Yongxin Ruan

Ms. Yongxin Ruan


Research Focus & Metrics

Academic Career Length

4Years (2023-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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18 March 2025 in Journal of Advanced Nursing
Verified
Journal Article
Open access
YRYongxin Ruan
Yongxin Ruan
RCRun‐Ping Che
Run‐Ping Che
NKNaonori Kodate
Naonori Kodate
SDSarah Donnelly
Sarah Donnelly
YSYiwen Shi
Yiwen Shi
Mei-chun CheungMei-chun Cheung
Mei-chun Cheung
Aims: To synthesise the current research on long‐term care workers' perceptions (i.e., attitudes, concerns, and expected functions) of robot‐assisted care and their perceived effects of different types of robot‐assisted care for older adults in long‐term care facilities. Design: Scoping review. Data Sources: A search was conducted in July 2024 using five databases. Articles published between 2010 and 2024 on the perceptions and/or perceived effects of robot‐assisted care for older adults among frontline long‐term care workers in long‐term care facilities were identified. Additionally, the reference lists of the included articles were manually searched. Methods: A five‐step framework that guided the development of research questions, screening of studies, and synthesis and presentation of data was adopted. Two authors independently screened and analysed the identified articles. Conflicts were resolved through joint‐discussions. Results: Forty‐one articles were included in the review. Data were narratively synthesised into three categories: expected function of care robots, perceived effects of robot‐assisted care, and attitudes and concerns regarding robot‐assisted care. Subcategories were identified and presented in tabular form. Conclusion: This review shows the physical, psychological, social, and practical benefits and limitations of different types of robot‐assisted care. It also contributes to understanding long‐term care workers' attitudes, concerns, and expectations regarding the function of robot‐assisted care. Implications for the Profession and/or Patient Care: Having a priori discussion with long‐term care workers about their expectations regarding using robot‐assisted care is needed. Improvements in the design and in the digital literacy of the workers are also necessary. Impact: This review provides an overview of the perceptions and perceived effects of different types of robot‐assisted care among care workers in long‐term care facilities. The findings provide practical implications and highlight areas in need of further studies. Reporting Method: Scoping Review (PRISMA‐ScR) checklist. Patient or Public Contribution: No Patient or Public Contribution.

17 July 2025 in Journal of Nursing Scholarship
Verified
Journal Article
Open access
YRYongxin Ruan
Yongxin Ruan
Mei-chun CheungMei-chun Cheung
Mei-chun Cheung
Introduction: Socially assistive robots (SARs) have been used in group interventions for older adults; however, their effectiveness remains unclear. This systematic review aimed to synthesize evidence on the efficacy of group interventions with SARs on various outcomes (physical, cognitive, psychological, quality of life, therapeutic engagement, and sociality) for older adults, and the factors that influence their effectiveness. Design and Method: A literature search was conducted using five databases (Web of Science, PubMed, Scopus, PsycINFO, and MEDLINE) in October 2024. The research team selected and analyzed the studies applying a narrative synthesis. Results: In all, 25 articles were identified, 15 of which were deemed of good quality. We found that companion robots are commonly used in group interventions for older adults that consist of physical, cognitive, and combined physical and cognitive activities. Insufficient evidence was identified on the effectiveness of physical interventions and groups with physical and cognitive activities on health outcomes (i.e., physical, cognitive, psychological, and quality of life). Regarding the cognitive group interventions, positive physical outcomes (i.e., improved sleep quality, decreased pulse rate, and increased pulse oximetry), improved cognitive function, positive psychological outcomes (i.e., decreased agitation, depression, anxiety, and loneliness, and increased positive emotions) were found; however, the positive effects in terms of cognitive level and certain psychological outcomes were comparable to the control groups. Mixed results were reported for quality of life in older adults. Across the three types of interventions, robots facilitated engagement and increased the sociality of most older adults. The effectiveness depended on the cognitive function of the older adults, the presence of staff, the type of robot, and the schedule of the interventions. Conclusion: Research gaps have been identified, and more rigorous studies investigating the effectiveness of different types of group interventions in older adults are needed before applying SARs in group interventions on a large scale. Clinical Relevance: Given the importance of group interventions in nursing care of older adults, healthcare professionals can use socially assistive robots in such interventions to assist in caring for older adults.

1 May 2025 in Digital Health
Verified
Journal Article
Open access
Runping CHERunping CHE
Runping CHE
YRYongxin Ruan
Yongxin Ruan
NKNaonori Kodate
Naonori Kodate
YSYiwen Shi
Yiwen Shi
XLXiaoting Liu
Xiaoting Liu
Mei-chun CheungMei-chun Cheung
Mei-chun Cheung
Objective: Frailty is one of the most problematic expressions of aging and causes older adults to require more assistance in daily life. Care robots have been proposed as a potential solution to bridge the widening gap between the demand and supply of healthcare services. This review aims to evaluate the effectiveness and usability of care robots in supporting older adults living with frailty. Methods: A systematic review was conducted, including peer-reviewed articles published in English from January 2000 to April 2025. A quality assessment was performed on the included studies, and the results were summarized narratively. Results: Of the nine studies reviewed, five examined the impact of care robots on physical frailty. Three of these studies reported positive outcomes, while two found no significant effects on physical frailty. The impact of care robots on psychological frailty was assessed in four studies, but no significant effects were found. Regarding usability, the perceived usability of care robots among frail older adults was generally low, primarily due to technical limitations. Usability also varied depending on the specific contexts in which the robots were deployed. Conclusions: Care robots have the potential to improve physical frailty in older adults, although their impact on psychological and social frailty remains limited. Usability challenges persist, underscoring the need for further refinement in robot design, user experience, and contextual factors to enhance their effectiveness and usability for this population.

