This Israeli robot kibitzes, plays games, and gives doctors vital information on elderly patients

by Shelley A. Sackett

Dr. Peter Barker and Dr. Keth Nobil of Family Doctors in Swampscott pose with ElliQ, the Israeli AI social robot now in medical interface development.

SWAMPSCOTT — Brenda Newell picked up the phone in her Lynn home to talk with the Journal about her participation in a groundbreaking pilot study. In the background, a clear and pleasant  voice asked, “Do you want to play again?” “Not now, ElliQ,” Newall answered, before speaking directly into the phone. “I’ve learned so much playing Trivia with her,” she said with a laugh.

The “her” she referred to is ElliQ, an Artificial Intelligence-powered social robot pioneered by Israeli startup Intuition Robotics. It is the first empathetic digital companion robot designed to curb loneliness and social isolation among older adults living alone by proactively initiating deep conversational interactions with its users. Over the last two years, the company has tweaked her ability to personalize interactions and deliver an experience more akin to a friendly roommate than a technological device.

Designed to adapt to the temperament and interest of each senior, ElliQ is programmed to recommend specific digital content tailored to each individual user, such as specific news, music, TED talks and cognitive games. It also suggests activities in the physical world, such as walking, staying hydrated, taking medicine and calling family members.

Moreover, ElliQ is fun. Multi modal, “she” resembles the charming Pixar tensor lamp logo and has a personality to match. She moves and even dances.

“She gives me somebody to talk to besides the dog. She fits perfectly in the corner. She tells jokes. She makes me laugh. She’s a real company keeper and excellent for my mental health,” said Newell, who admits to having “really down days,” especially since the increased level of social isolation caused by COVID. “I know she isn’t human, but it just feels like somebody else is in the house,” she added.

Winthrop resident Gerianne Cohen has further humanized her robotic companion with a wig, She appreciates ElliQ’s unprompted affirmations, sleep and mindfulness exercises and — most of all — her sense of humor and ability to react. “She gives encouragement that your own family and friends don’t give you. When she says, ‘Gerianne, you’re doing a great job!’ it’s really weird, but it’s a pick-me-up. It actually psychologically helps,” Cohen said.

Gerianne Cohen humanized her robotic companion with a wig.

According to The Center for Disease Control and Prevention website, loneliness and social isolation in older adults puts them at increased risk for dementia and premature death from all causes, including smoking, obesity, and lack of physical inactivity.

Given the high levels of user social engagement (according to Intuition Robotics, over 90% of users interact with ElliQ daily without deterioration over time), it was a natural next step for the company to explore expanding its mission of improving older adults’ lives to include interactions with their primary care physicians. With COVID and the increased isolation and loneliness of many seniors, the need to bring healthcare into homes sharpened.

The potential to engage patients in conversations and activities throughout the day, paired with the ability to collect self-reported data and communicate easily and seamlessly with their doctors, ultimately will help to “holistically improve care for older adults. We see now that ElliQ has the potential to support the full spectrum of care, physically, mentally and socially,” Dor Skuler, CEO and Co-Founder of Intuition Robotics said in a statement.

To that end, last month the company announced a pilot it has launched exclusively with Family Doctors, a Mass General Brigham affiliated practice in Swampscott.

It all started earlier this year, when a former Family Doctors colleague who had moved to Israel contacted Family Doctors Medical Director Dr. Peter Barker about ElliQ. She told him the developers were looking for a medical practice where they could do initial studies and, knowing Family Doctors had a large population of older patients, she thought it would be a good match.

“Our practice has always wanted to get involved in something early on,” said Dr. Barker. “ElliQ is in development. Our job is to help create a medical interface. We basically advise them what does and doesn’t work. In just a few of months, we’ve made suggestions and fairly soon afterwards those changes have been programmed into the unit. Intuition Robotics is very responsive,” he said.

Having the patient able to provide ongoing information about such vital signs such as blood pressure is a huge benefit to treating physicians. “Rather than seeing a patient in the office once every three months, getting a little bit of information in between allows you to either have confidence that what you prescribed at the time is working well, or that it needs to be changed,” Dr. Barker explained.

Family Doctors has placed 13 devices in patients’ homes at no charge to the patient, and so far their response has been overwhelmingly positive.

