Daily Papers

The automatic identification and analysis of pronunciation errors, known as Mispronunciation Detection and Diagnosis (MDD) plays a crucial role in Computer Aided Pronunciation Learning (CAPL) tools such as Second-Language (L2) learning or speech therapy applications. Existing MDD methods relying on analysing phonemes can only detect categorical errors of phonemes that have an adequate amount of training data to be modelled. With the unpredictable nature of the pronunciation errors of non-native or disordered speakers and the scarcity of training datasets, it is unfeasible to model all types of mispronunciations. Moreover, phoneme-level MDD approaches have a limited ability to provide detailed diagnostic information about the error made. In this paper, we propose a low-level MDD approach based on the detection of speech attribute features. Speech attribute features break down phoneme production into elementary components that are directly related to the articulatory system leading to more formative feedback to the learner. We further propose a multi-label variant of the Connectionist Temporal Classification (CTC) approach to jointly model the non-mutually exclusive speech attributes using a single model. The pre-trained wav2vec2 model was employed as a core model for the speech attribute detector. The proposed method was applied to L2 speech corpora collected from English learners from different native languages. The proposed speech attribute MDD method was further compared to the traditional phoneme-level MDD and achieved a significantly lower False Acceptance Rate (FAR), False Rejection Rate (FRR), and Diagnostic Error Rate (DER) over all speech attributes compared to the phoneme-level equivalent.

This study explores the use of Large language models to analyze therapist remarks in a psychotherapeutic setting. The paper focuses on the application of BERTopic, a machine learning-based topic modeling tool, to the dialogue of two different groups of therapists (classical and modern), which makes it possible to identify and describe a set of topics that consistently emerge across these groups. The paper describes in detail the chosen algorithm for BERTopic, which included creating a vector space from a corpus of therapist remarks, reducing its dimensionality, clustering the space, and creating and optimizing topic representation. Along with the automatic topical modeling by the BERTopic, the research involved an expert assessment of the findings and manual topic structure optimization. The topic modeling results highlighted the most common and stable topics in therapists speech, offering insights into how language patterns in therapy develop and remain stable across different therapeutic styles. This work contributes to the growing field of machine learning in psychotherapy by demonstrating the potential of automated methods to improve both the practice and training of therapists. The study highlights the value of topic modeling as a tool for gaining a deeper understanding of therapeutic dialogue and offers new opportunities for improving therapeutic effectiveness and clinical supervision.

It is widely accepted that information derived from analyzing speech (the acoustic signal) and language production (words and sentences) serves as a useful window into the health of an individual's cognitive ability. In fact, most neuropsychological testing batteries have a component related to speech and language where clinicians elicit speech from patients for subjective evaluation across a broad set of dimensions. With advances in speech signal processing and natural language processing, there has been recent interest in developing tools to detect more subtle changes in cognitive-linguistic function. This work relies on extracting a set of features from recorded and transcribed speech for objective assessments of speech and language, early diagnosis of neurological disease, and tracking of disease after diagnosis. With an emphasis on cognitive and thought disorders, in this paper we provide a review of existing speech and language features used in this domain, discuss their clinical application, and highlight their advantages and disadvantages. Broadly speaking, the review is split into two categories: language features based on natural language processing and speech features based on speech signal processing. Within each category, we consider features that aim to measure complementary dimensions of cognitive-linguistics, including language diversity, syntactic complexity, semantic coherence, and timing. We conclude the review with a proposal of new research directions to further advance the field.

Inspire therapy is an FDA-approved internal neurostimulation treatment for obstructive sleep apnea. However, not all patients respond to this therapy, posing a challenge even for experienced otolaryngologists to determine candidacy. This paper makes the first attempt to leverage both machine learning and deep learning techniques in discerning patient responsiveness to Inspire therapy using medical data and videos captured through Drug-Induced Sleep Endoscopy (DISE), an essential procedure for Inspire therapy. To achieve this, we gathered and annotated three datasets from 127 patients. Two of these datasets comprise endoscopic videos focused on the Base of the Tongue and Velopharynx. The third dataset composes the patient's clinical information. By utilizing these datasets, we benchmarked and compared the performance of six deep learning models and five classical machine learning algorithms. The results demonstrate the potential of employing machine learning and deep learning techniques to determine a patient's eligibility for Inspire therapy, paving the way for future advancements in this field.

