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May 15, 2026BMC Geriatrics0 citationsOpen Access

Navigating the discourse on the use of social robot Pepper: ethical and practical implications

TWTenzin WangmoSSSophie SieberYTYi Jiao Angelina Tian

Key Points

  • The aim is to explore different perspectives on the acceptance of the social robot Pepper in caregiving for older adults.
  • Conducted qualitative one-on-one interviews with 116 individuals across two linguistic regions in Switzerland.
  • Participants included older persons, family caregivers, and professional caregivers.
  • Data was thematically sorted and analyzed based on interview insights related to Pepper.
  • Many participants expressed concerns about using Pepper, citing ethical worries and fears of replacement of human care.
  • Some acknowledged potential benefits for certain tasks, viewing robots as a second-best option.
  • The findings suggest a generational rationale for rejecting robotic assistance, impacting policy and technology development considerations.

Abstract

Abstract Background Social robots such as Pepper are increasingly researched as potential tools that could support the care of older persons. Our goal is to highlight the multiplicity of perspectives and varied rationales held by participants in Switzerland for accepting or rejecting Pepper when used for caregiving purposes. Methods Qualitative one-on-one interviews were completed with 116 persons living in two linguistic regions of Switzerland. The participants were either (a) older persons; (b) family caregivers; or (c) professional caregivers. Data related to the social robot, Pepper, from the interviews were sorted and analyzed thematically for this paper. Results Themes highlight the different reasons for rejecting the use of Pepper, as well as finding space for it when necessary. Specifically, the rejection of Pepper stemmed and varied from just not wanting to use the technology, to perceiving oneself and older persons as being “too old”, to having ethical concerns and the omnipresent fear of the replacement of human care. Nevertheless, upon realizing that such social robots might have to be used, participants also discussed some of the advantages for certain groups, tasks where robots may be useful for, as well as the notion of robotic use as a second-best option. Conclusions Not all older persons will accept the use of robotics tools for their care, even when they may be in need. This study discovered a generational rationale for refusing such robotic care. Individual autonomy to use such tools, costs, and their added value in addressing practical gaps in the lives of older person were important factors to consider when making policy decisions, as well as, in developing technology. There is therefore a greater need for policy makers and technology developers to consider the heterogeneity among the older adult population.

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Cite This Study

Wangmo et al. (2026) studied this question.

synapsesocial.com/papers/6a06b83de7dec685947aab94https://doi.org/10.1186/s12877-026-07640-2
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Role of Anthropomorphic Design in Social Robots for Aged Care: A Case Study of Pepper2026
  2. 2No playing around with robots? Ambivalent attitudes toward the use of Paro in elder care2024 · 19 citations
  3. 3Ethical aspects of the use of social robots in caring for older people – a systematic qualitative review2026 · 4 citations
  4. 4RETRACTED ARTICLE: Between intimacy and surveillance: elderly users’ adaptation and privacy negotiation in human-robot interaction2025
  5. 5Issues Related to the Use of Healthcare Communication Robots in Healthcare Settings2025