We present OpenRoboCare, a multimodal dataset for robot caregiving, capturing expert occupational therapist demonstrations of Activities of Daily Living (ADLs). Caregiving tasks involve complex physical human-robot interactions, requiring precise perception under occlusions, safe physical contact, and long-horizon planning. While recent advances in robot learning from demonstrations have shown promise, there is a lack of a large-scale, diverse, and expert-driven dataset that captures real-world caregiving routines. To address this gap, we collect data from 21 occupational therapists performing 15 ADL tasks on two manikins. The dataset spans five modalities: RGB-D video, pose tracking, eye-gaze tracking, task and action annotations, and tactile sensing, providing rich multimodal insights into caregiver movement, attention, force application, and task execution strategies. We further analyze expert caregiving principles and strategies, offering insights to improve robot efficiency and task feasibility. Additionally, our evaluations demonstrate that OpenRoboCare presents challenges for state-of-the-art robot perception and human activity recognition methods, both critical for developing safe and adaptive assistive robots, highlighting the value of our contribution. See our website for additional visualizations: https://emprise.cs.cornell.edu/robo-care/.

Alzheimer's Disease and Related Dementias (AD/ADRD) are progressive neurodegenerative conditions that impair memory, thought processes, and functioning. Family caregivers of individuals with AD/ADRD face significant mental health challenges due to long-term caregiving responsibilities. Yet, current support systems often overlook the evolving nature of their mental wellbeing needs. Our study examines caregivers' mental wellbeing concerns, focusing on the practices they adopt to manage the burden of caregiving and the technologies they use for support. Through semi-structured interviews with 25 family caregivers of individuals with AD/ADRD, we identified the key causes and effects of mental health challenges, and developed a temporal mapping of how caregivers' mental wellbeing evolves across three distinct stages of the caregiving journey. Additionally, our participants shared insights into improvements for existing mental health technologies, emphasizing the need for accessible, scalable, and personalized solutions that adapt to caregivers' changing needs over time. These findings offer a foundation for designing dynamic, stage-sensitive interventions that holistically support caregivers' mental wellbeing, benefiting both caregivers and care recipients.

Physical caregiving robots hold promise for improving the quality of life of millions worldwide who require assistance with feeding. However, in-home meal assistance remains challenging due to the diversity of activities (e.g., eating, drinking, mouth wiping), contexts (e.g., socializing, watching TV), food items, and user preferences that arise during deployment. In this work, we propose FEAST, a flexible mealtime-assistance system that can be personalized in-the-wild to meet the unique needs of individual care recipients. Developed in collaboration with two community researchers and informed by a formative study with a diverse group of care recipients, our system is guided by three key tenets for in-the-wild personalization: adaptability, transparency, and safety. FEAST embodies these principles through: (i) modular hardware that enables switching between assisted feeding, drinking, and mouth-wiping, (ii) diverse interaction methods, including a web interface, head gestures, and physical buttons, to accommodate diverse functional abilities and preferences, and (iii) parameterized behavior trees that can be safely and transparently adapted using a large language model. We evaluate our system based on the personalization requirements identified in our formative study, demonstrating that FEAST offers a wide range of transparent and safe adaptations and outperforms a state-of-the-art baseline limited to fixed customizations. To demonstrate real-world applicability, we conduct an in-home user study with two care recipients (who are community researchers), feeding them three meals each across three diverse scenarios. We further assess FEAST's ecological validity by evaluating with an Occupational Therapist previously unfamiliar with the system. In all cases, users successfully personalize FEAST to meet their individual needs and preferences. Website: https://emprise.cs.cornell.edu/feast

Bed-to-wheelchair transferring is a ubiquitous activity of daily living (ADL), but especially challenging for caregiving robots with limited payloads. We develop a novel algorithm that leverages the presence of other assistive devices: a Hoyer sling and a wheelchair for coarse manipulation of heavy loads, alongside a robot arm for fine-grained manipulation of deformable objects (Hoyer sling straps). We instrument the Hoyer sling and wheelchair with actuators and sensors so that they can become intelligent agents in the algorithm. We then focus on one subtask of the transferring ADL -- tying Hoyer sling straps to the sling bar -- that exemplifies the challenges of transfer: multi-agent planning, deformable object manipulation, and generalization to varying hook shapes, sling materials, and care recipient bodies. To address these challenges, we propose CART-MPC, a novel algorithm based on turn-taking multi-agent model predictive control that uses a learned neural dynamics model for a keypoint-based representation of the deformable Hoyer sling strap, and a novel cost function that leverages linking numbers from knot theory and neural amortization to accelerate inference. We validate it in both RCareWorld simulation and real-world environments. In simulation, CART-MPC successfully generalizes across diverse hook designs, sling materials, and care recipient body shapes. In the real world, we show zero-shot sim-to-real generalization capabilities to tie deformable Hoyer sling straps on a sling bar towards transferring a manikin from a hospital bed to a wheelchair. See our website for supplementary materials: https://emprise.cs.cornell.edu/cart-mpc/.

