{"id":7465,"date":"2023-11-07T07:28:32","date_gmt":"2023-11-07T12:28:32","guid":{"rendered":"https:\/\/www.silvercentury.org\/?p=7465"},"modified":"2023-11-07T07:29:02","modified_gmt":"2023-11-07T12:29:02","slug":"what-ai-can-do-for-older-adults","status":"publish","type":"post","link":"http:\/\/78.142.243.82\/~silvercentury\/2023\/11\/what-ai-can-do-for-older-adults\/","title":{"rendered":"What AI Can Do for Older Adults"},"content":{"rendered":"

When Alyssa Weakley\u2019s 82-year-old grandmother was diagnosed with Alzheimer\u2019s in 2019, the family scrambled to respond. Her grandmother lived in southern California; Weakley and other family members were in northern California and Washington State. As problems arose, they took turns flying down to see the older woman. Often, that meant leaving a job or making child-care arrangements on short notice. <\/span><\/p>\n

Weakley, who is an assistant professor in the Department of Neurology at University of California Davis Health, tried to find a way to use technology to help. Despite her expertise in both Alzheimer\u2019s and assistive technologies, she had no luck. <\/span><\/p>\n

\u201cThere was nothing that allowed us to help her or to get feedback to know what was really going on with her,\u201d said Weakley. <\/span><\/p>\n

Now, she\u2019s part of a research team working on what she hopes will be a solution: Interactive Care, or I-Care, a platform that will use unobtrusive sensors to help caregivers stay connected to older adults living with mild cognitive impairment or early-stage dementia. <\/span><\/p>\n

Unlike most existing platforms to monitor older adults, I-Care will harness the power of artificial intelligence (AI) <\/span><\/p>\n

\u201cAdvances in AI technology offer many ways of improving people’s lives,\u201d said Bj\u00f6rn Herrmann, PhD, a Scientist and Canada Research Chair in Auditory Aging at the Rotman Research Institute at Baycrest Academy in Toronto. \u201cI believe these will ultimately enable older adults to be more independent and live longer in their own homes.\u201d<\/span><\/p>\n

Wide Range of Benefits<\/b><\/p>\n

\u201cArtificial intelligence\u201d broadly refers to machines that can understand, synthesize and generate knowledge [in] much the way that humans do, although the precise definition is still a matter of debate. AI is already embedded in many aspects of our daily lives; if you rely on a virtual personal-assistant app like Siri or Alexa, or drive a car with a navigational system or parking assist, you\u2019re using AI.  <\/span><\/p>\n

The public release last year of ChatGPT\u2014a type of AI that can respond to questions and generate novel content in natural language\u2014has raised awareness of AI\u2019s rapidly expanding capabilities. It also highlighted concerns about its potential for proliferating misinformation and threatening individual privacy and security. <\/span><\/p>\n

\u201cIt\u2019s a huge, tectonic change in the whole landscape of technology that has opened up a new era of possibilities,\u201d said Vol Berezhniy, founder of OBS Group, an AI tech startup in Plano, TX. <\/span><\/p>\n

An AI system would “think” and make judgments the way a doctor does. <\/b><\/p><\/blockquote>\n

AI\u2019s potential for assisting older adults spans a wide spectrum that includes robots, exoskeleton devices, intelligent homes, AI-enabled wearables, voice-activated devices and self-driving automobiles. AI-powered devices might serve as rehabilitation therapists, emotional supporters, social companions, personal organizers and cognitive assistants. <\/span><\/p>\n

Many experts are especially optimistic about AI\u2019s potential to provide more personalized medical care to older adults. Daniel Chow, MD, co-director of the Center for Artificial Intelligence in Diagnostic Medicine at the University of California, Irvine, is studying ways AI might facilitate precision medical care, which \u201cdelivers the right therapy for the right patient at the right time.\u201d<\/span><\/p>\n

For example, Chow said, researchers are discovering that there are many types of Alzheimer\u2019s or dementia. A patient\u2019s genetic makeup may point to one type or another. Each type may respond better to some medications or treatments than others. Imaging studies, like brain MRIs, provide vast amounts of additional data, including changes in the brain over time. Patients\u2019 speech patterns might also provide clues about the type and stage of disease. Even patients\u2019 social, economic or environmental situations may also need to factor into treatment plans.   <\/span><\/p>\n

\u201cThat\u2019s a lot of information, so how do we put it all together?\u201d asked Chow, who is also neuroradiology chief in the Department of Radiological Sciences at the UCI School of Medicine. \u201cAI allows us the computational method to include and incorporate all this information and tailor treatment accordingly.\u201d An AI system would “think” and make judgments in the same way that a doctor does, but with the ability to quickly factor in vast quantities of data from imaging, genetics, patient history and more\u2014and even “learn” from information collected on each patient’s response to treatment.  <\/span><\/p>\n

