This paper is in the following e-collection/theme issue:

Usability of Apps and User Perceptions of mHealth (1077) Voice Assistants (47) Usability and Technology Use Studies with Elder Subjects (226)

Published on in Vol 9, No 1 (2021): January

Preprints (earlier versions) of this paper are available at https://preprints.jmir.org/preprint/20427, first published .
Exploring How Older Adults Use a Smart Speaker–Based Voice Assistant in Their First Interactions: Qualitative Study

Exploring How Older Adults Use a Smart Speaker–Based Voice Assistant in Their First Interactions: Qualitative Study

Exploring How Older Adults Use a Smart Speaker–Based Voice Assistant in Their First Interactions: Qualitative Study

Authors of this article:

Sunyoung Kim1 Author Orcid Image
Article Authors Cited by (89) Tweetations (2) Metrics

Journals

  1. Gouda P, Ganni E, Chung P, Randhawa V, Marquis-Gravel G, Avram R, Ezekowitz J, Sharma A. Feasibility of Incorporating Voice Technology and Virtual Assistants in Cardiovascular Care and Clinical Trials. Current Cardiovascular Risk Reports 2021;15(8) View
  2. Seaborn K, Sekiguchi T, Tokunaga S, Miyake N, Otake-Matsuura M. Voice Over Body? Older Adults’ Reactions to Robot and Voice Assistant Facilitators of Group Conversation. International Journal of Social Robotics 2023;15(2):143 View
  3. Dutsinma F, Pal D, Funilkul S, Chan J. A Systematic Review of Voice Assistant Usability: An ISO 9241–11 Approach. SN Computer Science 2022;3(4) View
  4. Xie Y, Zhao S, Zhou P, Liang C. Understanding Continued Use Intention of AI Assistants. Journal of Computer Information Systems 2023;63(6):1424 View
  5. El Kamali M, Angelini L, Caon M, Dulake N, Chamberlain P, Craig C, Standoli C, Andreoni G, Abou Khaled O, Mugellini E. Co-designing an Embodied e-Coach With Older Adults: The Tangible Coach Journey. International Journal of Human–Computer Interaction 2024;40(10):2736 View
  6. McCloud R, Perez C, Bekalu M, Viswanath K. Using Smart Speaker Technology for Health and Well-being in an Older Adult Population: Pre-Post Feasibility Study. JMIR Aging 2022;5(2):e33498 View
  7. Duque M, Pink S, Mortimer M, Strengers Y, Martin R, Nicholls L, Horan B, Eugene A, Thomson S. Troubleshooting as a method in COVID-19 times: smart home ethnographies and remote aged care innovation. Digital Creativity 2022;33(3):188 View
  8. Gudala M, Ross M, Mogalla S, Lyons M, Ramaswamy P, Roberts K. Benefits of, Barriers to, and Needs for an Artificial Intelligence–Powered Medication Information Voice Chatbot for Older Adults: Interview Study With Geriatrics Experts. JMIR Aging 2022;5(2):e32169 View
  9. Kulkarni P, Duffy O, Synnott J, Kernohan W, McNaney R. Speech and Language Practitioners’ Experiences of Commercially Available Voice-Assisted Technology: Web-Based Survey Study. JMIR Rehabilitation and Assistive Technologies 2022;9(1):e29249 View
  10. Blasiak A, Sapanel Y, Leitman D, Ng W, De Nicola R, Lee V, Todorov A, Ho D. Omnichannel Communication to Boost Patient Engagement and Behavioral Change With Digital Health Interventions. Journal of Medical Internet Research 2022;24(11):e41463 View
  11. Kang H, Koh I, Makimoto K, Yamakawa M. Nurses’ perception towards care robots and their work experience with socially assistive technology during COVID-19: A qualitative study. Geriatric Nursing 2023;50:234 View
