What Does ChatGPT Know About Dementia? A Comparative Analysis of Information Quality.

The quality of information about dementia retrieved using ChatGPT is unknown. Content was evaluated for length, readability, and quality using the QUEST, a validated tool, and compared against online material from three North American organizations. Both sources of information avoided conflicts of interest, supported the patient-physician relationship, and used a balanced tone. Official bodies but not ChatGPT referenced identifiable research and pointed to local resources. Users of ChatGPT are likely to encounter accurate but shallow information about dementia. Recommendations are made for information creators and providers who counsel patients around digital health practices.

Social robotics for children: an investigation of manufacturers' claims.

As the market for commercial children's social robots grows, manufacturers' claims around the functionality and outcomes of their products have the potential to impact consumer purchasing decisions. In this work, we qualitatively and quantitatively assess the content and scientific support for claims about social robots for children made on manufacturers' websites. A sample of 21 robot websites was obtained using location-independent keyword searches on Google, Yahoo, and Bing from April to July 2021. All claims made on manufacturers' websites about robot functionality and outcomes (n = 653 statements) were subjected to content analysis, and the quality of evidence for these claims was evaluated using a validated quality evaluation tool. Social robot manufacturers made clear claims about the impact of their products in the areas of interaction, education, emotion, and adaptivity. Claims tended to focus on the child rather than the parent or other users. Robots were primarily described in the context of interactive, educational, and emotional uses, rather than being for health, safety, or security. The quality of the information used to support these claims was highly variable and at times potentially misleading. Many websites used language implying that robots had interior thoughts and experiences; for example, that they would love the child. This study provides insight into the content and quality of parent-facing manufacturer claims regarding commercial social robots for children.

Towards emotionally aligned social robots for dementia: perspectives of care partners and persons with dementia.

BACKGROUND: Persons living with dementia and their care partners place a high value on aging in place and maintaining independence. Socially assistive robots - embodied characters or pets that provide companionship and aid through social interaction - are a promising tool to support these goals. There is a growing commercial market for these devices, with functions including medication reminders, conversation, pet-like behaviours, and even the collection of health data. While potential users generally report positive feelings towards social robots, persons with dementia have been under-included in design and development, leading to a disconnect between robot functions and the real-world needs and desires of end-users. Furthermore, a key element of social and emotional connectedness in human relationships is emotional alignment - a state where all partners have congruent emotional understandings of a situation. Strong emotional alignment between users and robots will be necessary for social robots to provide meaningful companionship, but a computational model of how to achieve this has been absent from the field. To this end, we propose and test Affect Control Theory (ACT) as a framework to improve emotional alignment between older adults and social robotics. METHOD: Using a Canadian online survey, we introduced respondents to three exemplar social robots with older adult-specific functionalities and evaluated their responses around features, emotions, and ethics using standardized and novel measures (n=171 older adults, n=28 care partners, and n=7 persons living with dementia). RESULT: Overall, participants responded positively to the robots. High priority uses included companionship, interaction, and safety. Reasoning around robot use was pragmatic; curiosity and entertainment were motivators to use, while a perceived lack of need and the mechanical appearance of the robots were detractors. Realistic, cute, and cuddly robots were preferred while artificial-looking, creepy, and toy-like robots were disliked. Most importantly, our evidence supported ACT as a viable model of human-robot emotional alignment. CONCLUSION: This work supports the development of emotionally sophisticated, evidence-based, and user-centered social robotics with older adult- and dementia-specific functionality.

User perspectives on emotionally aligned social robots for older adults and persons living with dementia.

Introduction: Socially assistive robots are devices designed to aid users through social interaction and companionship. Social robotics promise to support cognitive health and aging in place for older adults with and without dementia, as well as their care partners. However, while new and more advanced social robots are entering the commercial market, there are still major barriers to their adoption, including a lack of emotional alignment between users and their robots. Affect Control Theory (ACT) is a framework that allows for the computational modeling of emotional alignment between two partners. Methods: We conducted a Canadian online survey capturing attitudes, emotions, and perspectives surrounding pet-like robots among older adults (n = 171), care partners (n = 28), and persons living with dementia (n = 7). Results: We demonstrate the potential of ACT to model the emotional relationship between older adult users and three exemplar robots. We also capture a rich description of participants' robot attitudes through the lens of the Technology Acceptance Model, as well as the most important ethical concerns around social robot use. Conclusions: Findings from this work will support the development of emotionally aligned, user-centered robots for older adults, care partners, and people living with dementia.

Community and Provider Evaluation of a Canadian Dementia Support Services Program.

