Participant Characteristics Associated With Loneliness Reduction During a Digital Social Robot Intervention Among Older Adults Living Alone in Japan: Secondary Analysis of a Randomized Controlled Trial - Report - MDSpire
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Participant Factors Linked to Reduced Loneliness in Older Japanese Adults Living Alone During a Digital Social Robot Intervention: Secondary Analysis of a Randomized Controlled Trial

  • By

  • Hiroshi Murayama

  • Mai Takase

  • October 16, 2026

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Clinical Report: Participant Factors Linked to Reduced Loneliness in Older Japanese Adults

Overview

This secondary analysis used data from a randomized controlled trial of a 4-week, operator-mediated social robot intervention for community-dwelling older adults in Japan who lived alone and reported loneliness. It examined whether participant characteristics, particularly preintervention social contact, were associated with greater reductions in loneliness; the supplied article excerpt does not report the analysis results.

Background

Loneliness is described in the source as a public health concern associated with elevated morbidity and mortality risks. Psychosocial interventions and information and communication technologies, including social robots, have been investigated as approaches to reducing loneliness. The parent trial reported reduced loneliness and enhanced psychological well-being after a 4-week robot intervention among older adults living alone in Japan. This secondary analysis addressed the limited understanding of which participant characteristics may be associated with individual differences in response.

Data Highlights

Study featureDetails reported in source
DesignSecondary analysis of a randomized controlled trial
ParticipantsCommunity-dwelling adults aged 65 years or older, living alone in Tokyo or adjacent areas, who reported loneliness
Randomized sequencesImmediate intervention, n=36; delayed intervention, n=37
Participants with preintervention and postintervention loneliness data67 total: 34 immediate-sequence and 33 delayed-sequence participants
InterventionFour weeks with an operator-mediated humanoid robot (BOCCO emo) providing personalized voice communication around the clock
Analysis approachSequences were pooled, with intervention sequence included as a covariate
Primary questionWhether participant characteristics, including less frequent preintervention social contact, were associated with larger loneliness reductions

Key Findings

  • The analysis drew on intervention-phase data from a previously published randomized controlled trial of older adults living alone in Japan.
  • Of 73 randomized participants, 67 had preintervention and postintervention loneliness data available for this analysis.
  • The intervention was a 4-week program using an operator-mediated humanoid robot to deliver personalized voice communication around the clock.
  • The immediate and delayed intervention sequences were pooled for analysis, and sequence was included as a covariate.
  • The investigators examined participant characteristics associated with greater loneliness reductions and specifically hypothesized that less frequent social contact before intervention would be associated with larger decreases.
  • The supplied excerpt does not include the secondary analysis results, so it does not establish which participant factors were associated with reduced loneliness.

Clinical Implications

The supplied material describes the study question and methods but does not provide results that support identifying participant characteristics associated with greater response. The parent trial is reported to have found reduced loneliness and enhanced psychological well-being after the intervention, but the excerpt does not provide effect estimates or evidence for selecting participants based on preintervention social contact.

Conclusion

This secondary analysis was designed to investigate variation in loneliness response to a digital social robot intervention among older Japanese adults living alone. Its findings cannot be summarized from the supplied excerpt because the analysis results are not included.

Related Resources & Content

  1. Murayama H, Takase M, JMIR Aging, 2025 -- Evaluating the Effectiveness of Digital Social Robots in Reducing Loneliness Among Community-Dwelling Older Adults in Japan: Randomized Controlled Trial and Qualitative Analysis
  2. Holt-Lunstad J, Smith TB, Baker M, Harris T, Stephenson D, Perspectives on Psychological Science, 2015 -- Loneliness and social isolation as risk factors for mortality: a meta-analytic review
  3. Masi CM, Chen HY, Hawkley LC, Cacioppo JT, Personality and Social Psychology Review, 2011 -- A meta-analysis of interventions to reduce loneliness
  4. Döring N, Conde M, Brandenburg K, et al., International Journal of Environmental Research and Public Health, 2022 -- Can communication technologies reduce loneliness and social isolation in older people? A scoping review of reviews
  5. Yen HY, Huang CW, Chiu HL, Jin G, Journal of the American Medical Directors Association, 2024 -- The effect of social robots on depression and loneliness for older residents in long-term care facilities: a meta-analysis of randomized controlled trials
  6. Frontiers in Psychiatry — Detection of depression risk among older adults using home-deployed socially assistive robots: a real-world study
  7. MDSpire News — Treating Loneliness as a Clinical Risk
  8. Frontiers in Psychiatry — Correction: Reevaluating hikikomori and challenging loneliness assumptions in Japan: a cross-sectional analysis of a nationwide internet sample
  9. Frontiers in Digital Health — The Impact of Social Media Interaction on Feelings of Social Isolation in Older Adults within Evolving Digital Landscapes: Insights from HINTS 2022–2024
  10. Evaluating the Effectiveness of Digital Social Robots in Reducing Loneliness Among Community-Dwelling Older Adults in Japan: Randomized Controlled Trial and Qualitative Analysis
  11. Social connection linked to improved health and reduced risk of early death
  12. WHA78/2025/REC/1
  13. Social connection linked to improved health and reduced risk of early death
  14. Public Health Guidelines for Social Connection: An International Delphi Study - ScienceDirect
  15. Wired for companionship: a meta-analysis on social robots filling the void of loneliness in later life | The Gerontologist | Oxford Academic
  16. Autonomous conversational agents for loneliness, social isolation, depression, and anxiety in older people without cognitive impairment: Systematic review and meta-analysis - PMC
  17. Digital bridges to social connection: A systematic review and meta-analysis of digital interventions for loneliness and social isolation - ScienceDirect
  18. Evaluating the Effectiveness of Digital Social Robots in Reducing Loneliness Among Community-Dwelling Older Adults in Japan: Randomized Controlled Trial and Qualitative Analysis - PMC
  19. Combating loneliness in older adults: A randomized clinical trial evaluating the acceptability and efficacy of a brief, technology-delivered intervention - PubMed
  20. Behavioral Activation and Mindfulness Interventions in Reducing Loneliness and Improving Well-Being in Older Adults: The HEAL-HOA Randomized Clinical Trial - PubMed
  21. UMIN Clinical Trials Registry

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