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A Hybrid Rule- and Large Language Model–Based Embodied Voice Assistant (GRACE) for Cognitive Stimulation in Older Adults: Usability Study Assessing Technical Feasibility, Technology Acceptance, and Working Alliance

https://doi.org/10.2196/76489
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What this work says

Outgoing claims: the papers this work cites, builds on, or argues with.

inferredcites →https://doi.org/10.1002/alz.12901openalex-snapshot
The worldwide costs of dementia in 2019
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Social Dialongue with Embodied Conversational Agents
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Investigating the Usability of Voice Assistant-Based CBT for Age-Related Depression
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Towards a Low-Cost Companion Robot for Helping Elderly Well-Being
inferredcites →https://doi.org/10.1007/978-3-031-69394-6_1openalex-snapshot
What Is Dementia?
inferredcites →https://doi.org/10.1007/978-3-319-56994-9_69openalex-snapshot
A Virtual Assistive Companion for Older Adults: Design Implications for a Real-World Application
inferredcites →https://doi.org/10.1007/978-3-319-67401-8_55openalex-snapshot
Talk About Death: End of Life Planning with a Virtual Agent
inferredcites →https://doi.org/10.1007/978-3-319-92108-2_12openalex-snapshot
A Social Companion and Conversational Partner for the Elderly
inferredcites →https://doi.org/10.1007/bf02310555openalex-snapshot
Coefficient Alpha and the Internal Structure of Tests
inferredcites →https://doi.org/10.1007/s11042-024-18338-1openalex-snapshot
Design and usability evaluation of the EvaSIM simulator for a socially assistive robot
inferredcites →https://doi.org/10.1016/j.chb.2010.06.020openalex-snapshot
Older adults talk technology: Technology usage and attitudes
inferredcites →https://doi.org/10.1016/j.xcrm.2022.100895openalex-snapshot
Brief structured respiration practices enhance mood and reduce physiological arousal
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Preventing harm from non-conscious bias in medical generative AI
inferredcites →https://doi.org/10.1037//0003-066x.55.1.68openalex-snapshot
Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being.
inferredcites →https://doi.org/10.1037//0022-0167.36.2.223openalex-snapshot
Development and validation of the Working Alliance Inventory.
inferredcites →https://doi.org/10.1037/a0025749openalex-snapshot
How central is the alliance in psychotherapy? A multilevel longitudinal meta-analysis.
inferredcites →https://doi.org/10.1037/ccp0000637openalex-snapshot
Examining therapist effects in the alliance–outcome relationship: A multilevel meta-analysis.
inferredcites →https://doi.org/10.1037/pst0000172openalex-snapshot
The alliance in adult psychotherapy: A meta-analytic synthesis.
inferredcites →https://doi.org/10.1038/s41582-019-0188-yopenalex-snapshot
The promise of technology in the future of dementia care
inferredcites →https://doi.org/10.1093/tbm/ibz141openalex-snapshot
A Scoping Review of Patient-Facing, Behavioral Health Interventions with Voice Assistant Technology Targeting Self-management and Healthy Lifestyle Behaviors
inferredcites →https://doi.org/10.1097/nnr.0b013e3181faff52openalex-snapshot
Effects of a Creative Expression Intervention on Emotions, Communication, and Quality of Life in Persons With Dementia
inferredcites →https://doi.org/10.1109/enc60556.2023.10508610openalex-snapshot
Conversational Agents for Dementia using Large Language Models
inferredcites →https://doi.org/10.1109/tcds.2021.3115228openalex-snapshot
Conversational Affective Social Robots for Ageing and Dementia Support
inferredcites →https://doi.org/10.1111/appy.12131openalex-snapshot
Robot‐assisted therapy for improving social interactions and activity participation among institutionalized older adults: A pilot study
inferredcites →https://doi.org/10.1145/1525840.1525842openalex-snapshot
Being Old Doesn’t Mean Acting Old
inferredcites →https://doi.org/10.1145/2504335.2504391openalex-snapshot
Exploring voice user interfaces for seniors
inferredcites →https://doi.org/10.1145/3173574.3173580openalex-snapshot
Patterns for How Users Overcome Obstacles in Voice User Interfaces
inferredcites →https://doi.org/10.1145/3173574.3174214openalex-snapshot
Voice Interfaces in Everyday Life
inferredcites →https://doi.org/10.1145/3290607.3312973openalex-snapshot
Older Adults and Voice Interaction
inferredcites →https://doi.org/10.1145/3319502.3374840openalex-snapshot
A Social Robot as Therapy Facilitator in Interventions to Deal with Dementia-related Behavioral Symptoms
inferredcites →https://doi.org/10.1145/3442188.3445922openalex-snapshot
On the Dangers of Stochastic Parrots
inferredcites →https://doi.org/10.1145/3484510openalex-snapshot
Discourse Behavior of Older Adults Interacting with a Dialogue Agent Competent in Multiple Topics
inferredcites →https://doi.org/10.1145/3491102.3501995openalex-snapshot
“It’s Kind of Like Code-Switching”: Black Older Adults’ Experiences with a Voice Assistant for Health Information Seeking
inferredcites →https://doi.org/10.1145/3610977.3634966openalex-snapshot
Understanding Large-Language Model (LLM)-powered Human-Robot Interaction
inferredcites →https://doi.org/10.1145/3654777.3676401openalex-snapshot
VoicePilot: Harnessing LLMs as Speech Interfaces for Physically Assistive Robots
inferredcites →https://doi.org/10.1145/3659625openalex-snapshot
