{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T15:14:15Z","timestamp":1786115655014,"version":"build-2736575974"},"reference-count":55,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"crossref","award":["R01AG075892"],"award-info":[{"award-number":["R01AG075892"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"crossref"}]},{"award":["R01AG075892"],"award-info":[{"award-number":["R01AG075892"]}],"id":[{"id":"https:\/\/ror.org\/049v75w11","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int. J. Environ. Res. Public Health","IJERPH"],"abstract":"<jats:p>Artificial intelligence-enabled technologies offer new opportunities to support healthy aging and the long-term care needs of older adults. However, inclusive practices are paramount to ensuring that accessibility, usability, privacy, and equitable use are factored into the design and deployment of these emerging technologies. This article explores the role of co-design in health technology development and highlights the application of three methodological tools\u2014the NIH Stage Model for Behavioral Intervention Development, the Unified Theory of Acceptance and Use of Technology, and Goal Attainment Scaling\u2014to create a smart-home-based socially assistive robot (SAR) for the care of individuals living with Alzheimer\u2019s disease and related dementias (ADRD). Ten participants (five caregiver\u2013care recipient dyads) from an ongoing mixed-methods pilot feasibility study trialed the SAR in their homes for 1\u20136 months, with the robot personalized to their daily functioning, home layout, and caregiving needs. Qualitative analysis of monthly interviews derived themes pertaining to technical design, care protocol design, training management, and complementary care. These themes, combined with goal attainment analysis, offered several insights that allowed us to iteratively scale and refine the technology tailored to ADRD care. The study offers a practical framework for future co-design efforts aimed at enhancing the adoption of AI-enabled health technologies among older adults.<\/jats:p>","DOI":"10.3390\/ijerph23081019","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T10:38:08Z","timestamp":1785839888000},"page":"1019","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Systematic Co-Design of Artificial Intelligence-Enabled Innovations for Healthy Aging: A Demonstration Study Involving Socially Assistive Robots for Dementia Care"],"prefix":"10.3390","volume":"23","author":[{"given":"Sajay","family":"Arthanat","sequence":"first","affiliation":[{"name":"Department of Occupational Therapy, University of New Hampshire, Durham, NH 03824, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Nursing, University of New Hampshire, Durham, NH 03824, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dain","family":"LaRoche","sequence":"additional","affiliation":[{"name":"Department of Kinesiology, College of Health and Human Services, University of New Hampshire, Durham, NH 03824, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Fritz","sequence":"additional","affiliation":[{"name":"School of Occupational Therapy, Pacific Northwest University of Health Sciences, Yakima, WA 98901, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosanne","family":"DiZazzo-Miller","sequence":"additional","affiliation":[{"name":"Occupational Therapy Program, Wayne State University, Detroit, MI 48201, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mostafa","family":"Hussein","sequence":"additional","affiliation":[{"name":"Department of Computer Science, University of New Hampshire, Durham, NH 03824, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ola","family":"Ghattas","sequence":"additional","affiliation":[{"name":"Department of Computer Science, University of New Hampshire, Durham, NH 03824, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9736-5740","authenticated-orcid":false,"given":"Moniruzzaman","family":"Akash","sequence":"additional","affiliation":[{"name":"Department of Computer Science, University of New Hampshire, Durham, NH 03824, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Momotaz","family":"Begum","sequence":"additional","affiliation":[{"name":"Department of Computer Science, University of New Hampshire, Durham, NH 03824, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"S24","DOI":"10.1093\/geroni\/igaf092","article-title":"Navigating the Future of Artificial Intelligence Technologies for Improving the Care of Older Adults","volume":"9","author":"Abadir","year":"2025","journal-title":"Innov. 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