34.9HCApr 20
Design and Evaluation of a Culturally Adapted Multimodal Virtual Agent for PTSD ScreeningCengiz Ozel, Waleed Nadeem, Samuel Potter et al.
Post-traumatic stress disorder (PTSD) is highly prevalent yet chronically underreported among combat-exposed military personnel. This paper presents Molhim, a culturally adapted multimodal conversational AI platform that supports purpose-specific interactions through a configurable conversational pipeline consisting of session setup, real-time dialogue with a high-fidelity virtual avatar, and post-session analysis and feedback. In this work, we examine the PTSD screening configuration of the Molhim platform in a military healthcare context. The system employs a conversational avatar driven by a large language model, integrating real-time speech recognition, visual understanding of user input, text-to-speech synthesis, and a high-fidelity human avatar to support structured multi-turn dialogue and automated post-session analysis, including administration of the PTSD Checklist for DSM-5 (PCL-5). These findings suggest the feasibility of Molhim as a conversational platform for PTSD screening and highlight design considerations for socially cooperative human-AI systems in clinical environments.
73.3ASMar 11
Harf-Speech: A Clinically Aligned Framework for Arabic Phoneme-Level Speech AssessmentAsif Azad, MD Sadik Hossain Shanto, Mohammad Sadat Hossain et al.
Automated phoneme-level pronunciation assessment is vital for scalable speech therapy and language learning, yet validated tools for Arabic remain scarce. We present Harf-Speech, a modular system scoring Arabic pronunciation at the phoneme level on a clinical scale. It combines an MSA phonetizer, a fine-tuned speech-to-phoneme model, Levenshtein alignment, and a blended scorer using longest common subsequence and edit-distance metrics. We fine-tune three ASR architectures on Arabic phoneme data and benchmark them with zero-shot multimodal models; the best, OmniASR-CTC-1B-v2, achieves 8.92\% phoneme error rate. Three certified speech-language pathologists independently scored 40 utterances for clinical validation. Harf-Speech attains a Pearson correlation of 0.791 and ICC(2,1) of 0.659 with mean expert scores, outperforming existing end-to-end assessment frameworks. These results show Harf-Speech yields clinically aligned, interpretable scores comparable to inter-rater expert agreement.