Robots as Companions<\/b><\/p>\n

Frank\u2019s story started with a common problem: he was having trouble taking care of himself. The older man, who had mild dementia, wasn\u2019t eating regularly or remembering to take his medications. <\/span><\/p>\n

Worried, his son bought him a companion robot. At first, Frank was resistant. \u201cThat thing is going to murder me in my sleep!\u201d he groused. But soon Frank warmed to the robot, which prepared his meals, cleaned his home, helped with his medications and became a constant companion. <\/span><\/p>\n

Frank\u2019s story is fiction\u2014it\u2019s the plot of the 2012 film <\/span>Robot & Frank<\/span><\/i>. But AI is turning fantasy into reality on some levels. Humanlike robots that can perform all the tasks of a butler or home health aide\u2014and converse naturally with a human being\u2014are still a long way off, but advances in AI are making robots more and more useful for specialized tasks, said Wendy Rogers, PhD, professor of kinesiology and community health at the University of Illinois and director of the Human Factors and Aging Laboratory. <\/span><\/p>\n

Several tech startups are experimenting with social robots, which provide companionship and conversation. Rogers has studied Moxie, a robot designed for children with autism, for its potential for providing social engagement for older adults with mild cognitive impairment. Unlike Alexa or Siri, users don\u2019t need to remember to use the robot\u2019s name to engage. <\/span><\/p>\n

\u201cMoxie is very socially interactive,\u201d she said. \u201cOne of our older adults was just talking with it and having a whole conversation.\u201d <\/span><\/p>\n

Another social robot on the market is ElliQ, a small device resembling Pixar\u2019s playful desk lamp and accompanied by a tablet. As part of a pilot project, the New York State Office for the Aging is providing ElliQ to older adult clients like Judy Washington, 74. ElliQ greets Washington every morning when she wakes up (cued when she turns on the room light), reminds her to exercise and take her medication, keeps track of her comings and goings and occasionally tells corny jokes. Washington laughs when she shares how ElliQ even gave her a nickname: \u201cNugget.\u201d  <\/span><\/p>\n

\u201cI know it\u2019s a machine, but it helps a great deal,\u201d said Washington, who lives alone and has limited mobility due to a stroke. \u201cIt keeps you company.\u201d  <\/span><\/p>\n

For older adults who live alone, a companion robot can provide reassurance, mental stimulation and even a connection to other people. <\/b><\/p><\/blockquote>\n

ElliQ typically interacts with a user 20 times a day; the device is programmed to be proactive and emotionally intelligent. Initial studies show that ElliQ reduces loneliness by 80 percent and spurred some 82 percent of users to be more physically active. <\/span><\/p>\n

\u201cFor older people living alone, a robotic companion can provide a sense of having someone in the house, some reassurance and safety, keep them connected to the world and other people and provide cognitive stimulation,\u201d said Elizabeth Broadbent, PhD, professor of psychological medicine at the University of Auckland in New Zealand. \u201cThe robots can also send health data and medical alerts to medical professionals and family members to provide assistance when required.\u201d<\/span><\/p>\n

Broadbent has also studied Paro, a therapeutic baby harp seal robot developed in Japan. When tested in a residential care facility for older adults in New Zealand, Paro proved reliable, easy to use and comforting and calming for residents.<\/span><\/p>\n

But there are still hurdles to widespread adoption. Robots are expensive and must be recharged periodically. Most require a connection with a monthly service fee.  <\/span><\/p>\n

\u201cIt\u2019s still very challenging to build a reliable robot for a price that people are willing to pay for it,\u201d said Broadbent.<\/span><\/p>\n

Experts note that robots and other AI-powered devices will also benefit older adults in many significant ways they may not see. Rogers expects that \u201cback of house\u201d robots will handle more and more time-consuming, repetitive tasks in senior living communities and hospitals. If robots deliver medications or meals in a senior community, for example, staff members are freed up to spend more time engaging directly with residents. <\/span><\/p>\n

Herrmann expects AI will also accelerate research in many areas that will benefit older adults. In his own work in hearing and aging, he uses brief audio stories to assess subjects\u2019 hearing. Before, creating the stories meant enlisting writers and voice actors; now they can be generated in minutes using ChatGPT.  <\/span><\/p>\n

Potential Downsides<\/b><\/p>\n

The spotlight on AI and ChatGPT has raised concerns about protecting users\u2019 privacy and security. How those issues will be addressed remains unclear, but it\u2019s likely that government regulation, academic research and market forces will combine to design safe systems. Currently, the European Union is negotiating an AI Act to regulate how the technology is developed and deployed. In the United States, the Federal Trade Commission has issued statements with guidelines for AI companies. Academic and research institutions are also shaping the conversation.  <\/span><\/p>\n

