Nina R. Benway

Sawinder Kaur, Avery Gump, Yi Xiao et al.

The advancement in deep learning and internet-of-things have led to diverse human sensing applications. However, distinct patterns in human sensing, influenced by various factors or contexts, challenge the generic neural network model's performance due to natural distribution shifts. To address this, personalization tailors models to individual users. Yet most personalization studies overlook intra-user heterogeneity across contexts in sensory data, limiting intra-user generalizability. This limitation is especially critical in clinical applications, where limited data availability hampers both generalizability and personalization. Notably, intra-user sensing attributes are expected to change due to external factors such as treatment progression, further complicating the challenges. To address the intra-user generalization challenge, this work introduces CRoP, a novel static personalization approach. CRoP leverages off-the-shelf pre-trained models as generic starting points and captures user-specific traits through adaptive pruning on a minimal sub-network while allowing generic knowledge to be incorporated in remaining parameters. CRoP demonstrates superior personalization effectiveness and intra-user robustness across four human-sensing datasets, including two from real-world health domains, underscoring its practical and social impact. Additionally, to support CRoP's generalization ability and design choices, we provide empirical justification through gradient inner product analysis, ablation studies, and comparisons against state-of-the-art baselines.

Si-Ioi Ng, Lingfeng Xu, Ingo Siegert et al.

There has been a surge of interest in leveraging speech as a marker of health for a wide spectrum of conditions. The underlying premise is that any neurological, mental, or physical deficits that impact speech production can be objectively assessed via automated analysis of speech. Recent advances in speech-based Artificial Intelligence (AI) models for diagnosing and tracking mental health, cognitive, and motor disorders often use supervised learning, similar to mainstream speech technologies like recognition and verification. However, clinical speech AI has distinct challenges, including the need for specific elicitation tasks, small available datasets, diverse speech representations, and uncertain diagnostic labels. As a result, application of the standard supervised learning paradigm may lead to models that perform well in controlled settings but fail to generalize in real-world clinical deployments. With translation into real-world clinical scenarios in mind, this tutorial paper provides an overview of the key components required for robust development of clinical speech AI. Specifically, this paper will cover the design of speech elicitation tasks and protocols most appropriate for different clinical conditions, collection of data and verification of hardware, development and validation of speech representations designed to measure clinical constructs of interest, development of reliable and robust clinical prediction models, and ethical and participant considerations for clinical speech AI. The goal is to provide comprehensive guidance on building models whose inputs and outputs link to the more interpretable and clinically meaningful aspects of speech, that can be interrogated and clinically validated on clinical datasets, and that adhere to ethical, privacy, and security considerations by design.