Robot-assisted feeding has the potential to improve the quality of life for individuals with mobility limitations who are unable to feed themselves independently. However, there exists a large gap between the homogeneous, curated plates existing feeding systems can handle, and truly in-the-wild meals. Feeding realistic plates is immensely challenging due to the sheer range of food items that a robot may encounter, each requiring specialized manipulation strategies which must be sequenced over a long horizon to feed an entire meal. An assistive feeding system should not only be able to sequence different strategies efficiently in order to feed an entire meal, but also be mindful of user preferences given the personalized nature of the task. We address this with FLAIR, a system for long-horizon feeding which leverages the commonsense and few-shot reasoning capabilities of foundation models, along with a library of parameterized skills, to plan and execute user-preferred and efficient bite sequences. In real-world evaluations across 6 realistic plates, we find that FLAIR can effectively tap into a varied library of skills for efficient food pickup, while adhering to the diverse preferences of 42 participants without mobility limitations as evaluated in a user study. We demonstrate the seamless integration of FLAIR with existing bite transfer methods [19, 28], and deploy it across 2 institutions and 3 robots, illustrating its adaptability. Finally, we illustrate the real-world efficacy of our system by successfully feeding a care recipient with severe mobility limitations. Supplementary materials and videos can be found at: https://emprise.cs.cornell.edu/flair .

Robot-assisted feeding can greatly enhance the lives of those with mobility limitations. Modern feeding systems can pick up and position food in front of a care recipient's mouth for a bite. However, many with severe mobility constraints cannot lean forward and need direct inside-mouth food placement. This demands precision, especially for those with restricted mouth openings, and appropriately reacting to various physical interactions - incidental contacts as the utensil moves inside, impulsive contacts due to sudden muscle spasms, deliberate tongue maneuvers by the person being fed to guide the utensil, and intentional bites. In this paper, we propose an inside-mouth bite transfer system that addresses these challenges with two key components: a multi-view mouth perception pipeline robust to tool occlusion, and a control mechanism that employs multimodal time-series classification to discern and react to different physical interactions. We demonstrate the efficacy of these individual components through two ablation studies. In a full system evaluation, our system successfully fed 13 care recipients with diverse mobility challenges. Participants consistently emphasized the comfort and safety of our inside-mouth bite transfer system, and gave it high technology acceptance ratings - underscoring its transformative potential in real-world scenarios. Supplementary materials and videos can be found at http://emprise.cs.cornell.edu/bitetransfer/ .

We demonstrate a robot-assisted feeding system that enables people with mobility impairments to feed themselves. Our system design embodies Safety, Portability, and User Control, with comprehensive full-stack safety checks, the ability to be mounted on and powered by any powered wheelchair, and a custom web-app allowing care-recipients to leverage their own assistive devices for robot control. For bite acquisition, we leverage multi-modal online learning to tractably adapt to unseen food types. For bite transfer, we leverage real-time mouth perception and interaction-aware control. Co-designed with community researchers, our system has been validated through multiple end-user studies.

Existing work in physical robot caregiving is limited in its ability to provide long-term assistance. This is majorly due to (i) lack of well-defined problems, (ii) diversity of tasks, and (iii) limited access to stakeholders from the caregiving community. We propose Structuring Physically Assistive Robotics for Caregiving with Stakeholders-in-the-loop (SPARCS) to address these challenges. SPARCS is a framework for physical robot caregiving comprising (i) Building Blocks, models that define physical robot caregiving scenarios, (ii) Structured Workflows, hierarchical workflows that enable us to answer the Whats and Hows of physical robot caregiving, and (iii) SPARCS-Box, a web-based platform to facilitate dialogue between all stakeholders. We collect clinical data for six care recipients with varying disabilities and demonstrate the use of SPARCS in designing well-defined caregiving scenarios and identifying their care requirements. All the data and workflows are available on SPARCS-Box. We demonstrate the utility of SPARCS in building a robot-assisted feeding system for one of the care recipients. We also perform experiments to show the adaptability of this system to different caregiving scenarios. Finally, we identify open challenges in physical robot caregiving by consulting care recipients and caregivers. Supplementary material can be found at https://emprise.cs.cornell.edu/sparcs/.

We present RCareWorld, a human-centric simulation world for physical and social robotic caregiving designed with inputs from stakeholders, including care recipients, caregivers, occupational therapists, and roboticists. RCareWorld has realistic human models of care recipients with mobility limitations and caregivers, home environments with multiple levels of accessibility and assistive devices, and robots commonly used for caregiving. It interfaces with various physics engines to model diverse material types necessary for simulating caregiving scenarios, and provides the capability to plan, control, and learn both human and robot control policies by integrating with state-of-the-art external planning and learning libraries, and VR devices. We propose a set of realistic caregiving tasks in RCareWorld as a benchmark for physical robotic caregiving and provide baseline control policies for them. We illustrate the high-fidelity simulation capabilities of RCareWorld by demonstrating the execution of a policy learnt in simulation for one of these tasks on a real-world setup. Additionally, we perform a real-world social robotic caregiving experiment using behaviors modeled in RCareWorld. Robotic caregiving, though potentially impactful towards enhancing the quality of life of care recipients and caregivers, is a field with many barriers to entry due to its interdisciplinary facets. RCareWorld takes the first step towards building a realistic simulation world for robotic caregiving that would enable researchers worldwide to contribute to this impactful field. Demo videos and supplementary materials can be found at: https://emprise.cs.cornell.edu/rcareworld/.