用智能代理辅助认知衰退老人与照护者协调日常事务，减轻负担并延缓入住养老院。
Can You Keep a Secret? Exploring AI for Care Coordination in Cognitive Decline
- 设计智能代理支持照护任务的自发性重叠（猪队友式协作），减少照护者工作量。
- 发现80%的照护者因压力放弃部分生活自理任务，导致生活质量下降。
- 适合关注老年人居家照护、智能助手设计的研究者与实践者阅读。
随着认知衰退老年人数量增加，非正式照护者承担着关键支持责任，其协助程度决定老人能否居家养老。为探索智能体如何帮助低收入老年群体实现居家养老，我们访谈了十对存在认知衰退的老年人及其非正式照护者，研究他们如何协调照护、管理负担并维持自主与隐私。老年人通过指定特定照护者执行任务，并隐瞒从成年子女处获得的所有照护信息来保持控制感。许多老年人主动放弃部分日常生活任务，以减轻照护者负担，但这降低了自身生活质量。一种有效策略是‘猪队友式’协作——利用日常活动中的自然时间重叠完成更多任务，减少照护者投入。这引发两个问题：(i) 智能体能否辅助此类协调？(ii) 是否能在不增加照护负担的前提下延长老人居家时间？
原文摘要 · Abstract (English)
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?
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