18.1SDMay 24
Zero-Shot Parkinson's Disease Detection from Speech: Comparing Large Audio and Language ModelsMuhammad Ashad Kabir, Sirajam Munira
Large audio and language models have recently demonstrated zero-shot reasoning capabilities across various domains. However, it remains unclear how the form of audio input, whether handcrafted acoustic features extracted from speech or the raw audio waveform itself, affects performance for Parkinson's disease (PD) detection across different languages. In this study, we systematically compare two input modalities for zero-shot PD detection: (i) handcrafted acoustic features extracted from speech recordings analyzed by a general-purpose LLM, and (ii) direct waveform input analyzed by audio-capable models. Experiments on PD speech datasets in four languages show that performance varies across input modalities, speech tasks, and languages. Handcrafted acoustic features provide more stable performance in a low-resource language (e.g., Bengali), whereas audio input yields dataset-dependent gains. These findings highlight the impact of input modality on zero-shot PD detection from speech.
3.5LGApr 3
Community-Based Early-Stage Chronic Kidney Disease Screening using Explainable Machine Learning for Low-Resource SettingsMuhammad Ashad Kabir, Sirajam Munira, Dewan Tasnia Azad et al.
Early detection of chronic kidney disease (CKD) is essential for preventing progression to end-stage renal disease. However, existing screening tools - primarily developed using populations from high-income countries - often underperform in Bangladesh and South Asia, where risk profiles differ. Most of these tools rely on simple additive scoring functions and are based on data from patients with advanced-stage CKD. Consequently, they fail to capture complex interactions among risk factors and are limited in predicting early-stage CKD. Our objective was to develop and evaluate an explainable machine learning (ML) framework for community-based early-stage CKD screening for low-resource settings, tailored to the Bangladeshi and South Asian population context. A community-based CKD dataset from Bangladesh was used to develop predictive models. Variables were organized into clinically meaningful feature groups, and ten complementary feature selection methods were applied to identify robust predictor subsets. Twelve ML classifiers were evaluated using nested cross-validation. Model performance was benchmarked against established CKD screening tools and externally validated on three independent datasets from India, the UAE, and Bangladesh. SHAP was used to interpret model predictions. An ML model trained on an RFECV-selected feature subset achieved a balanced accuracy of 90.40%, whereas minimal non-pathology-test features demonstrated excellent predictive capability with a balanced accuracy of 89.23%, often outperforming larger or full feature sets. Compared with existing screening tools, the proposed models achieved substantially higher accuracy and sensitivity while requiring fewer and more accessible inputs. External validation confirmed strong generalizability with 78% to 98% sensitivity.
6.5HCApr 8
The Day My Chatbot Changed: Characterizing the Mental Health Impacts of Social AI App Updates via Negative User ReviewsSirajam Munira, Lydia Manikonda
Artificial Intelligence (AI) chatbots are increasingly used for emotional, creative, and social support, leading to sustained and routine user interaction with these systems. As these applications evolve through frequent version updates, changes in functionality or behavior may influence how users evaluate them. However, work on how publicly expressed user feedback varies across app versions in real-world deployment contexts is limited. This study analyzes 210,840 Google Play reviews of the chatbot application Character AI, linking each review to the app version active at the time of posting. We specifically examine negative reviews to study how version-level rating trends, and linguistic patterns reflect user experiences. Our results show that user ratings fluctuate across successive versions, with certain releases associated with stronger negative evaluations. Thematic analysis indicates that dissatisfaction is concentrated around recurring issues related to technical malfunctions and errors. A subset of reviews additionally frames these concerns in terms of potential psychological or addiction-related effects. The findings highlight how aggregate user evaluations and expressed concerns vary across software iterations and provide empirical insight into how update cycles relate to user feedback patterns and underscore the importance of stability and transparent communication in evolving AI systems.