  12. Chung J, Winship J, Parsons P, Falls K, Bleich M. Stakeholder Perspectives on Implementation of Smart Speakers for Aging in Place in Low-Income Senior Housing: A Qualitative Study. Journal of Gerontological Nursing 2022;48(10):33 View
  13. Carolus A, Augustin Y, Markus A, Wienrich C. Digital interaction literacy model – Conceptualizing competencies for literate interactions with voice-based AI systems. Computers and Education: Artificial Intelligence 2023;4:100114 View
  14. Corbett C, Wright P, Jones K, Parmer M. Voice-Activated Virtual Home Assistant Use and Social Isolation and Loneliness Among Older Adults: Mini Review. Frontiers in Public Health 2021;9 View
  15. Jiménez S, Favela J, Quezada A, Ramachandran R, Juárez-Ramírez R. Towards Conversational Agents to support Informal Caregivers of People with Dementia: Challenges and Opportunities. Programming and Computer Software 2022;48(8):606 View
  16. Duque M, Pink S, Strengers Y, Martin R, Nicholls L. Automation, wellbeing and Digital Voice Assistants: Older people and Google devices. Convergence: The International Journal of Research into New Media Technologies 2021;27(5):1189 View
  17. Shade M, Hama R, Eisenhauer C, Khazanchi D, Pozehl B. “Ask, ‘When You Do This, How Much Pain Are You In?’”: Content Preferences for a Conversational Pain Self-Management Software Application. Journal of Gerontological Nursing 2023;49(1):11 View
  18. Maccario G, Naldi M. Privacy in smart speakers: A systematic literature review. SECURITY AND PRIVACY 2023;6(1) View
  19. Tennant R, Allana S, Mercer K, Burns C. Caregiver Expectations of Interfacing With Voice Assistants to Support Complex Home Care: Mixed Methods Study. JMIR Human Factors 2022;9(2):e37688 View
  20. Kim S, Yao W, Du X. Exploring Older Adults’ Adoption and Use of a Tablet Computer During COVID-19: Longitudinal Qualitative Study. JMIR Aging 2022;5(1):e32957 View
  21. Schroeder T, Haug M, Gewald H. Data Privacy Concerns Using mHealth Apps and Smart Speakers: Comparative Interview Study Among Mature Adults. JMIR Formative Research 2022;6(6):e28025 View
  22. Edwards K, Jones R, Shenton D, Page T, Maramba I, Warren A, Fraser F, Križaj T, Coombe T, Cowls H, Chatterjee A. The Use of Smart Speakers in Care Home Residents: Implementation Study. Journal of Medical Internet Research 2021;23(12):e26767 View
  23. Venkatraman S, Overmars A, Thong M. Smart Home Automation—Use Cases of a Secure and Integrated Voice-Control System. Systems 2021;9(4):77 View
  24. Zhong R, Ma M. Effects of communication style, anthropomorphic setting and individual differences on older adults using voice assistants in a health context. BMC Geriatrics 2022;22(1) View
  25. Lemaire C, Humbert C, Sueur C, Racin C. Use of Digital Technologies to Maintain Older Adults’ Social Ties During Visitation Restrictions in Long-Term Care Facilities: Scoping Review. JMIR Aging 2023;6:e38593 View
  26. Davitt J, Brown J, Degenholtz H. Using Voice and Touchscreen Controlled Smart Speakers to Protect Vulnerable Clients in Long-Term Care Facilities. Innovation in Aging 2022;6(4) View
  27. Islam M, Chaudhry B. A Framework to Enhance User Experience of Older Adults With Speech-Based Intelligent Personal Assistants. IEEE Access 2023;11:16683 View