Talk2Care: An LLM-based Voice Assistant for Communication between Healthcare Providers and Older Adults
inferredcites →https://doi.org/10.1145/3670653.3677521openalex-snapshot
GRACE: Towards an Embodied Voice Assistant for Improving Quality of Life by Leveraging Elements of Cognitive Stimulation Therapy
inferredcites →https://doi.org/10.1145/3706598.3713578openalex-snapshot
Designing Conversational AI for Aging: A Systematic Review of Older Adults' Perceptions and Needs
inferredcites →https://doi.org/10.1145/3706598.3713582openalex-snapshot
Promoting Cognitive Health in Elder Care with Large Language Model-Powered Socially Assistive Robots
inferredcites →https://doi.org/10.1145/3706598.3713839openalex-snapshot
Voice Assistants for Health Self-Management: Designing for and with Older Adults
inferredcites →https://doi.org/10.1145/3706599.3719707openalex-snapshot
Voice Assistants to Deliver Cognitive Stimulation Therapy for Persons Living with Dementia
inferredcites →https://doi.org/10.1145/3706599.3719917openalex-snapshot
Skeptical Yet Curious: Attitudes Towards Conversational Assistants for Supporting Social Engagement among Older Adults Living Alone
inferredcites →https://doi.org/10.1177/0018720815575644openalex-snapshot
Smartphone Text Input Method Performance, Usability, and Preference With Younger and Older Adults
inferredcites →https://doi.org/10.1177/1064804619842501openalex-snapshot
Perceptions of Digital Assistants From Early Adopters Aged 55+
inferredcites →https://doi.org/10.1177/1071181320641327openalex-snapshot
Digital Home Assistants and Aging: Initial Perspectives from Novice Older Adult Users
inferredcites →https://doi.org/10.1177/2333721420985975openalex-snapshot
A Question of Access: Exploring the Perceived Benefits and Barriers of Intelligent Voice Assistants for Improving Access to Consumer Health Resources Among Low-Income Older Adults
inferredcites →https://doi.org/10.1186/s40001-023-01337-7openalex-snapshot
Effectiveness of creative story therapy for dementia: a systematic review and meta-analysis
inferredcites →https://doi.org/10.1192/apt.10.3.171openalex-snapshot
Non-pharmacological interventions in dementia
inferredcites →https://doi.org/10.1287/mnsc.35.8.982openalex-snapshot
User Acceptance of Computer Technology: A Comparison of Two Theoretical Models
inferredcites →https://doi.org/10.18494/sam4268openalex-snapshot
Quick Prototyping of Companion Bots for Elderly People
inferredcites →https://doi.org/10.18653/v1/2023.acl-short.150openalex-snapshot
STT4SG-350: A Speech Corpus for All Swiss German Dialect Regions
inferredcites →https://doi.org/10.2196/15381openalex-snapshot
Exploring Older Adults’ Beliefs About the Use of Intelligent Assistants for Consumer Health Information Management: A Participatory Design Study
inferredcites →https://doi.org/10.2196/23612openalex-snapshot
Hybrid Ubiquitous Coaching With a Novel Combination of Mobile and Holographic Conversational Agents Targeting Adherence to Home Exercises: Four Design and Evaluation Studies
inferredcites →https://doi.org/10.2196/25060openalex-snapshot
Conversational Agents as Mediating Social Actors in Chronic Disease Management Involving Health Care Professionals, Patients, and Family Members: Multisite Single-Arm Feasibility Study
inferredcites →https://doi.org/10.2196/25891openalex-snapshot
Usability and Acceptance of the Embodied Conversational Agent Anne by People with Dementia and their Caregivers: an exploratory study in home environment settings (Preprint)
inferredcites →https://doi.org/10.2196/25933openalex-snapshot
Voice-Based Conversational Agents for the Prevention and Management of Chronic and Mental Health Conditions: Systematic Literature Review
inferredcites →https://doi.org/10.2196/26361openalex-snapshot
Voice Assistant Reminders and the Latency of Scheduled Medication Use in Older Adults With Pain: Descriptive Feasibility Study
inferredcites →https://doi.org/10.2196/32161openalex-snapshot
Reliability of Commercial Voice Assistants’ Responses to Health-Related Questions in Noncommunicable Disease Management: Factorial Experiment Assessing Response Rate and Source of Information
inferredcites →https://doi.org/10.2196/50534openalex-snapshot
Reducing Loneliness and Social Isolation of Older Adults Through Voice Assistants: Literature Review and Bibliometric Analysis
inferredcites →https://doi.org/10.2307/25148660openalex-snapshot
User Acceptance of Hedonic Information Systems1
inferredcites →https://doi.org/10.2307/41410412openalex-snapshot
Consumer Acceptance and Use of Information Technology: Extending the Unified Theory of Acceptance and Use of Technology1
inferredcites →https://doi.org/10.3233/faia240092openalex-snapshot
Digital Radio: A One-Touch Interactive System for Elderly Companionship
inferredcites →https://doi.org/10.3389/fdgth.2024.1329910openalex-snapshot
Understanding older people's voice interactions with smart voice assistants: a new modified rule-based natural language processing model with human input
inferredcites →https://doi.org/10.3389/frdem.2022.1049464openalex-snapshot
Views and experiences on the use of voice assistants by family and professionals supporting people with cognitive impairments
inferredcites →https://doi.org/10.3390/healthcare9081036openalex-snapshot
Conversational System as Assistant Tool in Reminiscence Therapy for People with Early-Stage of Alzheimer’s
inferredcites →https://doi.org/10.5120/ijca2023923019openalex-snapshot
Using Knowledge Graphs and LLMs to Enhance Natural Language Understanding on Voice Assistants

