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A LLM-Based Chatbot for Mindfulness Practice with Older Adults: A Development and Usability Study
Lucy McCarren1, Sanna Kuoppamäki1
1Division of Health Informatics and Logistics, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), KTH Royal Institute of Technology, Huddinge, Sweden.
Studies in Health Technology and Informatics
|May 17, 2025
Summary
This study developed an AI mindfulness coach for older adults using Large Language Models (LLMs). Participatory design workshops informed the AI coach
Area of Science:
- Gerontology
- Human-Computer Interaction
- Artificial Intelligence
Background:
- Mindfulness interventions show promise for older adults' well-being.
- Existing digital mindfulness tools may not fully meet the needs of this demographic.
- Older adults require user-friendly and engaging digital health solutions.
Purpose of the Study:
- To develop and evaluate a Large Language Model (LLM)-based AI mindfulness coach tailored for older adults.
- To explore user-centered design principles for AI-driven health support in gerontology.
- To assess the usability and potential of an AI coach informed by qualitative user feedback.
Main Methods:
- A pre-study involved 15 older adults using a commercial mindfulness app.
- Qualitative feedback from the pre-study identified key design requirements (voice, personality, interactivity, ease of use).
- A prototype AI mindfulness coach was developed by fine-tuning OpenAI's ChatGPT on custom mindfulness scripts and evaluated via participatory design workshops.
Main Results:
- Qualitative feedback highlighted critical design elements for an effective AI mindfulness coach for older adults.
- Participatory design workshops provided insights into the usability and acceptance of the AI coach prototype.
- The study successfully integrated user feedback into the iterative development of an AI mindfulness coach.
Conclusions:
- LLM-based AI chatbots can be effectively developed to support mindfulness practices in older adults.
- User-centered design and participatory methods are crucial for creating accessible and engaging digital health tools for gerontology.
- Further research should explore the long-term efficacy and scalability of AI mindfulness coaches for older populations.
Keywords:
AI in healthcareChatGPTChatbotLarge language modelsdigital healthmental healtholder adultswellness
