| Sumario: | The article focuses on the ethical challenges and importance of engaging people with dementia and their caregivers in the design and implementation of AI-enabled technologies for dementia care. It highlights that current practices often exclude these key stakeholders, leading to misaligned tools that may not meet their needs or values. The authors advocate for a user-engaged ethics approach across the AI development lifecycle—identifying needs, iterative co-design, and ongoing monitoring—to promote autonomy and address epistemic injustices arising from marginalizing dementia patients' perspectives. They also discuss interpretive difficulties in eliciting and understanding the values of people with dementia, emphasizing the need for humility and diverse communication methods to avoid inadvertently silencing their voices. Despite these challenges, sustained engagement with patients and caregivers is presented as essential for ethically responsible and effective dementia care technologies.
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