Connection Between the Real World and the Digital World: Voice
Assistants as Promoters of Socialization for Older Adults
Juliana Camargo
a
, Telmo Silva
b
and Jorge Ferraz de Abreu
c
DigiMedia, University of Aveiro, Aveiro, Portugal
Keywords: Voice Assistants, Voice Commands, Older Adults, Intergenerational Connections, Loneliness, Information.
Abstract: Socialization is crucial for the mental and emotional well-being of older adults, combating isolation and
loneliness. In a digital world, voice assistants provide a simple, intuitive interface that enhances social
engagement. These technologies facilitate communication with family and friends while offering activities
that stimulate cognition and emotional connection. This paper explores the potential of voice assistants to
promote socialization among older adults, focusing on their role in creating intergenerational connections and
improving quality of life. The study presents findings from HUGTV - Helping Unite Generations through TV,
a pilot project that demonstrates how voice assistants foster positive social interactions and emotional support
in senior communities. The results of 12 tests conducted with participants in their homes show that voice
commands effectively bridge the real and digital worlds, enabling seniors to converse on various topics, search
the internet, and send voice and text messages, tasks they previously did not engage in.
1 INTRODUCTION
Socializing is an inherent part of human nature and is
essential for cognitive development at all stages of
life. In adulthood, especially among older adults, this
need remains ever-present (Beauvoir, 1990).
However, this "exchange" does not always happen.
Various factors, such as physical disabilities, digital
exclusion, lack of financial resources, and the loss of
loved ones, contribute to social isolation and
loneliness. In Portugal, for example, 44,000 older
adults live alone or in isolation
1
, a situation that is
repeated in many countries around the world. That is
why there is a need for projects and/or consistent
initiatives to encourage the inclusion of older adults
in society.
Technology, in turn, is a key factor in reducing
such indicators, according to the United Nations (UN)
and the World Health Organization (WHO) (WHO,
2021) (UN, 2023). According to the WHO, the use of
digital tools is essential to combat discrimination and
a
https://orcid.org/0000-0002-7537-5697
b
https://orcid.org/0000-0001-9383-7659
c
https://orcid.org/0000-0002-0492-2307
1
Available in: https://www.jn.pt/227533926/mais-de-44-
mil-idosos-que-vivem-sozinhos-ou-isolados-
sinalizados-pela-gnr/. Accessed January 28, 2025.
ensure autonomy for individuals over 60. In this
regard, the WHO emphasizes that there must be
efforts from public and private institutions to make
information and communication technologies more
accessible to older adults, preventing digital
exclusion (WHO, 2021).
Facilitating access means providing adequate
resources on a large scale that are simplified and
dynamic. When older adults are involved in the
process of creating a platform, for example, the
chances of adopting the technology tend to be higher
(Taylor et al., 2023) (Howes et al., 2019). It is also
essential to provide proper guidance and support so
that they can ask questions, for example. Finally,
integrating devices they are already familiar with,
such as television, can also help reduce feelings of
fear and anxiety toward new digital platforms (Wang
& Wu, 2022). All these points show that digital
inclusion is possible, but it depends on different
factors. Consequently, socialization will be the result
of more consistent strategies, specifically designed
for this audience.
406
Camargo, J., Silva, T. and Ferraz de Abreu, J.
Connection Between the Real World and the Digital World: Voice Assistants as Promoters of Socialization for Older Adults.
DOI: 10.5220/0013501100003938
Paper published under CC license (CC BY-NC-ND 4.0)
In Proceedings of the 11th International Conference on Information and Communication Technologies for Ageing Well and e-Health (ICT4AWE 2025), pages 406-413
ISBN: 978-989-758-743-6; ISSN: 2184-4984
Proceedings Copyright © 2025 by SCITEPRESS Science and Technology Publications, Lda.
