Assistive Agents
Momentum
6 papers in the last four weeks, against 1 the four weeks before. 0.1% of all new papers.
Latest papers 25
Users of language-based assistive agents often make ambiguous requests. In response, an assistant can either directly act on its interpretation of the request --- risking misalignment with the user --- or ask a clarifying question. Which option is the most safe and helpful? A common approach is to ask questions that minimize uncertainty about the user's intent until a threshold is reached. However, this neglects the impact of uncertainty reduction on downstream performance, the costs of asking versus acting immediately, and the possibility that users may provide corrections without being asked. To navigate these trade-offs, we introduce Rational Enquiry via Value-of-Information Reasoning (REVOIR). REVOIR makes clarification decisions via inference-time reasoning about the value-of-information of a question, which captures the expected improvement in task reward due to the answer received. In two assistive tasks --- ambiguous question answering (CondAmbigQA) and preference-aligned household task planning (ADAPT) --- we show that REVOIR achieves greater success with fewer questions than approaches based on prompting, chain-of-thought, fine-tuning, or information gain, improving preference satisfaction on ADAPT by 13-15% over a fine-tuned clarification policy while requiring no training and asking five times fewer questions. Furthermore, when the assistant can receive cheap user corrections after acting, REVOIR naturally infers that asking questions is not always efficient, demonstrating the adaptivity of our approach. In contrast, we find that vanilla reasoning agents fail to adaptively clarify user requests, and request fewer clarifications as reasoning effort increases.
SincDPNet: Interpretable Raw-Waveform Bathroom Activity Recognition for Assistive Living
Bathroom acoustic-event recognition can support ambient assisted living in settings where continuous video monitoring is undesirable. However, practical deployment requires models that are compact, interpretable, and robust to changes in the recording environment. This work introduces \dataset{}, a seven-class bathroom acoustic-event dataset containing 21{,}387 annotated clips recorded across five environments, and proposes SincDPNet, a compact raw-waveform classifier with a learnable sinc filter bank followed by a depthwise-separable convolutional body. Each sinc filter is controlled by two frequency parameters, allowing the learned passbands to be inspected directly in hertz while keeping the front end small. To reduce room-specific leakage, recording sessions and environments are separated before overlapping windows are assigned to the training, validation, and test partitions. We further use multi-objective Bayesian optimization as a design tool to examine the validation performance--model-size trade-off across 24 configurations. The selected designs span different operating points: the best-performing model achieves 80.2% accuracy and 0.760 macro-F1 with 14{,}040 parameters, while the compact configuration uses only 2{,}848 parameters and achieves 75.7% accuracy, 0.661 macro-F1, and 0.716 MCC on the held-out environment. Analysis of the learned filters and confusion patterns shows that spectral overlap contributes to confusion among water-related events, while the \textit{Door}/\textit{Walker/Crutch} errors also reflect similarities in their transient temporal structure.