In today's interconnected globe, moving abroad is more and more prevalent, whether it's for employment, refugee resettlement, or other causes. Language difficulties between natives and immigrants present a common issue on a daily basis, especially in medical domain. This can make it difficult for patients and doctors to communicate during anamnesis or in the emergency room, which compromises patient care. The goal of the HYKIST Project is to develop a speech translation system to support patient-doctor communication with ASR and MT. ASR systems have recently displayed astounding performance on particular tasks for which enough quantities of training data are available, such as LibriSpeech. Building a good model is still difficult due to a variety of speaking styles, acoustic and recording settings, and a lack of in-domain training data. In this thesis, we describe our efforts to construct ASR systems for a conversational telephone speech recognition task in the medical domain for Vietnamese language to assist emergency room contact between doctors and patients across linguistic barriers. In order to enhance the system's performance, we investigate various training schedules and data combining strategies. We also examine how best to make use of the little data that is available. The use of publicly accessible models like XLSR-53 is compared to the use of customized pre-trained models, and both supervised and unsupervised approaches are utilized using wav2vec 2.0 as architecture.

This review paper explores recent advances in deep learning approaches for non-invasive cognitive impairment detection. We examine various non-invasive indicators of cognitive decline, including speech and language, facial, and motoric mobility. The paper provides an overview of relevant datasets, feature-extracting techniques, and deep-learning architectures applied to this domain. We have analyzed the performance of different methods across modalities and observed that speech and language-based methods generally achieved the highest detection performance. Studies combining acoustic and linguistic features tended to outperform those using a single modality. Facial analysis methods showed promise for visual modalities but were less extensively studied. Most papers focused on binary classification (impaired vs. non-impaired), with fewer addressing multi-class or regression tasks. Transfer learning and pre-trained language models emerged as popular and effective techniques, especially for linguistic analysis. Despite significant progress, several challenges remain, including data standardization and accessibility, model explainability, longitudinal analysis limitations, and clinical adaptation. Lastly, we propose future research directions, such as investigating language-agnostic speech analysis methods, developing multi-modal diagnostic systems, and addressing ethical considerations in AI-assisted healthcare. By synthesizing current trends and identifying key obstacles, this review aims to guide further development of deep learning-based cognitive impairment detection systems to improve early diagnosis and ultimately patient outcomes.

Depression is a critical concern in global mental health, prompting extensive research into AI-based detection methods. Among various AI technologies, Large Language Models (LLMs) stand out for their versatility in mental healthcare applications. However, their primary limitation arises from their exclusive dependence on textual input, which constrains their overall capabilities. Furthermore, the utilization of LLMs in identifying and analyzing depressive states is still relatively untapped. In this paper, we present an innovative approach to integrating acoustic speech information into the LLMs framework for multimodal depression detection. We investigate an efficient method for depression detection by integrating speech signals into LLMs utilizing Acoustic Landmarks. By incorporating acoustic landmarks, which are specific to the pronunciation of spoken words, our method adds critical dimensions to text transcripts. This integration also provides insights into the unique speech patterns of individuals, revealing the potential mental states of individuals. Evaluations of the proposed approach on the DAIC-WOZ dataset reveal state-of-the-art results when compared with existing Audio-Text baselines. In addition, this approach is not only valuable for the detection of depression but also represents a new perspective in enhancing the ability of LLMs to comprehend and process speech signals.

In recent years, speech generation has seen remarkable progress, now achieving one-shot generation capability that is often virtually indistinguishable from real human voice. Integrating such advancements in speech generation with large language models might revolutionize a wide range of applications. However, certain applications, such as assistive conversational systems, require natural and conversational speech generation tools that also operate efficiently in real time. Current state-of-the-art models like VALL-E and SoundStorm, powered by hierarchical neural audio codecs, require large neural components and extensive training data to work well. In contrast, MQTTS aims to build more compact conversational TTS models while capitalizing on smaller-scale real-life conversational speech data. However, its autoregressive nature yields high inference latency and thus limits its real-time usage. In order to mitigate the current limitations of the state-of-the-art TTS models while capitalizing on their strengths, in this work we introduce the Pheme model series that 1) offers compact yet high-performing models, 2) allows for parallel speech generation of 3) natural conversational speech, and 4) it can be trained efficiently on smaller-scale conversational data, cutting data demands by more than 10x but still matching the quality of the autoregressive TTS models. We also show that through simple teacher-student distillation we can meet significant improvements in voice quality for single-speaker setups on top of pretrained Pheme checkpoints, relying solely on synthetic speech generated by much larger teacher models. Audio samples and pretrained models are available online.

