An empirical study on the alleviation of loneliness of the elderly by AI intelligent voice robot based on CAC model

Abstract

With the intensification of population aging, the loneliness problem of the elderly has become a global focus. Loneliness not only seriously affects the physical and mental health of the elderly, but also accelerates the de- cline of their quality of life. As an emerging technology, AI intelligent voice robots have various functions such as health monitoring and interactive entertainment. Western countries have widely applied them to the care and companionship of the elderly and achieved initial results. Based on the CAC model (Cognition - Emotion - Intention Model), this paper takes the subjective cognition of the elderly as the independent variable, the emo- tional response of the elderly as the mediating variable, and uses social surveys as a means. Through empirical testing methods, it verifies that external variable factors such as loneliness trigger the elderly’s internal needs for emotional companionship and health management, and further lead to their different degrees of media use of AI intelligent voice robots. The research findings are as follows: (1) The level of the elderly’s cognition and emotional tendency can positively predict the degree of media use of AI intelligent voice robots by the elderly. (2) The loneliness of the elderly can positively predict the emotional tendency of the elderly. (3) The level of the elderly’s cognition can positively predict the emotional tendency of the elderly, and there is a chain

- mediating relationship between them. (4) The level of the elderly’s cognition and emotional tendency play a complete mediating role in the model. (5) The gender of the elderly plays a moderating role in the above - mentioned chain - mediating relationship. This study attempts to provide an empirical theoretical basis for the effective alleviation of the elderly’s loneliness by AI intelligent voice robots.

Keywords

elderly people / CAC model / AI intelligent voice robot / loneliness

References

[1] National Bureau of Statistics. Wang Pingping: The decline in the total population has narrowed and the quality of the population continues to improve[N](2025-1-17)

[2] The Central People›s Government of the People›s Republic of China. General Office of the State Council on the development of silver economy and promotion of the well-being of the elderly[N] (2024-1-11)

[3] Sar AH, Göktürk GY, Tura G, Kazaz N. Is the Internet use an effective method to cope with el- derly loneliness and decrease loneliness symptom?. Procedia. ( 2012) 55:1053-9. doi: 10.1016/j.sb- spro.2012.09.597

[4] Tomaka J, Thompson S, Palacios R. The relation of social isolation, loneliness, and so- cial support to disease outcomes among the elderly. J Aging Health. ( 2006) 18:359-84. doi: 10.1177/0898264305280993

[5] Zhao Hongyan, Liu Feng. Emotional Loss and Support of the Elderly in the New Media Era —— A Case Study of Elderly Star Chasing[J]. Journalism Knowledge, 2022, (04):3-8.

[6] Li Qianqian, Zhou Zongkui. The Impact of Social Isolation on Problematic Social Network Use: Intentional Self-Regulation and the Chain Mediating Role of Quasi-Social Relationships[C]// Chinese Psychological Society. Abstract Collection of the 25th National Psychology Academic Conference—— Special Symposium. Key Laboratory of Adolescent Online Psychology and Behavior; School of Psychology, Central China Normal University, and Hubei Provincial Key Laboratory of Human De- velopment and Mental Health; 2023:2.DOI:10.26914/c.cnkihy.2023.066711.

[7] You Wubing. The «Sheltering» and «Unsheltering» of Digital Identity for the Elderly from an Eth- ical Perspective[J]. Journal of Zhongzhou, 2024, (10):98-106.

[8] Wu Lin, Zhao Lijuan. Digital Health Literacy and the Resolution of Anxiety in the Elderly[J]. Journal of South China Normal University (Social Sciences Edition), 2022(4):72-83+206.

[9] Liu Hengrong, Shang Xiuhua, Wang Ying, et al. The Impact of Loneliness on Depression in Ru- ral Elderly People: The Mediating Role of Self-identity[J]. Chinese Journal of Health Psychology, 2022, 30(11):1607-1611

[10] Li Yuanlei, Kang Zheng, Li Yuehuan, et al. Analysis of the Elderly›s Pension Demand and Influencing Factors in Rural Areas of 5 Provinces in China[J]. Chinese Journal of Public Health, 2021, 37(8):1219-1222.

