Jun 2026· Health Communication· pp.
1-15
· 0 citations· 49 references
Medicine
TL;DR
It is suggested that the benefits of AI voice assistants for older adults may be more evident in supporting everyday autonomy and competence than in addressing social isolation, and that psychological benefits of short-term use may not immediately translate into changes in global well-being outcomes.
Abstract
Aging often reduces opportunities for everyday interaction and instrumental support, raising questions about the potential role of artificial intelligence (AI) technologies in later-life well-being. This study examined how AI voice assistants may fulfill, or fall short of, older adults' basic psychological needs through the lens of self-determination theory (SDT). Eighteen U.S.-based community-dwelling older adults (ages 66-85) participated in a two-week AI voice assistant trial and completed daily diaries and pre- and post-intervention surveys. Using mixed methods, qualitative thematic analysis and large language model-assisted content analysis, we analyzed 237 diary entries (1,512 sentences) across three SDT dimensions: autonomy, competence, and relatedness. Findings reveal voice assistants primarily supported autonomy (medication reminders, safety, emotional regulation) and competence (task accomplishment, activity maintenance), with experiences remaining largely consistent across the two-week period. Relatedness responses were the most divided: some participants valued companionship features while others found them inauthentic or uncomfortable. Despite positive daily experiences, loneliness and life satisfaction showed no significant change. These findings suggest that the benefits of AI voice assistants for older adults may be more evident in supporting everyday autonomy and competence than in addressing social isolation, and that psychological benefits of short-term use may not immediately translate into changes in global well-being outcomes.
A systematic review on older adults’ interactions with VAs, analysing 48 studies, highlights the need to account for novelty effects in short-term studies and to adopt more ecologically valid approaches, such as in-home or longer-term deployments.
Nadeesha Pathirana, Amal Htait, E. Wanner· Universal Access in the Info...· 1 citation
BACKGROUND
Amid growing concerns surrounding social isolation among older adults, AI chatbots have emerged as promising tools for providing digital companionship. While the intersection of aging and technology has been widely explored, there remains a gap in understanding the nuanced ways in which AI chatbots function...
Yijin Wu, Fengbo Jiao, Haokun Wang et al.· The gerontologist· 0 citations
As South Korea enters a super-aged society, the rapid growth of older adults living alone has intensified concerns about social isolation, loneliness, and depression. This study examined whether AI care robots can serve as an effective psychosocial intervention for these three interrelated emotional vulnerabilities usi...
S. Lee· Journal of Applied Gerontolo...· 0 citations
Conversational robots are increasingly proposed to provide everyday emotional support for older adults. However, it remains unclear which encouragement strategies are perceived as effective and whether interpersonal strategy preferences transfer to Human–Robot Interaction (HRI). This study compared the perceived effect...
Ling-Xuan Xiang, Marin Nishimura, H. Kikuchi· Frontiers in Robotics and AI· 0 citations
The role conversational AI plays in adolescents' development is unlikely to be universally positive or negative for all adolescents, but instead depends on how, why, and in which context these technologies are used, highlighting the need for nuanced research and developmentally sensitive design.
Lauren C. Dedecker, Y. Chen, Gaëlle Vanhoffelen et al.· Child and Adolescent Mental...· 1 citation
This paper aims to offer a worked methodological demonstration of an integrated socioemotional selectivity theory (SST)–self-determination theory (SDT) reflexive thematic analysis (RTA), examining how urban, community-dwelling older adults in India are illustrated as using and emotionally experiencing generative AI...
A. Godse, Saikat Deb, Avishek Ghosal et al.· Working with Older People· 0 citations
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