There is a significant gap between patient needs and available mental health support today. In this paper, we aim to thoroughly examine the potential of using Large Language Models (LLMs) to assist professional psychotherapy. To this end, we propose a new benchmark, CBT-BENCH, for the systematic evaluation of cognitive behavioral therapy (CBT) assistance. We include three levels of tasks in CBT-BENCH: I: Basic CBT knowledge acquisition, with the task of multiple-choice questions; II: Cognitive model understanding, with the tasks of cognitive distortion classification, primary core belief classification, and fine-grained core belief classification; III: Therapeutic response generation, with the task of generating responses to patient speech in CBT therapy sessions. These tasks encompass key aspects of CBT that could potentially be enhanced through AI assistance, while also outlining a hierarchy of capability requirements, ranging from basic knowledge recitation to engaging in real therapeutic conversations. We evaluated representative LLMs on our benchmark. Experimental results indicate that while LLMs perform well in reciting CBT knowledge, they fall short in complex real-world scenarios requiring deep analysis of patients' cognitive structures and generating effective responses, suggesting potential future work.

Conversational agents are increasingly used to address emotional needs on top of information needs. One use case of increasing interest are counselling-style mental health and behaviour change interventions, with large language model (LLM)-based approaches becoming more popular. Research in this context so far has been largely system-focused, foregoing the aspect of user behaviour and the impact this can have on LLM-generated texts. To address this issue, we share a dataset containing text-based user interactions related to behaviour change with two GPT-4-based conversational agents collected in a preregistered user study. This dataset includes conversation data, user language analysis, perception measures, and user feedback for LLM-generated turns, and can offer valuable insights to inform the design of such systems based on real interactions.

Large language models (LLMs) have received much attention and shown their potential in digital health, while their application in mental health is subject to ongoing debate. This systematic review aims to summarize and characterize the use of LLMs in mental health by investigating the strengths and limitations of the latest work in LLMs and discusses the challenges and opportunities for early screening, digital interventions, and other clinical applications in mental health. Following PRISMA guidelines, we examined English articles from PubMed, DBLP Computer Science Bibliography, and IEEE Xplore, published between 1 January 2017, and 1 September 2023, focusing on mental health and LLMs. The review analyzed 32 articles, including mental health analysis using social media datasets (n=13), mental health chatbots (n=10), and other mental health applications (n=9). Findings reveal LLMs' effectiveness in mental health issue detection and the enhancement of telepsychological services through personalised healthcare. Nonetheless, risks like text inconsistencies, hallucinatory content, and the lack of an ethical framework raise concerns about their clinical use. Despite these challenges, the advancement of LLMs underscores their potential as innovative clinical tools, necessitating further research and development. The review emphasizes that LLMs should complement, not replace, professional mental health services.

Applying large language models (LLMs) to assist in psycho-counseling is an emerging and meaningful approach, driven by the significant gap between patient needs and the availability of mental health support. However, current LLMs struggle to consistently provide effective responses to client speeches, largely due to the lack of supervision from high-quality real psycho-counseling data, whose content is typically inaccessible due to client privacy concerns. Furthermore, the quality of therapists' responses in available sessions can vary significantly based on their professional training and experience. Assessing the quality of therapists' responses remains an open challenge. In this work, we address these challenges by first proposing a set of professional and comprehensive principles to evaluate therapists' responses to client speeches. Using these principles, we create a preference dataset, PsychoCounsel-Preference, which contains 36k high-quality preference comparison pairs. This dataset aligns with the preferences of professional psychotherapists, providing a robust foundation for evaluating and improving LLMs in psycho-counseling. Experiments on reward modeling and preference learning demonstrate that PsychoCounsel-Preference is an excellent resource for LLMs to acquire essential skills for responding to clients in a counseling session. Our best-aligned model, PsychoCounsel-Llama3-8B, achieves an impressive win rate of 87% against GPT-4o. We release PsychoCounsel-Preference, PsychoCounsel-Llama3-8B and the reward model PsychoCounsel Llama3-8B-Reward to facilitate the research of psycho-counseling with LLMs at: https://hf.co/Psychotherapy-LLM.