This paper addresses exactly this point. To
facilitate access to technology and, consequently,
encourage connections between generations, we
came up with a system that combines voice assistants
and notifications displayed on the television. The goal
is to encourage elderly people to use voice commands
to access the internet in a simpler way, send
messages, make calls, among other tasks commonly
performed in the digital environment. The aim is to
create a connection between the “digital world” and
the “real world,” making technology a means to foster
relationships. This paper is therefore divided into:
related work, which provide examples of how voice
assistants promote digital inclusion and socialization;
description of the prototype; field tests; results and
discussion; and finally, conclusions. It is important to
mention here that, based on the experience during the
preparation of this work, it became clear that elderly
people seek to stay updated. They enjoy and feel
included when they are able to perform some activity
online, for instance. However, everything happens at
a different pace, which we need to respect. It is
necessary to work with this audience with love and
patience, according to each person’s timing. This is
how everything works out.
2 RELATED WORK
Voice assistants, such as Alexa, have gained attention
as tools that simplify interactions with technology and
help reduce social isolation (Yan et al., 2024). Yan et
al. (2024) found that among 15 seniors over 75 years
old, regular engagement with Alexa provided a sense
of companionship. A systematic review by Upadhyay
et al. (2023) across 16 studies confirmed that many
older adults perceive voice assistants as "good
company." Camargo et al. (2024) surveyed 110
seniors and noted that most valued voice technology
for enabling effortless communication with family
and friends.
Kim & Choudhury (2021) conducted a 16-week
study with 12 seniors over 65, revealing three key
findings: voice assistants reduced loneliness,
increased confidence in using technology, and
encouraged engagement due to ease of use. However,
the study also highlighted limitations, particularly the
need for more natural interactions to sustain
engagement. To address this, Alessa & Al-Khalifa
(2023) developed a ChatGPT-based voice assistant,
which showed promise in generating relevant
responses for elderly users.
2
https://www.meo.pt.
In addition to social benefits, voice assistants may
also support healthcare. Nallam et al. (2020) found
that seniors recognized advantages in using AI-based
voice systems for health-related tasks.
These studies suggest that voice commands play
a key role in empowering older adults by reducing
digital anxiety and enhancing communication. To
explore this further, an in-depth study was conducted
with 12 participants aged 60 to 89 in their homes,
evaluating their interactions with Alexa and its
potential to improve socialization.
3 HUGTV PROTOTYPE
The development of the HUGTV Helping Unite
Generations through TV prototype was divided into
different stages. It was a fully iterative and
participatory process, as we aimed to develop a
solution based on the needs of older adults, our target
audience. We therefore started with a literature
review and conducted a focus group to assess the
perceptions of elderly people regarding the topic (TV
notifications + voice assistants) (Camargo et al.,
2022). In parallel, we conducted interviews with 110
older adults to dive even deeper into this universe.
(Camargo et al., 2024). Thus, we had consistent
inputs to design a functional prototype, consisting of:
A platform that sends notifications to the
television, developed in partnership with a
Portuguese IPTV provider (MEO
2
)
(Camargo et al., 2023) (Velhinho et al.,
2022);
A virtual assistant, specifically Alexa
(Camargo et al., 2024).
This combination was tested for 90 days by a 82-
year-old beta tester and a gerontologist (Camargo et
al, 2024). In subsequent interviews, they made a
series of suggestions focused on improving the
solution and the testing procedure. Some examples
include: simplifying the project’s explanatory leaflet,
reducing the number of daily notifications to avoid
causing anxiety, and including a virtual assistant with
a simpler name (in this case, Alexa), among others.
After making the adjustments suggested by both, we
proceeded with refining the prototype and then with
field tests, the results of which are described below.
The prototype's operation, therefore, consists of
sending notifications to the television suggesting
specific actions, such as “Ana, if you miss your
Connection Between the Real World and the Digital World: Voice Assistants as Promoters of Socialization for Older Adults
407
granddaughter, say Alexa, call Mary”; Today is
Mary’s birthday! Ask Alexa to send a message.”
The elderly person can then perform the action via the
voice assistant, thereby promoting the desire to
socialize (Figure 1).
