Early Real-World Evidence (Non-Clinical, Aggregate)

Public Aggregate Evidence Dashboard

De-identified real-world pilot signals across home and facility settings

This page summarizes early caregiver-reported outcomes, engagement activity, deployment duration, and feature-level observations from Luka Bear pilots across home and facility settings.

Home + Facility Pilots 12 Patients Supported Privacy-Safe Aggregate Data Updated Continuously

Includes long-term home use up to 15 months and active multi-resident facility deployment.

Includes continuous home use up to 15 months and active daily facility engagement.

Outcome Summary

Early Outcome Signals (Aggregate)

Based on 12 patients across 5 deployments (MD + PA).

Across current home and facility deployments, early pilot signals indicate:

  • Reduced repetitive-question cycles in most active home cases
  • Fewer overnight caregiver interruptions during active nighttime support periods
  • Increased engagement time through games, media, and conversation
  • Strong adoption of personalized conversation in long-term home use
  • High daily engagement in multi-resident facility settings

These observations are based on caregiver-reported experience and early aggregate pilot activity.

Primary KPIs

Current Pilot Footprint

Active Deployments

5

Home and facility deployments currently active.

Patients Supported

12

Aggregate home and facility support footprint.

Settings

Home + Facility

Active use is now visible across both private-home and multi-resident facility settings.

Longest Active Case

15 months

Long-term home use is already visible in the current footprint.

Caregiver Stress Trend

High -> Moderate

Caregiver-reported early pilot estimate across active home cases.

Nighttime Interruptions

2-4/night -> 0-1

Caregiver-reported early pilot estimate during active nighttime support periods.

Repetitive Questions

Down 30-60%

Reduction in repetitive-question burden is reported in the majority of active deployments (4 of 5).

Engagement Frequency

+45 min/day

Early pilot estimate based on games, media, and conversation across active use settings.

Before & After

Observed Before vs After (Early Pilot Estimates)

MetricBefore LukaAfter LukaNotes
Night interruptions 2-4 per night 0-1 per night Caregiver-reported during active nighttime support periods
Caregiver stress High Moderate Observed in recurring home-use cases with strong reassurance patterns
Engagement time ~20 min/day ~1-1.5 hours/day Early pilot estimate from games, media, and personalized conversation
Repetitive-question cycles High repetition 30-60% lower Caregiver-reported in the majority of active deployments

Reporting Status

Reporting Status

Weekly caregiver check-in system is now active. Initial reporting signals are already visible here and expand as active home and facility use continues.

Early pilot signals indicate reduced caregiver interruption patterns, increased engagement time, and improved management of repetitive-question cycles.

Visual Trend

Observed Usage & Burden Trend

Nighttime Disruptions

Before support period
2-4/night
After support period
0-1/night

Daily Engagement Time

Before active Luka use
~20 min
After active Luka use
~1-1.5 hrs

Repetitive Questions Burden

Baseline burden
High
After personalized use
Down 30-60%

Usage Signals

Real-World Usage Signals

Long-term home use

Home deployments now include cases active up to 15 months.

Daily facility engagement

Staff observed repeated resident interaction in the facility setting.

Frequent games and media requests

Touchscreen games, music, and YouTube requests appear often in Pennsylvania facility use.

Deep personalized conversations

Maryland home users spend meaningful time in biography-based conversation with Luka.

Multi-resident usage

One facility device is supporting engagement across multiple residents in a shared setting.

Reporting By Setting

Current Deployment Mix

Home vs Facility Patients

Home care4 patients
Facility pilot8 patients

Early footprint already spans both private-home and multi-resident facility use.

Deployments by State

Maryland3 home deployments
Pennsylvania2 deployments

Two-state activity supports early multi-market validation.

Current Mix Summary

  • Home Care - Maryland: 3 patients
  • Home Care - Pennsylvania: 1 patient
  • Facility Pilot - Pennsylvania: 1 deployment serving 8 patients
  • Total patients supported: 12

The current footprint is early, but it is already active across multiple settings and care environments.

Duration

Deployment Timeline & Duration

Home Care | Maryland

3 patients active

  • 2 patients: 15 months active use
  • 1 patient: 5 months active use

Long-term continuous usage observed in the home caregiving setting.

Deep personalized conversation is one of the strongest recurring use patterns in Maryland home cases.