Small yet Assistive: Spatially-Aware Post-Training for Low Vision
An estimated 1 billion people worldwide live with vision impairment, yet current vision-language models (VLMs) produce descriptions too vague for safe navigation by blind and low-vision (BLV) users. Large VLMs can generate high-quality audio-description-compliant narrations but cannot run on mobile devices; small VLMs offer competitive latency but lack spatial detail, directional cues, and hazard awareness for navigational assistance. We present Smol-VL-BLV, a compact VLM for blind and low-vision users that closes this gap using a 500M decoder transformer model and two post-training mechanisms: (1) teacher-student distillation and (2) Group Relative Policy Optimization (GRPO) with a composite BLV reward targeting directional language, metric distances, and hazard detection. Because multi-stage post-training can induce catastrophic forgetting, we add a lightweight finetuning stage after the last stage GRPO finetuning to recover general descriptive quality while preserving BLV-specific spatial grounding. Our best model substantially outperforms the baseline across various benchmarks, including tasks: VQA, BLV captioning, OCR, and latency. Compared with the baseline for relative improvement, it improves the Spatial score gain of 19.3%, and the Social score gain of 14.8%. It also increases OCR-Bench by 101.5%, and raises TextVQA accuracy by 44.2%. These results show that BLV-focused post-training improves both accessibility-specific spatial grounding and general visual-text reasoning. Deployed on a mid-range Android smartphone via Mixed-Precision Quantization, the model remains approx. 450 MB and runs entirely on-device, offline and without network dependency, generating descriptions with latency dependent on host hardware capabilities. Our model, dataset, and code is publicly released at https://smol-vl-blv.github.io/Smol-VL-BLV-website/
"What's going to happen after I'm gone?": Parent Perspectives on Technology in Supporting Independent Living for Adults with Intellectual Disabilities
Adults with intellectual and developmental disabilities (IDD) are increasingly transitioning from family homes towards semi-inde-pendent living. As parents hand off the role of primary caregiver, they face numerous challenges in arranging consistent and quality support. Our research centers on understanding these caregiving routines. By focusing on the unique lived experience of parents, who possess extensive explicit and tacit knowledge of their adult child's requirements, we aim to map the management of care they provide. This foundational understanding is essential to identifying how assistive technologies can effectively serve a key role in supporting adults with IDD in this transition. In this work, we interviewed 16 parents of adults with IDD beginning this transition to understand: 1) how they currently provide support for daily living and what makes their support effective; 2) what their experiences and perceptions are regarding the use of technology; and 3) how they envision assistive technology successfully integrating with their adult child's new home or with other supports to promote independence. Our thematic analysis produced four themes: common modes of support, inside the routine to support growth, the fragility of continuity of care across transitions, and participants' perceptions and experiences of assistive technology. Building on these findings, we derive four design principles for growth-oriented assistive technology. These include pre-transition onboarding to capture caregiver tacit knowledge; structured scaffolding towards long-term growth; adaptive sensing that responds to day-to-day variability; and customization for the individual balanced with consistency for the care network.
DuctAM: A Duct-Assisted Quadrotor-Based Aerial Manipulator Enabling High-Force Push-and-Pull Interactions
Uncrewed Aerial Manipulators (UAMs) extend the capabilities of Uncrewed Aerial Vehicles (UAVs) from perception to physical interaction. Among various aerial interactions, push-and-pull operations are fundamental manipulation primitives that require sustained horizontal forces while maintaining stable flight. In this paper, we propose DuctAM, a compact aerial manipulation platform that enhances horizontal force capability for push-and-pull interactions using two ducted fans integrated along the quadrotor interaction axis. An attitude-force decoupled control scheme enables controllable horizontal forces without requiring large attitude changes. Extensive real-world experiments are conducted to validate the DuctAM. Figure-eight trajectory tracking experiments demonstrate stable flight and accurate motion control in both quad and duct modes. Force-measurement experiments quantify the decoupled longitudinal force capability of DuctAM. Finally, representative push-and-pull interaction tasks, including cart pushing, door closing, and drawer opening, verify the practical effectiveness of DuctAM. The results show that DuctAM achieves significantly improved horizontal interaction force capability while maintaining stable flight compared with conventional UAVs.
