Abdulkadir Külçe, Alihan Esen, Cağla Fikir +4cs.AI cs.CL
This paper presents ECHO (Enhanced Care \& Health Observer), a locally-deployable conversational health assistant for long-term chronic care management. ECHO integrates three complementary software modules developed under shared supervision as a unified system. The core module is an agentic chatbot built on a ReAct loop orchestrated via LangGraph, equipped with 17 clinical tools and a temporal knowledge graph for persistent cross-session memory; it achieves a 94.9\% tool-execution pass rate across a 59-scenario benchmark with GPT-5 Mini. A two-stage hybrid safety layer intercepts all incoming queries: a rule-based layer handles explicit crisis signals and jailbreak attempts in under 1ms, while a signed graph neural network (GNN) with APPNP-style propagation classifies boundary cases by clinical intent, achieving 88.8\% accuracy and 90.6\% unsafe recall on a 2,537-query annotated Turkish health dataset while outperforming zero-shot LLM baselines including Llama 3.3 70B. A multimodal speech assessment module combining Whisper acoustic encoding and BERT text encoding with cross-attention fusion estimates emotion, depression, and pain, reaching a mean macro F1 of 0.652. The full system is implemented as a web application that can run entirely on consumer hardware, with no patient data transmitted to external services, supporting compliance with GDPR and KVKK.
Joonyong Park, David M. Chan, Yuki Saito +1cs.SD cs.CL eess.AS
Large audio-language models (LALMs) are increasingly used as automatic judges for speech evaluation. However, high agreement with human ratings does not guarantee that their verdicts are grounded in the audio. A judge may instead rely on specialist labels or reference data supplied by the evaluation protocol itself, taking a shortcut in place of listening to the audio. In this paper, we audit such protocol-level ``shortcuts'' in LALM judges across three common deployment protocols: feature-blueprint judging, where the audio is replaced by a structured text description of acoustic features, reference-conditioned judging, and pairwise A/B comparison. Across six judges and four attributes, we find that several LALMs rely on protocol-level shortcuts. For example, in feature-blueprint judging, incorrect specialist labels reduce five judges' emotion accuracy to 0.10 or below, and in concatenated A/B comparisons, Qwen3-Omni-Thinking often picks the same slot regardless of order swaps. These results indicate that aggregate agreement can overstate the validity of LALM judges unless the model and the evaluation protocol are assessed jointly, and that each model-protocol pair should be evaluated with a matched shortcut probe.
Second-language (L2) English learners can rarely rehearse speaking with a partner. Speaking is also the most anxiety-laden skill. These gaps drive a fast-growing market for automated speaking practice and scoring. But an automated score is trustworthy only if it is accurate, interpretable, fair, and benchmarked against the right human bar. We build an interpretable feature-plus-LLM hybrid for spontaneous L2 dialogue. We evaluate it without ever fitting to the human labels, against the ICNALE Global Rating Archive: 140 speeches rated by ~80 trained raters on 10 analytic criteria. We score the 130 L2 speeches with usable audio. A deterministic De-Jong speech-timing composite reaches rho=0.764. Blended with a single text-LLM fluency judgment, it reaches Spearman rho=0.818 against the consensus gold. This agrees with the consensus better than 81% of the 80 individual trained raters: above the median rater (rho=0.73) and near the best, and at ~83% of the reliability-corrected maximum (kappa_max=0.99). The blend improves on the composite alone by +0.054 (paired-bootstrap 95% CI [0.017, 0.108], excludes 0); the LLM adds a coarse fluency ranking that the continuous composite refines. We also report a controlled null on pause encoding, bounded to effects below about +/-0.1 rho at this sample size. Holding the LLM and learner words fixed and varying only how pauses are written into the prompt, inline pause locations do not beat aggregate pause statistics (-0.069, CI [-0.15, +0.08]), and a grounded mid-clause criterion gives no reliable gain. The fluency signal comes from the measured speech-timing features, not from how pauses are written for the LLM. We back every claim with two agreeing learner-isolation methods, paired-bootstrap CIs, a monologue negative control, per-feature reproduction of classical measurements, and a per-L1 fairness audit.
This work investigates the interpretability of a Wav2Vec 2.0based speech intelligibility assessment model for oral and oropharyngeal cancer patients through canonical correlation analysis. By measuring the correlation between the model embeddings and eGeMAPS low-level descriptors (LLDs) as an interpretable reference, we analyze how acoustic information is encoded across the model layers. The analysis is conducted at two levels: individual LLDs layer-wise, and group-level: prosodic, spectral, and voice quality. Results show that the learned representations are most strongly correlated with spectral and prosodic features, with the first MFCC coefficient yielding the highest correlations across all layers. At the group level, spectral and prosodic groups achieve correlations of 0.77 and 0.71 respectively, while voice quality reaches 0.65. Beyond model interpretability, this work also offers practical guidance on acoustic feature selection for pathological speech assessment.
Dysarthria severity assessment is essential for therapy planning and longitudinal monitoring, yet manual perceptual rating is time-consuming and variable across clinicians. Although deep learning models achieve strong performance, their black-box nature limits clinical adoption. Existing speech explainability methods typically provide acoustic feature importance scores that are difficult for end-users to interpret. We propose an influence-based, instance-level explainability framework that explains each decision through supportive and competing training samples. Using gradient-based influence approximations, we compute per-utterance influence scores to identify supportive and competing training samples for each prediction. Controlled deletion experiments from 5 to 20 percent validate the explanations, showing that removing highly influential samples systematically shifts predictions. This approach provides auditable explanations by linking decisions to perceptible reference cases.
The rapid advancement of generative audio models has outpaced the development of robust evaluation methodologies. Existing objective metrics and general multimodal large language models (MLLMs) often struggle with domain generalization, zero-shot capabilities, and instructional flexibility. To address these bottlenecks, we propose JASTIN, a generalizable, instruction-driven audio evaluation framework that formulates audio assessment as a self-instructed reasoning task. JASTIN bridges a frozen high-performance audio encoder with a fine-tuned LLM backbone via a trainable audio adapter. To ensure robust zero-shot generalization, we introduce a comprehensive instruction following data preparation pipeline, incorporating Multi-Source, Multi-Task, Multi-Calibration, and Multi-Description data. Experimental results demonstrate that JASTIN achieves state-of-the-art Pearson and Spearman correlations with human subjective ratings. It consistently outperforms general MLLMs across speech, sound, music, and out-of-domain evaluation tasks without the need for task-specific retraining.