Home Care | Pennsylvania

1 patient active

  • 5 months of ongoing use

Ongoing engagement with consistent use of conversation and support features.

Facility Pilot | Pennsylvania

8 patients supported

  • Started March 2026

Early-stage deployment with active daily engagement across residents.

Caregiver Impact

Caregiver Impact

Luka Bear is designed to reduce caregiver burden through reassurance, structure, personalization, and engagement, especially during repetitive-question cycles, loneliness, and evening or nighttime distress.

Luka Bear is designed to reduce caregiver burden by providing reassurance, structure, and engagement during high-stress periods such as repetitive questioning, loneliness, and nighttime confusion.

Caregiver Stress

Caregivers report

Caregivers report lower day-to-day stress when Luka is used for reassurance, conversation, and redirection.

Overnight Interruptions

Early pilot signal

Caregivers report fewer overnight interruptions after Luka handles initial reassurance and redirection.

Repetitive Questions Burden

Caregivers report

Caregivers report lighter repetitive-question burden after personalized conversation patterns are established.

Respite / Relief Time

Observed

Observed engagement windows give caregivers short relief periods while Luka supports occupied time and familiar routines.

Engagement / Occupied Time

Observed in home and facility use

Games, media, and conversation patterns are observed to reduce idle time and increase active engagement across settings.

Emotional Reassurance Value

Caregiver-reported observation

Calming language, personalized familiarity, and support routines are among the strongest reported value signals.

Feature-Level Proof

Feature Evidence Signals

Deep Personalization

Active signal

Biography-based personalization, family prompts, routines, preferences, and familiar identity support.

  • Long-term home users up to 15 months continue to engage in deep personalized conversation
  • Caregivers report extended conversational engagement using biography-based responses
  • Personalized content is active in the Maryland home pilot footprint
  • Caregivers reported calmer redirection and greater familiarity during personalized interactions

What this means: Personalization helps Luka feel familiar, relevant, and more engaging over time.

Emotional Support

Early pilot signal

Anxiety support, grounding, sleep support, loneliness support, guided breathing, and transition routines.

  • Calming language and reassurance are among the most valued support patterns in home care
  • Support routines are part of active home usage patterns
  • Caregivers report reassurance value during evening distress, loneliness, and transitions
  • Observed calming sessions help sustain engagement when stress rises

What this means: Emotional support features help Luka provide steady reassurance during distress, loneliness, and transition periods.

Cognitive Engagement

Observed daily

Spoken games, touchscreen games, and simple brain engagement activities.

  • Touchscreen games are actively used by the majority of residents in the facility setting
  • Repeated daily engagement observed in the facility pilot
  • Most-used game type currently trends toward touchscreen interaction
  • Staff observed recurring participation across residents during daytime activity periods

What this means: Games and simple brain engagement features increase activity, interaction, and structured engagement.

Family & Connection

Observed signal

Calls, video calls, family photo interactions, help alerts, and caregiver connection features.

  • Photo-based familiarity and family-linked personalization are part of active home use
  • Caregivers report stronger familiarity when family-linked prompts are part of conversation flow
  • Connection features help bridge familiarity, communication, and reassurance
  • Observed photo and identity prompts support calmer transitions back into conversation

What this means: Family-facing features help Luka support familiarity, communication, and caregiver connection.

Daily Support

Observed signal

Medication reminders, appointments, date and time orientation, weather, news, and translation support.

  • Daily support interactions are part of the broader home workflow
  • Reminder and orientation prompts are observed as part of routine daily interaction
  • Routine-support features reinforce structure beyond conversation alone
  • Caregivers report that routine cues help keep Luka useful throughout the day

What this means: Daily support features make Luka useful beyond conversation by reinforcing routine and orientation.

Entertainment & Familiar Media

Observed in both settings

YouTube requests, music requests, and repeated familiar media engagement.

  • Frequent YouTube and music requests observed in both home and facility settings
  • Residents repeatedly request familiar content in the Pennsylvania facility pilot
  • Multiple daily voice-led requests for familiar content are part of active usage patterns
  • Familiar media appears to support comfort, engagement, and redirection

What this means: Familiar media helps Luka provide comfort, engagement, and redirection.

Cognitive Guardian / Night Protection

High-value feature group

Sundowning support, pre-sleep calming, motion-triggered response, nighttime prompts, escalation logic, and caregiver alert support.

