Jiaxin An

Jiaxin An

As the global population ages, artificial intelligence (AI)-powered agents have emerged as potential tools to support older adults' caregiving. Prior research has explored agent autonomy by identifying key interaction stages in task processes and defining the agent's role at each stage. However, ensuring that agents align with older adults' autonomy preferences remains a critical challenge. Drawing on interdisciplinary conceptualizations of autonomy, this paper examines four key dimensions of autonomy for older adults: decision-making autonomy, goal-oriented autonomy, control autonomy, and social responsibility autonomy. This paper then proposes the following research directions: (1) Addressing social responsibility autonomy, which concerns the ethical and social implications of agent use in communal settings; (2) Operationalizing agent autonomy from the task perspective; and (3) Developing autonomy measures.

Jiaxin An, Siqi Yi, Yao Lyu et al.

There has been vast literature that studies Conversational Agents (CAs) in facilitating older adults' health. The vast and diverse studies warrants a comprehensive review that concludes the main findings and proposes research directions for future studies, while few literature review did it from human-computer interaction (HCI) perspective. In this study, we present a survey of existing studies on CAs for older adults' health. Through a systematic review of 72 papers, this work reviewed previously studied older adults' characteristics and analyzed participants' experiences and expectations of CAs for health. We found that (1) Past research has an increasing interest on chatbots and voice assistants and applied CA as multiple roles in older adults' health. (2) Older adults mainly showed low acceptance CAs for health due to various reasons, such as unstable effects, harm to independence, and privacy concerns. (3) Older adults expect CAs to be able to support multiple functions, to communicate using natural language, to be personalized, and to allow users full control. We also discuss the implications based on the findings.