Evidence map›Paper›PMID 34854814›Full record

Trial reportJournal of medical Internet research2022

Using the Social Robot NAO for Emotional Support to Children at a Pediatric Emergency Department: Randomized Clinical Trial.

Silvia Rossi, Silvano Junior Santini, Daniela Di Genova, Gianpaolo Maggi, Alberto Verrotti, Giovanni Farello, Roberta Romualdi, Anna Alisi, Alberto Eugenio Tozzi, Clara Balsano

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of medical Internet research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04627909 (Emotional Support of a Social Robot at the Pediatric Emergency Department), which is not on this map. Cited by 17 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 6 pooled it
6.0field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04627909 completednot on this map

Emotional Support of a Social Robot at the Pediatric Emergency Department: a Randomized Clinical Trial

TypeobservationalSponsorUniversity of L'AquilaRan2019 to 2020Enrolled109ConditionsChild, OnlyArmsRobot, Medical Personnel, Caregiver
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 6 syntheses or guidelines pooled it, 42 citations in OpenAlex.

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  7. Article
  8. Hospital-Based Robotic Applications in Nursing Practice: A Scoping Review.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2026
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  9. Can social robots improve the hospital experience of children?Frontiers in rehabilitation sciences · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Silvia Rossi *Department of Electrical Engineering and Information Technology, University Federico II-Naples, Naples, Italy.ORCID 0000-0002-3379-1756
Silvano Junior Santini *Department of Life, Health & Environmental Sciences, School of Emergency and Urgency Medicine, University of L'Aquila, L'Aquila, Italy.ORCID 0000-0001-6577-5892
Daniela Di GenovaDepartment of Life, Health & Environmental Sciences, School of Emergency and Urgency Medicine, University of L'Aquila, L'Aquila, Italy.ORCID 0000-0002-1701-8093
Gianpaolo MaggiDepartment of Psychology, University of Campania "Luigi Vanvitelli", Caserta, Italy.ORCID 0000-0003-3155-739X
Alberto VerrottiDepartment of Pediatrics, University of Perugia, Perugia, Italy.ORCID 0000-0001-6323-4187
Giovanni FarelloPediatric Unit, Department of Life, Health & Environmental Sciences, University of L'Aquila, L'Aquila, Italy.ORCID 0000-0002-3230-7555
Roberta RomualdiDepartment of Life, Health & Environmental Sciences, School of Emergency and Urgency Medicine, University of L'Aquila, L'Aquila, Italy.ORCID 0000-0002-7967-3608
Anna AlisiResearch Unit of Molecular Genetics of Complex Phenotypes, Bambino Gesù Children's Hospital, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy.ORCID 0000-0001-7241-6329
Alberto Eugenio TozziMultifactorial and Complex Diseases Research Area, Bambino Gesù Children's Hospital, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy.ORCID 0000-0002-6884-984X
Clara BalsanoDepartment of Life, Health & Environmental Sciences, School of Emergency and Urgency Medicine, University of L'Aquila, L'Aquila, Italy.ORCID 0000-0002-9615-7031
University of L'Aquila · ITBambino Gesù Children's Hospital · ITUniversity of Campania "Luigi Vanvitelli" · ITUniversity of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSocial robots (SRs) have been used for improving anxiety in children in stressful clinical situations, such as during painful procedures. However, no studies have yet been performed to assess their effect in children while waiting for emergency room consultations.

objectiveThis study aims to assess the impact of SRs on managing stress in children waiting for an emergency room procedure through the assessment of salivary cortisol levels.

methodsThis was an open randomized clinical trial in children attending a pediatric emergency department. Children accessing the emergency room were randomized to 1 of 3 groups: (1) playing with a NAO SR, (2) playing with a study nurse, or (3) waiting with parents. The salivary cortisol levels of all children were measured through a swab. Salivary cortisol levels before and after the intervention were compared in the 3 groups. We calculated the effect size of our interventions through the Cohen d-based effect size correlation (r).

resultsA total of 109 children aged 3-10 years were enrolled in the study, and 94 (86.2%) had complete data for the analyses. Salivary cortisol levels significantly decreased more in the group exposed to robot interaction than in the other two groups (r=0.75). Cortisol levels decreased more in girls (r=0.92) than in boys (r=0.57).

conclusionsSRs are efficacious in decreasing stress in children accessing the emergency room and may be considered a tool for improving emotional perceptions of children and their families in such a critical setting.

trial registrationClinicalTrials.gov NCT04627909; https://clinicaltrials.gov/ct2/show/study/NCT04627909.

Indexed as

RoboticsAminoacridinesChildEmergency Service, HospitalFemaleHumansMaleParentsSocial Interaction10-N-nonylacridinium orangeAminoacridinesanxietychildrenemergency departmentemotional healthsocial robotsstress

Identifiers

PMID34854814
PMCPMC8796042
OpenAlexW3217425718

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.