Aura Health
Voice First AI Companion
Voice First AI Companion
Aura Health partnered with us to build a real-time conversational voice experience, embed emotionally-aware AI dialogue, and scale personalized voice-based support to a global audience.
Aura Health partnered with us to build a real-time conversational voice experience, embed emotionally-aware AI dialogue, and scale personalized voice-based support to a global audience.

Company Overview
Aura Health's premium offering is a native voice-first AI companion, designed to feel like talking to a present, attentive guide rather than tapping through an app. Delivered through a dedicated native iOS experience, it lets users speak naturally and receive real-time spoken responses, shaped by conversational memory, mood tracking, and reflective journaling. It extends Aura Health's decade of wellness expertise into a fully voice-driven modality.
The Challenge
Latency vs. presence - a therapeutic voice conversation only feels real if responses arrive with near-zero lag; any stutter breaks trust in a deeply personal moment.
Emotional continuity - a single conversation isn't enough; the companion needed to remember prior context, mood patterns, and journal entries to respond with real relational depth over time.
Voice that doesn't feel synthetic - text-to-speech needed to carry warmth and nuance, not robotic cadence, to support genuinely sensitive conversations.
Safety at conversational speed - every new AI behavior needed rigorous evaluation before reaching real users, without slowing the pace of feature iteration.
Bridging voice and structure - free-flowing conversation had to connect back to structured wellness tools such as mood check-ins, affirmations, guided journaling, and onboarding, not exist as an isolated chat feature.
Scope
We partnered with Aura Health to architect their real-time voice AI core, from low-latency audio infrastructure through to a safe, evaluation-gated system for shipping new conversational capabilities, built to support natural, ongoing voice relationships at scale.
What We Delivered
Real-time conversational voice engine - low-latency, two-way voice conversations powered by OpenAI's Realtime API over WebSocket, so responses feel spoken, not typed-then-read.
Natural voice synthesis and low-latency audio transport - ElevenLabs text-to-speech paired with LiveKit's WebRTC infrastructure for responsive, natural-sounding audio in real time.
Persistent memory and context system - dedicated conversation, dialogue, and memory layers so the app carries context across sessions instead of starting fresh each time.
Integrated emotional tracking - mood and emotion signals captured directly within voice conversations, feeding personalized responses and longer-term insight.
Reflective tools woven into voice - AI-assisted journaling and affirmations that connect what's said out loud to written reflection.
Guided voice onboarding - a conversational first-run experience that introduces the app's voice interaction model naturally, rather than through static screens.
Impact
Voice is now the majority conversation mode, accounting for 55% of completed sessions.
43% of users return for a repeat voice conversation within 7 days.
50% increase in average session length from voice-based conversations vs. text-only interactions.
18% of voice conversations extend into connected journaling or affirmation activity within the hour (10% journaling, 8% affirmation).
Conclusion
Aura's voice AI transformation extended its wellness mission into a new modality: real-time, emotionally continuous conversation that feels present rather than transactional. By pairing low-latency voice infrastructure with a rigorously evaluated rollout system, the app delivers natural, trustworthy voice support at scale, backed by the same real-time emotional intelligence that has made their core platform a leader for millions of users.
Company Overview
Aura Health's premium offering is a native voice-first AI companion, designed to feel like talking to a present, attentive guide rather than tapping through an app. Delivered through a dedicated native iOS experience, it lets users speak naturally and receive real-time spoken responses, shaped by conversational memory, mood tracking, and reflective journaling. It extends Aura Health's decade of wellness expertise into a fully voice-driven modality.
The Challenge
Latency vs. presence - a therapeutic voice conversation only feels real if responses arrive with near-zero lag; any stutter breaks trust in a deeply personal moment.
Emotional continuity - a single conversation isn't enough; the companion needed to remember prior context, mood patterns, and journal entries to respond with real relational depth over time.
Voice that doesn't feel synthetic - text-to-speech needed to carry warmth and nuance, not robotic cadence, to support genuinely sensitive conversations.
Safety at conversational speed - every new AI behavior needed rigorous evaluation before reaching real users, without slowing the pace of feature iteration.
Bridging voice and structure - free-flowing conversation had to connect back to structured wellness tools such as mood check-ins, affirmations, guided journaling, and onboarding, not exist as an isolated chat feature.
Scope
We partnered with Aura Health to architect their real-time voice AI core, from low-latency audio infrastructure through to a safe, evaluation-gated system for shipping new conversational capabilities, built to support natural, ongoing voice relationships at scale.
What We Delivered
Real-time conversational voice engine - low-latency, two-way voice conversations powered by OpenAI's Realtime API over WebSocket, so responses feel spoken, not typed-then-read.
Natural voice synthesis and low-latency audio transport - ElevenLabs text-to-speech paired with LiveKit's WebRTC infrastructure for responsive, natural-sounding audio in real time.
Persistent memory and context system - dedicated conversation, dialogue, and memory layers so the app carries context across sessions instead of starting fresh each time.
Integrated emotional tracking - mood and emotion signals captured directly within voice conversations, feeding personalized responses and longer-term insight.
Reflective tools woven into voice - AI-assisted journaling and affirmations that connect what's said out loud to written reflection.
Guided voice onboarding - a conversational first-run experience that introduces the app's voice interaction model naturally, rather than through static screens.
Impact
Voice is now the majority conversation mode, accounting for 55% of completed sessions.
43% of users return for a repeat voice conversation within 7 days.
50% increase in average session length from voice-based conversations vs. text-only interactions.
18% of voice conversations extend into connected journaling or affirmation activity within the hour (10% journaling, 8% affirmation).
Conclusion
Aura's voice AI transformation extended its wellness mission into a new modality: real-time, emotionally continuous conversation that feels present rather than transactional. By pairing low-latency voice infrastructure with a rigorously evaluated rollout system, the app delivers natural, trustworthy voice support at scale, backed by the same real-time emotional intelligence that has made their core platform a leader for millions of users.
Tech Stack
OpenAI


ElevenLabs
Gemini
NodeJs
ExpressJS
PostgreSQL


Firebase


HumeAI


Swift

LiveKit
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