Overview: Generative Artificial Intelligence (or Gen AI) refers to a class of artificial intelligence systems with the ability to produce text, images, video and/or audio based on prompts provided by a user. Well-known Gen AI services available to the public include Open AI’s ChatGPT, Google’s Gemini and Microsoft’s Copilot. Gen AI systems can also be effective at analyzing and summarizing text and image data. Gen AI systems learn these abilities by processing large amounts of data through computational models using methods from the field of machine learning. Research on Gen AI models is ongoing, including extending their abilities, reducing the occurrence of incorrect responses (often called hallucinations), and improving other aspects of safe use. Current Gen AI models are being actively deployed in a diverse array of areas within health care, including in support of aging and AD/ADRD research. 

MassAITC Pilot Project Highlights: MassAITC has funded multiple projects making careful and safe use of current Generative AI models in different problem areas including improving the accessibility of clinical trials, helping to protect older adults from phishing attacks, and improving support for caregivers. In 2024, MassAITC pilot grant awardee and Boston area startup Kinto was acquired by Rippl CareMassAITC Year 3 pilot awardee Dr. Gang Wang (UIUC) published and presented results from their pilot study on detecting text message scams at a renowned conference, the Twenty-First Symposium on Usable Privacy and Security (SOUP). More information on funded pilots in this area is listed below, along with additional resources including MassAITC webinars touching on this topic area.

Empowering Caregivers of Individuals with Cognitive Impairment to Make Safe Nonprescription Drug Decisions

Eun Kyoung Choe, University of Maryland-College Park. This pilot develops Aidara, an AI-powered digital health system that helps caregivers of individuals with cognitive impairments make safer over-the-counter medication decisions. Through multimodal interaction and personalized guidance, Aidara aims to support informed decision-making and reduce medication-related risks.

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Scalable LLM Facilitation for Peer-to-Peer Support Groups of Informal Caregivers

Gregory Stock, Socratic Sciences Inc. Hamed Zamani, University of Massachusetts. Mary Mittleman, New York University. Socratic Sciences, in collaboration with UMass and NYU, is developing an AI-facilitated, question-driven app to help family caregivers of those with AD/ADRD connect and support one another in small, trusted groups around open-ended questions. The project will test and refine a group-facilitation AI bot to make meaningful peer support scalable, accessible, and affordable for millions of overwhelmed caregivers.

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Leveraging AI for Just-in-Time Smartphone Solutions for Family Caregivers

Felipe A. Jain, Massachusetts General Hospital, Finale Doshi-Velez, Harvard University. Family caregivers of people living with dementia have high needs for skills training and methods to reduce stress. This project will study the feasibility of a just-in-time adaptive intervention delivered by smartphone to increase engagement and helpfulness of caregiver skills and relaxation content for caregivers.

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TRIALCHAT: Leveraging LLMs to enhance AD/ADRD clinical trial participation

Tim K. Mackey, S-3 Research LLC, Joshua Yang, California State University, Fullerton. This project will aim to develop TrialChat, an AI-powered chatbot and clinical trial navigator designed to increase participation in Alzheimer’s disease and related dementias (ADRD) clinical trials by providing tailored education, personalized trial matching, and recruitment support for older adults and caregivers.

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Protecting Patients against Phishing Attacks using AI-enabled Agents

Gang Wang, University of Illinois at Urbana-Champaign. Roopa Foulger, OSF. This project will design, prototype, evaluate, and potentially deploy an AI-enabled voice agent to assist patients (especially older adults) to better recognize phishing messages and reduce cybersecurity risks during patient outreach and communications.

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MassAITC Webinars on Generative AI

Upcoming Webinar – Old School Meets New School: Voice-Based, AI-Enabled Cognitive Rehabilitation for Dementia Care

Zoom Registration: https://umass-amherst.zoom.us/meeting/register/o-oU8bqwR4GnY7D0cDLaeg Abstract: Cognitive rehabilitation therapy supports individuals living with mild cognitive impairment and early-stage dementia in maintaining and improving function in daily life. However, access remains limited due to constraints in the availability and scalability of trained therapists. Recent advances in artificial intelligence, combined with evolving reimbursement pathways for remote care in the United States, now make virtual delivery models increasingly viable, creating new opportunities to expand access to high-quality cognitive care. Moneta Health has developed a telephone-based cognitive rehabilitation platform that enables structured, personalized therapy sessions delivered remotely and overseen by licensed speech-language pathologists. The platform leverages AI-driven speech analysis and automated session orchestration to support consistent therapy delivery while preserving clinician oversight, enabling older adults to engage in care from their homes through a familiar and

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Past Webinar – Can You Walk Me Through It? Explainable SMS Phishing Detection using LLM-based Agents

Abstract: Phishing attacks pose a significant threat to users, especially older adults. Existing defenses mainly focus on phishing detection but often cannot explain to lay users why a message is malicious. In this talk, I will discuss how we use Large Language Models (LLMs) to detect SMS phishing while generating evidence-based explanations. The key challenge is that SMS is short, lacking the necessary context for security reasoning. We develop a prototype called SmishX that gathers external contexts to augment the chain-of-thought (CoT) reasoning of LLMs and facilitate the explanation process. I will further discuss our user studies to evaluate the effectiveness and usability of SmishX. Finally, I will discuss the open challenges and opportunities of using AI to help older adults better protect themselves from cybersecurity threats in general. Biography:

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Past Webinar – Progress in Personalizing Content and Dosing of a Physical Activity Promotion Intervention, David E. Conroy

Abstract: The Michigan Roybal Center aims to develop physical activity interventions for middle-age and older adults that engage validated mechanisms for adhering to behavior change following the end of active intervention support. This talk will review our ongoing work (a) to develop person-specific dosing algorithms to select the content and timing of text messages and (b) to engineer prompts for generative artificial intelligence systems to author message content that activates affective motivational processes to promote physical activity. The long-term objective of fusing these personalization strategies is to improve adherence to behavior change and reduce risk for Alzheimer’s disease and related dementias. Biography:

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Past Webinar – LLMs for Assistance in ADRD: From Word Retrieval to Caregiver Support, Archna Bhatia and Richard Curtis

Overview:  This webinar comprises two presentations by Archie Bhatia from the Institute for Human & Machine Cognition and from Richard Curtis from Ripple Care.  They each discuss the work from their MassAITC a2 Pilot awards using LLMs to help with word retrieval for older adults with ADRD and to support ADRD Caregivers. Abstracts: About the Speakers: 

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