Development of a Generative AI-Based Intelligent Counseling System to Promote Elderly Well-being and Reduce Caregiver Burden at the Community Level

Abstract

This research primarily aims to: (1) develop and deploy a Generative Artificial Intelligence (Generative AI) innovation to establish a health support system for the elderly; (2) enhance the overall quality of life and well-being of older adults; and (3) mitigate the caregiving burden on relatives and caregivers in the Hua Dong and Charoen Phon subdistricts of Nakhon Sawan Province—target areas that have fully transitioned into an aged society. The research methodology integrates Community-Based. Learning (CBL) with proactive technological development across six core activities. This process commenced with a community context survey and analysis, followed by the development of an intelligent chatbot system (Line Bot) implemented on the LINE Official Account (LINE OA) platform. By interfacing with Gemini AI via a webhook architecture, the system enables natural language processing (NLP) interactions and facilitates accurate retrieval from a non-communicable diseases (NCDs) database. The empirical results demonstrate that the developed innovation effectively engaged the target population, with 161 out of 200 targeted elderly individuals successfully registering and utilizing the system (representing an 80.50% adoption rate). Post-implementation data analysis revealed that 54.29% of the users experienced a distinct improvement in their quality of life, while health-related issues decreased by 34.29%. Furthermore, the technology acceptance and system utilization assessment yielded a high level of satisfaction (x̄ = 4.37), indicating that the primary health screening and recommendation tools operate with high efficiency. In conclusion, integrating Generative AI into ubiquitous, daily-use platforms significantly empowers the elderly in health self-management. This approach not only reduces the systemic burden on healthcare personnel and caregivers but also serves as a sustainable benchmark for digital innovation tailored to meet the challenges of an aging society.