{"id":"https://openalex.org/W3206289796","doi":"https://doi.org/10.1145/3441852.3471218","title":"Understanding Barriers and Design Opportunities to Improve Healthcare and QOL for Older Adults through Voice Assistants","display_name":"Understanding Barriers and Design Opportunities to Improve Healthcare and QOL for Older Adults through Voice Assistants","publication_year":2021,"publication_date":"2021-10-17","ids":{"openalex":"https://openalex.org/W3206289796","doi":"https://doi.org/10.1145/3441852.3471218","mag":"3206289796","pmid":"https://pubmed.ncbi.nlm.nih.gov/39022668"},"language":"en","primary_location":{"id":"doi:10.1145/3441852.3471218","is_oa":true,"landing_page_url":"https://doi.org/10.1145/3441852.3471218","pdf_url":"https://dl.acm.org/doi/pdf/10.1145/3441852.3471218","source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Proceedings of the 23rd International ACM SIGACCESS Conference on Computers and Accessibility","raw_type":"proceedings-article"},"type":"preprint","indexed_in":["arxiv","crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://dl.acm.org/doi/pdf/10.1145/3441852.3471218","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5104666046","display_name":"Chen Chen","orcid":"https://orcid.org/0000-0001-7179-0861"},"institutions":[{"id":"https://openalex.org/I36258959","display_name":"University of California, San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Chen Chen","raw_affiliation_strings":["Computer Science and Engineering University of California San Diego, United States"],"affiliations":[{"raw_affiliation_string":"Computer Science and Engineering University of California San Diego, United States","institution_ids":["https://openalex.org/I36258959"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045390549","display_name":"Janet Johnson","orcid":"https://orcid.org/0000-0002-0456-4028"},"institutions":[{"id":"https://openalex.org/I36258959","display_name":"University of California, San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Janet G Johnson","raw_affiliation_strings":["Computer Science and Engineering University of California San Diego, United States"],"affiliations":[{"raw_affiliation_string":"Computer Science and Engineering University of California San Diego, United States","institution_ids":["https://openalex.org/I36258959"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062701234","display_name":"Kemeberly Charles","orcid":"https://orcid.org/0000-0003-4398-7514"},"institutions":[{"id":"https://openalex.org/I36258959","display_name":"University of California, San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kemeberly Charles","raw_affiliation_strings":["School of Medicine University of California San Diego, United States"],"affiliations":[{"raw_affiliation_string":"School of Medicine University of California San Diego, United States","institution_ids":["https://openalex.org/I36258959"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063888435","display_name":"Alice Lee","orcid":"https://orcid.org/0000-0003-0188-0612"},"institutions":[{"id":"https://openalex.org/I36258959","display_name":"University of California, San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alice Lee","raw_affiliation_strings":["Cognitive Science University of California San Diego, United States"],"affiliations":[{"raw_affiliation_string":"Cognitive Science University of California San Diego, United States","institution_ids":["https://openalex.org/I36258959"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5003517458","display_name":"Ella T. Lifset","orcid":"https://orcid.org/0000-0003-2640-3206"},"institutions":[{"id":"https://openalex.org/I36258959","display_name":"University of California, San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ella T Lifset","raw_affiliation_strings":["Biological Sciences University of California San Diego, United States"],"affiliations":[{"raw_affiliation_string":"Biological Sciences University of California San Diego, United States","institution_ids":["https://openalex.org/I36258959"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074841861","display_name":"Michael Hogarth","orcid":"https://orcid.org/0000-0002-4264-1258"},"institutions":[{"id":"https://openalex.org/I36258959","display_name":"University of California, San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael Hogarth","raw_affiliation_strings":["Biomedical Informatics University of California San Diego, United