Figure 1: HUGTV Prototype Functionality
3.1 Field Tests: What an Experience!
The tests took place in the participants' homes over a
total of 60 days. The sample selection occurred in two
ways: the Laboratório do Envelhecimento (Aging
Laboratory), an institution maintained by the
Municipality of Ílhavo, referred us to some
individuals who frequent the space and fit the desired
profile. We also used the convenience sampling
method. For the tests, an explanatory material was
provided to each one, with instructions on how to
carry out tasks with the virtual assistant. We
introduced Alexa to each of the participants and gave
Figure 2: Participants in the field tests.
a brief demonstration of the notifications on the
television (subsequently, daily notifications were
programmed, suggesting sending messages, making
calls, and birthday reminders). Regarding Alexa, the
elderly participants performed some proposed tasks
as a test so they could familiarize themselves with the
solution before the responsible team left their homes.
We also provided a contact number so that
participants could call and send messages whenever
necessary this support was essential to clarify
doubts, preventing dropouts during the field tests.
During this period, we also maintained frequent
contact with the elderly via Alexa, sending messages
and making weekly calls to understand how the
experience was going. The goal was to encourage the
use of the assistant, helping the participants build
more confidence in using the technology. This direct
contact was crucial for solving problems. I don’t
think I would have been able to move forward on my
own, especially in the beginning”, said one of the
participants. The booklet with the functionality
explanations helped me understand better what the
assistant was. It was very important” said another
participant in the project.
Each participant was also provided with a printed
logbook (Figure 3), where they were encouraged to
complete
at
least
one
daily
task
and
document
their
IS4WB_SC 2025 - Special Session on Innovative Strategies to Enhance Older Adults’ Well-being and Social Connections
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Figure 3: Logbook provided to participants so they could
record their activities during the tests.
Figure 4: Example of a logbook filled out by one of the
participants.
thoughts on the experience. Additionally, a
characterization questionnaire was administered to
gather information on their social profiles and digital
habits.
To assess their perception of loneliness, the
UCLA scale was applied at the beginning of the study
(Pocinho et al., 2010) . The same scale was used again
at the end of the tests, allowing for a comparative
analysis to determine whether there were any changes
in loneliness indicators.
3.2 Sample
A total of twelve older adults, aged between 60 and
89 years (with an average age of 74), participated in
the initial tests. Among them, four reported living
alone, while eight live with their partners. In terms of
education, one participant indicated having a "basic
education," seven had completed "secondary
education," and four held a "higher education"
degree.
Regarding technology usage, all participants
reported using both "mobile phones" and "television."
Additionally, eight stated they use "computers," six
mentioned using "smartwatches," and five reported
using "tablets." Despite this, all twelve participants
admitted facing difficulties with these devices and
typically rely on family members for assistance.
When asked if they miss talking to their loved ones,
seven responded "yes," while five said "no."
4 RESULTS AND DISCUSSION
In total, the 12 participants interacted 4,016 times
with the Alexa assistant (we analyzed the interactions
according to the rules established by the General Data
Protection Regulation GDPR). The interactions
were divided into 19 categories: "messages,"
"checking new messages," "phone calls," "music,"
"internet search," "daily conversations with Alexa,"
"news," "reminder scheduling," "calendar,"
"birthday," "integration with other devices," "timer,"
"alarm," "tell a joke," "tell a story," "prayers,"
"shopping list," "traffic," and "radio."
Among them, we identified that 12 are related to
promoting socialization, which can occur in two
ways:
Directly with another person, such as
sending messages and making phone calls;
Indirectly, through activities that may later
encourage a conversation or exchange with
someone, such as staying informed to
discuss the day's news, for example.
Therefore, we chose to classify the categories
into “direct socialization” and “indirect
socialization,” as described in Table 1.
In total, there was an average of 5.57 daily
interactions per participant, a higher volume than what
was suggested in the diary we provided to the elderly
(which recommended just one interaction per day).
