{"id":"https://openalex.org/W4410448253","doi":"https://doi.org/10.3233/shti250481","title":"A Review of Challenges in Speech-Based Conversational AI for Elderly Care","display_name":"A Review of Challenges in Speech-Based Conversational AI for Elderly Care","publication_year":2025,"publication_date":"2025-05-15","ids":{"openalex":"https://openalex.org/W4410448253","doi":"https://doi.org/10.3233/shti250481","pmid":"https://pubmed.ncbi.nlm.nih.gov/40380589"},"language":"en","primary_location":{"id":"doi:10.3233/shti250481","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti250481","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI250481","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"type":"book-chapter","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI250481","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5115091153","display_name":"Willemijn Klaassen","orcid":null},"institutions":[{"id":"https://openalex.org/I4210151833","display_name":"Amsterdam University Medical Centers","ror":"https://ror.org/05grdyy37","country_code":"NL","type":"healthcare","lineage":["https://openalex.org/I4210151833"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Willemijn Klaassen","raw_affiliation_strings":["Amsterdam Universitair Medische Centra (Amsterdam UMC), The Netherlands"],"raw_orcid":"https://orcid.org/0009-0001-8324-4451","affiliations":[{"raw_affiliation_string":"Amsterdam Universitair Medische Centra (Amsterdam UMC), The Netherlands","institution_ids":["https://openalex.org/I4210151833"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5013443186","display_name":"Bram van Dijk","orcid":"https://orcid.org/0000-0002-6330-6934"},"institutions":[{"id":"https://openalex.org/I2800006345","display_name":"Leiden University Medical Center","ror":"https://ror.org/05xvt9f17","country_code":"NL","type":"funder","lineage":["https://openalex.org/I2800006345"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Bram van Dijk","raw_affiliation_strings":["Leiden University Medical Center (LUMC), The Netherlands"],"raw_orcid":"https://orcid.org/0009-0002-9176-1608","affiliations":[{"raw_affiliation_string":"Leiden University Medical Center (LUMC), The Netherlands","institution_ids":["https://openalex.org/I2800006345"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5033880574","display_name":"Marco Spruit","orcid":"https://orcid.org/0000-0002-9237-221X"},"institutions":[{"id":"https://openalex.org/I2800006345","display_name":"Leiden University Medical Center","ror":"https://ror.org/05xvt9f17","country_code":"NL","type":"funder","lineage":["https://openalex.org/I2800006345"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Marco Spruit","raw_affiliation_strings":["Leiden Institute of Advanced Computer Science (LIACS), The Netherlands","Leiden University Medical Center (LUMC), The Netherlands"],"raw_orcid":"https://orcid.org/0000-0002-9237-221X","affiliations":[{"raw_affiliation_string":"Leiden Institute of Advanced Computer Science (LIACS), The Netherlands","institution_ids":[]},{"raw_affiliation_string":"Leiden University Medical Center (LUMC), The Netherlands","institution_ids":["https://openalex.org/I2800006345"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":7.9898,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.96821107,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":95,"max":96},"biblio":{"volume":"327","issue":null,"first_page":"858","last_page":"862"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12128","display_name":"AI in Service Interactions","score":0.9682999849319458,"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"}},"topics":[{"id":"https://openalex.org/T12128","display_name":"AI in Service Interactions","score":0.9682999849319458,"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/T11977","display_name":"Technology Use by Older Adults","score":0.9099000096321106,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/conversation","display_name":"Conversation","score":0.8222458362579346},{"id":"https://openalex.org/keywords/pace","display_name":"Pace","score":0.8118765354156494},{"id":"https://openalex.org/keywords/bottleneck","display_name":"Bottleneck","score":0.781125545501709},{"id":"https://openalex.org/keywords/perspective","display_name":"Perspective (graphical)","score":0.6539589166641235},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.6305533647537231},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.5826092958450317},{"id":"https://openalex.org/keywords/human\u2013computer-interaction","display_name":"Human\u2013computer interaction","score":0.3578028678894043},{"id":"https://openalex.org/keywords/multimedia","display_name":"Multimedia","score":0.333666056394577},{"id":"https://openalex.org/keywords/psychology","display_name":"Psychology","score":0.24480825662612915},{"id":"https://openalex.org/keywords/artificial-intelligence","display_name":"Artificial