When a Story Feels Like Mine: How Personalized Narratives and Humor Shape Older Adults'Empathy toward LLM-Generated Peer Health Stories

Abstract

Peer stories have been shown to boost self-efficacy in older adults'health behavior change. Despite their effectiveness, peer stories are difficult to deploy in health promotion at scale given the difficulty of matching the diverse health concerns and coping styles of heterogeneous older populations. Large language models (LLMs) have been shown to generate authentic narratives, yet how personalization and narrative affective style, such as humor, jointly shape older adults'responses remains unknown. We developed a theory-driven system that generates first-person peer health narratives varying in personalization and humor through a three-stage LLM pipeline grounded in self-efficacy mechanisms. Thirty-one older adults were invited to participate in a within-subjects lab study. Results showed that personalization increased perceived relatability and relevance of peer stories, especially for older adults with lower humor preference. These findings position individual differences in affective styles as a second dimension in designing personalization for LLM-assisted health communication.