Towards Personalized Assistive Systems: Leveraging Large Language Models for Prediction and Intervention

December 2025

Towards Personalized Assistive Systems: Leveraging Large Language Models for Prediction and Intervention

Authors:

Michaela Tecson

Abstract:

Many older adults, particularly those with Mild Cognitive Impairment (MCI) struggle with complex, sequential tasks such as meal preparation. In this thesis, we present a framework for personalized sequence prediction and assistance detection to address the challenges faced during meal preparation tasks. By leveraging the reasoning capabilities of large language models (LLMs), our system anticipates user actions and identifies moments when assistance may be needed.

We introduce two methods for preference-based sequence prediction, called Independent Context and Shared context, using either a participant’s own prior actions alone or adding sequences from others as context. Evaluated on datasets for two different meals, these approaches outperform baseline models by up to 33.8%, demonstrating both user-specific adaptation and generalization across meal preparation domains.

To inform assistance strategies, we conducted a meal preparation data-collection study with older adults at two independent living facilities. Insights from this study revealed common errors, such as forgotten items or visits to irrelevant locations. We used these findings to develop a second approach that detects such mistakes and prompts assistance using LLM reasoning. This approach was validated on both synthetic and real-world data, showing strong performance in identifying when users may need help.

Together, these contributions form the basis of a personalized assistive system that supports users while preserving their independence in daily meal preparation tasks.

Notes:

@mastersthesis{Tecson-2025-149752,
author = {Michaela Tecson},
title = {Towards Personalized Assistive Systems: Leveraging Large Language Models for Prediction and Intervention},
year = {2025},
month = {December},
school = {Carnegie Mellon University},
address = {Pittsburgh, PA},
number = {CMU-RI-TR-25-106},
keywords = {Sequence Prediction, Real-World Meal Preparation, Cognitive Assistance, Error Detection, Human-Robot Interaction, Older Adults, Large Language Models},
}
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