Assisted Spatial Cognition Through Vision-Language Models
Multimodal AI, powered by Large Language Models (LLMs) and Vision-Language Models (VLMs), is transforming assistive technologies by enabling simultaneous processing of visual and textual data. This advancement holds significant promise for over 43 million visually impaired and neuro-divergent individuals worldwide who face persistent challenges in navigating indoor and outdoor environments due to limited spatial awareness and insufficient environmental cues. Existing navigation aids often lack comprehensive 3D scene understanding, relying on constrained route-based strategies that hinder user autonomy. In this paper, we introduce a novel end-to-end framework that integrates LLMs, VLMs and digital twin technologies to deliver a spatially cognitive navigation support for visually impaired and neuro-divergent users. Our system captures video input via standard mobile phone cameras, and employs SLAM3R to generate dense 3D point clouds from monocular RGB sequences in real-time. Our custom post-processing algorithm ensures accurate point cloud alignment across multiple viewpoints without requiring predefined reference points. This enhances the capabilities of SpatialLM to produce structured 3D representations, including architectural elements and oriented object bounding boxes. The enriched spatial data is then processed by a locally deployed LLM, which interprets 3D contexts to generate detailed scene descriptions and precise distance measurements between users and surrounding objects. We evaluated our approach across diverse video scenarios featuring various perspectives, looped walking views and captured in multiple environments. The evaluation results demonstrate consistent accuracy in 3D scene interpretation and object localisation, underscoring the potential of our system as a transformative assistive navigation solution that combines advanced visual perception with spatial reasoning
A Deployable Architecture for Robot-Mediated Tasks (DART): Evaluation in Socially Assistive Robot-Guided Cognitive Behavioral Therapy Exercises
Socially assistive robots (SARs) can support structured health and well-being interventions, but hardware and cost constraints limit interaction complexity and longitudinal real-world deployments. We present DART: Deployable Architecture for Robot-Mediated Tasks, an architecture that extends SARs through a web application and cloud infrastructure, enabling visual content, user input, remote computation, and persistent data storage synergistically with the robot's physical embodiment, speech, and movement. We evaluated DART by instantiating it in an interatively-developed full-stack HRI system for helping university students with elevated generalized anxiety to complete cognitive behavioral therapy (CBT) homework exercises. The resulting system, which used the low-cost open-source Blossom robot platform, was refined and evaluated through a participatory design process and multiple user studies, and finally evaluated in an in-lab study with 103 participants, and then a six-week in-home deployment with four participants. In the in-lab evaluation, participants showed significant within-session reductions in stress, state anxiety, and negative affect, and gave the platform a mean System Usability Scale score of 78.89. In the home deployment, the mean System Usability Scale score was 87.5, with positive qualitative feedback on usability. Participants across both groups identified speech input, visual presentation, and web-robot synchronization as priorities for improvement. These findings validate DART as an effective architecture for extending the capabilities of a low-cost SAR in both in-lab single-session and in real-world longitudinal deployments.
A Personalized Dynamic Balance Evaluation Paradigm for Hip Exoskeleton-Assisted Walking under Unexpected Ground Perturbations
Hip exoskeletons may improve recovery from unexpected gait perturbations, yet personalizing assistance remains difficult because balance is multidimensional and human-in-the-loop experiments are small-sample and noisy. We present a participant-specific composite balance cost that integrates seven biomechanical sub-metrics spanning margin of stability, center-of-mass dynamics, and whole-body angular momentum. The sub-metrics are converted to direction-aligned, dimensionless cost features, and nonnegative fusion weights are learned on the simplex. Coupled with an empirical-Bayes hierarchical model, the learned-composite selector estimates each tested condition's posterior probability of being best, P(best), and a high-probability candidate set with size . The framework was evaluated with three participants walking at 1.1 m/s during unilateral belt-slip perturbations across 46 hip-assistance conditions. In the full-budget analysis (B = 4 repeats per condition), the selector concentrated 80% of the posterior probability within 1 to 5 of 46 conditions, compared with 2 to 12 for equal-weight fusion and 4 to 37 for principal component analysis fusion. This smaller candidate set could shorten personalization experiments and limit participants' exposure to repeated perturbations in future studies. Selected-condition trials showed lower observed composite costs than no-torque trials, with nominal p < 0.05 for P2 and P3. Leave-one-repeat-out refits yielded positive mean held-out rank correlations for all participants and moderate stability of the learned weights and candidate sets. These proof-of-concept results support participant-specific composite balance evaluation for candidate selection in perturbation-based human-in-the-loop experiments.
