I found I was asking my caregivers several times each day to press the buttons on my bed mattress controller at the foot of my bed, either "static" or "alternate". I found a way I can now "press" the buttons myself from a phone app and SwitchBot. It's a little robotic finger that presses buttons! It's been working great. The SwitchBot Hub Plus can also send IR signals to control a TV or other things. Very handy.
https://www.switch-bot.com/hub-plus here's a video review on youtube https://youtu.be/8b5aWO5sBoE I remember awhile back someone asking for a way to press the power button on a laptop. This should work to do that using an Amazon Echo or Google Home.