SpeechCARE: dynamic multimodal modeling for cognitive screening in diverse linguistic and speech task contexts - Summary - MDSpire

SpeechCARE: dynamic multimodal modeling for cognitive screening in diverse linguistic and speech task contexts

  • By

  • Hossein Azadmaleki

  • Yasaman Haghbin

  • Sina Rashidi

  • Mohammad Javad Momeni Nezhad

  • Ali Zolnour

  • Maryam Zolnoori

  • November 17, 2025

  • 0 min

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Objective:

To develop and evaluate SpeechCARE, a multimodal speech-processing pipeline for detecting cognitive impairment, specifically focusing on Alzheimer's Disease and Related Dementias (ADRD) and Mild Cognitive Impairment (MCI), across diverse populations and languages.

Key Findings:
  • Achieved an average F1-score of 72.11% on the held-out test set.
  • Demonstrated strong multilingual generalizability despite moderate disparities for Spanish speakers.
  • Incorporating age as a demographic factor significantly improved predictive accuracy.
  • Earned a special recognition award from NIA for its innovative approach.
Interpretation:

SpeechCARE shows promise as an effective tool for early detection of cognitive impairment, complementing existing biomarkers by capturing functional speech deficits, particularly in the context of ADRD and MCI.

Limitations:
  • Moderate disparities in performance for Spanish speakers.
  • Potential challenges in generalizing findings across all demographic groups, particularly in terms of cultural and linguistic diversity.
Conclusion:

SpeechCARE represents a significant advancement in cognitive impairment detection, offering a scalable solution for early identification across diverse populations.

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