Same Question, Different Answer? Measuring and Mitigating Prompt Privilege for Equitable AI Access
Large language models (LLMs) are increasingly integrated into healthcare, education, public services, and everyday decision making. They should provide comparable assistance regardless of a user's literacy, communication style, or prompt-engineering expertise. However, existing research on prompt robustness primarily focuses on adversarial attacks, prompt injection, and prompt optimization, while overlooking whether semantically equivalent requests receive different responses simply because they are phrased differently. We refer to this accessibility challenge as "Prompt Privilege": users with greater prompting expertise systematically obtain better model performance despite expressing the same underlying intent. To address this problem, we present a unified framework for measuring and mitigating accessibility disparities in LLM interactions. We introduce Prompt Equity Score (PES), a quantitative metric for evaluating performance consistency across user populations, and Prompt Equity Transformer (PET), an LLM-based agent that automatically transforms user requests into semantically equivalent, accessibility-oriented prompts while preserving their intent. PET shifts prompt optimization from the user to the AI system, functioning as an intelligent accessibility layer between users and foundation models. Experiments on the MedQA benchmark demonstrate measurable prompt privilege, with statistically significant performance disparities between low-literacy and expert-prompting cohorts. Applying PET eliminates these disparities while preserving semantic fidelity, demonstrating that accessibility-oriented prompt normalization can improve equitable AI access. By introducing prompt privilege as a new dimension of AI accessibility and PET as a practical solution, this work advances system-centered accessibility and provides a foundation for more fair, trustworthy, and inclusive AI systems.
Hybrid-Field Sparse Channel Representation and Recovery for XL-RIS-Assisted mmWave MIMO Systems
Extremely large-scale reconfigurable intelligent surface (XL-RIS)-assisted communication is regarded as a key enabling technology for future 6G networks. However, hybrid-field channel estimation for XL-RIS-assisted systems is challenging due to the high-dimensional cascaded channel and the coexistence of far-field and near-field propagation. In this case, traditional full-dimensional sparse recovery methods require a large cascaded dictionary and suffer from severe computational and storage burdens. To address these challenges, we develop a double-timescale channel estimation framework that decouples sparse dictionary representation and recovery. Then, by exploiting the quasi-static property of the channel at the base station (BS) and RIS side, we propose a Dirichlet kernel-based off-grid dictionary compression (DK-ODC) scheme for sparse representation, which reduces the dimension of the corresponding dictionary as well as mitigates BS-side angular off-grid error. Furthermore, for the dynamic channel at the user equipment (UE) and RIS side, we propose a subspace-aware incremental variational Bayesian learning (SI-VBL) algorithm, which enables incremental learning of sparse channels by exploiting the identified low-dimensional subspace and pruning threshold. Analysis and simulation results confirm that the proposed framework avoids full-dimensional Bayesian recovery and achieves a favorable tradeoff among estimation accuracy, computational complexity, and storage overhead.
Safety-oriented sidewalk and road segmentation for smartphone-based assistive navigation
Independent sidewalk mobility is essential for blind and visually impaired pedestrians (BVIPs), yet smartphone-based assistive navigation requires perception models that distinguish walkable sidewalks from adjacent unsafe regions. This study presents a safety-oriented semantic segmentation framework for future mobile guidance. We introduce SENSATION-DS, a chest-height pedestrian-view dataset with 2,752 image-mask pairs and nine-class navigation-relevant taxonomy. External urban and sidewalk datasets were harmonized to this label space, and five segmentation architectures were evaluated using staged target-domain adaptation with mask-conditioned synthetic images and Segment Anything Model 2 (SAM2) pseudo-labels. Models were assessed using mean Intersection over Union (mIoU), road- and sidewalk-specific metrics, Road-as-Sidewalk Error Rate as a proxy false-safe measure, and Android Open Neural Network Exchange benchmarking. Synthetic augmentation generally improved segmentation accuracy, whereas SAM2 pseudo-labels more consistently reduced Road-as-Sidewalk errors. UPerNet-MobileNetV3 achieved the highest offline mIoU (0.715 +/- 0.006), while DeepLabV3Plus-MobileNetV3 achieved the lowest Road-as-Sidewalk Error Rate (0.079) and highest Android runtime at 512x384 (7.383 FPS). These results show that assistive sidewalk perception should be evaluated jointly by segmentation accuracy, proxy false-safe behavior, and smartphone deployment feasibility, while real-world benefit requires validation with BVIP users. This evaluation supports selecting models that balance accurate perception, conservative error behavior, and practical runtime.
