Can You Keep a Secret? Exploring AI for Care Coordination in Cognitive Decline

Fuente: arXiv
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Main Authors: Alicia, Lee, Chang, Mai Lee, Mandava, Sreehana, Deshields, Destiny, Simão, Hugo, Steinfeld, Aaron, Forlizzi, Jodi, Zimmerman, John
Format: Preprint
Published: 2025
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_version_ 1866908709190369280
author Alicia
Lee
Chang, Mai Lee
Mandava, Sreehana
Deshields, Destiny
Simão, Hugo
Steinfeld, Aaron
Forlizzi, Jodi
Zimmerman, John
author_facet Alicia
Lee
Chang, Mai Lee
Mandava, Sreehana
Deshields, Destiny
Simão, Hugo
Steinfeld, Aaron
Forlizzi, Jodi
Zimmerman, John
contents The increasing number of older adults who experience cognitive decline places a burden on informal caregivers, whose support with tasks of daily living determines whether older adults can remain in their homes. To explore how agents might help lower-SES older adults to age-in-place, we interviewed ten pairs of older adults experiencing cognitive decline and their informal caregivers. We explored how they coordinate care, manage burdens, and sustain autonomy and privacy. Older adults exercised control by delegating tasks to specific caregivers, keeping information about all the care they received from their adult children. Many abandoned some tasks of daily living, lowering their quality of life to ease caregiver burden. One effective strategy, piggybacking, uses spontaneous overlaps in errands to get more work done with less caregiver effort. This raises the questions: (i) Can agents help with piggyback coordination? (ii) Would it keep older adults in their homes longer, while not increasing caregiver burden?
format Preprint
id arxiv_https___arxiv_org_abs_2512_12510
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Can You Keep a Secret? Exploring AI for Care Coordination in Cognitive Decline
Alicia
Lee
Chang, Mai Lee
Mandava, Sreehana
Deshields, Destiny
Simão, Hugo
Steinfeld, Aaron
Forlizzi, Jodi
Zimmerman, John
Human-Computer Interaction
Artificial Intelligence
The increasing number of older adults who experience cognitive decline places a burden on informal caregivers, whose support with tasks of daily living determines whether older adults can remain in their homes. To explore how agents might help lower-SES older adults to age-in-place, we interviewed ten pairs of older adults experiencing cognitive decline and their informal caregivers. We explored how they coordinate care, manage burdens, and sustain autonomy and privacy. Older adults exercised control by delegating tasks to specific caregivers, keeping information about all the care they received from their adult children. Many abandoned some tasks of daily living, lowering their quality of life to ease caregiver burden. One effective strategy, piggybacking, uses spontaneous overlaps in errands to get more work done with less caregiver effort. This raises the questions: (i) Can agents help with piggyback coordination? (ii) Would it keep older adults in their homes longer, while not increasing caregiver burden?
title Can You Keep a Secret? Exploring AI for Care Coordination in Cognitive Decline
topic Human-Computer Interaction
Artificial Intelligence
url https://arxiv.org/abs/2512.12510