Assistive agents for Blind and Visually Impaired (BVI) users require accessibility alignment as a first-class design objective. Despite rapid progress in agentic AI, most systems are designed and evaluated under assumptions of sighted interaction, low-cost verification, and tolerable trial-and-error, leading to systematic failures in assistive scenarios that cannot be resolved by model scaling or post-hoc interface adaptations alone. Drawing on an analysis of 778 assistance task instances from prior work, we show that current agentic AI remain prone to failure in assistive scenarios due to mismatches between sighted-user design assumptions and the verification, risk, and interaction constraints faced by BVI users. We argue that accessibility should be treated as an alignment problem rather than a peripheral usability concern. To this end, we introduce accessibility alignment and propose a lifecycle-oriented design pipeline for accessibility-aligned assistive agents, spanning user research, system design, deployment and post-deployment iteration. We conclude that BVI-centered assistive tasks provide a critical stress test for agentic AI and motivate a broader shift toward inclusive
A significant barrier to the long-term deployment of autonomous socially assistive robots is their inability to both perceive and assist with multiple activities of daily living (ADLs). In this paper, we present the first multimodal deep learning architecture, POVNet+, for multi-activity recognition for socially assistive robots to proactively initiate assistive behaviors. Our novel architecture introduces the use of both ADL and motion embedding spaces to uniquely distinguish between a known ADL being performed, a new unseen ADL, or a known ADL being performed atypically in order to assist people in real scenarios. Furthermore, we apply a novel user state estimation method to the motion embedding space to recognize new ADLs while monitoring user performance. This ADL perception information is used to proactively initiate robot assistive interactions. Comparison experiments with state-of-the-art human activity recognition methods show our POVNet+ method has higher ADL classification accuracy. Human-robot interaction experiments in a cluttered living environment with multiple users and the socially assistive robot Leia using POVNet+ demonstrate the ability of our multi-modal ADL arc
Assistive technologies increasingly support independence, accessibility, and safety for older adults, people with disabilities, and individuals requiring continuous care. Two major categories are virtual assistive systems and robotic assistive systems operating in physical environments. Although both offer significant benefits, they introduce important security and privacy risks due to their reliance on artificial intelligence, network connectivity, and sensor-based perception. Virtual systems are primarily exposed to threats involving data privacy, unauthorized access, and adversarial voice manipulation. In contrast, robotic systems introduce additional cyber-physical risks such as sensor spoofing, perception manipulation, command injection, and physical safety hazards. In this paper, we present a comparative analysis of security and privacy challenges across these systems. We develop a unified comparative threat-modeling framework that enables structured analysis of attack surfaces, risk profiles, and safety implications across both systems. Moreover, we provide design recommendations for developing secure, privacy-preserving, and trustworthy assistive technologies.
A promising effective human-robot interaction in assistive robotic systems is gaze-based control. However, current gaze-based assistive systems mainly help users with basic grasping actions, offering limited support. Moreover, the restricted intent recognition capability constrains the assistive system's ability to provide diverse assistance functions. In this paper, we propose an open implicit intention recognition framework powered by Large Language Model (LLM) and Vision Foundation Model (VFM), which can process gaze input and recognize user intents that are not confined to predefined or specific scenarios. Furthermore, we implement a gaze-driven LLM-enhanced assistive robot system (MindEye-OmniAssist) that recognizes user's intentions through gaze and assists in completing task. To achieve this, the system utilizes open vocabulary object detector, intention recognition network and LLM to infer their full intentions. By integrating eye movement feedback and LLM, it generates action sequences to assist the user in completing tasks. Real-world experiments have been conducted for assistive tasks, and the system achieved an overall success rate of 41/55 across various undefined task
Multimodal Large Language Models (MLLMs) have redefined visual understanding by combining vision encoders with large-scale language models. This unified architecture enables strong performance on tasks like image captioning, visual question answering, and multimodal dialogue, often in zero- and few-shot settings. Their general-purpose capabilities and flexible interfaces make MLLMs a promising foundation for real-world vision-language applications. Assistive AI aims to help users interact with their environments through natural language. These scenarios demand robust visual recognition, contextual reasoning, and multilingual comprehension-capabilities that MLLMs are believed to offer. However, their effectiveness in assistive settings remains to be fully understood. In this work, we explore whether MLLMs can support Assistive AI by evaluating state-of-the-art models on real-world tasks: recognizing everyday objects like currency, answering questions based on scene text, and reading visually presented content across multiple languages. To this end, we developed a system, NetraLink, using a head-mounted GoPro to capture real-world egocentric data, and collected a benchmark covering t