Background: Community programs and services dedicated to support those living with dementia and care partners can improve their quality of life. In close collaboration with the Alzheimer Society of British Columbia, we evaluated the First Link® dementia support services, aiming to identify key strengths and areas of improvements to inform the services offered. Methods: A survey instrument was developed and distributed to people living with dementia, care partners, and health-care providers. Results: A total of 1,123 surveys were analyzed. Overall, respondents were satisfied with First Link dementia support services. Key strengths of the program included providing information and education for their clients to learn more about dementia and other resources in the community. Areas for improvement that were identified as part of this evaluation included additional supports for participants' mental health and well-being in terms of reducing stress, burden and isolation. Findings uncovered discrepancies in the way people living with dementia, care partners, and health-care providers view the effectiveness of the First Link dementia support services. Conclusion: An evaluation of programs and services for people living with dementia and their care partners can provide valuable insights about their experiences which can ensure that their needs are addressed.

Older adult perspectives on emotion and stigma in social robots.

Introduction: Social robot adoption by older adults and people living with dementia is limited by several barriers, including a lack of emotional alignment with social robots and perceptions of stigma around social robot use. The goal of this work was to address these barriers by engaging end-users in discussions on factors that could affect emotional connection to a social robot and considerations around using a social robot in public. Methods: We conducted seven 90-min online workshops with older adults with (n = 2) and without dementia (n = 25) and care partners (n = 17). Older adults with and without dementia were in their 50s - 80s, and care partners were in their 30s - 70s. Seven older adults, seven care partners, and one older adult with dementia indicated that they had used a robot before. Online workshops had 4-8 participants each, and began with video demonstrations of pet-like robot MiRo and tabletop robot T-Top, as well as a live demonstration of MiRo. Participants completed the Multi-Dimensional Robot Attitude Scale before the workshops and the Psychosocial Impact of Assistive Devices Scale and two Zoom polls during the workshops. The audio and chat responses from the workshops were transcribed verbatim and content analysis was performed on the transcripts. Results: Our analysis revealed three broad themes and 10 subthemes. In their discussions on features and applications, participants highlighted preferred forms of communication with a robot and ways in which a robot could support connection between people. For example, robots could improve the quality of communication between care partners and the person for whom they care. While many agreed that a social robot should match their level of emotion and interactivity, participants had different preferences for social robot emotional range and display features. Finally, participants discussed considerations around showing a robot to other people; several participants suggested that a robot could help raise awareness of ageing and dementia while others shared concerns about stigma and attracting negative attention from an audience. Discussion: Incorporating these findings into the design and implementation of social robots will result in devices that are better-suited to the needs of older adults, people living with dementia, and care partners.

Social modulation of on-screen looking behaviour.

While passive social information (e.g. pictures of people) routinely draws one's eyes, our willingness to look at live others is more nuanced. People tend not to stare at strangers and will modify their gaze behaviour to avoid sending undesirable social signals; yet they often continue to monitor others covertly "out of the corner of their eyes." What this means for looks that are being made near to live others is unknown. Will the eyes be drawn towards the other person, or pushed away? We evaluate changes in two elements of gaze control: image-independent principles guiding how people look (e.g. biases to make eye movements along the cardinal directions) and image-dependent principles guiding what people look at (e.g. a preference for meaningful content within a scene). Participants were asked to freely view semantically unstructured (fractals) and semantically structured (rotated landscape) images, half of which were located in the space near to a live other. We found that eye movements were horizontally displaced away from a visible other starting at 1032 ms after stimulus onset when fractals but not landscapes were viewed. We suggest that the avoidance of looking towards live others extends to the near space around them, at least in the absence of semantically meaningful gaze targets.

The Impact of a Global Pandemic on People Living with Dementia and Their Care Partners: Analysis of 417 Lived Experience Reports.

BACKGROUND: The COVID-19 pandemic is impacting the physical and emotional health of older adults living with dementia and their care partners. OBJECTIVE: Using a patient-centered approach, we explored the experiences and needs of people living with dementia and their care partners during the COVID-19 pandemic as part of an ongoing evaluation of dementia support services in British Columbia, Canada. METHODS: A survey instrument was developed around the priorities identified in the context of the COVID-19 and Dementia Task Force convened by the Alzheimer Society of Canada. RESULTS: A total of 417 surveys were analyzed. Overall, respondents were able to access information that was helpful for maintaining their own health and managing a period of social distancing. Care partners reported a number of serious concerns, including the inability to visit the person that they care for in long-term or palliative care. Participants also reported that the pandemic increased their levels of stress overall and that they felt lonelier and more isolated than they did before the pandemic. The use of technology was reported as a way to connect socially with their loved ones, with the majority of participants connecting with others at least twice per week. CONCLUSION: Looking at the complex effects of a global pandemic through the experiences of people living with dementia and their care partners is vital to inform healthcare priorities to restore their quality of life and health and better prepare for the future.