VisionAssist: An Open-Source Smartphone Assistant for AI-Based Visual Accessibility
People with low vision often face challenges in performing everyday tasks that require interpreting visual information. We present \textbf{VisionAssist}, an open-source mobile application designed to improve independence by providing AI-powered visual assistance through a smartphone. The application integrates three complementary functionalities within a single interface. First, it enables users to locate specific objects by analyzing the live camera feed. Second, it generates spoken descriptions of captured images, allowing users to identify visual content such as food labels, documents, and everyday objects. Third, it integrates with the smartphone's contacts and calendar to facilitate emergency calls and provide voice-based reminders. The application supports hands-free interaction through voice commands and delivers all feedback using text-to-speech synthesis, making it fully accessible to users with visual impairments. By combining multiple assistive services into a unified platform and releasing the project as open-source software, the proposed solution aims to encourage community contributions and accelerate the development of accessible technologies. The source code is publicly available at: https://github.com/AOzlemC/LowVisionProject.git
VIABench: A Comprehensive Video Benchmark Collected from Blind Individuals for Visual Impairment Assistance
Visually impaired individuals (VIIs) encounter significant daily challenges due to limited access to visual information. Although Multimodal Large Language Models (MLLMs) have achieved impressive results on general vision and language tasks, their practical utility in real-world blind assistance still remains largely underexplored. To fill this gap, we introduce VIABench, a comprehensive video benchmark specifically designed to evaluate MLLMs in Visually Impaired Assistance scenarios using first-person videos recorded or shared by VIIs themselves. VIABench defines three core tasks, each targeting a distinct requirement in visual assistance. Proactive Reminder: Assesses the model's ability to interpret ongoing video content while proactively anticipating and verbally describing upcoming navigation-critical events; Visual Question Answering (VQA): Evaluates the model's capacity to answer user-posed questions about the environment or objects within the video; Vision-Guided Interaction: Tests context-aware reasoning to accomplish intentional interactions between user and environment. To ensure a robust and fair evaluation, we propose a rigorous benchmarking pipeline that supports both online (real-time) and offline settings. Our experiments demonstrate that current MLLMs still struggle to deliver comprehensive support for VIIs, especially in the Proactive Reminder task, which demands accurate anticipation and real-time responsiveness. We hope VIABench will drive future research toward developing customized MLLMs for real-world assistance, ultimately improving navigation and interaction experiences for visually impaired individuals. Code and data will be released at https://github.com/MCG-NJU/VIABench.
A Temporal Machine Learning-Based Time-to-Event Model for Predicting ALS Progression and Healthcare Utilization
Amyotrophic lateral sclerosis (ALS) is a progressive and heterogeneous neurodegenerative disease in which predicting clinically meaningful milestones, such as assistive device use, remains challenging. We developed a time-to-event, digital-twin-inspired framework that integrates longitudinal ALS Functional Rating Scale-Revised (ALSFRS-R) trajectories with survival modeling to support individualized prediction of functional decline and assistive device utilization. We constructed a harmonized longitudinal dataset by integrating diagnosis records, ALSFRS-R assessments, activities of daily living, and demographic information, followed by preprocessing to ensure data quality, temporal alignment, and cohort consistency. Correlation-based clustering identified coherent functional domains spanning bulbar, upper limb, axial, lower limb, and respiratory systems. Generalized additive mixed models characterized nonlinear, domain-specific functional decline across all domains. In addition, a temporal machine learning model was developed to predict longitudinal functional decline and capture stage-dependent disease progression. Cox proportional hazards modeling further identified lower limb function, particularly walking and stair climbing, as the strongest predictors of earlier wheelchair access. Building on these results, we implemented a digital twin-inspired temporal machine learning-based time-to-event (TTE) model that generates individualized survival curves and dynamically predicts wheelchair-free survival. This framework provides a scalable, interpretable, and clinically actionable approach for linking ALS progression with personalized decision support, with applications in proactive care planning, clinical trial stratification, and precision medicine.
