Searcharxiv⌕ Search
Home/Archive/arXiv

arXiv · 2510.06633

Assist-As-Needed: Adaptive Multimodal Robotic Assistance for Medication Management in Dementia Care

Kruthika Gangaraju·Tanmayi Inaparthy·Jiaqi Yang·Yihao Zheng·Fengpei Yuan
View original source ↗Read source document ↗Export metadata ↓

Abstract

People living with dementia (PLWDs) face progressively declining abilities in medication management-from simple forgetfulness to complete task breakdown-yet most assistive technologies fail to adapt to these changing needs. This one-size-fits-all approach undermines autonomy, accelerates dependence, and increases caregiver burden. Occupational therapy principles emphasize matching assistance levels to individual capabilities: minimal reminders for those who merely forget, spatial guidance for those who misplace items, and comprehensive multimodal support for those requiring step-by-step instruction. However, existing robotic systems lack this adaptive, graduated response framework essential for maintaining PLWD independence. We present an adaptive multimodal robotic framework using the Pepper robot that dynamically adjusts assistance based on real-time assessment of user needs. Our system implements a hierarchical intervention model progressing from (1) simple verbal reminders, to (2) verbal + gestural cues, to (3) full multimodal guidance combining physical navigation to medication locations with step-by-step verbal and gestural instructions. Powered by LLM-driven interaction strategies and multimodal sensing, the system continuously evaluates task states to provide just-enough assistance-preserving autonomy while ensuring medication adherence. We conducted a preliminary study with healthy adults and dementia care stakeholders in a controlled lab setting, evaluating the system's usability, comprehensibility, and appropriateness of adaptive feedback mechanisms. This work contributes: (1) a theoretically grounded adaptive assistance framework translating occupational therapy principles into HRI design, (2) a multimodal robotic implementation that preserves PLWD dignity through graduated support, and (3) empirical insights into stakeholder perceptions of adaptive robotic care.

Explore related subjects

cs.RO

Keep this discovery

BibTeXRIS

Kruthika Gangaraju, Tanmayi Inaparthy, Jiaqi Yang, Yihao Zheng, Fengpei Yuan. 2025-10-08. Assist-As-Needed: Adaptive Multimodal Robotic Assistance for Medication Management in Dementia Care. https://arxiv.org/abs/2510.06633

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related papers

arXiv2026

IMLE-VLA: Fast Single-Step Action Generation for Vision-Language-Action Policies

Vision-language-action (VLA) policies leverage pretrained vision-language backbones to achieve strong cross-task generalization. A leading design couples this backbone with a dedicated continuous action head trained via diffusion or flow matching. However, such heads rely on iterative multi-step sampling, for example 10 Euler steps in $\pi_{0.5}$. This creates an inference bottleneck that produces stop-and-go movement in the robot and slower task completion. We introduce IMLE-VLA, which replaces the iterative action head with a single-step conditional generator trained via conditional Implicit Maximum Likelihood Estimation (cIMLE). The cIMLE objective promotes multimodal action coverage, avoiding the mode collapse of naive regression heads while eliminating multi-step sampling entirely. When IMLE-VLA is applied to $\pi_{0.5}$, it increases inference frequency 3.67x (55 Hz vs. 15 Hz), enabling up to 11x higher action throughput. On the 40-task LIBERO benchmark, IMLE-VLA achieves the highest average success rate (98.0%) among all baselines while leading in inference frequency. Under the test-time perturbations of LIBERO-plus, IMLE-VLA retains $\pi_{0.5}$'s robustness while other baselines degrade sharply, confirming that the cIMLE head preserves generalization. Real-world experiments on a Franka Emika Panda across four tasks demonstrate smoother motion (2.2x to 3.0x lower jerk) and faster task completion, with IMLE-VLA outperforming $\pi_{0.5}$ on every task and reducing average VLA inference time per episode by 3.9x to 6.6x. Videos and code are available at https://kianhk6.github.io/IMLE-VLA/

cs.RO↗
arXiv2026

ObstaDiff: Generalizable Diffusion Policy Learning via Obstacle-aware Representations

Imitation learning has achieved impressive results in robotic manipulation, yet most existing approaches assume clean backgrounds and lack explicit mechanisms for obstacle-aware motion generation. Extending such policies to cluttered, real-world scenes with unstructured obstacles remains a key generalization challenge. We present ObstaDiff, a decomposed diffusion-policy framework with a lightweight obstacle-aware visual encoder. ObstaDiff extracts a structured target-obstacle-background representation, enabling the downstream alignment policy to generate end-effector trajectories toward a target-centered bottleneck pose while reasoning about surrounding obstacles. We evaluate ObstaDiff on 61 real-robot greenhouse trials per method (366 executions in total). ObstaDiff achieves 75.41% average task success and 8.20% average obstacle collision rate, outperforming representative imitation-learning baselines and improving generalization in cluttered agricultural scenes.

cs.RO↗
arXiv2026

Testing Between the Test Cases: Proving End-to-End Steering in Conditions You Never Drove

AI-based automated vehicle testing is challenging because a model that passes every test condition can still fail in the real world. Formal verification offers a way to directly address this gap. On a simulated highway and an arterial road we trained two small end-to-end steering networks each in CARLA, one on clear conditions alone and one on clear, fog, night and low sun. All four models were driven against a 2.19 ft lane-departure budget. Without driving again, we used bound propagation, a formal method that reads the trained weights, to compute how far steering can drift at every disturbance strength between two captured images. One calculation covers more than a campaign could drive: on the arterial it spans 133 poses, where ten intensities each would be 10^133 combinations, in minutes on one GPU. Not only did formal verification find conditions that broke the clear-trained policy without simulation testing, it provided some preliminary evidence for potential failures between the test cases. Our overall conclusion is that formal verification is a viable complement to simulation, and could be adopted as a part of verification and validation for automated driving.

cs.RO↗