I spy without my eye: Covert attention in human social interactions.

Looking at other people allows us to collect information about them, but it can also reveal our attentional state when we would rather conceal it. We report that individuals spontaneously employ sustained covert monitoring, rather than direct looking, when evaluating the actions of a live stranger. In contrast, individuals look directly at the actions of a stranger on video. We argue that the ability to secretly monitor live others without executing a look towards them is an important process that compensates for the risk of looking directly during certain social situations. Covert monitoring allows people to avoid visually communicating to others that they are the focus of one's attention. This represents a previously undocumented function of covert attention outside of the laboratory. It suggests that the relationship between covert attention and looking is dynamic and likely to be foundational to the successful navigation of real-world social situations.

Similar social presence effects when reaching for real and digital objects.

Though digital images and real objects are represented differently at a neural level and can evoke different behaviours, little work has directly compared the magnitude of social effects on real and digitally represented stimuli. Object-directed reaches are modified in the near space of others, while image-directed reaches are not, but the exact role of the presence versus location of the other person is unknown (Dosso and Kingstone, 2018). The present work probed the unique contribution of social presence (a passive observer) in shaping object- and image-directed reaching behaviour. In a shape-matching game, movements were performed more slowly and less efficiently when participants were observed by the experimenter, regardless of whether participants handled real objects or digital images. Our finding that social presence affects real- and image-directed reaches similarly supports the continued use of computer-generated objects to approximate human behaviour towards real objects when social effects on object-directed actions are studied.

Audiovisual Integration During Joint Action: No Effects for Motion Discrimination and Temporal Order Judgment Tasks.

In daily life, humans constantly process information from multiple sensory modalities (e.g., visual and auditory). Information across sensory modalities may (or may not) be combined to form the perception of a single event via the process of multisensory integration. Recent research has suggested that performing a spatial crossmodal congruency task jointly with a partner affects multisensory integration. To date, it has not been investigated whether multisensory integration in other crossmodal tasks is also affected by performing a task jointly. To address this point, we investigated whether joint task performance also affects perceptual judgments in a crossmodal motion discrimination task and a temporal order judgment task. In both tasks, pairs of participants were presented with auditory and visual stimuli that might or might not be perceived as belonging to a single event. Each participant in a pair was required to respond to stimuli from one sensory modality only (e.g., visual stimuli only). Participants performed both individual and joint conditions. Replicating earlier multisensory integration effects, we found that participants' perceptual judgments were significantly affected by stimuli in the other modality for both tasks. However, we did not find that performing a task jointly modulated these crossmodal effects. Taking this together with earlier findings, we suggest that joint task performance affects crossmodal results in a manner dependent on how these effects are quantified (i.e., via responses time or accuracy) and the specific task demands (i.e., whether tasks require processing stimuli in terms of location, motion, or timing).

Attention and awareness: Representation of visuomotor space in split-brain patients.

Each cerebral hemisphere primarily controls and receives sensory input with regard to the contralateral hand. In the disconnected brain (split-brain), when the hands are uncrossed, direct visual access to each hand is available to the controlling (contralateral) hemisphere. However, when a hand crosses the midline, visual and tactile information regarding the hand are presented to different hemispheres. It is unknown how a contralateral hemisphere codes the position and orientation of a visually inaccessible hand in the disconnected brain. The present work addresses this issue. We ask how each hemisphere represents "its" hand across hand positions that span the midline in the absence of cortical input from the contralateral hemisphere. In other words, when a hand is placed across the midline and is visually inaccessible, is it represented by the controlling hemisphere: (1) in accordance with its new position with respect to the body (e.g., a left hand "becomes" a right effector when it crosses the midline), (2) with left/right position information unaltered (e.g., the left hand is represented as "left" regardless of its location), or (3) stripped of its location information altogether? The relationship between hand position and the spatial codes assigned to potential responses (an index of hand representation) was investigated in two split-brain patients using direct (Experiment 1) and orthogonal (Experiment 2) S-R compatibility paradigms. S-R compatibility effects in split-brain patients were consistent with those displayed by typical individuals. These findings suggest that position-based compatibility effects do not rely on cross-cortical connections. Rather, each hemisphere can accurately represent the full visuomotor space, a process that appears to be subserved by subcortical connections between the hemispheres.