A Biomimetic Myoelectric Tentacle Prosthesis with Sensorless Object Detection and Vibrotactile Feedback
This paper presents the design and evaluation of a myoelectric tentacle-shaped prosthesis integrating electromyographic (EMG) control, sensorless object detection, and vibrotactile feedback. The objective was to develop a responsive and intuitive assistive device that adapts to various object shapes while providing sensory feedback to the user. The system relies on EMG signals to control the motion of a flexible, biomimetic structure whose curling geometry follows a logarithmic spiral, enabling it to coil around objects. To ensure stable control, the EMG signal is normalized and filtered, and a threshold-based method identifies user intention. Object contact is detected through a slope-based analysis of motor current, eliminating the need for external sensors, and a haptic feedback strategy based on cumulative vibrotactile stimulation conveys spatial information about the tentacle's configuration. The system was evaluated through quantitative and qualitative tests. The results demonstrate a low response time (77 ms on average), enabling smooth real-time interaction; an object-detection success rate above 90%, confirming robustness despite EMG variability; and an effective haptic feedback strategy that allowed users to reliably identify the folding zone of the tentacle. The proposed biomimetic design promotes further investigation of expressive artificial limbs by prioritizing expressive functionality over adherence to a predefined, anthropomorphic form factor.
OpenGlass: A Sensing-Computing Split Architecture for Local MLLM-Driven Real-Time Visual Assistance
We present OpenGlass, an open-source, privacy-oriented, local-first system for low-latency multimodal visual assistance, with a primary focus on blind and low-vision users. Cloud MLLM assistants offer strong visual understanding, but often require uploading first-person visual data and can suffer multi-second network delays; wearable glasses are ideal for sensing, but cannot host large models under tight compute and power budgets. OpenGlass addresses this gap with a sensing-computing split: an ESP32-based glasses-side unit captures visual context, while a nearby consumer-grade device performs local MLLM inference and local speech output, reducing cloud reliance and keeping raw egocentric visual data on user-controlled devices by default. We evaluate response quality, query-ready-to-audio latency, safety-aware abstention, and auditable logs. Under real ESP32 Wi-Fi capture, OpenGlass reaches 993 ms median user-to-audio latency with resized payloads and 1625 ms with raw 1280 x 720 payloads; 97.5% and 93.3% of trials fall below 2 s, respectively. OpenGlass is a user-initiated visual-assistance reference platform for obstacle/hazard awareness, sign/object queries, and image-quality self-checking, rather than a certified navigation aid. We release source code, hardware instructions, prompts, evaluation data, and logs.
VisionAId: An Offline-First Multimodal Android Assistant for People with Visual Impairment, Featuring Personalized Object Retrieval
Over 285 million people worldwide live with a visual impairment, for whom everyday tasks such as avoiding obstacles, locating personal belongings, recognizing familiar faces, or handling cash remain persistent obstacles to personal autonomy. Existing assistive applications are typically limited to recognizing predefined categories, depend heavily on cloud connectivity, or require dedicated hardware. We present VisionAId, an Android application that turns a commodity smartphone into a real-time visual assistant. The system integrates six on-device deep learning models (metric monocular depth estimation, instance segmentation, visual and facial embeddings, face detection, and a custom banknote detector) running entirely through ONNX Runtime, with an optional cloud large language model (Google Gemini Flash) used only for narrative scene description and automatic object labeling. A distinctive contribution is a few-shot pipeline for personal objects: the user photographs an object from several angles, and the system later locates that specific instance in the environment, guiding the user toward it with augmented-reality markers, spatial audio, and distance-proportional haptics. All feedback is multimodal (Romanian speech synthesis, voice commands, vibration). On a reference device (Samsung Galaxy S21 Ultra), INT8 quantization reduces depth latency from ~1200 ms to ~491 ms, the custom banknote detector reaches an mAP@50 of 0.986, and metric depth is calibrated to below 1 cm of error within 3 m.