Navigational challenges significantly impact the independence and mobility of Individuals with Visual Impairment (IVI). While numerous assistive technologies exist, their adoption remains limited due to usability challenges, financial constraints, and a lack of alignment with user needs. This study employs a mixed-methods approach, combining structured surveys and virtual workshops with 19 IVI to investigate their experiences, needs, and preferences regarding assistive technologies for navigation and daily living. The survey results provide insights into participants technological competence, preferences for assistive devices, and willingness to adopt new solutions. In parallel, workshop discussions offer qualitative perspectives on key navigation challenges, including difficulties in detecting overhead obstacles, navigating environments with complex layout, and the limitations of existing technologies. Findings highlight the need for assistive devices that integrate both navigational guidance and high-level spatial awareness, allowing users to build mental maps of their surroundings. Additionally, multimodal feedback, combining audio, haptic, and tactile cues, emerges as a crucial
Assistive devices must determine both what a user intends to do and how reliable that prediction is before providing support. We introduce a safety-critical triggering framework based on calibrated probabilities for multimodal next-action prediction in Activities of Daily Living. Raw model confidence often fails to reflect true correctness, posing a safety risk. Post-hoc calibration aligns predicted confidence with empirical reliability and reduces miscalibration by about an order of magnitude without affecting accuracy. The calibrated confidence drives a simple ACT/HOLD rule that acts only when reliability is high and withholds assistance otherwise. This turns the confidence threshold into a quantitative safety parameter for assisted actions and enables verifiable behavior in an assistive control loop.
Independent sidewalk mobility is essential for blind and visually impaired pedestrians (BVIPs), yet smartphone-based assistive navigation requires perception models that distinguish walkable sidewalks from adjacent unsafe regions. This study presents a safety-oriented semantic segmentation framework for future mobile guidance. We introduce SENSATION-DS, a chest-height pedestrian-view dataset with 2,752 image-mask pairs and nine-class navigation-relevant taxonomy. External urban and sidewalk datasets were harmonized to this label space, and five segmentation architectures were evaluated using staged target-domain adaptation with mask-conditioned synthetic images and Segment Anything Model 2 (SAM2) pseudo-labels. Models were assessed using mean Intersection over Union (mIoU), road- and sidewalk-specific metrics, Road-as-Sidewalk Error Rate as a proxy false-safe measure, and Android Open Neural Network Exchange benchmarking. Synthetic augmentation generally improved segmentation accuracy, whereas SAM2 pseudo-labels more consistently reduced Road-as-Sidewalk errors. UPerNet-MobileNetV3 achieved the highest offline mIoU (0.715 +/- 0.006), while DeepLabV3Plus-MobileNetV3 achieved the low
Assistive teleoperation, where control is shared between a human and a robot, enables efficient and intuitive human-robot collaboration in diverse and unstructured environments. A central challenge in real-world assistive teleoperation is for the robot to infer a wide range of human intentions from user control inputs and to assist users with correct actions. Existing methods are either confined to simple, predefined scenarios or restricted to task-specific data distributions at training, limiting their support for real-world assistance. We introduce Casper, an assistive teleoperation system that leverages commonsense knowledge embedded in pre-trained visual language models (VLMs) for real-time intent inference and flexible skill execution. Casper incorporates an open-world perception module for a generalized understanding of novel objects and scenes, a VLM-powered intent inference mechanism that leverages commonsense reasoning to interpret snippets of teleoperated user input, and a skill library that expands the scope of prior assistive teleoperation systems to support diverse, long-horizon mobile manipulation tasks. Extensive empirical evaluation, including human studies and syst
Large language models (LLMs) have made significant advancements across various tasks, but their safety alignment remain a major concern. Exploring jailbreak prompts can expose LLMs' vulnerabilities and guide efforts to secure them. Existing methods primarily design sophisticated instructions for the LLM to follow, or rely on multiple iterations, which could hinder the performance and efficiency of jailbreaks. In this work, we propose a novel jailbreak paradigm, Simple Assistive Task Linkage (SATA), which can effectively circumvent LLM safeguards and elicit harmful responses. Specifically, SATA first masks harmful keywords within a malicious query to generate a relatively benign query containing one or multiple [MASK] special tokens. It then employs a simple assistive task such as a masked language model task or an element lookup by position task to encode the semantics of the masked keywords. Finally, SATA links the assistive task with the masked query to jointly perform the jailbreak. Extensive experiments show that SATA achieves state-of-the-art performance and outperforms baselines by a large margin. Specifically, on AdvBench dataset, with mask language model (MLM) assistive tas
