Think Before You Comfort: Reflective Cognitive Alignment for Protocol-Grounded Elderly Stimulation Agents
Mirrored from arXiv — NLP / Computation & Language for archival readability. Support the source by reading on the original site.
Computer Science > Computation and Language
Title:Think Before You Comfort: Reflective Cognitive Alignment for Protocol-Grounded Elderly Stimulation Agents
Abstract:Cognitive Stimulation Therapy (CST) offers non-pharmacological support for elders with cognitive impairment, yet scalability remains constrained by reliance on trained facilitators and severe data scarcity, particularly for privacy-sensitive, low-resource languages such as Cantonese. While Large Language Models (LLMs) show promise for automated companionship, they often struggle to balance empathetic engagement with adherence to cognitive stimulation guidelines. We propose a framework addressing these challenges along two complementary axes. First, STaR-CS (Style-Transfer and Role-Conditioned Cognitive Stimulation) synthesizes multi-party dialogues through facilitator style modeling and structured skeleton extraction, mitigating data barriers. Building upon this corpus, the Reflective Cognitive Alignment (RCA) framework models stimulation interactions as a sequential decision process, integrating Protocol-Constrained Chain-of-Cognition (PC-CoC) for structured reasoning and Inference-Time Value Alignment (IVA) for principled response selection based on safety and engagement goals. Evaluations across six backbone LLMs and two independent judges show that RCA consistently improves protocol adherence, safety, and group facilitation over standard prompting baselines. Our code is available at this https URL.
| Subjects: | Computation and Language (cs.CL) |
| Cite as: | arXiv:2609.17536 [cs.CL] |
| (or arXiv:2609.17536v1 [cs.CL] for this version) | |
| https://doi.org/10.48550/arXiv.2609.17536
arXiv-issued DOI via DataCite
|
Access Paper:
- View PDF
- HTML (experimental)
- TeX Source
References & Citations
Bookmark
Bibliographic and Citation Tools
Code, Data and Media Associated with this Article
Demos
Recommenders and Search Tools
arXivLabs: experimental projects with community collaborators
arXivLabs is a framework that allows collaborators to develop and share new arXiv features directly on our website.
Both individuals and organizations that work with arXivLabs have embraced and accepted our values of openness, community, excellence, and user data privacy. arXiv is committed to these values and only works with partners that adhere to them.
Have an idea for a project that will add value for arXiv's community? Learn more about arXivLabs.
More from arXiv — NLP / Computation & Language
-
A Mechanistic Study of AI-Text Detection Neurons in Frozen BERT: Sparse Probing and Activation Patching on RAID
Sep 28
-
Manifold Projection and Iterative Autoencoder Refinement for Masked Language Modeling
Sep 28
-
Not All Memories Are Equal: Hierarchical Collaborative Memory for Validity-Aware Retrieval in LLM Agents
Sep 28
-
Auditing and Repairing LLM-as-Judge Failures in a Production Text-to-SQL Pipeline
Sep 28
Discussion (0)
Sign in to join the discussion. Free account, 30 seconds — email code or GitHub.
Sign in →No comments yet. Sign in and be the first to say something.