States"],"affiliations":[{"raw_affiliation_string":"Biomedical Informatics University of California San Diego, United States","institution_ids":["https://openalex.org/I36258959"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058868005","display_name":"Alison Moore","orcid":"https://orcid.org/0000-0003-2989-4346"},"institutions":[{"id":"https://openalex.org/I4210114060","display_name":"Geron (United States)","ror":"https://ror.org/026vpvt76","country_code":"US","type":"company","lineage":["https://openalex.org/I4210114060"]},{"id":"https://openalex.org/I36258959","display_name":"University of California, San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alison A Moore","raw_affiliation_strings":["Geriatrics and Gerontology/Medicine University of California San Diego, United States"],"affiliations":[{"raw_affiliation_string":"Geriatrics and Gerontology/Medicine University of California San Diego, United States","institution_ids":["https://openalex.org/I4210114060","https://openalex.org/I36258959"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018352071","display_name":"Emilia Farcas","orcid":"https://orcid.org/0000-0001-6485-0141"},"institutions":[{"id":"https://openalex.org/I36258959","display_name":"University of California, San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]},{"id":"https://openalex.org/I4210087596","display_name":"Qualcomm (United States)","ror":"https://ror.org/002zrf773","country_code":"US","type":"company","lineage":["https://openalex.org/I4210087596"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Emilia Farcas","raw_affiliation_strings":["Qualcomm Institute University of California San Diego, United States"],"affiliations":[{"raw_affiliation_string":"Qualcomm Institute University of California San Diego, United States","institution_ids":["https://openalex.org/I4210087596","https://openalex.org/I36258959"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5060176991","display_name":"Nadir Weibel","orcid":"https://orcid.org/0000-0002-3457-4227"},"institutions":[{"id":"https://openalex.org/I36258959","display_name":"University of California, San Diego","ror":"https://ror.org/0168r3w48","country_code":"US","type":"education","lineage":["https://openalex.org/I36258959"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Nadir Weibel","raw_affiliation_strings":["Computer Science and Engineering University of California San Diego, United States"],"affiliations":[{"raw_affiliation_string":"Computer Science and Engineering University of California San Diego, United States","institution_ids":["https://openalex.org/I36258959"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":9,"corresponding_author_ids":["https://openalex.org/A5104666046"],"corresponding_institution_ids":["https://openalex.org/I36258959"],"apc_list":null,"apc_paid":null,"fwci":16.7738,"has_fulltext":true,"cited_by_count":59,"citation_normalized_percentile":{"value":0.99290027,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":94,"max":100},"biblio":{"volume":"2021","issue":null,"first_page":"1","last_page":"16"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11977","display_name":"Technology Use by Older Adults","score":0.9991999864578247,"subfield":{"id":"https://openalex.org/subfields/3317","display_name":"Demography"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11977","display_name":"Technology Use by Older Adults","score":0.9991999864578247,"subfield":{"id":"https://openalex.org/subfields/3317","display_name":"Demography"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12128","display_name":"AI in Service Interactions","score":0.9976000189781189,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}},{"id":"https://openalex.org/T11446","display_name":"Mobile Health and mHealth Applications","score":0.9837999939918518,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.598760187625885},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.4135000705718994},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.3436354994773865},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.07313540577888489}],"concepts":[{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.598760187625885},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.4135000705718994},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.3436354994773865},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.07313540577888489},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[],"locations_count":5,"locations":[{"id":"doi:10.1145/3441852.3471218","is_oa":true,"landing_page_url":"https://doi.org/10.1145/3441852.3471218","pdf_url":"https://dl.acm.org/doi/pdf/10.1145/3441852.3471218","source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Proceedings