Simultaneous speech-to-text translation (SimulST) translates source-language speech into target-language text concurrently with the speaker's speech, ensuring low latency for better user comprehension. Despite its intended application to unbounded speech, most research has focused on human pre-segmented speech, simplifying the task and overlooking significant challenges. This narrow focus, coupled with widespread terminological inconsistencies, is limiting the applicability of research outcomes to real-world applications, ultimately hindering progress in the field. Our extensive literature review of 110 papers not only reveals these critical issues in current research but also serves as the foundation for our key contributions. We 1) define the steps and core components of a SimulST system, proposing a standardized terminology and taxonomy; 2) conduct a thorough analysis of community trends, and 3) offer concrete recommendations and future directions to bridge the gaps in existing literature, from evaluation frameworks to system architectures, for advancing the field towards more realistic and effective SimulST solutions.

Virtual counselors powered by large language models (LLMs) aim to create interactive support systems that effectively assist clients struggling with mental health challenges. To replicate counselor-client conversations, researchers have built an online mental health platform that allows professional counselors to provide clients with text-based counseling services for about an hour per session. Notwithstanding its effectiveness, challenges exist as human annotation is time-consuming, cost-intensive, privacy-protected, and not scalable. To address this issue and investigate the applicability of LLMs in psychological counseling conversation simulation, we propose a framework that employs two LLMs via role-playing for simulating counselor-client interactions. Our framework involves two LLMs, one acting as a client equipped with a specific and real-life user profile and the other playing the role of an experienced counselor, generating professional responses using integrative therapy techniques. We implement both the counselor and the client by zero-shot prompting the GPT-4 model. In order to assess the effectiveness of LLMs in simulating counselor-client interactions and understand the disparities between LLM- and human-generated conversations, we evaluate the synthetic data from various perspectives. We begin by assessing the client's performance through automatic evaluations. Next, we analyze and compare the disparities between dialogues generated by the LLM and those generated by professional counselors. Furthermore, we conduct extensive experiments to thoroughly examine the performance of our LLM-based counselor trained with synthetic interactive dialogues by benchmarking against state-of-the-art models for mental health.

Transformer and its derivatives have achieved success in diverse tasks across computer vision, natural language processing, and speech processing. To reduce the complexity of computations within the multi-head self-attention mechanism in Transformer, Selective State Space Models (i.e., Mamba) were proposed as an alternative. Mamba exhibited its effectiveness in natural language processing and computer vision tasks, but its superiority has rarely been investigated in speech signal processing. This paper explores solutions for applying Mamba to speech processing using two typical speech processing tasks: speech recognition, which requires semantic and sequential information, and speech enhancement, which focuses primarily on sequential patterns. The experimental results exhibit the superiority of bidirectional Mamba (BiMamba) for speech processing to vanilla Mamba. Moreover, experiments demonstrate the effectiveness of BiMamba as an alternative to the self-attention module in Transformer and its derivates, particularly for the semantic-aware task. The crucial technologies for transferring Mamba to speech are then summarized in ablation studies and the discussion section to offer insights for future research.

This study explores voice cloning to generate synthetic speech replicating the unique patterns of individuals with dysarthria. Using the TORGO dataset, we address data scarcity and privacy challenges in speech-language pathology. Our contributions include demonstrating that voice cloning preserves dysarthric speech characteristics, analyzing differences between real and synthetic data, and discussing implications for diagnostics, rehabilitation, and communication. We cloned voices from dysarthric and control speakers using a commercial platform, ensuring gender-matched synthetic voices. A licensed speech-language pathologist (SLP) evaluated a subset for dysarthria, speaker gender, and synthetic indicators. The SLP correctly identified dysarthria in all cases and speaker gender in 95% but misclassified 30% of synthetic samples as real, indicating high realism. Our results suggest synthetic speech effectively captures disordered characteristics and that voice cloning has advanced to produce high-quality data resembling real speech, even to trained professionals. This has critical implications for healthcare, where synthetic data can mitigate data scarcity, protect privacy, and enhance AI-driven diagnostics. By enabling the creation of diverse, high-quality speech datasets, voice cloning can improve generalizable models, personalize therapy, and advance assistive technologies for dysarthria. We publicly release our synthetic dataset to foster further research and collaboration, aiming to develop robust models that improve patient outcomes in speech-language pathology.