  28. Czaja S, Ceruso M. The Promise of Artificial Intelligence in Supporting an Aging Population. Journal of Cognitive Engineering and Decision Making 2022;16(4):182 View
  29. Herrmann B. The perception of artificial-intelligence (AI) based synthesized speech in younger and older adults. International Journal of Speech Technology 2023;26(2):395 View
  30. Lifset E, Charles K, Farcas E, Weibel N, Hogarth M, Chen C, Johnson J, Draper M, Nguyen A, Moore A. Ascertaining Whether an Intelligent Voice Assistant Can Meet Older Adults’ Health-Related Needs in the Context of a Geriatrics 5Ms Framework. Gerontology and Geriatric Medicine 2023;9 View
  31. Liu M, Wang C, Hu J. Older adults’ intention to use voice assistants: Usability and emotional needs. Heliyon 2023;9(11):e21932 View
  32. Choi S, Sajib M, Manzano J, Chlebek C. mHealth Technology Experiences of Middle-Aged and Older Individuals With Visual Impairments: Cross-Sectional Interview Study. JMIR Formative Research 2023;7:e52410 View
  33. Brewer R. Understanding voice‐based information uncertainty: A case study of health information seeking with voice assistants. Journal of the Association for Information Science and Technology 2024;75(10):1041 View
  34. Yan C, Johnson K, Jones V. The Impact of Interaction Time and Verbal Engagement with Personal Voice Assistants on Alleviating Loneliness among Older Adults: An Exploratory Study. International Journal of Environmental Research and Public Health 2024;21(1):100 View
  35. Chang F, Sheng L, Gu Z. Investigating the Integration and the Long-Term Use of Smart Speakers in Older Adults’ Daily Practices: Qualitative Study. JMIR mHealth and uHealth 2024;12:e47472 View
  36. Cao X, Zhang H, Zhou B, Wang D, Cui C, Bai X. Factors influencing older adults’ acceptance of voice assistants. Frontiers in Psychology 2024;15 View
  37. Saripalle R, Patel R. From Command to Care: A Scoping Review on Utilization of Smart Speakers by Patients and Providers. Mayo Clinic Proceedings: Digital Health 2024;2(2):207 View
  38. Doi T, Nishikawa Y. Usability Analysis of Smart Speakers from a Learnability Perspective for Novel Users. Applied System Innovation 2024;7(3):36 View
  39. Mahmood A, Huang C. Gender Biases in Error Mitigation by Voice Assistants. Proceedings of the ACM on Human-Computer Interaction 2024;8(CSCW1):1 View
  40. Chin J, Desai S, Lin S, Mejia S. Like My Aunt Dorothy: Effects of Conversational Styles on Perceptions, Acceptance and Metaphorical Descriptions of Voice Assistants during Later Adulthood. Proceedings of the ACM on Human-Computer Interaction 2024;8(CSCW1):1 View
  41. Yan Z, Dube V, Heselton J, Johnson K, Yan C, Jones V, Blaskewicz Boron J, Shade M. Understanding older people's voice interactions with smart voice assistants: a new modified rule-based natural language processing model with human input. Frontiers in Digital Health 2024;6 View
  42. Hennekeuser D, Vaziri D, Golchinfar D, Stevens G. What I Don’t Like about You?: A Systematic Review of Impeding Aspects for the Usage of Conversational Agents. Interacting with Computers 2024;36(5):293 View
  43. Cao X, Cui C, Zhou B, Wang D, Chen X, Liu H, Zhang H, Bai X. The Influence of Response Time and Feedback Type on the User Experience of Voice Interaction among Older Adults. International Journal of Human–Computer Interaction 2024:1 View