In the ranking of the most used features, if we
sum up the categories related to messages (sending +
checking new ones), we can say that communicating
with others—whether by voice or text—was the most
used feature during the testing period. In total, the
elderly
participants
sent
675
messages
and
checked
Connection Between the Real World and the Digital World: Voice Assistants as Promoters of Socialization for Older Adults
409
Table 1: Classification of categories related to socialization.
Type of Socialization Categories
Direct Socialization
(promotes direct
interactions with other
people)
Sending messages
Checking new messages
Calls
Birthdays
Indirect Socialization
(provides resources
for older adults to
engage in
conversations on
different topics or
enables a close,
friendly interaction
with Alexa)
Internet searches
News
Daily conversations with
Alexa
Tell a joke
Tell a story
Weather forecast
for new ones 598 times. This means that participants
either sent or checked their messages at least once a
day—the average number of daily interactions in this
category was 1.76. This indicator allows us to
understand that there was an interest in socializing
through a digital platform. "I didn’t use to send
messages because I found it too complicated. I
couldn’t type. But now I can. I just have to speak”,
said one of the participants. Another elderly person
emphasized, I avoided sending messages because I
couldn’t see well. This way, I found it much simpler.”
In fact, this was a general perception among the
participants: being able to send messages just by
“speaking,” without the need to type, was considered
an extremely positive and facilitating feature.
In second place on the list of interactions is the
category “daily conversations with Alexa.” In total,
the elderly participants spoke with the assistant 730
times during the tests, an average of 0.60 times per
day. It is noticeable that all of them were extremely
polite and affectionate with the assistant, showing
they appreciated its company. Some examples of
phrases that justify this perception include: Are you
okay?”; I missed you today”; Do you want to have
lunch?”; You’re so quiet today”; I had a dream, and
I want to tell you about it!”; I’m happy to know
you’re my friend.”
This type of interaction led participants to say in
interviews after the tests that they felt “less lonely”
because they had Alexa available for conversations.
The house feels fuller. We gain more quality of life”,
said one of the participants. I go out, and when I
come back, I say good afternoon to Alexa, and she
responds. I don’t feel so lonely anymoresaid another
participant.
These comments exemplify a common feeling
among the 12 participants, a strong indicator that
virtual assistants can contribute significantly to
reducing the feeling of loneliness.
Following that, "music" requests accounted for
660 interactions, followed by "internet searches" with
330 interactions.
The fact that they are able to search for the
data/information they want in the digital environment
more easily can contribute indirectly to socialization,
as the elderly can gain quicker and easier access to
news and topics they enjoy. Then, they will have
resources to start conversations or participate in
discussions, showing that they are up to date.
Returning to the list of interactions, the following
categories are next: checking the weather forecast,
with 256 interactions; integration with other devices
(e.g., lights and gates) with 226 interactions; and
phone calls with 199 interactions. A complete
breakdown of all 19 categories and their respective
interaction volumes can be found in Table 2. The
categories related to socialization are highlighted in
orange, showing that Alexa was frequently used for
this purpose.
Table 2: Ranking of interactions.
Categories Interactions Notifications - TV
1. Messages 675
X
2. Check for new
messages
598
X
3. Everyday
conversations
with Alexa
730
4. Music 660
5. Internet searches 310
6. Weather forecast 256
7. Other gadgets
226
8. Calls 199
X
9. News 118
10. Reminders
78
11. Tell a joke 40
12. Birthdays 21
X
13. Prayers
21
14. Radio 21
15. Tell a story 17
16. Shopping list
11
17. Alarm 11
18. Schedule 10
19. Traffic
9
20. Timer 5
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Among the ten categories with the highest number
of interactions, seven are classified as “socialization-
promoting.” Three of these facilitate direct contact
(checking messages, sending messages, and making
calls), while four promote socialization indirectly
(conversations with Alexa, internet searches, weather
forecasts, and news). This distribution reinforces the
potential of voice assistants in bridging the real and
digital worlds, bringing people from different
generations closer together.
