Independent Living for Older Adults with Cognitive Impairment: A Narrative Review of Stakeholder Perceptions and Experiences with Assistive and Socially Assistive Robots.

Background: (1)Alzheimer's disease and related dementias (ADRD) are a major cause of mortality among older adults globally. The cognitive decline associated with ADRD often reduces individuals' ability to live independently over time, increasing reliance on caregivers. Assistive and socially assistive robots offer a promising means of supporting independent living. This narrative review examined how older adults with ADRD, their caregivers, and healthcare providers perceive and experience interactions with robots. Methods: (2)Guided by the Population, Phenomenon of Interest, and Context (PICo) framework, five databases were searched. Sixteen studies met the inclusion criteria. Extracted data were summarized, and a convergent synthesis integrated qualitative and quantitative findings. Results: (3)Drawing on content analysis, the qualitative findings were organized into three domains: user perceptions and experiences, barriers to adoption, and suggestions for improvement. Quantitative results emphasized usability, usefulness, acceptance, satisfaction, feature preferences, and barriers. While most stakeholders viewed robots as beneficial, acceptance was shaped by factors such as design features, timing of introduction, familiarity with technology, and perceived need. Conclusions: (4)This review highlights priorities for future research and development, including personalization, ethical safeguards, and caregiver integration, to improve the acceptance and effectiveness of robot-assisted support for individuals with cognitive impairment.