Conversational agents to improve medication habits among older adults in Mexico: a feasibility study

Authors

DOI:

https://doi.org/10.47756/aihc.y11i1.206

Keywords:

Conversational Agents, voice assistant, older adults, medication adherence, persuasive systems

Abstract

This article presents the design and evaluation of a voice-based Conversational Assistance Agent, developed to improve medication adherence in older adults in Mexico through habit formation. Unlike previous works presenting agents focused on educating patients about the importance of medication consistency, our conversational agent implements a behavioral strategy that helps users associate taking their medication with contextual cues from their daily routines. The agent provides personalized reminders and persuasive messages to reinforce consistency. A 25-week evaluation with five older adults showed positive results, with a significant improvement in medication-taking consistency and a strengthening of the habit that persisted even after the agent's assistance was gradually withdrawn, indicating that it did not create dependency.

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References

Maffoni M., et al. (2020) “Medication adherence in the older adults with chronic multimorbidity: a systematic review of qualitative studies on patient’s experience”. European Geriatric Medicine. vol. 11, no. 3, pp. 369–381.

Insel K. C., Einstein G. O., Morrow D. G., Koerner K. M., y Hepworth J. T. (2016) “Multifaceted Prospective Memory Intervention to Improve Medication Adherence”. Journal of the American Geriatrics Society. vol. 64, no. 3, pp. 561–568.

Stawarz K., Rodríguez M. D., Cox A. L., y Blandford A. (2016) “Understanding the use of contextual cues: design implications for medication adherence technologies that support remembering”. Digital Health. vol. 2, p. 2055207616678707.

Lobo J., Ferreira L., y Ferreira A. J. (2017) “CARMIE”. International Journal of E-Health and Medical Communications. vol. 8, no. 4, pp. 21–37.

Tschanz M., Dorner T. L., Holm J., y Denecke K. (2018) “Using eMMA to Manage Medication”. Computer (Long. Beach. Calif). vol. 51, no. 8, pp. 18–25.

Issom D.-Z., Hardy-Dessources M.-D., Romana M., Hartvigsen G., y Lovis C. (2021) “Toward a Conversational Agent to Support the Self-Management of Adults and Young Adults With Sickle Cell Disease: Usability and Usefulness Study”. Frontiers in Digital Health. vol. 0, pp. 1.

Turner K. J., Gillespie A., y McMichael L. J. (2011) “Rigorous development of prompting dialogues”. Journal of Biomedical Informatics. vol. 44, no. 5, pp. 713–727.

Rodríguez, M. D., García-Vázquez, J. P., Andrade, Á. G. (2021). “Stimulating the Involvement of Family Members in the Medication Management Activities of Older Adults Through Ambient Displays: Qualitative Study”. Computers, informatics, nursing: CIN, vol. 39, no. 12, pp. 992–999.

Valenzuela-Beltrán, M., Andrade, Á. G., Stawarz, K., Rodríguez, M. D. (2022). “A Participatory Sensing Study to Understand the Problems Older Adults Faced in Developing Medication-Taking Habits”. Healthcare, vol. 10, no. 7, pp. 1238.

Rodríguez M. D., Beltrán J., Valenzuela-Beltrán M., Cruz-Sandoval D., y Favela J. (2020) “Assisting older adults with medication reminders through an audio-based activity recognition system”. Personal and Ubiquitous Computing. vol. 25, no. 2, pp. 337–351.

Oinas-Kukkonen, H. Harjumaa, M. (2009). “Persuasive Systems Design: Key Issues, Process Model, and System Features”. Communications of the Association for Information Systems. vol. 24. 10.17705/1CAIS.02428.

Matthews, J., Win, K. T., Oinas-Kukkonen, H., Freeman, M. “Persuasive Technology in Mobile Applications Promoting Physical Activity: a Systematic Review,” Journal of Medical Systems, vol. 40, no. 3, p. 72.

Dijkstra, A. “The persuasive effects of personalization through: name mentioning in a smoking cessation message,” User Modeling and User-Adapted Interaction, vol. 24, no. 5, pp. 393–411.

Vrijens, B., Urquhart, J., & White, D. (2014). “Electronically monitored dosing histories can be used to develop a medication-taking habit and manage patient adherence”. Expert review of clinical pharmacology, vol. 7, No. 5, pp. 633–644.

Rodríguez M. D. y Favela J. (2012) “Assessing the SALSA architecture for developing agent-based ambient computing applications”. Science of Computer Programming. vol. 77, no. 1.

Jones M. T. (2008) “Artificial intelligence: a systems approach”. Hingham, MA: Infinity Science Press.

Morisky D. E., Green L. W., Levine D. M., “Concurrent and Predictive Validity of a Self-reported Measure of Medication Adherence,” Medical Care, vol. 24, no. 1, pp. 67–74.

Verplanken B., Orbell S. “Reflections on Past Behavior: A Self-Report Index of Habit Strength 1,” Journal of Applied Social Psychology, vol. 33, no. 6, pp. 1313–1330

Published

2026-08-14

How to Cite

[1]
Valenzuela Beltrán, M. et al. 2026. Conversational agents to improve medication habits among older adults in Mexico: a feasibility study. Avances en Interacción Humano-Computadora. 11, 1 (Aug. 2026). DOI:https://doi.org/10.47756/aihc.y11i1.206.

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Research Papers

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