[11] Dai Guofeng, Zhao Hongmei, Wang Zhihui, et al. Exploration and Practice of an AI Digital Hu- man System for Emotional Care of the Elderly[J]. China-Arab Science and Technology Forum (Chi- nese-English), 2025, (02):55-59.

[12] Liu Jianjun, Wang Yaru, Xu Wei. A Review of Service Design Research on Smart Elderly Care Platforms[J]. Design, 2022, 35(21):114-116.

[13] Cai Zhengru, Yang Xiaobo. Research on the Current Status and Future Application Models of Smart Elderly Care[J]. Science & Technology Information, 2023, 21(3):241-244.

[14] Patil U.; Braun K.L. Interventions for Loneliness in Older Adults: A Systematic Review of Re- views. Front. Public Health 2024, 12, 1427605.

[15] Eiko Takano, Shotaro Yasuda, Akira Nagaoka, Atsushi Tsukahara, Akifumi Tamaoki and Izumi Kondo. Reducing Loneliness in an Older Male Using a Conversational AI Robot: A Single Case Study. Gerontol & Geriatric Stud. 9(2). GGS. 000710. 2024.DOI: 10.31031/GGS.2024.09.000710 Abbreviations: AI: Artificial Intelligence; QOL: Quality of Life; SUS: System Usability Scale

[16] Budd, Brenna. «Smart speaker use and psychological well-being among older adults. » University of Cambridge, Newnham College ( 2020).

[17] Mai, Hanwen and Yu Sun. «ChatForSenior: An Intelligent ChatBot Communication System for Depression Relief using Artificial Intelligence and Natural Language Processing.» CS & IT Confer- ence Proceedings. Vol. 12. No. 12. CS & IT Conference Proceedings, 2022.

[18] Budd, Brenna. «Smart speaker use and psychological well-being among older adults. » University of Cambridge, Newnham College ( 2020).

[19] YUMA Senior Living. Ten Ways That Computer Technology Might Help Seniors Combat Lone- liness[N](2023-10-5)

[20] Hu Jinhui, Bi Yukun. Digital Innovation Design and Cultural Dissemination of Ethnic Picture Books in the Digital Age[J]. Shoe Technology and Design, 2024, 4(16):102-104.

[21] Portet F, Vacher M, Golanski C, Roux C, Meillon B. Design and evaluation of a smart home voice interface for the elderly: acceptability and objection aspects. Person Ubiquitous Comput. ( 2013) 17:127-44. doi: 10.1007/s00779-011-0470-5

[22] Pradhan A, Findlater L, Lazar A. “Phantom Friend” or “Just a Box with Information” personifi- cation and ontological categorization of smart speaker-based voice assistants by older adults. In: Pro- ceedings of the ACM on Human-Computer Interaction 3, no. CSCW. Boston, MA ( 2019) 1-21. doi: 10.1145/3359316

[23] Portet F, Vacher M, Golanski C, Roux C, Meillon B. Design and evaluation of a smart home voice interface for the elderly: acceptability and objection aspects. Person Ubiquitous Comput. ( 2013) 17:127-44. doi: 10.1007/s00779-011-0470-5

[24] Epley N, Waytz A, Cacioppo JT. On seeing human: a three-factor theory of anthropomor- phism. Psychol Rev. ( 2007) 114:864. doi: 10.1037/0033-295X.114.4.864

[25] De Graaf MM, Allouch SB. Exploring influencing variables for the acceptance of social ro- bots. Robot Auton Syst. ( 2013) 61:1476-86. doi: 10.1016/j.robot.2013.07.007

[26] Epley N, Waytz A, Akalis S, Cacioppo JT. When we need a human: Motivational determinants of anthropomorphism. Soc Cogn. ( 2008) 26:143-55. doi: 10.1521/soco.2008.26.2.143

