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Remote Virtual Interactive Agents for Older Adults: Exploring Its Science via Network Analysis and Systematic Review.

Michael Joseph Dino^1,2, Chloe Margalaux Villafuerte², Veronica A Decker¹

¹College of Nursing, University of Central Florida, 6825 Lake Nona Blvd, Orlando, FL 32827, USA.

Healthcare (Basel, Switzerland)

|September 13, 2025

Summary

This review explores remote virtual interactive agents (VIAs) for older adults, finding they primarily support health promotion in home settings. Future research can build on these insights for better geriatric care delivery.

Keywords:

avatar network analysis older adults remote care systematic review telehealth virtual interactive agents

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Area of Science:

Geriatric Healthcare Technology
Human-Computer Interaction
Digital Health Interventions

Background:

Aging population presents healthcare challenges with chronic illnesses and functional decline.
Telehealth and virtual interactive agents (VIAs) offer tech-driven solutions for older adults' well-being.
Gaps exist in understanding remote geriatric healthcare delivery methods.

Purpose of the Study:

Systematically review literature on remote virtual interventions for older adults.
Analyze bibliometrics, study aims, outcomes, and research networks.
Identify key themes in remote geriatric care using virtual agents.

Main Methods:

Systematic literature review using selected keywords and Covidence.
Bibliometric, network, and thematic analysis of studies (2013-2025).
Five-stage review process: problem identification to presentation.

Main Results:

Studies predominantly used a positivist approach, were multi-authored, and US-led.
Remote VIAs showed positive outcomes in most studies (13/15), often in home settings.
Four key themes emerged: Health/Clinical, Holistic/Cognitive, Home/Caring, Hybrid/Connection.

Conclusions:

Remote VIAs show promise for supporting older adults' health and well-being.
Positivist, US-led research emphasizes objectivity and generalizability in this field.
Findings provide a foundation for future research in remote geriatric care and VIAs.