cs.ROJun 8, 2026

Exploration of Foundation Model-Based Robots in Patient and Elderly Care

Authors: Zhiwen QiuWei LiuYuexing Hao

Organizations: 1Cornell University, Ithaca, 14850, USA · Department of Radiation Oncology, Mayo Clinic, Phoenix, AZ, 85054, USA · 3Massachusetts Institute of Technology, Cambridge, MA, 02139, USA

Abstract

Demand for older-adult and patient care is growing rapidly as populations age worldwide. Foundation models are increasingly being integrated into robots and interactive agents, with the promise of more flexible communication and personalized assistance. However, care settings require reliable and workflow-compatible systems with accountable human oversight, and it remains unclear whether current embodied systems can translate technical advances into clinical impact. This Perspective synthesizes foundation model-based care robots across three areas: design features, user experience, and evidence for care-related outcomes. Current systems most commonly use foundation models as conversational and reasoning layers within voice-centered socially assistive embodiments, while multimodal grounding and physical autonomy remain limited. Empirical evaluations report positive usability and engagement benefits, but reliability failures persist across the interaction pipeline such as hallucinations and conversational breakdowns. Evidence for care impact remains concentrated in proximal outcomes such as cognitive engagement and participation, with limited evidence for validated clinical or care-related changes. We argue that future research should transition toward care-specific evaluation standards, accountable autonomy, and integration into care workflows to support more responsive and responsible care technologies.

Explore similar work

Aug 7, 2026cs.RO

How Should I Pick a Foundation Model for My Robot? In Favor of a Community Evaluation Framework for Social Robots

Researchers who seek to build social robot applications on foundation models are faced with a difficult question: how should we pick a model? Public leaderboards offer little guidance: the demands of real-time, embodied social interaction lie largely outside their focus. And direct evaluation is impractical at scale: each embodied study requires scarce participant, robot, and experimenter time. In this paper, we identify five evaluation dimensions for foundation models in social robots: (i) conversational competence, (ii) user safety, (iii) embodied character, (iv) target scene effectiveness, and (v) audience appropriateness. To make model selection cheaper and better informed, we propose a three-tiered evaluation funnel paradigm that first filters with general metrics, then extends to simulated interactions, and terminates in more expensive, robot-specific evaluation. We map all five dimensions across all three tiers, chart where applicable evaluation methods exist and are missing, and close with a call to action: let's build the evaluation framework together as a community.
Eric Nichols, Alva Markelius, Hatice Gunes
Jun 26, 2026cs.RO

Embodiment Meets Environment: Toward Context-Aware, Safe Physical Caregiving Robots

Physical caregiving robots need to assist different users with different tasks in diverse environments, and they come in many embodiments. While substantial progress has been made on individual caregiving tasks, most existing systems remain tightly coupled to specific environments and robot embodiments, and often do not explicitly model or constrain interactions around people, despite humans being special agents in the environment. This motivates a focus on adapting to context that emerges from the joint interaction between the environment and the robot's embodiment. We propose E2E^2-CARE, a framework that enables context-aware adaptation by representing primitive caregiving skills as interaction templates whose execution is reshaped online. E2E^2-CARE represents the environment, the robot, and the human within a unified 3D dynamic scene graph that models these interaction contexts explicitly, and synthesizes task-specific constraints to govern how each skill is executed. By enforcing these constraints at runtime, the same skill templates can be reused zero-shot and safely across diverse environments and robot embodiments. We evaluate E2E^2-CARE across four activities of daily living in hundreds of simulated household environments, including assistive home settings, and across diverse robot embodiments, and validate it through user studies on two caregiving tasks with two robots in various real-world environments. Results demonstrate consistent and successful adaptation across these environments and embodiments. Website: https://emprise.cs.cornell.edu/e2care
Zhanxin Wu, Ruofei Tong, Jiaying Fang +1
Apr 16, 2026cs.RO

Foundation Models in Robotics: A Comprehensive Review of Methods, Models, Datasets, Challenges and Future Research Directions

Over the recent years, the field of robotics has been undergoing a transformative paradigm shift from fixed, single-task, domain-specific solutions towards adaptive, multi-function, general-purpose agents, capable of operating in complex, open-world, and dynamic environments. This tremendous advancement is primarily driven by the emergence of Foundation Models (FMs), i.e., large-scale neural-network architectures trained on massive, heterogeneous datasets that provide unprecedented capabilities in multi-modal understanding and reasoning, long-horizon planning, and cross-embodiment generalization. In this context, the current study provides a holistic, systematic, and in-depth review of the research landscape of FMs in robotics. In particular, the evolution of the field is initially delineated through five distinct research phases, spanning from the early incorporation of Natural Language Processing (NLP) and Computer Vision (CV) models to the current frontier of multi-sensory generalization and real-world deployment. Subsequently, a highly-granular taxonomic investigation of the literature is performed, examining the following key aspects: a) the employed FM types, including LLMs, VFMs, VLMs, and VLAs, b) the underlying neural-network architectures, c) the adopted learning paradigms, d) the different learning stages of knowledge incorporation, e) the major robotic tasks, and f) the main real-world application domains. For each aspect, comparative analysis and critical insights are provided. Moreover, a report on the publicly available datasets used for model training and evaluation across the considered robotic tasks is included. Furthermore, a hierarchical discussion on the current open challenges and promising future research directions in the field is incorporated.
Aggelos Psiris, Vasileios Argyriou, Evangelos K. Markakis +4