Low-Income Older Adults' User Challenges and Preferences Related to Voice Interface Design on Smart Speakers

Jane S. Chung, Madeline Viceconte, Reiley Syros, Rachel Wood, Natalie Mansion, Hyoeun Jang · Journal of Gerontological Nursing · 2025

Purpose Artificial intelligence–based voice assistants offer diverse functionalities to support aging in place. The current study explored usability challenges and design recommendations for voice user interfaces (VUIs) of smart speakers among low-income older adults. Method Results from two user-centered design studies involving residents in low-income housing ( n = 27 and n = 11, respectively), including current smart speaker users and nonusers living alone, were synthesized. Using a qualitative descriptive approach, we explored participants' experiences, challenges, and design preferences for smart speakers. Results Participants reported difficulties with technology learning opportunities, lack of in-person technical support, and usability issues with VUI. They also highlighted user-related challenges, such as cognitive and physical limitations, affecting interaction with the devices. Participants proposed VUI design improvements to enhance usability, accessibility, and engagement. Conclusion The current study contributes to the identification of key barriers and facilitators for smart speaker adoption among underserved older adults, offering recommendations for more inclusive and user-friendly VUI design. [ Journal of Gerontological Nursing, 51 (7), 7–14.]

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