DLDaniel. W.L Lai
Daniel. W.L Lai
YRYongxin Ruan
Yongxin Ruan
JWJulia Juan Wang
Julia Juan Wang
ELEmma H. S. Liu
Emma H. S. Liu
JZJiajia Zhou
Jiajia Zhou
This study examined perspectives of recent retirees in Shenzhen and Hong Kong on how retirement influenced their healthy ageing. It investigated retirees’ perceptions of healthy ageing and the ways in which healthy ageing connected with retirees’ transition into retirement. A qualitative design with narrative interviews was used to interview twelve recent retirees in Shenzhen and thirteen in Hong Kong. The participants elaborated their perspectives on healthy ageing, which covered physical, mental, social, and financial domains. Retirees in both cities identified healthy ageing as maintaining an independent life and avoiding becoming a burden on family members. This study found that retirement declined physical health (in parallel with raised awareness of health promotion), posed both negative and positive influences on mental health, and shrank peripheral social networks of retirees. In addition, regional social welfare systems have different impacts on retirees’ financial security and social participation. Retirees in Hong Kong reported higher stress of financial security and a strong desire for labor participation. Migrant–local welfare gaps were documented by retirees in Shenzhen. This study suggested that retirement planning, establishing a multi-pillar retirement-protection system, and narrowing the welfare gap between migrants and local residents should be implemented to reinforce healthy ageing.

13 February 2026 in Innovation in Aging
Verified
Journal Article
Open access
PDF file
YSYiwen Shi
Yiwen Shi
MCMei-Chun Cheung
Mei-Chun Cheung
YRYongxin Ruan
Yongxin Ruan
ZZZiye Zhang
Ziye Zhang
ZHZhujing Han
Zhujing Han
SSSayuri Suwa
Sayuri Suwa
Background and Objectives: In response to the Chinese government’s ongoing promotion of robot-assisted care for community-dwelling older adults, a comprehensive model clarifying the factors influencing older adults’ willingness to use home-care robots is needed to increase the technology adoption. This study aimed to investigate associations between four domains—familiarity with home-care robots, openness to the ethical use of home-care robots, desired functions, and desired product characteristics—and the willingness of Chinese older adults, as potential users, to use home-care robots. Research Design and Methods: This study employed a cross-sectional design, recruiting 895 community-dwelling adults aged 60+ in Shanghai, China, through convenience sampling to complete the survey. 589 were identified as potential users without prior experience of using home-care robots. Hierarchical multiple regressions were conducted for data analysis. Results: Specifically, 57.3% of the participants expressed a willingness to use home-care robots, whereas the remaining 42.7% did not wish to use them. Familiarity with home-care robots and the desired functions of the robots were not associated with their willingness to use them. Older adults who were open to the ethical use of robots, valued convenience/economic efficiency, and placed less emphasis on confidentiality and the opinions of people close to them expressed a higher willingness to use home-care robots. Discussion and Implications: To increase Chinese older adults’ willingness to use home-care robots, regulations that protect older adults’ privacy and enhance the convenience and affordability of these robots should be implemented. Moreover, public education is necessary to increase older adults’ understanding of home-care robots.

29 January 2024 in Health & Social Care in the Community
Verified
Journal Article
Open access
PDF file
YRYongxin Ruan
Yongxin Ruan
JWJuan Wang
Juan Wang
Chinese adults will migrate to reunite with their children in later life, with social participation being an essential element of their successful adaptation. As children are older adults’ primary source of support, this study aimed to investigate both the direct and indirect effects of multiple dimensions of intergenerational relationship quality on social participation through the incidence of depressive symptom. A cross‐sectional survey was conducted in Shenzhen, China, with late‐life migrants aged 50 years and above. Totally, 397 participants were included in this analysis. The intergenerational relationship was measured using the Intergenerational Relationship Quality Scale for Aging Chinese Parents, which covers four dimensions: structural‐associational solidarity, affectual closeness, consensual‐normative solidarity, and intergenerational conflicts. However, as the structural‐associational solidarity and affectual closeness dimensions did not have acceptable reliability, the four‐dimension model was instead validated by using exploratory factor analysis and confirmatory factor analysis. The same four‐factor model was confirmed, with the noted exception that item 10 (helping with housework) was deleted on the basis that it presented weak factor loading. Bootstrapping was used to examine the direct and indirect effects of the four dimensions on social participation through depressive symptom. The results showed that only affective closeness and intergenerational conflict were associated with social participation. Depressive symptom was a partial mediator of the correlation between affective closeness and social participation, whereas depressive symptom did not have any mediating effect on the other dimensions of intergenerational relationship quality and social participation. These findings highlight the importance of affectual closeness and intergenerational conflict in the social participation of late‐life migrants in China.