Language barriers present a great challenge in our increasingly connected and global world. Especially within the medical domain, e.g. hospital or emergency room, communication difficulties and delays may lead to malpractice and non-optimal patient care. In the HYKIST project, we consider patient-physician communication, more specifically between a German-speaking physician and an Arabic- or Vietnamese-speaking patient. Currently, a doctor can call the Triaphon service to get assistance from an interpreter in order to help facilitate communication. The HYKIST goal is to support the usually non-professional bilingual interpreter with an automatic speech translation system to improve patient care and help overcome language barriers. In this work, we present our ASR system development efforts for this conversational telephone speech translation task in the medical domain for two languages pairs, data collection, various acoustic model architectures and dialect-induced difficulties.

Speech provides a natural way for human-computer interaction. In particular, speech synthesis systems are popular in different applications, such as personal assistants, GPS applications, screen readers and accessibility tools. However, not all languages are on the same level when in terms of resources and systems for speech synthesis. This work consists of creating publicly available resources for Brazilian Portuguese in the form of a novel dataset along with deep learning models for end-to-end speech synthesis. Such dataset has 10.5 hours from a single speaker, from which a Tacotron 2 model with the RTISI-LA vocoder presented the best performance, achieving a 4.03 MOS value. The obtained results are comparable to related works covering English language and the state-of-the-art in Portuguese.

Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder that often emerges in early childhood. ASD assessment typically involves an observation protocol including note-taking and ratings of child's social behavior conducted by a trained clinician. A robust machine learning (ML) model that is capable of labeling adult and child audio has the potential to save significant time and labor in manual coding children's behaviors. This may assist clinicians capture events of interest, better communicate events with parents, and educate new clinicians. In this study, we leverage the self-supervised learning model, Wav2Vec 2.0 (W2V2), pretrained on 4300h of home recordings of children under 5 years old, to build a unified system that performs both speaker diarization (SD) and vocalization classification (VC) tasks. We apply this system to two-channel audio recordings of brief 3-5 minute clinician-child interactions using the Rapid-ABC corpus. We propose a novel technique by introducing auxiliary features extracted from W2V2-based automatic speech recognition (ASR) system for children under 4 years old to improve children's VC task. We test our proposed method of improving children's VC task on two corpora (Rapid-ABC and BabbleCor) and observe consistent improvements. Furthermore, we reach, or perhaps outperform, the state-of-the-art performance of BabbleCor.

Voice disorders are pathologies significantly affecting patient quality of life. However, non-invasive automated diagnosis of these pathologies is still under-explored, due to both a shortage of pathological voice data, and diversity of the recording types used for the diagnosis. This paper proposes a novel solution that adopts transformers directly working on raw voice signals and addresses data shortage through synthetic data generation and data augmentation. Further, we consider many recording types at the same time, such as sentence reading and sustained vowel emission, by employing a Mixture of Expert ensemble to align the predictions on different data types. The experimental results, obtained on both public and private datasets, show the effectiveness of our solution in the disorder detection and classification tasks and largely improve over existing approaches.

Background: Rapid advancements in natural language processing have led to the development of large language models with the potential to revolutionize mental health care. These models have shown promise in assisting clinicians and providing support to individuals experiencing various psychological challenges. Objective: This study aims to compare the performance of two large language models, GPT-4 and Chat-GPT, in responding to a set of 18 psychological prompts, to assess their potential applicability in mental health care settings. Methods: A blind methodology was employed, with a clinical psychologist evaluating the models' responses without knowledge of their origins. The prompts encompassed a diverse range of mental health topics, including depression, anxiety, and trauma, to ensure a comprehensive assessment. Results: The results demonstrated a significant difference in performance between the two models (p > 0.05). GPT-4 achieved an average rating of 8.29 out of 10, while Chat-GPT received an average rating of 6.52. The clinical psychologist's evaluation suggested that GPT-4 was more effective at generating clinically relevant and empathetic responses, thereby providing better support and guidance to potential users. Conclusions: This study contributes to the growing body of literature on the applicability of large language models in mental health care settings. The findings underscore the importance of continued research and development in the field to optimize these models for clinical use. Further investigation is necessary to understand the specific factors underlying the performance differences between the two models and to explore their generalizability across various populations and mental health conditions.