  44. Leite H, Hodgkinson I, Lachowski Volochtchuk A, Cavalcante Nascimento T. ‘It's not the boogeyman’: How voice assistant technology is bridging the digital divide for older people. Technovation 2024;136:103080 View
  45. Brock L, De Bortoli L, Bellei E, De Marchi A. Conversational agents and momentary user experience: an assessment using an electroencephalography device. Universal Access in the Information Society 2024 View
  46. Castro Martínez E, Hernández Encuentra E, Pousada Fernández M. Voice assistants’ influence on loneliness in older adults: a systematic review. Disability and Rehabilitation: Assistive Technology 2025;20(3):521 View
  47. Gao W, Du K, Luo Y, Shi W, Yu C, Shi Y. EasyAsk: An In-App Contextual Tutorial Search Assistant for Older Adults with Voice and Touch Inputs. Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies 2024;8(3):1 View
  48. Xie C, Xie Y, Wang Y, Zhou P, Lu L, Feng Y, Liang C. Understanding older adults’ continued-use intention of AI voice assistants. Universal Access in the Information Society 2024 View
  49. Merkel S, Schorr S. Identification of Use Cases, Target Groups, and Motivations Around Adopting Smart Speakers for Health Care and Social Care Settings: Scoping Review. JMIR AI 2025;4:e55673 View
  50. Kang R, Rau P. Measuring Users’ Trust in VIA Responses: The Age and Response Forms Perspective. Interacting with Computers 2025;37(2):88 View
  51. Kim K, Kim S. Experience of the Use of AI Conversational Agents Among Low-Income Older Adults Living Alone. Sage Open 2024;14(4) View
  52. Baumann M, Markus A, Pfister J, Carolus A, Hotho A, Wienrich C. Master your practice! A quantitative analysis of Device and system handling training to enable competent interactions with intelligent voice assistants. Computers in Human Behavior Reports 2025;17:100610 View
  53. Jakob D, Wilhelm S, Gerl A, Ahrens D, Wahl F. Adapting Voice Assistant Technology for Older Adults: A Comprehensive Study on Usability, Learning Patterns, and Acceptance. Digital 2025;5(1):4 View
  54. Zhou J, Salvendy G, Boot W, Charness N, Czaja S, Gao Q, Holzinger A, Ntoa S, Rau P, Rogers W, Stephanidis C, Wahl H, Ziefle M. Grand Challenges of Smart Technology for Older Adults. International Journal of Human–Computer Interaction 2025:1 View
  55. Henkel M, Haesler S, Al-Najmi H, Hessel F, Reuter C. The House That Saves Me? Assessing the Role of Smart Home Automation in Warning Scenarios. Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies 2025;9(1):1 View
  56. Zguda P, Radosz-Knawa Z, Kukier T, Radosz M, Kamińska A, Indurkhya B. How Do Older Adults Perceive Technology and Robots? A Participatory Study in a Care Center in Poland. Electronics 2025;14(6):1106 View
  57. Cerezo E, Lacuesta R, Gallardo J, Aguelo A. Exploring the Use of Voice Assistants in Nursing Homes. International Journal of Human–Computer Interaction 2025:1 View
  58. Pucer P, Žvanut B, Vrhovec S. Adoption of smartphones among older adults and the role of perceived threat of cyberattacks. International Journal of Information Security 2025;24(3) View
  59. Choi B, Hwang J, Choi Y. Qualitative meta-synthesis study on experiences of artificial intelligence robot utilization among older adults living alone in South Korea. Korean Journal of Health Education and Promotion 2025;42(1):67 View