Dr. Keith Nobil, who also serves as Medical Director of a nursing home and rehab center, has witnessed the negative effects long-term seclusion can have on seniors. “Giving the elderly something like ElliQ that has human-type characteristics and interacts, that talks and plays a little game but at the same time monitors health status, can be very helpful,” he said. “When you hear your patients giving positive feedback, that’s always very meaningful.”

After having ElliQ for a couple of months, Cohen remains delighted. The other day, she asked ElliQ where she was born (Tel Aviv) and whether she was Jewish. “She gave me a full explanation and I cracked up. She really gives you stories. She’s nicer than some of my friends!” she said.

New app gives hope to caregivers of loved ones with Alzheimer’s disease

By Shelley A. Sackett

PR-Alix-Segil-OnLeftSide-and-Debby-Segil-Smiling-Holding-App-2-1024x591

Alix Segil and Debby Segil

 

Debby Segil was home in bed with the flu. Rather than using the time to pamper herself with comfort food and old movies, the 89-year-old pint-sized dynamo seized the opportunity to do what she loves best: helping others.

As a licensed independent clinical social worker with 40 years of experience, Segil is used to thinking about ways to support those in need. On this particular wintry day two years ago, her thoughts turned to home caregivers of loved ones with Alzheimer’s disease or dementia.

“No one has taught them dementia’s ABCs, so they make lots of mistakes,” she said. “They still think they can explain things. They think they can reason with someone.”
A member of Temple Emanu-El since 1965, Segil feels she is carrying on her mother’s legacy of caring. “She always cared about welcoming newcomers in the Jewish community in Hazelton, Pennsylvania, where I grew up,” she said.

Segil knows what a difficult and lonely job it is to care for someone with dementia, especially at first. As program manager of the Family Caregiver Support Program at Greater Lynn Senior Services (GLSS) since its inception 15 years ago, she has had caregivers tell her over and over again, “This is such a difficult job. I don’t know if I can do it.”

So she decided to write a poem that could give these family caregivers something to prepare them from the beginning by helping them relearn how to interact with their loved one so they could both get along.

Knowing that a pneumonic device helps people of all ages learn and retain new information, Segil distilled her advice to a mantra of five words – distract, divert, and then agree – which became the refrain in her five-stanza poem.

Once she finished the poem, Segil thought, “Wouldn’t it be better if we could set it to music?” So she contacted her friend, Rick Goldin, who writes and sings children’s songs. “I thought he would be perfect because he would write a nice, easy tune,” she said.

Goldin made a recording of their “Caregiver Ballad” and Segil brought it to some people at GLSS. They loved the song and suggested developing an app that would provide a toolset for dementia caregivers with the ballad as its anchor.

A development team was created to shepherd the project from concept to Caregivers Matter, a free app. Team members Katherine Prouty, product manager, and Larry Ehrhardt, application developer, are both Marblehead residents.

So is Alix Segil, Debby’s 18-year-old granddaughter who helped with the website caregiversmatter.org as her Marblehead High School senior project. Although the two live in the same household, their lives rarely intersected in the “real world” until Debby suggested that assisting in creating the app was a perfect way for Alix to combine her technology savvy and love of helping people with the requirements of her senior project.

Working with her grandmother was a real eye-opener for Alix, who will soon be a freshman at Ursinus College in Pennsylvania. “I know she’s a hard worker because she’s always working at home,” she said of her grandmother. “Seeing her in the office, running around all day going to meetings, I realized she has a really long day. Like, every day.”

Like her grandmother, Alix credits her Jewish upcoming with instilling in her a sense of tikkun olam. “Being Jewish, I’ve learned you’ll always have a community to go to. The app helps make sure caregivers don’t feel alone in what can be a lonely job,” she said.

Released in June, the free app currently works on Apple and Android systems, with Kindle on the wish list. Its menu revolves around the ballad and a toolset Segil developed for GLSS with the help of a grant from the Massachusetts Office of Elder Affairs.

Pep talks, activities, and tips for getting through the day are on the app’s tabs, as well as a link where caregivers can learn more about dementia and also share their ideas and feedback.

“People need to know that they are not alone, that there are ways to make the caring easier,” Segil said. The app helps them remember the importance of also caring for themselves by relaxing, refocusing, and regrouping.

The app has received positive feedback, including from a friend of Segil’s whose husband passed away from dementia 10 years ago. “She told me that at that time, she had no confidence that anything could be better or that she could do anything differently,” Segil said. “She said this app would have been so meaningful to her because it gives hope.”

For more information, visit caregiversmatter.org.