# The use of the social robot NAO in medical settings: how to facilitate interactions between healthcare professionals and patients with autism spectrum disorder

**Authors:** Federico Biagi, Cristina Iani, Luigi Biagiotti

PMC · DOI: 10.3389/fpsyt.2025.1675098 · Frontiers in Psychiatry · 2025-10-02

## TL;DR

This paper explores how the social robot NAO can help healthcare professionals interact with children with autism in medical settings.

## Contribution

The study introduces two novel control modes for the NAO robot to support clinical interactions with children with autism.

## Key findings

- Both Puppet and Assistant control modes were considered effective and user-friendly by healthcare professionals.
- Assistant mode was perceived as more intuitive and adaptable, while Puppet mode was seen as more reassuring for patients.
- The study highlights NAO's potential to enhance patient engagement and reduce stress in autism care.

## Abstract

This study investigates how to facilitate the use of the social robot NAO in medical settings to support interactions with children diagnosed with Autism Spectrum Disorder (ASD). The objective was to develop intuitive control methods that enable healthcare professionals to easily integrate the robot into clinical practice.

Two control modes were designed: Puppet mode, where clinicians manually operate the robot via a graphical console, and Assistant mode, where a Large Language Model translates clinicians’ spoken requests into robot actions and dialogue. Twenty-three doctors evaluated both modes through video demonstrations and completed questionnaires assessing usability, usefulness, and ethical acceptability.

Both modes were considered effective and user-friendly. Assistant mode was perceived as more intuitive and adaptable, facilitating seamless interaction, whereas Puppet mode was judged slightly more reassuring for patients and somewhat more appropriate in terms of robot actions.

Overall, both approaches were positively received, with Assistant mode emerging as the preferred option for integration into clinical workflows due to its perceived simplicity and flexibility. These findings highlight clinicians’ positive perceptions of two novel control modes and emphasize NAO’s potential to enhance patient engagement and reduce stress. Further empirical validation with children in real clinical trials is warranted to confirm these benefits and optimize robot-assisted interventions in ASD care.

## Linked entities

- **Diseases:** Autism Spectrum Disorder (MONDO:0005258)

## Full-text entities

- **Diseases:** ASD (MESH:D000067877)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

8 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12528083/full.md

## References

38 references — full list in the complete paper: https://tomesphere.com/paper/PMC12528083/full.md

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Source: https://tomesphere.com/paper/PMC12528083