What points at this work

Incoming claims: where this work appears in other papers’ reference lists and arguments.

inferred← citeshttps://doi.org/10.1109/icir70631.2026.11628389openalex-snapshot
Multimodal Navigation Assistance for Older Adults: Combining Generative AI and Augmented Reality in a Robotic Walker
inferred← citeshttps://doi.org/10.1111/hex.70783openalex-snapshot
Cognitive Reablement Using Digital Voice Assistants for People Living With Dementia or Mild Cognitive Impairment: A Co‐Design Study
inferred← citeshttps://doi.org/10.1145/3816046.3816286openalex-snapshot
A Real-Time Voice Agent for Delivering Individual Cognitive Stimulation Therapy to Persons Living with Dementia
inferred← citeshttps://doi.org/10.1145/3816046.3816293openalex-snapshot
STELLA: An Open-Source Platform for Auditable Voice-First Conversational Health Coaching Agents
inferred← citeshttps://doi.org/10.1177/20552076261416341openalex-snapshot
Evaluating the GRACE voice assistant for dementia care among caregivers and healthcare professionals: An interview study
inferred← citeshttps://doi.org/10.21203/rs.3.rs-10998298/v1openalex-snapshot
Turkish-language Large Language Model-supported Voice Companion for Cognitive Monitoring via Social Artificial Intelligence in Older People Living Alone: A Single-Arm Pilot Feasibility Study
inferred← citeshttps://doi.org/10.2196/104623openalex-snapshot
Mobile Escape-Game Lab, a Relocatable Escape-Room–Inspired Serious Game Platform in Healthy Adults: Development and Single-Session, Posttest-Only Mixed Methods Usability Study (Preprint)
inferred← citeshttps://doi.org/10.2196/105520openalex-snapshot
Implementation of Sensor-Augmented Conversational Agent for Personalized Lifestyle Support in Older Adults with Mild Cognitive Impairment: Two-Week Feasibility Study (Preprint)
inferred← citeshttps://doi.org/10.2196/94036openalex-snapshot
Structured Large Language Model Workflows for Motivational Interviewing in Health Behavior Change: Proof-of-Concept Study
inferred← citeshttps://doi.org/10.2196/preprints.94036openalex-snapshot
An LLM-based Motivational Interviewing Conversational Agent for Health Behaviour Change: Comparative Evaluation Study (Preprint)
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