Building on the success of large language models (LLMs), recent advancements such as GPT-4o have enabled real-time speech interactions through LLM-based voice assistants, offering a significantly improved user experience compared to traditional text-based interactions. However, the absence of benchmarks designed to evaluate these speech interaction capabilities has hindered progress of LLM-based voice assistants development. Current evaluations focus primarily on automatic speech recognition (ASR) or general knowledge evaluation with clean speeches, neglecting the more intricate, real-world scenarios that involve diverse speaker characteristics, environmental and content factors. To address this, we introduce VoiceBench, the first benchmark designed to provide a multi-faceted evaluation of LLM-based voice assistants. VoiceBench also includes both real and synthetic spoken instructions that incorporate the above three key real-world variations. Extensive experiments reveal the limitations of current LLM-based voice assistant models and offer valuable insights for future research and development in this field.

This paper presents ChatCounselor, a large language model (LLM) solution designed to provide mental health support. Unlike generic chatbots, ChatCounselor is distinguished by its foundation in real conversations between consulting clients and professional psychologists, enabling it to possess specialized knowledge and counseling skills in the field of psychology. The training dataset, Psych8k, was constructed from 260 in-depth interviews, each spanning an hour. To assess the quality of counseling responses, the counseling Bench was devised. Leveraging GPT-4 and meticulously crafted prompts based on seven metrics of psychological counseling assessment, the model underwent evaluation using a set of real-world counseling questions. Impressively, ChatCounselor surpasses existing open-source models in the counseling Bench and approaches the performance level of ChatGPT, showcasing the remarkable enhancement in model capability attained through high-quality domain-specific data.

Stuttering is a speech disorder where the natural flow of speech is interrupted by blocks, repetitions or prolongations of syllables, words and phrases. The majority of existing automatic speech recognition (ASR) interfaces perform poorly on utterances with stutter, mainly due to lack of matched training data. Synthesis of speech with stutter thus presents an opportunity to improve ASR for this type of speech. We describe Stutter-TTS, an end-to-end neural text-to-speech model capable of synthesizing diverse types of stuttering utterances. We develop a simple, yet effective prosody-control strategy whereby additional tokens are introduced into source text during training to represent specific stuttering characteristics. By choosing the position of the stutter tokens, Stutter-TTS allows word-level control of where stuttering occurs in the synthesized utterance. We are able to synthesize stutter events with high accuracy (F1-scores between 0.63 and 0.84, depending on stutter type). By fine-tuning an ASR model on synthetic stuttered speech we are able to reduce word error by 5.7% relative on stuttered utterances, with only minor (<0.2% relative) degradation for fluent utterances.

This paper describes the speech processing activities conducted at the Polish consortium of the CLARIN project. The purpose of this segment of the project was to develop specific tools that would allow for automatic and semi-automatic processing of large quantities of acoustic speech data. The tools include the following: grapheme-to-phoneme conversion, speech-to-text alignment, voice activity detection, speaker diarization, keyword spotting and automatic speech transcription. Furthermore, in order to develop these tools, a large high-quality studio speech corpus was recorded and released under an open license, to encourage development in the area of Polish speech research. Another purpose of the corpus was to serve as a reference for studies in phonetics and pronunciation. All the tools and resources were released on the the Polish CLARIN website. This paper discusses the current status and future plans for the project.

Speech-based depression detection poses significant challenges for automated detection due to its unique manifestation across individuals and data scarcity. Addressing these challenges, we introduce DAAMAudioCNNLSTM and DAAMAudioTransformer, two parameter efficient and explainable models for audio feature extraction and depression detection. DAAMAudioCNNLSTM features a novel CNN-LSTM framework with multi-head Density Adaptive Attention Mechanism (DAAM), focusing dynamically on informative speech segments. DAAMAudioTransformer, leveraging a transformer encoder in place of the CNN-LSTM architecture, incorporates the same DAAM module for enhanced attention and interpretability. These approaches not only enhance detection robustness and interpretability but also achieve state-of-the-art performance: DAAMAudioCNNLSTM with an F1 macro score of 0.702 and DAAMAudioTransformer with an F1 macro score of 0.72 on the DAIC-WOZ dataset, without reliance on supplementary information such as vowel positions and speaker information during training/validation as in previous approaches. Both models' significant explainability and efficiency in leveraging speech signals for depression detection represent a leap towards more reliable, clinically useful diagnostic tools, promising advancements in speech and mental health care. To foster further research in this domain, we make our code publicly available.