of the 23rd International ACM SIGACCESS Conference on Computers and Accessibility","raw_type":"proceedings-article"},{"id":"pmid:39022668","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/39022668","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"ASSETS. Annual ACM Conference on Assistive Technologies","raw_type":null},{"id":"pmh:oai:arXiv.org:2111.03756","is_oa":true,"landing_page_url":"http://arxiv.org/abs/2111.03756","pdf_url":"https://arxiv.org/pdf/2111.03756","source":{"id":"https://openalex.org/S4306400194","display_name":"arXiv (Cornell University)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I205783295","host_organization_name":"Cornell University","host_organization_lineage":["https://openalex.org/I205783295"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"text"},{"id":"pmh:oai:escholarship.org:ark:/13030/qt9zr4v41q","is_oa":false,"landing_page_url":"https://escholarship.org/uc/item/9zr4v41q","pdf_url":null,"source":{"id":"https://openalex.org/S4306400115","display_name":"eScholarship (California Digital Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I2801248553","host_organization_name":"California Digital Library","host_organization_lineage":["https://openalex.org/I2801248553"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"23RD INTERNATIONAL ACM SIGACCESS CONFERENCE ON COMPUTERS AND ACCESSIBILITY, ASSETS 2021, vol 2021","raw_type":"article"},{"id":"pmh:oai:pubmedcentral.nih.gov:11254122","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11254122","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"ASSETS","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1145/3441852.3471218","is_oa":true,"landing_page_url":"https://doi.org/10.1145/3441852.3471218","pdf_url":"https://dl.acm.org/doi/pdf/10.1145/3441852.3471218","source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Proceedings of the 23rd International ACM SIGACCESS Conference on Computers and Accessibility","raw_type":"proceedings-article"},"sustainable_development_goals":[{"score":0.46000000834465027,"id":"https://metadata.un.org/sdg/9","display_name":"Industry, innovation and infrastructure"}],"awards":[{"id":"https://openalex.org/G5541008954","display_name":null,"funder_award_id":"R56AG067393","funder_id":"https://openalex.org/F4320337337","funder_display_name":"National Institute on Aging"},{"id":"https://openalex.org/G8644464521","display_name":null,"funder_award_id":"R56AG067393","funder_id":"https://openalex.org/F4320332161","funder_display_name":"National Institutes of Health"}],"funders":[{"id":"https://openalex.org/F4320332161","display_name":"National Institutes of Health","ror":"https://ror.org/01cwqze88"},{"id":"https://openalex.org/F4320332603","display_name":"University of California, San Diego","ror":"https://ror.org/0168r3w48"},{"id":"https://openalex.org/F4320337337","display_name":"National Institute on Aging","ror":"https://ror.org/049v75w11"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3206289796.pdf","grobid_xml":"https://content.openalex.org/works/W3206289796.grobid-xml"},"referenced_works_count":88,"referenced_works":["https://openalex.org/W108014920","https://openalex.org/W207507032","https://openalex.org/W1543761991","https://openalex.org/W1601355141","https://openalex.org/W1604789298","https://openalex.org/W1884436451","https://openalex.org/W1965751712","https://openalex.org/W1975075203","https://openalex.org/W1976449159","https://openalex.org/W1987654703","https://openalex.org/W2003410664","https://openalex.org/W2010361629","https://openalex.org/W2014120857","https://openalex.org/W2014248760","https://openalex.org/W2014821825","https://openalex.org/W2015588060","https://openalex.org/W2019515737","https://openalex.org/W2033943395","https://openalex.org/W2042320551","https://openalex.org/W2067404301","https://openalex.org/W2072377256","https://openalex.org/W2072773013","https://openalex.org/W2080149337","https://openalex.org/W2089174201","https://openalex.org/W2093848374","https://openalex.org/W2113305605","https://openalex.org/W2131314605","https://openalex.org/W2137045791","https://openalex.org/W2156058996","https://openalex.org/W2162197048","https://openalex.org/W2162239230","https://openalex.org/W2213421584","https://