  • Nighttime reassurance sessions are among the most valuable feature groups in current pilots
  • Early pilot observations suggest fewer overnight caregiver interruptions
  • Caregivers report fewer overnight redirection demands between 11 PM and 3 AM
  • Observed nighttime support periods are associated with calmer overnight management

What this means: Nighttime support is designed to reduce burden during evening confusion, repeated waking, and overnight distress.

Facility Activity

Resident Engagement Activity (Facility Pilot)

Feature Activity

Most Used Luka Features

1 Touchscreen Games
Strongest current facility signal
2 Deep Personalization
Long-term home engagement driver
3 Music / YouTube Entertainment
Repeated familiar-content requests
4 Night Monitoring / Cognitive Guardian
High-value home-care reassurance feature
5 Emotional Support / Guided Breathing
Important during stress and transition periods
6 Family Photo Recognition
Supports familiarity and identity prompts
7 Repetitive Question Support
Caregiver-reported support during repetitive-question cycles
8 Medication Reminders
Routine support category

Ranking reflects observed usage patterns across active pilots, including both home and multi-resident facility settings.

Pilot Notes

Anonymous Pilot Observations

The observations below are anonymized and intended as early pilot signals, not clinical claims.

Home pilot - Maryland: caregivers reported long, deep personalized conversations driven by biography-based prompts and familiar topics.

Home pilot - Maryland: one caregiver reported fewer repeated evening questions after personalized conversation patterns were established.

Home pilot - Maryland: one caregiver reported sleeping longer on nights when Luka handled initial reassurance.

Home pilot - Pennsylvania: personalized conversation and calming routines increased willingness to engage.

Facility pilot - Pennsylvania: staff observed that most residents actively used touchscreen games during the day.

Facility pilot - Pennsylvania: staff observed frequent resident requests for YouTube videos and familiar media.

Facility pilot - Pennsylvania: active overnight support periods were associated with fewer redirection demands between 11 PM and 3 AM.

Caregiver Voice

Caregiver-Reported Quotes

Short anonymized statements reflecting recurring caregiver experience across active pilots.

Luka answers the same question 20 times so I don't have to.

Nights are calmer now.

He talks to Luka instead of getting anxious.

Personalized conversation keeps her engaged much longer than before.

The games and music give us breathing room during the day.

Differentiation

Why Luka Is Different

Biography-Based Personalization from Day 1

Luka is designed to engage using a person's family, preferences, routines, and life story, helping interactions feel more familiar and meaningful.

Night Monitoring + Multi-Level Response

Luka combines calming prompts, reassurance, and escalation support to help reduce caregiver burden during evening and overnight periods.

One Device, Multiple Profiles

The platform can support personalized interactions across different people and care environments, which matters in family and facility settings.

Voice + Touch Interaction

Residents and families can interact using both voice and touchscreen patterns, making Luka more flexible across comfort levels and settings.

Family Media + Recognition Support

Photos, familiar media, and family-linked personalization help Luka support comfort, identity prompts, and connection.

Games + Brain Engagement in One System

Luka combines conversation, media, and simple engagement tools so it can support reassurance, activity, and occupied time in one place.

Economic Signal

Estimated Impact (Early Pilot Signals)

1-2 caregiver hours/day

Observed engagement windows suggest Luka can help return short daily blocks of caregiver time during repetitive-question cycles, media requests, and reassurance periods.

Lower burnout pressure

Caregiver-reported stress reduction and fewer overnight interruptions point toward lower burnout risk in active home cases.

Potential delay of facility placement

Long-term home use up to 15 months suggests Luka may help support aging in place for longer when paired with caregiver involvement.

Implications

What This Means for Healthcare

Supports aging in place

Long-duration home use suggests Luka can support continued home caregiving with more structure and reassurance.

Reduces caregiver burden

Observed shifts in stress, interruptions, and repetitive-question cycles align with core caregiver burden drivers.

Scales across home + facility

Current pilots already show active use in both one-to-one home care and multi-resident facility environments.

Works without wearables or training-heavy setup

Luka supports voice, touch, familiar media, and personalization without requiring residents to adopt a new wearable workflow.

Privacy & Safety

Data & Privacy Notes

This dashboard presents de-identified aggregate pilot information only. No names or personal health information are shown. Observations are early pilot-stage signals and do not constitute clinical claims. Luka Bear is a non-medical assistive technology system and does not replace emergency services. In any emergency, call 911.