In this chapter, we investigate the extent to which the real-time bidirectional exchange of activity information can influence context-awareness, social presence, social connectedness, and importantly interpersonal activity synchrony in mediated ambient assisted living (AAL) environments. Additionally, we describe the design, development, and assessment of a bidirectional ambient display platform to support real-time activity awareness and social connectedness in mediated AAL contexts. In a semi-controlled study, we evaluate a conglomerate of activity-based lighting displays, to determine the effects of real-time bidirectional deployment on behaviour and social connectedness. Exploiting everyday objects, human activity levels are projected with a Philips Hue lamp, LED wallet, and LED walking cane, which render this information based on predefined patterns of light. Results from the current study show tendencies toward (1) an increase in implicit social interactions (e.g., the sense of experienced social presence and connectedness), (2) more positive social behaviours between the elderly and their caregivers in mediated AAL contexts, and (3) sporadic moments of interpersonal activity synchrony however, further investigation is necessary to determine the extent of this variable in mediated AAL contexts.