The recent advancements in artificial intelligence highlight the potential of language models in psychological health support. While models trained on data from mental health service platform have achieved preliminary success, challenges persist in areas such as data scarcity, quality, and ensuring a solid foundation in psychological techniques. To address these challenges, this study introduces a novel approach to enhance the precision and efficacy of psychological support through large language models. Specifically, we design a specific prompt derived from principles of Cognitive Behavioral Therapy (CBT) and have generated the CBT QA dataset, specifically for Chinese psychological health Q&A based on CBT structured intervention strategies. Unlike previous methods, our dataset emphasizes professional and structured response. Utilizing this dataset, we fine-tuned the large language model, giving birth to CBT-LLM, the large-scale language model specifically designed for Cognitive Behavioral Therapy techniques. Empirical evaluations demonstrate that CBT-LLM excels in generating structured, professional, and highly relevant responses in psychological health support tasks, showcasing its practicality and quality. The model is available on Hugging Face: https://huggingface.co/Hongbin37/CBT-LLM.

People experiencing severe distress increasingly use Large Language Model (LLM) chatbots as mental health support tools. Discussions on social media have described how engagements were lifesaving for some, but evidence suggests that general-purpose LLM chatbots also have notable risks that could endanger the welfare of users if not designed responsibly. In this study, we investigate the lived experiences of people who have used LLM chatbots for mental health support. We build on interviews with 21 individuals from globally diverse backgrounds to analyze how users create unique support roles for their chatbots, fill in gaps in everyday care, and navigate associated cultural limitations when seeking support from chatbots. We ground our analysis in psychotherapy literature around effective support, and introduce the concept of therapeutic alignment, or aligning AI with therapeutic values for mental health contexts. Our study offers recommendations for how designers can approach the ethical and effective use of LLM chatbots and other AI mental health support tools in mental health care.

Generative models have gained more and more attention in recent years for their remarkable success in tasks that required estimating and sampling data distribution to generate high-fidelity synthetic data. In speech, text-to-speech synthesis and neural vocoder are good examples where generative models have shined. While generative models have been applied to different applications in speech, there exists no general-purpose generative model that models speech directly. In this work, we take a step toward this direction by showing a single pre-trained generative model can be adapted to different downstream tasks with strong performance. Specifically, we pre-trained a generative model, named SpeechFlow, on 60k hours of untranscribed speech with Flow Matching and masked conditions. Experiment results show the pre-trained generative model can be fine-tuned with task-specific data to match or surpass existing expert models on speech enhancement, separation, and synthesis. Our work suggested a foundational model for generation tasks in speech can be built with generative pre-training.

Large language models (LLMs) represent a transformative class of AI tools capable of revolutionizing various aspects of healthcare by generating human-like responses across diverse contexts and adapting to novel tasks following human instructions. Their potential application spans a broad range of medical tasks, such as clinical documentation, matching patients to clinical trials, and answering medical questions. In this primer paper, we propose an actionable guideline to help healthcare professionals more efficiently utilize LLMs in their work, along with a set of best practices. This approach consists of several main phases, including formulating the task, choosing LLMs, prompt engineering, fine-tuning, and deployment. We start with the discussion of critical considerations in identifying healthcare tasks that align with the core capabilities of LLMs and selecting models based on the selected task and data, performance requirements, and model interface. We then review the strategies, such as prompt engineering and fine-tuning, to adapt standard LLMs to specialized medical tasks. Deployment considerations, including regulatory compliance, ethical guidelines, and continuous monitoring for fairness and bias, are also discussed. By providing a structured step-by-step methodology, this tutorial aims to equip healthcare professionals with the tools necessary to effectively integrate LLMs into clinical practice, ensuring that these powerful technologies are applied in a safe, reliable, and impactful manner.

In this paper, we introduce a zero-shot Voice Transfer (VT) module that can be seamlessly integrated into a multi-lingual Text-to-speech (TTS) system to transfer an individual's voice across languages. Our proposed VT module comprises a speaker-encoder that processes reference speech, a bottleneck layer, and residual adapters, connected to preexisting TTS layers. We compare the performance of various configurations of these components and report Mean Opinion Score (MOS) and Speaker Similarity across languages. Using a single English reference speech per speaker, we achieve an average voice transfer similarity score of 73% across nine target languages. Vocal characteristics contribute significantly to the construction and perception of individual identity. The loss of one's voice, due to physical or neurological conditions, can lead to a profound sense of loss, impacting one's core identity. As a case study, we demonstrate that our approach can not only transfer typical speech but also restore the voices of individuals with dysarthria, even when only atypical speech samples are available - a valuable utility for those who have never had typical speech or banked their voice. Cross-lingual typical audio samples, plus videos demonstrating voice restoration for dysarthric speakers are available here (google.github.io/tacotron/publications/zero_shot_voice_transfer).

