Alyssa Weakley

Preyash Yadav, Michelle Cohn, Priyanka Koppolu et al.

Individuals with Alzheimer's disease (AD) and Alzheimer's disease-related dementia (ADRD) experience memory and thinking changes that impact their ability to use digital daily management tools. For example, adding an event to a digital calendar requires multiple steps that may act as barriers to independent use for individuals with AD/ADRD. This paper presents AI-Care, a conversational agentic artificial intelligence (AI) layer built on top of a remote caregiving platform co-designed with people with AD/ADRD. AI-Care is designed to reduce the cognitive load on individuals with AD/ADRD when managing everyday tasks such as setting calendar reminders and organizing to-do lists through natural-language interaction with a voice-first chatbot. The system uses a LangGraph-based stateful orchestration approach in which each request passes through sanitization, intent classification, context loading, safety checks, deterministic slot collection, tool execution, and response composition. Safety-critical responses, particularly around medications and allergies, are grounded in caregiver-verified records rather than free-form model generation. The system does not make autonomous medical or treatment decisions. Incomplete or ambiguous requests are handled through controlled multi-turn clarification rather than silent failure or guessing. The system supports both typed and spoken input, with voice output through ElevenLabs text-to-speech. Longer responses are chunked before synthesis to avoid rushed playback. A preliminary pilot with four individuals with mild-to-moderate AD/ADRD showed that users found the system trustworthy, competent, and likable, and were able to complete the evaluated coordination tasks through conversation. We describe the design goals, system architecture, safety controls, and findings from this formative evaluation.

Dong Yoon Lee, Alyssa Weakley, Hui Wei et al.

One in four people dementia live alone, leading family members to take on caregiving roles from a distance. Many researchers have developed remote monitoring solutions to lessen caregiving needs; however, limitations remain including privacy preserving solutions, activity recognition, and model generalizability to new users and environments. Structural vibration sensor systems are unobtrusive solutions that have been proven to accurately monitor human information, such as identification and activity recognition, in controlled settings by sensing surface vibrations generated by activities. However, when deploying in an end user's home, current solutions require a substantial amount of labeled data for accurate activity recognition. Our scalable solution adapts synthesized data from near-surface acoustic audio to pretrain a model and allows fine tuning with very limited data in order to create a robust framework for daily routine tracking.