{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T17:22:11Z","timestamp":1787764931185,"version":"build-2784847793"},"reference-count":48,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["P30-AG073105"],"award-info":[{"award-number":["P30-AG073105"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Advances in voice recognition and artificial intelligence (AI) could soon yield digital conversation companions\u2014software that combines conversational AI with health monitoring and promotion. We describe how this technology, once developed and deployed, could transform the way older adults age and receive care. By obviating the need to read or type, the software could be used by individuals with reduced dexterity, vision, or literacy. Repeated conversations could facilitate the consistent longitudinal tracking of mental acuity and sentiment. Over time, the conversations could be tailored to strengthen cognitive reserve, physical resilience, and social lives. By continuously recording and relaying changes in cognitive function, digital conversation companions could offer older adults unprecedented visibility into their own aging trajectories. Drawing on three well-known conceptualizations of aging, we explore how older adults might respond to this new dimension, a process we term \u201creflected aging.\u201d Digital conversation companions could support caregivers by monitoring care recipients\u2019 mental health, explaining treatment options, and automating documentation. They also might engender an atmosphere of constant surveillance and discount caregiver expertise and judgment. As digital conversation companions could lead to anthropomorphism, delusion, or social withdrawal in users of any age, these risks should be monitored closely in vulnerable older adults.<\/jats:p>","DOI":"10.1093\/geront\/gnag151","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T16:43:38Z","timestamp":1782751418000},"source":"Crossref","is-referenced-by-count":0,"title":["Digital conversation companions"],"prefix":"10.1093","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0868-7703","authenticated-orcid":false,"given":"Lorens A","family":"Helmchen","sequence":"first","affiliation":[{"name":"Department of Health Policy and Management, The George Washington University , Washington, District of Columbia,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0681-4235","authenticated-orcid":false,"given":"Armin","family":"St.George","sequence":"additional","affiliation":[{"name":"HIA Technologies, Inc. , Buffalo, New York,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3145-4657","authenticated-orcid":false,"given":"Alidad","family":"Ghiassi","sequence":"additional","affiliation":[{"name":"HIA Technologies, Inc. , Los Angeles, California,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5057-5887","authenticated-orcid":false,"given":"Dina","family":"Bam","sequence":"additional","affiliation":[{"name":"Digital Medicine Society , Boston, Massachusetts,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,29]]},"reference":[{"key":"2026082612514357200_gnag151-B1","doi-asserted-by":"publisher","first-page":"5262","DOI":"10.1002\/alz.13886","article-title":"Prediction of Alzheimer\u2019s disease progression within 6 years using speech: A novel approach leveraging language models","volume":"20","author":"Amini","year":"2024","journal-title":"Alzheimer\u2019s & Dementia"},{"key":"2026082612514357200_gnag151-B2","doi-asserted-by":"publisher","first-page":"1650","DOI":"10.1001\/jama.2025.18490","article-title":"AI, health, and health care today and tomorrow: The JAMA summit report on artificial intelligence","volume":"334","author":"Angus","year":"2025","journal-title":"JAMA"},{"key":"2026082612514357200_gnag151-B3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1017\/CBO9780511665684","volume-title":"Successful aging: Perspectives from the behavioral sciences","author":"Baltes","year":"1990"},{"key":"2026082612514357200_gnag151-B4","doi-asserted-by":"publisher","first-page":"397","DOI":"10.1017\/S0144686X00003603","article-title":"The process of successful ageing","volume":"16","author":"Baltes","year":"1996","journal-title":"Ageing and Society"},{"key":"2026082612514357200_gnag151-B5","volume-title":"Don\u2019t get too comfortable. 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