arXiv subjects

Michelle Cohn

Publications and source records attributed to Michelle Cohn.

4 recordsLinked to original sources

arXiv2026

AI-Care: A Conversational Agentic System for Task Coordination in Alzheimer's Disease Care

Individuals with Alzheimer's disease (AD) and Alzheimer's disease-related dementia (ADRD) experience memory and thinking changes that impact their ability to use digital daily management tools. For example, adding an event to a digital calendar requires multiple steps that may act as barriers to independent use for individuals with AD/ADRD. This paper presents AI-Care, a conversational agentic artificial intelligence (AI) layer built on top of a remote caregiving platform co-designed with people with AD/ADRD. AI-Care is designed to reduce the cognitive load on individuals with AD/ADRD when managing everyday tasks such as setting calendar reminders and organizing to-do lists through natural-language interaction with a voice-first chatbot. The system uses a LangGraph-based stateful orchestration approach in which each request passes through sanitization, intent classification, context loading, safety checks, deterministic slot collection, tool execution, and response composition. Safety-critical responses, particularly around medications and allergies, are grounded in caregiver-verified records rather than free-form model generation. The system does not make autonomous medical or treatment decisions. Incomplete or ambiguous requests are handled through controlled multi-turn clarification rather than silent failure or guessing. The system supports both typed and spoken input, with voice output through ElevenLabs text-to-speech. Longer responses are chunked before synthesis to avoid rushed playback. A preliminary pilot with four individuals with mild-to-moderate AD/ADRD showed that users found the system trustworthy, competent, and likable, and were able to complete the evaluated coordination tasks through conversation. We describe the design goals, system architecture, safety controls, and findings from this formative evaluation.

cs.AI↗

arXiv2026

Challenges in Automatic Speech Recognition for Adults with Cognitive Impairment

Millions of people live with cognitive impairment from Alzheimer's disease and related dementias (ADRD). Voice-enabled smart home systems offer promise for supporting daily living but rely on automatic speech recognition (ASR) to transcribe their speech to text. Prior work has shown reduced ASR performance for adults with cognitive impairment; however, the acoustic factors underlying these disparities remain poorly understood. This paper evaluates ASR performance for 83 older adults across cognitive groups (cognitively normal, mild cognitive impairment, dementia) reading commands to a voice assistant (Amazon Alexa). Results show that ASR errors are significantly higher for individuals with dementia, revealing a critical usability gap. To better understand these disparities, we conducted an acoustic analysis of speech features and found that a speaker's intensity, voice quality, and pause ratio predicted ASR accuracy. Based on these findings, we outline HCI design implications for AgeTech and voice interfaces, including speaker-personalized ASR, human-in-the-loop correction of ASR transcripts, and interaction-level personalization to support ability-based adaptation.

cs.HC↗

arXiv2024

Believing Anthropomorphism: Examining the Role of Anthropomorphic Cues on Trust in Large Language Models

People now regularly interface with Large Language Models (LLMs) via speech and text (e.g., Bard) interfaces. However, little is known about the relationship between how users anthropomorphize an LLM system (i.e., ascribe human-like characteristics to a system) and how they trust the information the system provides. Participants (n=2,165; ranging in age from 18-90 from the United States) completed an online experiment, where they interacted with a pseudo-LLM that varied in modality (text only, speech + text) and grammatical person ("I" vs. "the system") in its responses. Results showed that the "speech + text" condition led to higher anthropomorphism of the system overall, as well as higher ratings of accuracy of the information the system provides. Additionally, the first-person pronoun ("I") led to higher information accuracy and reduced risk ratings, but only in one context. We discuss these findings for their implications for the design of responsible, human-generative AI experiences.

cs.HC↗

arXiv2019

Gunrock: A Social Bot for Complex and Engaging Long Conversations

Gunrock is the winner of the 2018 Amazon Alexa Prize, as evaluated by coherence and engagement from both real users and Amazon-selected expert conversationalists. We focus on understanding complex sentences and having in-depth conversations in open domains. In this paper, we introduce some innovative system designs and related validation analysis. Overall, we found that users produce longer sentences to Gunrock, which are directly related to users' engagement (e.g., ratings, number of turns). Additionally, users' backstory queries about Gunrock are positively correlated to user satisfaction. Finally, we found dialog flows that interleave facts and personal opinions and stories lead to better user satisfaction.

cs.CL↗