{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T16:17:42Z","timestamp":1790525862395,"version":"4.1.0"},"reference-count":20,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,10,16]],"date-time":"2019-10-16T00:00:00Z","timestamp":1571184000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2020,1]]},"abstract":"\n BACKGROUND\/OBJECTIVES<\/jats:title>\n Many older adults wish to age in place, and voice\u2010controlled intelligent personal assistants (VIPAs; eg, Amazon Echo and Google Home) potentially could support unmet home needs. No prior studies have researched the real\u2010world use of VIPAs among older adults. We sought to explore how older adults and caregivers utilize VIPAs.<\/jats:p>\n <\/jats:sec>\n \n DESIGN\/MEASUREMENT<\/jats:title>\n \n Retrospective review of all verified purchase reviews of the Amazon Echo posted on\n Amazon.com<\/jats:ext-link>\n between January 2015 and January 2018, with filtering for health\u2010related older adult key words. Open\u2010ended reviews were qualitatively analyzed to identify relevant themes.\n <\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n On retrieval, there were 73 549 reviews; and with subsequent key word filtering, 125 total reviews were subsequently analyzed. Five major themes were identified: (1) entertainment (\u201cFor two very senior citizens\u2026we have really had fun with Echo. She tells us jokes, answers questions, plays music.); (2) companionship (\u201cA senior living alone\u2026I now have Alex to talk to.\u201d); (3) home control; (4) reminders (\u201cI needed something that would provide me with information I couldn't remember well, such as the date, day, or my schedule\u2026I highly recommend for anyone with memory challenges\u201d); and (5) emergency communication. Several felt it reduced burdening caregivers. \u201c\u2026You also feel guilt from fear of overburdening your caregivers. Alexa has alleviated much of this.\u201d Specifically, caregivers found that: \u201cBy making playlists of songs from her youth whoever is providing care, family or professional caregiver, can simply request the right song for the moment in order to sooth, redirect, or distract Mom.\u201d Alternatively, negative reviewers felt the VIPA misunderstood them or could not adequately respond to specific health questions.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSION<\/jats:title>\n \n VIPAs are a low\u2010cost artificial intelligence that can support older adults in the home and potentially reduce caregiver burden. This study is the first to explore VIPA use among older adults, and further studies are needed to examine the direct benefits of VIPAs in supporting aging in place.\n J Am Geriatr Soc 68:176\u2013179, 2019<\/jats:bold>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jgs.16217","type":"journal-article","created":{"date-parts":[[2019,10,16]],"date-time":"2019-10-16T18:02:39Z","timestamp":1571248959000},"page":"176-179","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":136,"title":["Voice\u2010Controlled Intelligent Personal Assistants to Support Aging in Place"],"prefix":"10.1111","volume":"68","author":[{"given":"Katherine","family":"O'Brien","sequence":"first","affiliation":[{"name":"Division of General Internal Medicine and Geriatrics Northwestern University, Feinberg School of Medicine Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Liggett","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Geriatrics Northwestern University, Feinberg School of Medicine Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Ramirez\u2010Zohfeld","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Geriatrics Northwestern University, Feinberg School of Medicine Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priya","family":"Sunkara","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Geriatrics Northwestern University, Feinberg School of Medicine Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lee A.","family":"Lindquist","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine and Geriatrics Northwestern University, Feinberg School of Medicine Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,10,16]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Projections of the Size and Composition of the US Population: 2014 to 2060: Population Estimates and Projections","author":"Colby SL","year":"2017"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15526"},{"key":"e_1_2_7_4_1","unstructured":"American Planning Association and the National Association of County and City Health Officials Healthy Places Terminology; 2009.http:\/\/www.cdc.gov\/healthyplaces\/terminology.htm. Accessed August 7 2019."},{"key":"e_1_2_7_5_1","unstructured":"Centers for Medicare & Medicaid Services Chronic Conditions Among Medicare Beneficiaries.https:\/\/www.cms.gov\/research\u2010statistics\u2010data\u2010and\u2010systems\/statistics\u2010trends\u2010and\u2010reports\/chronic\u2010conditions\/downloads\/2012chartbook.pdf. Accessed August 7 2019."},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afp202"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2016.01.004"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2002.50609.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2012.1993"},{"key":"e_1_2_7_10_1","unstructured":"The American Academy of Family Physicians. Aging Population Could Trigger Higher Medicare Spending; 2015.http:\/\/www.aafp.org\/news\/practice-professional-issues\/20150915medicarespending.html. Accessed August 7 2019."},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2012.04047.x"},{"key":"e_1_2_7_12_1","doi-asserted-by":"crossref","unstructured":"Rainville C Skufca L Mehegan L. Family Caregiving and Out\u2010of\u2010Pocket Costs: AARP 2016 Report.https:\/\/www.aarp.org\/content\/dam\/aarp\/research\/surveys_statistics\/ltc\/2016\/family-caregiving-costs-fact-sheet.doi.10.26419\/res.00138.002.pdf. Accessed August 7 2019.","DOI":"10.26419\/res.00138.002"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.4017\/gt.2011.10.01.006.00"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0733464804271277"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.2307\/249008"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.exger.2016.11.013"},{"key":"e_1_2_7_17_1","unstructured":"Amazon Unbundles Alexa Virtual Assistant From Echo With New Dev Tools. TechCrunch; 2015.https:\/\/techcrunch.com\/2015\/06\/25\/amazon-unbundles-alexa-virtual-assistant-from-echo-with-new-dev-tools\/. Accessed August 13 2019."},{"key":"e_1_2_7_18_1","unstructured":"Amazon Announces Echo a $199 Voice\u2010Driven Home Assistant. Ars Technica.https:\/\/arstechnica.com\/gadgets\/2014\/11\/amazon-announces-echo-a-199-voice-driven-home-assistant\/. Accessed August 8 2019."},{"key":"e_1_2_7_19_1","unstructured":"AguilarM.Amazon Echo Review: I Just Spoke to the Future and It Listened. Gizmodo; 2014.https:\/\/gizmodo.com\/amazon-echo-review-i-just-spoke-to-the-future-and-it-1672926712. Accessed August 8 2019."},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(98)00370-0"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2009.08.001"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.16217","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jgs.16217","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.16217","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T15:49:30Z","timestamp":1762184970000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.16217"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10,16]]},"references-count":20,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,1]]}},"alternative-id":["10.1111\/jgs.16217"],"URL":"https:\/\/doi.org\/10.1111\/jgs.16217","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"value":"0002-8614","type":"print"},{"value":"1532-5415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10,16]]},"assertion":[{"value":"2019-08-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-09-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-10-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}