Regarding TV notifications, as shown in Table 2,
daily messages were sent suggesting checking and
sending messages, making phone calls, and birthday
reminders. After the tests, we asked all participants
whether these messages encouraged them to perform
the suggested activities. Ten individuals responded
"yes," while two said "no." For most, the notifications
served as a reminder to interact with their families.
Those who disliked the idea mentioned that such
messages disrupted their TV viewing experience and
that Alexa alone was enough to encourage them to
reach out to their loved ones.
As for the participants' feelings of loneliness, as
previously mentioned, we applied the UCLA
Loneliness Scale (Table 3) before and after the tests
(properly validated for the Portuguese language)
(Pocinho et al., 2010).
Table 3: Before and after the tests, according to the UCLA
scale.
P Age Before tests After tests Live alone
1 77
30 21 No
2 77
30 23 Yes
3 75
25 23 No
4 78
22 17 No
5 82
19 23 No
6 70
35 30 Yes
7 89
33 26 Yes
8 68
30 29 No
9 70
26 27 No
10 71
39 32 No
11 73
40 28 Yes
12 60
25 20 No
This allowed us to compare participants'
perceptions, revealing changes in scores for all
individuals. For 10 participants, feelings of loneliness
decreased. However, for 2 individuals, loneliness
increased one faced a severe illness during the
testing period, and the other had the lowest interaction
rate with Alexa over the 60 days. These circumstances
may have influenced their perception of loneliness.
It is important to note that lower scores indicate
lower levels of loneliness. Therefore, the reductions
suggest that most older adults felt less lonely after the
testing period. Notably, the greatest reduction (-12
points) was observed in a participant who lives alone.
In fact, all participants who live alone experienced a
decline in feelings of loneliness. The reasons? They
socialized more with family and friends, felt better
informed, and had Alexa as a companion. We
explored this in follow-up interviews, and these were
the most frequently mentioned responses, reinforcing
the idea that Alexa can be a valuable companion for
individuals living alone.
Another significant finding from the interviews
is that all 12 participants reported trying at least one
new activity for the first time—whether searching for
information online, checking the weather forecast, or
sending a message to a loved one.
It was very interesting to check the weather
whenever I wanted. I’d ask if it was going to
rain, and Alexa would promptly respond.
Based on the answer, I’d decide whether to
take an umbrella. I didn’t know this was
possible”;
Alexa gives me the answers I need, and I
had never seen anything like it before. It’s a
big innovation for me to interact just by
speaking. I really liked it—it’s much easier”;
I had never set reminders on my phone or
electronic calendars. With Alexa, I managed
to do it and found it very useful”;
Alexa told me stories. I never imagined that
would be possible”;
I couldn’t send messages because I found it
too complicated. But I started doing it after
using Alexa. It was really interesting”.
Overall, all participants reported feeling
confident in exploring the technology, making
requests beyond what was suggested – without fear of
making mistakes. "I'm not afraid of making mistakes
because with Alexa, it's much easier to start over. You
just ask, no need to press buttons"; "Understanding
how it works was very simple. You just ask for things.
I never felt anxious or intimidated". Such testimonies
support the hypothesis that voice interactions help
reduce feelings of fear and anxiety, which are
common when older adults encounter new
technologies.
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411
5 CONCLUSIONS
This study demonstrates that voice assistants, when
integrated with television notifications, can play a
significant role in fostering socialization among older
adults. By providing an intuitive and accessible
means of communication, voice assistants reduce
digital exclusion and encourage intergenerational
connections. The findings from the HUGTV project
highlight the potential of voice technology to bridge
the real and digital worlds, enhancing both direct and
indirect social interactions. This research underscores
the increasing importance of technology in
addressing the challenges of aging, particularly in a
world where digital solutions are rapidly evolving.