[27] Chérif E, Lemoine JF. Anthropomorphic virtual assistants and the reactions of Inter- net users: An experiment on the assistant›s voice. Rech Appl Market. ( 2019) 34:28-47. doi: 10.1177/2051570719829432

[28] Overseas Network. «AI + pension» a better old age ( «Rong») View China)[N] (2024-5-20)

[29] Simpson J, Gaiser F, Macík M, Breßgott T. Daisy: a friendly conversational agent for older adults. In:Proceedings of the 2nd Conference on Conversational User Interfaces. Bilbao ( 2020). p. 1-3.

[30] Yu Guoming, Chen Xuejiao. Media Use, Health Perception, and Behavioral Intentions of Chi- nese Residents in the New Communication Ecosystem —— Construction of a Health Communication Model Based on COVID-19 Vaccination[J]. Journalism and Writing, 2021, (11):67-76.

[31] Xu L, Shi L, Wang X, Wan Y and Fan Z (2023) Can tourists become disciples? The formation and mechanism of place conversion in traditional Chinese villages. Front. Psychol. 14:1301127.doi: 10.3389/fpsyg.2023.1301127

[32] Mischel, Walter; Shoda, Yuichi (1995). «A cognitive-affective system theory of personality: Recon- ceptualizing situations, dispositions, dynamics, and invariance in personality structure». Psychological Review. 102 (2): 246-268. doi:10.1037/0033-295X.102.2.246. PMID 7740090. S2CID 5944664.

[33] Xiao Shuiyuan (1994). Theoretical basis and research application of social support assessment scale. Journal of Clinical Psychiatry, 4 (2),98-100.

[34] Bond F. W., Hayes S. C., et al. (2011). Behavior Therapy, 42, 676-688

[35] Stein, Jan-Philipp, et al. «Attitudes towards AI: measurement and associations with personali- ty.» Scientific Reports 14.1 ( 2024): 2909.

[36] Dai Guofeng, Zhao Hongmei, Wang Zhihui, et al. Exploration and Practice of an AI Digital Hu- man System for Emotional Care of the Elderly[J]. China-Arab Science and Technology Forum (Chi- nese-English), 2025, (02):55-59.

[37] Intelligent technology. Introduction to the functions of voice robot models[N](2025-3-14)

[38] Qu Yeqing, Shu Mei, Li Zhibo. Analysis of Internet Addiction in Elderly People Based on At- tachment Theory[J]. Journal of Beijing Institute of Graphic Communication, 2023, 31(02):46-50. DOI:10.19461/j.cnki.1004-8626.2023.02.014.

[39] CSDN Learning Community.Build an AI chatbot Demo using Vue.js and Socket. IO: Speech rec- ognition and response[N](2023-10-18)

[40] Chen Siyu, Yao Ligang, Xu Yeliang, et al. Design and Implementation of Companion Ro- bot›s Companion Function[J]. Mechanical Manufacturing and Automation, 2020, 49(03):142-146. DOI:10.19344/j.cnki.issn1671-5276.2020.03.039.

[41] Shao Wanxia. Digital Addiction and Its Resolution Path for the Elderly from the Perspective of Emotional Communication[J]. Journal of South-Central University for Nationalities (Humanities and Social Sciences Edition), 2023, 43(11):150-157+187.DOI:10.19898/j.cnki.42-1704/c.20231123.07.

[42] Chen Houming. Research on the Collaborative Governance Model of Diverse Entities in Com- munity Home-based Elderly Care Services[D]. Chongqing University, 2022.DOI:10.27670/d. cnki. gcqdu.2022.001001.

[43] Zhou Baohua, Wu Yuqing. Beyond Single Modality: Advances and Prospects in Multimodal Computational Communication Research. Media Observation, 2024(1):16-27.

[44] Wanwei Yiyuan. Python Application and practice of Python in community pension management[N] (2024-12-19)