Positive Psychological Well-Being and Determinants of Social Robot Acceptability Among Patients With Heart Failure: Cross-Sectional Questionnaire Study.
Psychological well-being is associated with determinants of social robot acceptability in patients with heart failure, while psychological distress and personality traits are not associated with these determinants.
Key Findings
Results
The majority of heart failure patients expressed willingness to use a social robot if one were available.
69% (67/97) of participants were likely to use a social robot if available
UTAUT behavioral intention scores were moderate overall
Participants watched brief videos about social robots before completing assessments
Sample consisted of 101 patients with a mean age of 68 years (SD 10 y), 35.6% women
Results
Higher positive psychological well-being scores were associated with increased social robot acceptability across multiple UTAUT subscales.
Well-being scores (Brief Inventory of Thriving) correlated positively with SR acceptability in 4 of 5 UTAUT subscales
In multiple regression models, higher BIT scores were associated with increased UTAUT facilitating conditions (B=0.17; P=.01)
Higher BIT scores were also associated with increased UTAUT behavioral intention (B=0.17; P=.04)
These associations were independent of depressive and anxiety symptoms
Models were adjusted for age, sex, smart technology experience, urbanicity, and comorbidities
Results
Psychological distress (depression and anxiety symptoms) was not significantly associated with social robot acceptability.
No significant bivariate associations were observed for psychological distress with SR acceptability
23% (23/101) of participants scored in the clinical range for depression on the Patient Health Questionnaire-9
17% (17/101) of participants scored in the clinical range for anxiety on the Generalized Anxiety Disorder-7
Depressive and anxiety symptoms were included as covariates in the multiple regression models
Results
Personality traits were not significantly associated with social robot acceptability in this heart failure patient sample.
No significant bivariate associations were observed for personality traits with SR acceptability
Personality was measured using the Ten-Item Personality Inventory
Conscientiousness and agreeableness were the most common personality traits in the sample
Personality traits were not retained as significant predictors in the multiple regression models
Results
Well-being scores in the heart failure patient sample were moderate, and a notable proportion met clinical thresholds for depression and anxiety.
23% (23/101) scored in the clinical range for depression
17% (17/101) scored in the clinical range for anxiety
Well-being scores on the Brief Inventory of Thriving were described as moderate
Sample mean age was 68 years (SD 10 y) with 101 total participants
What This Means
This research suggests that among heart failure patients, those who report higher levels of positive psychological well-being — such as feeling that life is going well and experiencing positive emotions — are more open to the idea of using social robots for health support. The study surveyed 101 heart failure patients who watched short videos about social robots and then answered questions about their willingness to use them. About 69% said they would likely use a social robot if one were available, indicating generally moderate-to-favorable acceptance of the technology.
Interestingly, the study found that it was positive well-being — not the absence of depression or anxiety — that predicted greater robot acceptability. Even after accounting for factors like age, sex, experience with technology, and health burden, higher well-being scores were independently linked to greater willingness to use social robots and a perception that the conditions for using them were favorable. Neither depression, anxiety, nor personality traits like conscientiousness or extraversion were significantly related to robot acceptability.
This research suggests that before implementing social robots in heart failure care, healthcare providers and developers should consider patients' psychological well-being as a factor that may influence adoption. Patients with lower well-being may need additional support or tailored introductions to this technology. The findings also highlight that addressing positive psychological health — not just treating mental illness — could be an important component of preparing patients to engage with novel healthcare technologies.
Maukel L, Bouchard K, Fiedorowicz J, Dautenhahn K, Ghafurian M, Coutinho T, et al.. (2026). Positive Psychological Well-Being and Determinants of Social Robot Acceptability Among Patients With Heart Failure: Cross-Sectional Questionnaire Study.. JMIR cardio. https://doi.org/10.2196/83163