Books/Policy Documents

  1. Bérubé C, Fleisch E. Digital Therapeutics for Mental Health and Addiction. View
  2. Jakob D. Human Aspects of IT for the Aged Population. Design, Interaction and Technology Acceptance. View
  3. Li J, Qu N, Penaranda Valdivia K. Social Robotics. View
  4. Vaidya M, Lee C, D’Ambrosio L, Ashebir S, Coughlin J. Human Aspects of IT for the Aged Population. View
  5. Islam M, Chaudhry B. Human Aspects of IT for the Aged Population. View
  6. Langer H, Merkel S. Design, Operation and Evaluation of Mobile Communications. View
  7. Alrumayh A, Tan C. Artificial Intelligence in Medicine. View
  8. Franceschetti C, Marziali R, Zanutto O, Lionetti L, Tombolesi V, Rossi L, Di Rosa M. Ambient Assisted Living. View

Conference Proceedings

  1. Tubin C, Rodriguez J, De Marchi A. Proceedings of the XX Brazilian Symposium on Human Factors in Computing Systems. Voice and touch interaction View
  2. Xing Z, Yuan X, Mostafa J. ACM SIGIR Conference on Human Information Interaction and Retrieval. Age-related Difference in Conversational Search Behavior: Preliminary Findings View
  3. Chen C, Johnson J, Charles K, Lee A, Lifset E, Hogarth M, Moore A, Farcas E, Weibel N. Proceedings of the 23rd International ACM SIGACCESS Conference on Computers and Accessibility. Understanding Barriers and Design Opportunities to Improve Healthcare and QOL for Older Adults through Voice Assistants View
  4. Jin X, Fan M. Proceedings of the 24th International ACM SIGACCESS Conference on Computers and Accessibility. “I Used To Carry A Wallet, Now I Just Need To Carry My Phone”: Understanding Current Banking Practices and Challenges Among Older Adults in China View
  5. Harrington C, Garg R, Woodward A, Williams D. CHI Conference on Human Factors in Computing Systems. “It’s Kind of Like Code-Switching”: Black Older Adults’ Experiences with a Voice Assistant for Health Information Seeking View
  6. Sin J, Chen D, Threatt J, Gorham A, Munteanu C. Proceedings of the 4th Conference on Conversational User Interfaces. Does Alexa Live Up to the Hype? Contrasting Expectations from Mass Media Narratives and Older Adults' Hands-on Experiences of Voice Interfaces View
  7. Hu Y, Qu Y, Maus A, Mutlu B. CHI Conference on Human Factors in Computing Systems. Polite or Direct? Conversation Design of a Smart Display for Older Adults Based on Politeness Theory View
  8. Yucel Y, Rizvanoglu K. 2022 IEEE International Conference on e-Business Engineering (ICEBE). I am old too!: Understanding the Impact of Empathy and Voice Characteristics on Older Adults' Perception of Voice Assistants View
  9. Birrer E, Biallas M. 2022 15th International Conference on Human System Interaction (HSI). Intelligent Voice Assistants in home care: an initial overview on requirements, hopes and fears of professionals View
  10. Pednekar S, Dhirawani P, Shah R, Shekokar N, Ghag K. 2023 3rd International Conference on Intelligent Communication and Computational Techniques (ICCT). Voice-Based Interaction for an Aging Population: A Systematic Review View
  11. Motta I, Quaresma M. Proceedings of the 5th International Conference on Conversational User Interfaces. Increasing Transparency to Design Inclusive Conversational Agents (CAs): Perspectives and Open Issues View
  12. Murad C, Candello H, Munteanu C. Proceedings of the 5th International Conference on Conversational User Interfaces. What’s The Talk on VUI Guidelines? A Meta-Analysis of Guidelines for Voice User Interface Design View
  13. Desai S, Lundy M, Chin J. Proceedings of the 5th International Conference on Conversational User Interfaces. “A Painless Way to Learn:” Designing an Interactive Storytelling Voice User Interface to Engage Older Adults in Informal Health Information Learning View
  14. Thankachan B, Turunen M, Jokinen K. Proceedings of the 16th International Conference on PErvasive Technologies Related to Assistive Environments. Challenges with Voice Assistants for the Elderly in Semi-Public Spaces View
  15. Chen C, Lifset E, Han Y, Roy A, Hogarth M, Moore A, Farcas E, Weibel N. The 25th International ACM SIGACCESS Conference on Computers and Accessibility. Screen or No Screen? Lessons Learnt from a Real-World Deployment Study of Using Voice Assistants With and Without Touchscreen for Older Adults View
  16. Horstmann A, Strathmann C, Lambrich L, Krämer N. Proceedings of the 23rd ACM International Conference on Intelligent Virtual Agents. Alexa, What's Inside of You View
  17. Wong N, Jeong S, Reddy M, Stamatis C, Lattie E, Jacobs M. Designing Interactive Systems Conference. Voice Assistants for Mental Health Services: Designing Dialogues with Homebound Older Adults View
  18. Schäfer A, Freyer M. Proceedings of Mensch und Computer 2024. "Is There Anything Else...?" Role-Play Exploration To Use Response Times As A Relationship-Building Effect With Voice Assistants View
  19. Zhang Y, Liu J. Proceedings of the 24th ACM/IEEE Joint Conference on Digital Libraries. Unpacking Older Adults' Mental Models of Video Recommender Systems: A Qualitative Study View
  20. Seo S, Yoo S, Jang Y. Proceedings of the 30th International Conference on Intelligent User Interfaces. A Prompt Chaining Framework for Long-Term Recall in LLM-Powered Intelligent Assistant View
  21. Liu C, Su M, Xiang Y, Huang Y, Yang Y, Zhang K, Fan M. Proceedings of the 2025 CHI Conference on Human Factors in Computing Systems. Toward Enabling Natural Conversation with Older Adults via the Design of LLM-Powered Voice Agents that Support Interruptions and Backchannels View
  22. Huang Y, Zhou Q, Piper A. Proceedings of the 2025 CHI Conference on Human Factors in Computing Systems. Designing Conversational AI for Aging: A Systematic Review of Older Adults' Perceptions and Needs View