Learning to Assist: Collaborative VLAs for Implicit Human-Robot Collaboration
Human-robot collaboration (HRC) combines the complementary strengths of humans and robots to improve task efficiency. However, many existing collaborative systems rely on hand-engineered pipelines, limiting their scalability and flexibility for new tasks. In this work, we show that models trained end-to-end with imitation learning, specifically vision-language-action (VLA) models, can support collaborative manipulation, and characterize the key factors affecting their real-world performance. We evaluate two state-of-the-art models and identify a failure mode of action-chunking policies in implicit HRC, where demonstration action leakage (i.e., action chunks crossing latent task transitions) can cause premature assistive behavior. We find that this issue increases with longer execution horizons and occurs in real-world collaborative VLA systems, such as when a robot attempts to hand over a tool before the person is ready. We propose an inference-time steering method to mitigate these erroneous assistive actions while preserving policy performance. Finally, through a 16-participant user study on a long-horizon collaborative assembly task, we show that steering enables a longer execution horizon while mitigating premature assistance, leading to faster collaboration and fewer failures compared to a shorter-horizon policy.
Semantic Segmentation of Node and Edge Diagrams for Assistive Technology
In this paper, we present a novel set of related models for semantic segmentation of node-link diagrams. These diagrams are frequently used to represent mathematical graphs, relationships between concepts, and flowcharts. Such diagrams are difficult to access non-visually; while some assistive interfaces have been designed for node-link diagrams, they rely upon a machine-readable representation of the diagram, whereas such diagrams will generally be made available as bitmap images. Our compact deep learning models show excellent quantitative and qualitative performance on a large synthetic dataset of node-link diagrams, reaching per-pixel accuracy over 93%.
Exploration of Foundation Model-Based Robots in Patient and Elderly Care
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.
The Accessibility Capability Boundary: Operational Limits and Expansion Potential of AI-Generated Browser-Native Accessibility Systems
As large language models (LLMs) demonstrate increasing competence in synthesizing functional user interfaces, a fundamental question emerges in accessibility computing: \textit{how far can AI-driven accessibility systems go?} This paper introduces the \textit{Accessibility Capability Boundary} (ACB), a formal framework for reasoning about the operational limits and expansion potential of autonomous accessibility systems, and grounds this theory in a real-world systems artifact. We model accessibility not as a binary compliance property but as a dynamic, multidimensional capability space constrained by measurable variables including deployment latency, cognitive load, infrastructure dependency, offline persistence, interaction complexity, and adaptability. We argue that AI-generated, browser-native systems constructed as single-file HTML artifacts leveraging standard browser APIs may dramatically shift the ACB outward by reducing deployment friction to near-zero and enabling rapid, context-specific interface adaptation. We ground our theoretical framework in the analysis of two real-world exploratory prototypes. The first is an AI-generated browser-native accessibility interface deployed for a blind user in Nepal. The second is a fully functional, open-source webcam alignment assistant for visually impaired users, serving as a concrete systems artifact. Through formal definitions, propositions, and a comparative evaluation matrix, we characterize the regions of the accessibility capability space that such systems can and cannot reach. We further identify remaining computational, infrastructural, and verification constraints that constitute the hard boundaries of this paradigm. This work contributes a theoretical foundation for understanding the scalable limits of autonomous accessibility computing and proposes a research agenda for future work in accessibility-aware AI systems.