Physically assistive robots present an opportunity to significantly increase the well-being and independence of individuals with motor impairments or other forms of disability who are unable to complete activities of daily living. Speech interfaces, especially ones that utilize Large Language Models (LLMs), can enable individuals to effectively and naturally communicate high-level commands and nuanced preferences to robots. Frameworks for integrating LLMs as interfaces to robots for high level task planning and code generation have been proposed, but fail to incorporate human-centric considerations which are essential while developing assistive interfaces. In this work, we present a framework for incorporating LLMs as speech interfaces for physically assistive robots, constructed iteratively with 3 stages of testing involving a feeding robot, culminating in an evaluation with 11 older adults at an independent living facility. We use both quantitative and qualitative data from the final study to validate our framework and additionally provide design guidelines for using LLMs as speech interfaces for assistive robots. Videos and supporting files are located on our project website: ht
Care-giving and assistive robotics, driven by advancements in AI, offer promising solutions to meet the growing demand for care, particularly in the context of increasing numbers of individuals requiring assistance. This creates a pressing need for efficient and safe assistive devices, particularly in light of heightened demand due to war-related injuries. While cost has been a barrier to accessibility, technological progress is able to democratize these solutions. Safety remains a paramount concern, especially given the intricate interactions between assistive robots and humans. This study explores the application of reinforcement learning (RL) and imitation learning, in improving policy design for assistive robots. The proposed approach makes the risky policies safer without additional environmental interactions. Through experimentation using simulated environments, the enhancement of the conventional RL approaches in tasks related to assistive robotics is demonstrated.
The use of assistive robots in domestic environments can raise significant ethical concerns, from the risk of individual ethical harm to wider societal ethical impacts including culture flattening and compromise of human dignity. It is therefore essential to ensure that technological development of these robots is informed by robust and inclusive techniques for mitigating ethical concerns. This paper presents EHAZOP, a method for conducting an ethical hazard analysis on an assistive robot. EHAZOP draws upon collaborative, creative and structured processes originating within safety engineering, using these to identify ethical concerns associated with the operation of a given assistive robot. We present the results of a proof of concept study of EHAZOP, demonstrating the potential for this process to identify diverse ethical hazards in these systems.
Despite the growth of physically assistive robotics (PAR) research over the last decade, nearly half of PAR user studies do not involve participants with the target disabilities. There are several reasons for this -- recruitment challenges, small sample sizes, and transportation logistics -- all influenced by systemic barriers that people with disabilities face. However, it is well-established that working with end-users results in technology that better addresses their needs and integrates with their lived circumstances. In this paper, we reflect on multiple approaches we have taken to working with people with motor impairments across the design, development, and evaluation of three PAR projects: (a) assistive feeding with a robot arm; (b) assistive teleoperation with a mobile manipulator; and (c) shared control with a robot arm. We discuss these approaches to working with users along three dimensions -- individual vs. community-level insight, logistic burden on end-users vs. researchers, and benefit to researchers vs. community -- and share recommendations for how other PAR researchers can incorporate users into their work.
In this work, we introduce the principle, design and mechatronics of Exo-Muscle, a novel assistive device for the knee joint. Different from the existing systems based on rigid exoskeleton structures or soft-tendon driven approaches, the proposed device leverages a new semi-rigid principle that explores the benefits of both rigid and soft systems. The use of a novel semi-rigid chain mechanism around the knee joint eliminates the presence of misalignment between the device and the knee joint center of rotation, while at the same time, it forms a well-defined route for the tendon. This results in more deterministic load compensation functionality compared to the fully soft systems. The proposed device can provide up to 38Nm assistive torque to the knee joint. In the experiment section, the device was successfully validated through a series of experiments demonstrating the capacity of the device to provide the target assistive functionality in the knee joint.
