The integration of vision-language models into robotic systems constitutes a significant advancement in enabling machines to interact with their surroundings in a more intuitive manner. While VLMs offer rich multimodal reasoning, existing approaches lack user-specific adaptability, often relying on generic interaction paradigms that fail to account for individual behavioral, contextual, or socio-emotional nuances. When customization is attempted, ethical concerns arise from unmitigated biases in user data, risking exclusion or unfair treatment. To address these dual challenges, we propose User-VLM 360{\deg}, a holistic framework integrating multimodal user modeling with bias-aware optimization. Our approach features: (1) user-aware tuning that adapts interactions in real time using visual-linguistic signals; (2) bias mitigation via preference optimization; and (3) curated 360{\deg} socio-emotive interaction datasets annotated with demographic, emotion, and relational metadata. Evaluations across eight benchmarks demonstrate state-of-the-art results: +35.3% F1 in personalized VQA, +47.5% F1 in facial features understanding, 15% bias reduction, and 30X speedup over baselines. Ablation studies confirm component efficacy, and deployment on the Pepper robot validates real-time adaptability across diverse users. We open-source parameter-efficient 3B/10B models and an ethical verification framework for responsible adaptation.

Asthma rates have risen globally, driven by environmental and lifestyle factors. Access to immediate medical care is limited, particularly in developing countries, necessitating automated support systems. Large Language Models like ChatGPT (Chat Generative Pre-trained Transformer) and Gemini have advanced natural language processing in general and question answering in particular, however, they are prone to producing factually incorrect responses (i.e. hallucinations). Retrieval-augmented generation systems, integrating curated documents, can improve large language models' performance and reduce the incidence of hallucination. We introduce AsthmaBot, a multi-lingual, multi-modal retrieval-augmented generation system for asthma support. Evaluation of an asthma-related frequently asked questions dataset shows AsthmaBot's efficacy. AsthmaBot has an added interactive and intuitive interface that integrates different data modalities (text, images, videos) to make it accessible to the larger public. AsthmaBot is available online via \url{asthmabot.datanets.org}.