Position: Assistive Agents Need Accessibility Alignment
Assistive agents for Blind and Visually Impaired (BVI) users require accessibility alignment as a first-class design objective. Despite rapid progress in agentic AI, most systems are designed and evaluated under assumptions of sighted interaction, low-cost verification, and tolerable trial-and-error, leading to systematic failures in assistive scenarios that cannot be resolved by model scaling or post-hoc interface adaptations alone. Drawing on an analysis of 778 assistance task instances from prior work, we show that current agentic AI remain prone to failure in assistive scenarios due to mismatches between sighted-user design assumptions and the verification, risk, and interaction constraints faced by BVI users. We argue that accessibility should be treated as an alignment problem rather than a peripheral usability concern. To this end, we introduce accessibility alignment and propose a lifecycle-oriented design pipeline for accessibility-aligned assistive agents, spanning user research, system design, deployment and post-deployment iteration. We conclude that BVI-centered assistive tasks provide a critical stress test for agentic AI and motivate a broader shift toward inclusive agent design.
Urban Risk-Aware Navigation via VQA-Based Event Maps for People with Low Vision
Visual impairment affects hundreds of millions of people worldwide, severely limiting their ability to navigate urban environments safely and independently. While wearable assistive devices offer a promising platform for real-time hazard detection, existing approaches rely on task-specific vision pipelines that lack flexibility and generalizability. In this work, we propose an event map framework based on visual question answering that leverages Vision-Language Models (VLMs) for pedestrian scene description and hazard identification across diverse real-world environments, using a three-level hierarchical query structure to enable fine-grained scene understanding without task-specific retraining. Model responses are aggregated into a weighted risk scoring system that maps street segments into four discrete safety categories, producing navigable risk-aware event maps for route planning. To support evaluation and future research, we introduce a geographically diverse dataset spanning 20 cities across six continents, comprising over 800 annotated images and 18,000 answered questions. We benchmark four VQA architectures -ViLT, LLaVA, InstructBLIP, and Qwen-VL- and find that generative Multimodal Large Language Models (MLLMs) substantially outperform classification-based approaches, with Qwen-VL achieving the best overall balance of precision and recall. These results demonstrate the viability of MLLMs as a flexible and generalizable foundation for assistive navigation systems for visually impaired people.
What Does a Meow Mean? In Search of Intuitively Understandable Communication by a Nonverbal Companion Robot
Older adults living alone have a number of challenges, and robots can help with some of them--by providing reminders, initiating activity, or offering comfort. As part of developing a cat robot with limited assistive functions, we designed a set of nonverbal communication signals, both auditory (cat sounds) and visual (icons on a small display). To evaluate these signals we used a mixed-methods, user-centered approach. After a pilot study, a focus group with older adults suggested revisions to the initial signal set. A large-sample online experiment then tested whether adults over the age of 65 could accurately infer the robot's communicative intentions. When both visual and auditory signals were present, accuracy was high. When visual signals were absent, accuracy often decreased; when auditory signals were absent, accuracy sometimes increased. So the auditory signals were less helpful, except when the robot conveyed strong sentiments (e.g., purring while being petted).
Continuous Focus Groups: A Longitudinal Method for Clinical HRI in Autism Care
Qualitative methods are important to use alongside quantitative methods to improve Human-Robot Interaction (HRI), yet they are often applied in static or one-off formats that cannot capture how stakeholder perspectives evolve over time. This limitation is especially evident in clinical contexts, where families and patients face heavy burdens and cannot easily participate in repeated research encounters. To address this gap, we introduce continuous focus groups, a longitudinal and co-agential method designed to sustain dialogue with assistive care professionals working with children with autism spectrum disorder (ASD). Three focus groups were organized across successive phases of a robot-assisted therapeutic protocol, enabling participants to revisit and refine earlier views as the intervention progressed. Results show that continuity fostered trust, supported the integration of tacit clinical expertise into design decisions, and functioned as an ethical safeguard by allowing participants to renegotiate involvement and surface new concerns. By bridging the therapeutic iteration of families, children, and clinicians with the research-design iteration of researchers and developers, continuous focus groups provide a methodological contribution that is both feasible in practice and rigorous in design. Beyond autism care, this approach offers a transferable framework for advancing qualitative research in HRI, particularly in sensitive domains where direct user participation is limited and continuity is essential.