The development of new technologies and their expanding use in a wide range of educational environments are driving the transformation of higher education. Assistive technologies are a subset of cutting-edge technology that can help students learn more effectively and make education accessible to everyone. Assistive technology can enhance, maintain, or improve the capacities of students with learning difficulties. Students with learning difficulties will be greatly benefited from the use of assistive technologies. If these technologies are used effectively, students with learning difficulties can compete with their peers and complete their academic tasks. We aim to conduct this review to better understand the role of assistive technologies in providing inclusive higher education for students with learning difficulties. The review begins with the introduction of learning difficulties and their causes; inclusive education and the need for assistive technologies; the reasoning for conducting this review; and a summary of related reviews on assistive technologies for students with learning difficulties in inclusive higher education. Then, we discuss the preliminaries for the learning d
Assistive listening systems (ALSs) dramatically increase speech intelligibility and reduce listening effort. It is very likely that essentially everyone, not only individuals with hearing loss, would benefit from the increased signal-to-noise ratio an ALS provides in almost any listening scenario. However, ALSs are rarely used by anyone other than people with severe to profound hearing losses. To date, the reasons for this poor adoption have not been systematically investigated. The authors hypothesize that the reasons for poor adoption of assistive listening technology include (1) an inability to use personally owned receiving devices, (2) a lack of high-fidelity stereo sound, (3) receiving devices not providing an unoccluded listening experience, (4) distortion from alignment delay and (5) a lack of automatic connectivity to an available assistive listening audio signal. We propose solutions to each of these problems in an effort to pave the way for mass adoption of assistive listening technology by the general public.
Artificial intelligence (AI) based assistive systems, so called intelligent assistive technology (IAT) are becoming increasingly ubiquitous by each day. IAT helps people in improving their quality of life by providing intelligent assistance based on the provided data. A few examples of such IATs include self-driving cars, robot assistants and smart-health management solutions. However, the presence of such autonomous entities poses ethical challenges concerning the stakeholders involved in using these systems. There is a lack of research when it comes to analysing how such IAT adheres to provided ethical regulations due to ethical, logistic and cost issues associated with such an analysis. In the light of the above-mentioned problem statement and issues, we present a method to measure the ethicality of an assistive system. To perform this task, we utilised our simulation tool that focuses on modelling navigation and assistance of Persons with Dementia (PwD) in indoor environments. By utilising this tool, we analyse how well different assistive strategies adhere to provided ethical regulations such as autonomy, justice and beneficence of the stakeholders.
Transactive Memory System (TMS) is a group theory that describes how communication can enable the combination of individual minds into a group. While this theory has been extensively studied in human-human groups, it has not yet been formally applied to socially assistive robot design. We demonstrate how the three-phase TMS group communication process-which involves encoding, storage, and retrieval-can be leveraged to improve decision making in socially assistive robots with multiple stakeholders. By clearly defining how the robot is gaining information, storing and updating its memory, and retrieving information from its memory, we believe that socially assistive robots can make better decisions and provide more transparency behind their actions in the group context. Bringing communication theory to robot design can provide a clear framework to help robots integrate better into human-human group dynamics and thus improve their acceptance and use.
Embodied foundation models are increasingly performant in real-world domains such as robotics or autonomous driving. These models are often deployed in interactive or assistive settings, where it is important that these assistive models generalize to new users and new tasks. Diverse interactive data generation offers a promising avenue for providing data-efficient generalization capabilities for interactive embodied foundation models. In this paper, we investigate the generalization capabilities of a multimodal foundation model fine-tuned on diverse interactive assistance data in a synthetic domain. We explore generalization along two axes: a) assistance with unseen categories of user behavior and b) providing guidance in new configurations not encountered during training. We study a broad capability called \textbf{Open-Set Corrective Assistance}, in which the model needs to inspect lengthy user behavior and provide assistance through either corrective actions or language-based feedback. This task remains unsolved in prior work, which typically assumes closed corrective categories or relies on external planners, making it a challenging testbed for evaluating the limits of assistive