognition that other perspectives are equally valid. Exposure to the complexities of modern society, diverse experiences, and higher education contribute to this adaptive thought process,...
255
Introduction to Cognitive Psychology
796
Cognitive psychology is the field of psychology dedicated to examining how people think. It attempts to explain how and why we think the way we do by studying the interactions among human thinking, emotion, creativity, language, and problem-solving, as well as other cognitive processes. Cognitive psychology studies how information is processed and manipulated in remembering, thinking, and knowing.
This field emerged in the mid-20th century, following a period dominated by behaviorism, which...
This field emerged in the mid-20th century, following a period dominated by behaviorism, which...
796
Modeling in Therapy
145
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
145
Cognitive Learning
516
Cognitive learning is based on purposive behavior, incidental learning, and insight learning.
E. C. Tolman's theory of purposive behavior emphasizes that much behavior is goal-directed. He argued that to understand behavior, we must look at the entire sequence of actions leading to a goal. For instance, high school students study hard, not just due to past reinforcement but also to achieve the goal of getting into a good college.
Tolman introduced the idea that behavior is influenced by...
E. C. Tolman's theory of purposive behavior emphasizes that much behavior is goal-directed. He argued that to understand behavior, we must look at the entire sequence of actions leading to a goal. For instance, high school students study hard, not just due to past reinforcement but also to achieve the goal of getting into a good college.
Tolman introduced the idea that behavior is influenced by...
516
Cognitive Therapy
262
Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
262


