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Could a robot care for grandma?

In the future, machines could be programmed to assist and comfort the elderly—and help meet the escalating demand for caregivers.

woman in wheelchair with hands stretched toward robot on pedestal.
As part of the photographer’s project, elderly people were asked to imagine how they would interact with a robot. A resident at Maison Ferrari, a retirement home in Clamart, France, volunteered to act as the robot’s godmother. She pictured herself celebrating its birthday and decorated her chair with balloons.
ByClaudia Kalb
Photographs byYves Gellie
7 min read
This story appears in the January 2020 issue of National Geographic magazine.

When Goldie Nejat began developing robots in 2005, she spent much of her time knocking on doors in hopes of demonstrating her high-tech prototypes. Back then, the health-care world was hesitant. “Now, it’s the opposite,” says Nejat, a professor of mechanical engineering at the University of Toronto. “I have people calling from around the world saying, When’s your robot going to be ready?”

Nejat’s machines, a special type known as socially assistive robots, are designed to engage with humans and could help fill an urgent need: caregiving for the elderly. The population of people over age 80 is projected to almost triple worldwide, from 143 million in 2019 to 426 million in 2050.

elderly woman in sunglasses resting in recliner with robot sitting in another chair.
Loneiness is common among seniors. This woman at a long-term care facility in Montgeron, France, treated the robot as a confidant. They were indoors, but she imagined relaxing with it under the sun.
a woman sitting in a wheelchair across from a small robot
Photographer Yves Gellie introduced the robot to elderly people over several months. He didn’t expect everyone to warm to it. Some weren’t interested, but others were eager to engage. This woman, at the Broca Hospital in Paris, said the robot helped her forget her surroundings. She loves books and said she’d read to the robot.
elderly man with backgammon board looking at robot
Men tended to be less interested in the robot than women, including this man, a patient at La Rochefoucauld Hospital in Paris. Still, he said if the robot could play backgammon, he’d be interested in forming a relationship with it. Researchers believe robots could help fill a gap in companionship.
robot playing basketball withe woman
This resident of Maison Ferrari said she would like a robot to teach her basketball. Manufactured by Tokyo-based SoftBank Robotics, this robot is not programmed for that. However, its software, designed by ZoraBots in Belgium, can help people complete a range of tasks, including exercise.

Such robots could be especially useful for patients with Alzheimer’s disease or dementia because the robots can be programmed to assist with everything from providing medication reminders to leading exercises. Nejat’s robots also can help run bingo and memory games to keep patients cognitively active.

Inspired by robots’ potential to help the elderly, French photographer Yves Gellie spent two years creating the award-winning 2019 film, Year of the Robot, which documents interactions between elderly people and social robots in long-term care facilities in France and Belgium. In the film Gellie and his assistant, Maxime Jacobs, humanize robots by allowing active engagement between person and machine. In scenes that appear futuristic, people play piano, dance, and even tearfully divulge secrets with their robotic companions.

elderly woman watching robot lifting weights.
elderly man sitting in chair and holding robot's hand
woman asleep at the chair and robot standing with its hands up
two elderly women sitting next to each other and looking at the robot.
elderly woman stretching her arms toward robot in well lit room.
Can a robot affect emotional behavior? Medical staff members in Belgium told Gellie that this woman’s frequent interactions with the robot helped reduce her recurring stress. Her wish was to be amazed by the robot every morning. Here, she watches it lift weights.
Photograph by Yves Gellie

After completing his film, Gellie embarked on a related photography project in which he asked some of the same subjects to imagine their dream scenario with a robot. What would they most like to do? In the images shown here, Gellie documented people’s interactions with robots after months of observation. The project was not intended to be therapeutic or to show the robots’ actual capabilities. Instead, it explored humans’ capacity to form relationships with machines.

Critics have worried that caregiving robots might eliminate human interaction and jobs. But the goal is to support human care, not replace it, says Brian Scassellati, head of Yale University’s Social Robotics Lab. He’s tested robots with a range of patients, and has found that daily interaction with robots can help children with autism spectrum disorder improve eye contact and social skills.

woman playing piano and looking at dancing robot in the room with red chairs.
As Weverbos Long Term Residential Facility in Ghent, Belgium, this 94-year-old resident wanted a robot that would dance while she played the piano. Fabrice Goffin, co-CEO of ZoraBots, believes the robot’s diminutive size makes it appear childlike, appealing to the elderly. “The honesty of a child also has no judgment,” he says.

Cognitive psychologist Maribel Pino, executive director of the Broca Living Lab at the Broca Hospital (Greater Paris University Hospitals), one of the locations where pictures were taken, describes the engagement of the people photographed with the robots as authentic. After people spent time with a robot, many became attached to it.

As the field grows, scientists aim to better understand human-robot dynamics. Do robots offer an advantage because they aren’t judgmental? Is a lack of emotion helpful? Will patients lose interest?

One benefit is clear, Scassellati says: Robots can provide personalized, on-demand care—and the need for that will only increase in the future.

man in red sweater and robot on tricycle.
The robot, known as NAO, has another advantage, says Gellie: It never gets angry or changes its mood. This 78-year-old man at Weverbos Long Term Residential Facility is an arts lover and admired the robot as if it were a sculpture. “If I had this robot with me in a museum,” he told Gellie, “he would teach me everything.”
Claudia Kalb has covered the science of genius, Pablo Picasso, and Leonardo da Vinci for National Geographic. Yves Gellie photographed Pitcairn Island for the French edition of the magazine.

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