MSPEECH (multiple sclerosis monitoring through speech interaction in clinic and at home): a Living Lab study protocol for co-created, speech-based digital biomarkers in multiple sclerosis - Scorecard - MDSpire

MSPEECH (multiple sclerosis monitoring through speech interaction in clinic and at home): a Living Lab study protocol for co-created, speech-based digital biomarkers in multiple sclerosis

  • By

  • Tina Lemkau

  • Hernan Inojosa

  • Anja Dillenseger

  • Johannes Tröger

  • Janna Hermann

  • Nicklas Linz

  • Stephen Gilbert

  • Tjalf Ziemssen

  • July 16, 2026

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Clinical Scorecard: MSPEECH (Monitoring Multiple Sclerosis Through Speech Interaction in Clinical and Home Settings): A Study Protocol for Developing Co-Created, Speech-Driven Digital Biomarkers in Multiple Sclerosis

At a Glance

CategoryDetail
ConditionMultiple Sclerosis
Key MechanismsDigital health tools for frequent, low-burden measurements of speech as a potential biomarker.
Target PopulationPeople with Multiple Sclerosis (pwMS)
Care SettingClinical and home settings

Key Highlights

  • Development of the Mili app for speech assessment in MS.
  • Iterative co-creation involving pwMS, clinicians, and technology partners.
  • Focus on usability, acceptability, and integration into clinical workflows.
  • Exploratory analysis of speech metrics related to symptom severity.
  • Ethical, Legal and Social Issues (ELSI) oversight throughout the study.

Guideline-Based Recommendations

Diagnosis

  • Capture disease activity and progression across MS phenotypes.

Management

  • Utilize digital health tools to monitor symptoms between clinical visits.

Monitoring & Follow-up

  • Assess speech production and language as indicators of neurological function.

Risks

  • Address privacy concerns related to voice data handling.

Patient & Prescribing Data

Individuals diagnosed with Multiple Sclerosis.

Speech tasks can reflect cognitive and motor function changes.

Clinical Best Practices

  • Implement structured co-creation cycles for digital tool development.
  • Ensure continuous engagement and feedback from end users.
  • Integrate digital measures into routine clinical care.

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