Smart speaker program to help manage chronic health for older adults with mild cognitive impairment

Voice2Manage: Interactive Voice-Assisted Self-Management Intervention for Low-Income Older Adults

Not applicable Interventional Emory University · NCT06982261

This project will test whether a voice-activated smart speaker program can help low-income older adults with mild cognitive impairment manage their chronic health conditions.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment20 (estimated)
Ages55 Years and up
SexAll
SponsorEmory University Academic / other
Locations1 site (Atlanta, Georgia)
Trial IDNCT06982261 on ClinicalTrials.gov

What this trial studies

This interventional program provides daily use of voice-activated smart speakers and hands-on training to support medication reminders, scheduling, and other self-care tasks. Participants are low-income adults aged 55 and older who live independently with probable mild cognitive impairment and one or more chronic conditions. Researchers will identify preferred smart speaker functions, document technology challenges, and track changes in self-management behaviors and daily functioning. The program is delivered through Emory University with setup assistance and ongoing coaching to overcome common usability barriers.

Who should consider this trial

Good fit: Ideal candidates are English-speaking adults age 55 or older living independently in subsidized housing or with a housing voucher, earning under $30,000 annually, with probable mild cognitive impairment (MoCA 18–23) and one or more chronic health conditions.

Not a fit: People with diagnosed dementia, severe visual or hearing impairments that prevent interaction with the device, residents of nursing homes, non-English speakers, or those with medical conditions that prevent participation are unlikely to benefit.

Why it matters

Potential benefit: If successful, the intervention could improve day-to-day self-management, medication adherence, and independence for low-income older adults with mild cognitive impairment.

How similar studies have performed: Small prior studies and pilot work suggest voice assistants can help with reminders and engagement, but evidence in low-income older adults with mild cognitive impairment is limited and adoption barriers have been documented.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Persons 55 years of age and older,
* Living in subsidized housing or with a housing voucher and having an annual income less than $30K,
* One or more chronic conditions,
* Having probable mild cognitive impairment (MCI), based on the education-adjusted Montreal Cognitive Assessment (MoCA) score less than 24 and greater than or equal to 18,
* Living alone independently, and
* Able to speak and read English.

Exclusion Criteria:

* Severe visual/hearing impairment requiring assistance in participating in interactions with the smart speaker and integrated devices,
* Self-reported diagnoses of Alzheimer's disease and related dementias,
* Significant medical illness interfering with the study assessments and activities,
* Inability to provide informed consent, and
* Nursing home residents.
* Eligibility will not be limited to smart speaker ownership.

Where this trial is running

Atlanta, Georgia

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Mild Cognitive ImpairmentLow income older adultsArtificial IntelligenceVoice activated smart speakers
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.