Social modulation of object-directed but not image-directed actions.

There has recently been an increased research focus on the influence of social factors on human cognition, attention, and action. While this represents an important step towards an ecologically valid description of real-world behaviour, this work has primarily examined dyads interacting with virtual stimuli i.e. on-screen images of objects. Though differences between actions to images and real items are known, their relative sensitivity to social factors is largely unknown. We argue that because images and real items elicit different neural representations, patterns of attention, and hand actions, a direct comparison between the magnitude of social effects while interacting with images and real objects is demanded. We examined patterns of reaching as individuals performed a shape-matching game. Images and real objects were used as stimuli, and social context was manipulated via the proximity of an observer. We found that social context interacted with stimulus type to modulate behaviour. Specifically, there was a delay in reaching for distant objects when a participant was facing another individual but this social effect only occurred when the stimuli were real objects. Our data suggest that even when images and real objects are arranged to share the affordance of reachability, they differ in their sensitivity to social influences. Therefore, the measurement of social effects using on-screen stimuli may poorly predict the social effects of actions directed towards real objects. Accordingly, generalizations between these two domains should be treated with caution.

The Influence of Co-action on a Simple Attention Task: A Shift Back to the Status Quo.

There is a growing consensus among researchers that a complete description of human attention and action should include information about how these processes are informed by social context. When we actively engage in co-action with others, there are characteristic changes in action kinematics, reaction time, search behavior, as well as other processes (see Sebanz et al., 2003; Becchio et al., 2010; Wahn et al., 2017). It is now important to identify precisely what is shared between co-actors in these joint action situations. One group recently found that participants seem to withdraw their attention away from a partner and toward themselves when co-engaged in a line bisection judgment task (Szpak et al., 2016). This effect runs counter to the typical finding that attention is drawn toward social items in the environment (Birmingham et al., 2008, 2009; Foulsham et al., 2011). As such, the result suggests that joint action can uniquely lead to the withdrawal of covert attention in a manner detectable by a line bisection task performed on a computer screen. This task could therefore act as a simple and elegant measure of interpersonal effects on attention within particular pairs of participants. For this reason, the present work attempted to replicate and extend the finding that attention, as measured by a line-bisection task, is withdrawn away from nearby co-actors. Overall our study found no evidence of social modulation of covert attention. This suggests that the line bisection task may not be sensitive enough to reliably measure interpersonal attention effects - at least when one looks at overall group performance. However, our data also hint at the possibility that the effect of nearby others on the distribution of attention may be modulated by individual differences.

A study of reaching actions in walking infants.

Acquiring motor skills transforms the perceptual and cognitive world of infants and expands their exploratory engagement with objects. This study investigated how reaching is integrated with walking among infant walkers (n=23, 14.5-15.5 months). In a walk-to-reach paradigm, diverse object retrieval strategies were observed. All infants were willing to use their upper and lower bodies in concert, and the timing of this coordination reflected features of their environment. Infants with an older walking age (months since walking onset) retrieved items more rapidly and exploited their non-reaching hand more effectively during object retrieval than did same-age infants with a younger walking age. This suggests that the actions of the upper- and lower-body are flexibly integrated and that this integration may change across development. Mechanisms that shape sophisticated upper-body use during upright object retrieval are discussed. Infants flexibly integrate emerging motor skills in the service of object retrieval in ways not previously documented.

Crawling and walking infants encounter objects differently in a multi-target environment.

From birth, infants move their bodies in order to obtain information and stimulation from their environment. Exploratory movements are important for the development of an infant's understanding of the world and are well established as being key to cognitive advances. Newly acquired motor skills increase the potential actions available to the infant. However, the way that infants employ potential actions in environments with multiple potential targets is undescribed. The current work investigated the target object selections of infants across a range of self-produced locomotor experience (11- to 14-month-old crawlers and walkers). Infants repeatedly accessed objects among pairs of objects differing in both distance and preference status, some requiring locomotion. Overall, their object actions were found to be sensitive to object preference status; however, the role of object distance in shaping object encounters was moderated by movement status. Crawlers' actions appeared opportunistic and were biased towards nearby objects while walkers' actions appeared intentional and were independent of object position. Moreover, walkers' movements favoured preferred objects more strongly for children with higher levels of self-produced locomotion experience. The multi-target experimental situation used in this work parallels conditions faced by foraging organisms, and infants' behaviours were discussed with respect to optimal foraging theory. There is a complex interplay between infants' agency, locomotor experience, and environment in shaping their motor actions. Infants' movements, in turn, determine the information and experiences offered to infants by their micro-environment.