intelligence","score":0.17090368270874023},{"id":"https://openalex.org/keywords/communication","display_name":"Communication","score":0.13567844033241272}],"concepts":[{"id":"https://openalex.org/C2777200299","wikidata":"https://www.wikidata.org/wiki/Q52943","display_name":"Conversation","level":2,"score":0.8222458362579346},{"id":"https://openalex.org/C2777526511","wikidata":"https://www.wikidata.org/wiki/Q691543","display_name":"Pace","level":2,"score":0.8118765354156494},{"id":"https://openalex.org/C2780513914","wikidata":"https://www.wikidata.org/wiki/Q18210350","display_name":"Bottleneck","level":2,"score":0.781125545501709},{"id":"https://openalex.org/C12713177","wikidata":"https://www.wikidata.org/wiki/Q1900281","display_name":"Perspective (graphical)","level":2,"score":0.6539589166641235},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.6305533647537231},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5826092958450317},{"id":"https://openalex.org/C107457646","wikidata":"https://www.wikidata.org/wiki/Q207434","display_name":"Human\u2013computer interaction","level":1,"score":0.3578028678894043},{"id":"https://openalex.org/C49774154","wikidata":"https://www.wikidata.org/wiki/Q131765","display_name":"Multimedia","level":1,"score":0.333666056394577},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.24480825662612915},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.17090368270874023},{"id":"https://openalex.org/C46312422","wikidata":"https://www.wikidata.org/wiki/Q11024","display_name":"Communication","level":1,"score":0.13567844033241272},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.0},{"id":"https://openalex.org/C149635348","wikidata":"https://www.wikidata.org/wiki/Q193040","display_name":"Embedded system","level":1,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C13280743","wikidata":"https://www.wikidata.org/wiki/Q131089","display_name":"Geodesy","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001185","descriptor_name":"Artificial Intelligence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D001185","descriptor_name":"Artificial Intelligence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006299","descriptor_name":"Health Services for the Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006299","descriptor_name":"Health Services for the Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013060","descriptor_name":"Speech","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D013060","descriptor_name":"Speech","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D049250","descriptor_name":"Speech Recognition Software","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D049250","descriptor_name":"Speech Recognition Software","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.3233/shti250481","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti250481","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI250481","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},{"id":"pmid:40380589","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40380589","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":"Studies in health technology and informatics","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.3233/shti250481","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti250481","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI250481","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"sustainable_development_goals":[{"display_name":"Quality Education","id":"https://metadata.un.org/sdg/4","score":0.7099999785423279}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4410448253.pdf","grobid_xml":"https://content.openalex.org/works/W4410448253.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2899084033","https://openalex.org/W2595172197","https://openalex.org/W2084856301","https://openalex.org/W2127970246","https://openalex.org/W2885125400","https://openalex.org/W1968552888","https://openalex.org/W1989889224","https://openalex.org/W4382618745","https://openalex.org/W1973775000","https://openalex.org/W2748922771"],"abstract_inverted_index":{"Artificially":[0],"intelligent":[1],"systems":[2],"optimized":[3],"for":[4,36,83],"speech":[5],"conversation":[6],"are":[7,15],"appearing":[8],"at":[9],"a":[10,18],"fast":[11],"pace.":[12],"Such":[13],"models":[14],"interesting":[16],"from":[17],"healthcare":[19],"perspective,":[20],"as":[21],"these":[22,42],"voice-controlled":[23,65],"assistants":[24],"may":[25],"support":[26],"the":[27,49],"elderly":[28,50,62,84],"and":[29,47,67,71],"enable":[30],"remote":[31],"health":[32],"monitoring.":[33],"The":[34],"bottleneck":[35],"efficacy,":[37],"however,":[38],"is":[39,58],"how":[40,48],"well":[41],"devices":[43],"work":[44],"in":[45],"practice":[46],"experience":[51],"them,":[52],"but":[53],"research":[54],"on":[55],"this":[56],"topic":[57],"scant.":[59],"We":[60],"review":[61],"use":[63],"of":[64],"AI":[66,82],"highlight":[68],"various":[69],"user-":[70],"technology-centered":[72],"issues,":[73],"that":[74],"need":[75],"to":[76],"be":[77,87],"considered":[78],"before":[79],"effective":[80],"speech-controlled":[81],"care":[85],"can":[86],"realized.":[88]},"counts_by_year":[{"year":2025,"cited_by_count":2}],"updated_date":"2026-08-21T09:56:20.448147","created_date":"2025-10-10T00:00:00"}
