Practical Use for Adolescents and Adults with Borderline or Mild Intellectual Disability
Technology is changing how people manage daily life. One important development is the use of voice-based artificial intelligence, such as ChatGPT, to support everyday activities. From practical experience, I have used voice-enabled ChatGPT, and it worked well. Instead of typing, I spoke, and the system listened clearly and responded accurately. This voice interaction makes the tool easier and more accessible, especially for people who find typing or reading difficult. This blog discusses how voice-based ChatGPT can support Instrumental Activities of Daily Living (IADLs) for adolescents and adults with borderline or mild intellectual disability, and what evidence supports this use.
Why Voice Assistance Makes a Difference
Many individuals with intellectual disability face challenges such as:
● Difficulty with typing or spelling
● Slower processing of written information
● Problems organizing steps in a task
● Reduced confidence in public or unfamiliar settings
Voice assistance reduces these barriers. When a person speaks instead of typing, the task becomes more natural. The system listens, understands, and speaks back. This creates a simple conversation instead of a complex technical process.
Voice-based systems work through three steps:
- The user speaks.
- Speech is converted into text and understood by the AI.
- The AI replies using spoken language.
Because of this process, users can focus on doing the task, not on operating the device.
Supporting Instrumental Activities of Daily Living (IADLs)
- Shopping
ChatGPT can help users:
● Create spoken shopping lists
● Group items by category (vegetables, groceries, toiletries)
● Calculate total cost and change
● Remind users what to buy while in the shop
This support reduces memory load and improves independence in community settings.
- Calculating and Money Management
Voice-based ChatGPT can:
● Add prices
● Calculate change
● Explain calculations step by step in simple language
This is helpful for users who understand concepts better when they are spoken rather than written. However, important calculations should always be double-checked.
- Remembering and Following Steps
ChatGPT can:
● Provide spoken reminders
● Repeat instructions when needed
● Break tasks into small steps (for example, preparing to go out)
This supports working memory and task completion, especially during multi-step activities.
- Organizing Daily Activities
Users can ask ChatGPT to:
● Plan a day
● Organize tasks in order
● Prepare checklists
This is especially useful for individuals with executive functioning difficulties.
- Understanding Public Restaurants
Voice-based ChatGPT can help users:
● Know restaurant timings
● Understand menu options in simple words
● Prepare what to say when ordering food
● Learn basic rules of dining in public places
This increases confidence and participation in social and community life.
Evidence Supporting This Use
Research and professional literature support the use of conversational AI for daily living
support:
● Studies on ChatGPT-based assistive systems show that AI can support daily activities by giving step-by-step guidance.
● Reviews on conversational agents in healthcare report positive effects on task completion and user confidence.
● Research on speech-based interfaces shows that voice interaction improves accessibility for people with cognitive and learning difficulties.
● Occupational therapy literature highlights AI as a support tool, not a replacement, to improve independence in IADLs.
These studies agree that AI tools are most effective when used with supervision, training, and safety checks.
Important Limitations and Safety Considerations
While voice-based ChatGPT is helpful, it is not perfect.
● Sometimes, the system may give incorrect information.
● It should not be used alone for safety-critical tasks.
● Users may depend too much on the tool if skills are not practiced.
● Privacy must be protected when using voice and personal data.
For best results, ChatGPT should be used as a support tool, alongside caregivers, therapists, or structured training programs.
Conclusion
Voice-based ChatGPT can be a valuable assistive tool for adolescents and adults with borderline or mild intellectual disability. By reducing the need for typing and reading, it supports independence in shopping, calculating, remembering, organizing, and participating in public settings such as restaurants. From personal use, I have seen that it listens accurately and responds clearly. When used responsibly, with guidance and safety checks, this technology has strong potential to improve functional independence and quality of life.
Written by:
S. Hemanth
Designation: Pediatric Occupational Therapist
Organization: Jewel Autism and Child Developmental Centre, Kottayam, Kerala
Qualifications: B.O.T, M.O.T (Mental Health)
Contact: +91 98842 03421
Email: s.hemanthsham@gmail.com