Some researchers worry about the potential for AI to perpetuate ageism, similar to the way social media spreads misinformation. A 2022 World Health Organization policy brief proposed measures to counter that, such as including older people in the design of AI-based technologies and on data science teams; collecting data in an age-inclusive manner; investing in ways to boost digital literacy among older adults and protecting the rights of older users to give their consent and to contest issues.<\/span><\/p>\n

AI technologies could also empower fraudsters to reach more older adult victims, more quickly and inexpensively, with even more convincing scams. Herrmann led a study that revealed that older adults appear less able to distinguish between AI-generated speech and human speech, compared to younger counterparts.<\/span><\/p>\n

\u201cThese findings suggest that older adults may be at higher risk of being taken advantage of,\u201d he said.  <\/span><\/p>\n

AI can also generate speech that mimics a specific person\u2019s voice, which offers great promise for older adults who have lost speech capabilities. For example, AI can enable ALS patients to speak with a natural voice much like their own, in contrast to the robotic voice that became Stephen Hawking\u2019s trademark. In the wrong hands, however, the same capability could make it easier for older adults to fall for the so-called \u201cGranny Scam,\u201d in which a caller posing as a grandchild claims to be in trouble and convinces an older relative to send money. <\/span><\/p>\n

Living Independently <\/b><\/p>\n

In the I-Care project\u2019s current stage, Weakley and her team are tracking human subjects as they move about and perform activities of daily living in an apartment-like lab. Sensors installed in each room track vibrations created by the subject\u2019s movements.<\/span><\/p>\n

AI interprets these vibrations in precise ways. The sound of a human falling is different from a box or other object falling; information collected by the researchers will \u201ctrain\u201d the AI to detect the difference. Similarly, the system will track whether the subject spent much of the day in bed or on the couch, took their medication on time or made an unusual number of trips to the bathroom. Ultimately, the data will transmit to a family member or caregiver who can step in if needed. <\/span><\/p>\n

The system is unobtrusive (there are no cameras) and passive (the older person need not input any information or wear a device).<\/span><\/p>\n

Laurie Miller, founder of AgeTechNow.com, predicts systems like I-Care won\u2019t replace human caregivers but will act as caregivers\u2019 eyes and ears when they are not present. <\/span><\/p>\n

\u201cThat might help reduce instances of \u2019crisis-based care\u2019 that force families to scramble,\u201d she said. For example, if the system notes the resident using the bathroom frequently at night\u2014something that even a live-in caretaker might otherwise miss\u2014that might suggest a urinary tract infection. The caregiver may be prompted to seek medical help before the problem becomes an emergency. <\/span><\/p>\n

If an individual can live the life they want, longer, with less assistance … that\u2019s going to have positive emotional effects for the caregiver as well as the care receiver.<\/b><\/p>\n

\u2014 Alyssa Weakley, PhD<\/b><\/p><\/blockquote>\n

Miller, who also owns Apple Care and Companion, a home care agency in Plano, adds that even with current technology\u2014like wearable pendants or the Apple Watch fall-detection app\u2014instances where an older person falls and can\u2019t get up for many hours still occur with alarming frequency. Older users may forget to wear their devices or refuse to call 911 out of embarrassment. Passive AI-based systems would help alleviate these problems. <\/span><\/p>\n

\u201cWith just a little of this kind of oversight, many older people can live safely at home longer,\u201d she said. <\/span><\/p>\n

Weakley hopes the system she\u2019s working on will eventually make life easier for the four million Americans who care for a loved one in another city or state. Had her family had access to I-Care back in 2019, she believes their story would have unfolded differently. <\/span><\/p>\n

Today, Weakley\u2019s grandmother is in an assisted living community near her home. Although she resisted the move initially, she\u2019s now happy and well-adjusted. <\/span><\/p>\n

\u201cMy grandmother would\u2019ve had the potential to stay home longer,\u201d Weakley said. \u201cThere would\u2019ve been less crisis care; we would not have had to drop everything as often as we did. And it would’ve made the decision to transition her (to assisted living) easier.\u201d <\/span><\/p>\n

Weakley thinks AI-powered innovations will ultimately boost older adults\u2019 sense of self-efficacy and connection. <\/span><\/p>\n

\u201cIf an individual can live the life they want longer, with less assistance or (with) the kind of assistance they want, in an environment that is as normal as possible, that\u2019s going to have positive emotional effects for the caregiver as well as the care receiver,\u201d she said. <\/span><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

When Alyssa Weakley\u2019s 82-year-old grandmother was diagnosed with Alzheimer\u2019s in 2019, the family scrambled to respond. Her grandmother lived in southern California; Weakley and other family members were in northern California and Washington State. As problems arose, they took turns…<\/span><\/p>\n

Read more What AI Can Do for Older Adults<\/span> ›<\/span><\/a><\/div>\n

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