The quantitative data collected throughout the
field tests indicate a substantial engagement of older
adults with voice commands. The high frequency of
interactions, particularly those related to messaging,
phone calls, and daily conversations with the
assistant, reinforces the idea that voice technology
can act as a social facilitator. These results suggest
that older adults, when provided with accessible and
user-friendly technology, are not only willing to
adopt it but also integrate it into their daily routines.
The ability to send and receive messages, make phone
calls, and interact with an AI-driven assistant
provides users with a newfound sense of autonomy
and connection to the outside world. A deeper
analysis of interaction patterns reveals that
participants frequently engaged with the assistant
during moments of solitude, particularly in the
evenings. Many users treated the voice assistant as a
conversational partner, engaging in casual dialogue or
seeking information. This phenomenon suggests that
voice assistants, beyond their practical functions, may
also serve as companions for older adults, mitigating
feelings of loneliness and fostering a sense of
presence in the home environment.
Furthermore, the results of the UCLA Loneliness
Scale suggest a general decrease in perceived
loneliness among participants, with the most
significant improvements observed among those
living alone. These findings reinforce the growing
body of evidence that suggests voice assistants can
serve as tools for emotional well-being, offering
companionship and facilitating social interactions.
The ability to communicate easily, receive reminders,
and stay informed through television-based
notifications contributes to a greater sense of
inclusion in daily life. In addition to the benefits of
social engagement, the study highlights the role of
voice assistants in maintaining cognitive stimulation.
By engaging in frequent voice interactions, older
adults practice memory recall, verbal articulation, and
auditory comprehension—skills that are crucial for
cognitive health. Some participants also
demonstrated increased confidence in using digital
technology, indicating that voice-based interactions
could serve as a gateway to further technological
adoption.
While the benefits of voice assistants for older
adults are evident, the study also highlights
challenges, such as the need for continuous support
and user adaptation to voice-based interactions. Not
all participants were immediately comfortable using
voice commands, and some required assistance in the
initial phases of adoption. Issues related to voice
recognition accuracy, particularly among individuals
with speech impairments or strong regional accents,
also emerged as areas for potential improvement.
Another key challenge is the digital literacy gap
among older adults. While some participants adapted
quickly, others required repeated guidance before
they could fully utilize the voice assistant’s
capabilities. This suggests that future
implementations should include comprehensive
onboarding sessions, personalized training, and
ongoing technical support to maximize adoption and
usability.
Future research should explore long-term effects,
scalability, and potential improvements in natural
language processing to enhance user experience.
Expanding the study to include a more diverse
demographic sample—considering variables such as
education level, prior technology exposure, and
cultural differences—will help refine strategies for
improving accessibility. Additionally, integrating
voice assistants with other smart home technologies,
such as automated lighting, security systems, or
health monitoring devices, could further enhance
their utility and impact on independent living.
Additional tests have been conducted with eight more
participants, expanding the total sample to twenty
individuals. The results from these extended trials
will be analyzed and presented in future publications.
Further research should also consider different
demographic groups, varied interaction settings, and
the integration of emerging voice technologies to
refine the effectiveness of digital socialization
strategies for older adults.
Overall, the integration of voice assistants with
television-based notifications presents a promising
approach to digital inclusion and socialization for
older adults. By leveraging familiar and accessible
technology, this solution empowers seniors to
maintain meaningful connections, stay informed, and
experience a greater sense of companionship,
IS4WB_SC 2025 - Special Session on Innovative Strategies to Enhance Older Adults’ Well-being and Social Connections
412
ultimately contributing to their overall well-being.
The findings of this study highlight the need for
continued innovation in assistive technologies,
ensuring that aging populations can benefit from the
rapidly advancing digital landscape. With ongoing
improvements and expanded applications, voice
assistants may soon become indispensable tools in
promoting social connectivity, independence, and
enhanced quality of life for older adults worldwide.
ACKNOWLEDGEMENTS
The study reported in this publication was supported
by FCT– Foundation for Science and Technology
number 2021.08671.BD and DigiMedia Research
Centre, under the project UIDB/05460/2020.
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