openalex.org/W2245488506","https://openalex.org/W2246126449","https://openalex.org/W2254170564","https://openalex.org/W2285672838","https://openalex.org/W2343262561","https://openalex.org/W2396719969","https://openalex.org/W2460582179","https://openalex.org/W2466350988","https://openalex.org/W2509457869","https://openalex.org/W2518324588","https://openalex.org/W2518414248","https://openalex.org/W2558625181","https://openalex.org/W2610623618","https://openalex.org/W2746562707","https://openalex.org/W2749237654","https://openalex.org/W2777840822","https://openalex.org/W2782574535","https://openalex.org/W2783089003","https://openalex.org/W2787712888","https://openalex.org/W2794216323","https://openalex.org/W2798746331","https://openalex.org/W2803331364","https://openalex.org/W2843010082","https://openalex.org/W2883191466","https://openalex.org/W2883265298","https://openalex.org/W2890583667","https://openalex.org/W2896459163","https://openalex.org/W2901490785","https://openalex.org/W2919812900","https://openalex.org/W2921480499","https://openalex.org/W2921608117","https://openalex.org/W2967859656","https://openalex.org/W2970679586","https://openalex.org/W2980987013","https://openalex.org/W3012065335","https://openalex.org/W3017863658","https://openalex.org/W3027476857","https://openalex.org/W3032205432","https://openalex.org/W3041714243","https://openalex.org/W3047975279","https://openalex.org/W3084929246","https://openalex.org/W3088002417","https://openalex.org/W3094211608","https://openalex.org/W3103640060","https://openalex.org/W3109639465","https://openalex.org/W3118958215","https://openalex.org/W3135619344","https://openalex.org/W3162177730","https://openalex.org/W3162655116","https://openalex.org/W3185052351","https://openalex.org/W4210807242","https://openalex.org/W4231638827","https://openalex.org/W4251064870","https://openalex.org/W4285719527","https://openalex.org/W4288359815","https://openalex.org/W4405481378"],"related_works":["https://openalex.org/W4391375266","https://openalex.org/W2899084033","https://openalex.org/W2748952813","https://openalex.org/W2390279801","https://openalex.org/W4391913857","https://openalex.org/W2358668433","https://openalex.org/W4396701345","https://openalex.org/W2376932109","https://openalex.org/W2001405890","https://openalex.org/W4396696052"],"abstract_inverted_index":{"Voice-based":[0],"Intelligent":[1],"Virtual":[2],"Assistants":[3],"(IVAs)":[4],"promise":[5],"to":[6,44,131,137],"improve":[7],"healthcare":[8,45],"management":[9],"and":[10,21,58,70,81,96,106,129,141],"Quality":[11],"of":[12,19,55,119],"Life":[13],"(QOL)":[14],"by":[15],"introducing":[16],"the":[17,31,53,117],"paradigm":[18],"hands-free":[20],"eye-free":[22],"interactions.":[23],"However,":[24],"there":[25],"has":[26],"been":[27],"little":[28],"understanding":[29],"regarding":[30],"challenges":[32,105],"for":[33,37,61,146],"designing":[34],"such":[35],"systems":[36],"older":[38,62,75,89,120],"adults,":[39],"especially":[40],"when":[41,112],"it":[42],"comes":[43],"related":[46],"tasks.":[47],"To":[48],"tackle":[49],"this,":[50],"we":[51,84],"consider":[52],"processes":[54],"care":[56,140],"delivery":[57],"QOL":[59,145],"enhancements":[60],"adults":[63,76,90],"as":[64],"a":[65],"collaborative":[66],"task":[67],"between":[68],"patients":[69],"providers.":[71],"By":[72],"interviewing":[73],"16":[74],"living":[77],"independently":[78],"or":[79],"semi-independently":[80],"5":[82],"providers,":[83],"identified":[85],"12":[86],"barriers":[87],"that":[88,108],"might":[91,109],"encounter":[92],"during":[93],"daily":[94],"routine":[95],"while":[97],"managing":[98],"health.":[99],"We":[100],"ultimately":[101],"highlighted":[102],"key":[103],"design":[104],"opportunities":[107],"be":[110],"introduced":[111],"integrating":[113],"voice-based":[114],"IVAs":[115],"into":[116],"life":[118],"adults.":[121],"Our":[122],"work":[123],"will":[124],"benefit":[125],"practitioners":[126],"who":[127],"study":[128],"attempt":[130],"create":[132],"full-fledged":[133],"IVA-powered":[134],"smart":[135],"devices":[136],"deliver":[138],"better":[139],"support":[142],"an":[143],"increased":[144],"aging":[147],"populations.":[148]},"counts_by_year":[{"year":2026,"cited_by_count":4},{"year":2025,"cited_by_count":21},{"year":2024,"cited_by_count":12},{"year":2023,"cited_by_count":12},{"year":2022,"cited_by_count":8},{"year":2021,"cited_by_count":2}],"updated_date":"2026-04-10T15:06:20.359241","created_date":"2025-10-10T00:00:00"}