Feng Chen

Feng Chen, Manas Satish Bedmutha, Ray-Yuan Chung et al.

Implicit bias can impede patient-provider interactions and lead to inequities in care. Raising awareness is key to reducing such bias, but its manifestations in the social dynamics of patient-provider communication are difficult to detect. In this study, we used automated speech recognition (ASR) and natural language processing (NLP) to identify social signals in patient-provider interactions. We built an automated pipeline to predict social signals from audio recordings of 782 primary care visits that achieved 90.1% average accuracy across codes, and exhibited fairness in its predictions for white and non-white patients. Applying this pipeline, we identified statistically significant differences in provider communication behavior toward white versus non-white patients. In particular, providers expressed more patient-centered behaviors towards white patients including more warmth, engagement, and attentiveness. Our study underscores the potential of automated tools in identifying subtle communication signals that may be linked with bias and impact healthcare quality and equity.

Feng Chen, Weizhe Xu, Changye Li et al.

Formal thought disorder (FTD), a hallmark of schizophrenia spectrum disorders, manifests as incoherent speech and poses challenges for clinical assessment. Traditional clinical rating scales, though validated, are resource-intensive and lack scalability. Automated speech analysis with automatic speech recognition (ASR) allows for objective quantification of linguistic and temporal features of speech, offering scalable alternatives. The use of utterance timestamps in ASR captures pause dynamics, which are thought to reflect the cognitive processes underlying speech production. However, the utility of integrating these ASR-derived features for assessing FTD severity requires further evaluation. This study integrates pause features with semantic coherence metrics across three datasets: naturalistic self-recorded diaries (AVH, n = 140), structured picture descriptions (TOPSY, n = 72), and dream narratives (PsyCL, n = 43). We evaluated pause related features alongside established coherence measures, using support vector regression (SVR) to predict clinical FTD scores. Key findings demonstrate that pause features alone robustly predict the severity of FTD. Integrating pause features with semantic coherence metrics enhanced predictive performance compared to semantic-only models, with integration of independent models achieving correlations up to \r{ho} = 0.649 and AUC = 83.71% for severe cases detection (TOPSY, with best \r{ho} = 0.584 and AUC = 79.23% for semantic-only models). The performance gains from semantic and pause features integration held consistently across all contexts, though the nature of pause patterns was dataset-dependent. These findings suggest that frameworks combining temporal and semantic analyses provide a roadmap for refining the assessment of disorganized speech and advance automated speech analysis in psychosis.

Shenlong Lou, Yan Luo, Qiancong Fan et al.

It is widely recognized that the deeper networks or networks with more feature maps have better performance. Existing studies mainly focus on extending the network depth and increasing the feature maps of networks. At the same time, horizontal expansion network (e.g. Inception Model) as an alternative way to improve network performance has not been fully investigated. Accordingly, we proposed NeuroTreeNet (NTN), as a new horizontal extension network through the combination of random forest and Inception Model. Based on the tree structure, in which each branch represents a network and the root node features are shared to child nodes, network parameters are effectively reduced. By combining all features of leaf nodes, even less feature maps achieved better performance. In addition, the relationship between tree structure and the performance of NTN was investigated in depth. Comparing to other networks (e.g. VDSR\_5) with equal magnitude parameters, our model showed preferable performance in super resolution reconstruction task.