We address a challenging and practical task of labeling questions in speech in real time during telephone calls to emergency medical services in English, which embeds within a broader decision support system for emergency call-takers. We propose a novel multimodal approach to real-time sequence labeling in speech. Our model treats speech and its own textual representation as two separate modalities or views, as it jointly learns from streamed audio and its noisy transcription into text via automatic speech recognition. Our results show significant gains of jointly learning from the two modalities when compared to text or audio only, under adverse noise and limited volume of training data. The results generalize to medical symptoms detection where we observe a similar pattern of improvements with multimodal learning.

We introduce AudioPaLM, a large language model for speech understanding and generation. AudioPaLM fuses text-based and speech-based language models, PaLM-2 [Anil et al., 2023] and AudioLM [Borsos et al., 2022], into a unified multimodal architecture that can process and generate text and speech with applications including speech recognition and speech-to-speech translation. AudioPaLM inherits the capability to preserve paralinguistic information such as speaker identity and intonation from AudioLM and the linguistic knowledge present only in text large language models such as PaLM-2. We demonstrate that initializing AudioPaLM with the weights of a text-only large language model improves speech processing, successfully leveraging the larger quantity of text training data used in pretraining to assist with the speech tasks. The resulting model significantly outperforms existing systems for speech translation tasks and has the ability to perform zero-shot speech-to-text translation for many languages for which input/target language combinations were not seen in training. AudioPaLM also demonstrates features of audio language models, such as transferring a voice across languages based on a short spoken prompt. We release examples of our method at https://google-research.github.io/seanet/audiopalm/examples

This work is concerned with devising a robust Parkinson's (PD) disease detector from speech in real-world operating conditions using (i) foundational models, and (ii) speech enhancement (SE) methods. To this end, we first fine-tune several foundational-based models on the standard PC-GITA (s-PC-GITA) clean data. Our results demonstrate superior performance to previously proposed models. Second, we assess the generalization capability of the PD models on the extended PC-GITA (e-PC-GITA) recordings, collected in real-world operative conditions, and observe a severe drop in performance moving from ideal to real-world conditions. Third, we align training and testing conditions applaying off-the-shelf SE techniques on e-PC-GITA, and a significant boost in performance is observed only for the foundational-based models. Finally, combining the two best foundational-based models trained on s-PC-GITA, namely WavLM Base and Hubert Base, yielded top performance on the enhanced e-PC-GITA.

Advances in large language models (LLMs) have empowered a variety of applications. However, there is still a significant gap in research when it comes to understanding and enhancing the capabilities of LLMs in the field of mental health. In this work, we present the first comprehensive evaluation of multiple LLMs, including Alpaca, Alpaca-LoRA, FLAN-T5, GPT-3.5, and GPT-4, on various mental health prediction tasks via online text data. We conduct a broad range of experiments, covering zero-shot prompting, few-shot prompting, and instruction fine-tuning. The results indicate a promising yet limited performance of LLMs with zero-shot and few-shot prompt designs for the mental health tasks. More importantly, our experiments show that instruction finetuning can significantly boost the performance of LLMs for all tasks simultaneously. Our best-finetuned models, Mental-Alpaca and Mental-FLAN-T5, outperform the best prompt design of GPT-3.5 (25 and 15 times bigger) by 10.9% on balanced accuracy and the best of GPT-4 (250 and 150 times bigger) by 4.8%. They further perform on par with the state-of-the-art task-specific language model. We also conduct an exploratory case study on LLMs' capability on the mental health reasoning tasks, illustrating the promising capability of certain models such as GPT-4. We summarize our findings into a set of action guidelines for potential methods to enhance LLMs' capability for mental health tasks. Meanwhile, we also emphasize the important limitations before achieving deployability in real-world mental health settings, such as known racial and gender bias. We highlight the important ethical risks accompanying this line of research.

We demonstrate that carefully adjusting the tokenizer of the Whisper speech recognition model significantly improves the precision of word-level timestamps when applying dynamic time warping to the decoder's cross-attention scores. We fine-tune the model to produce more verbatim speech transcriptions and employ several techniques to increase robustness against multiple speakers and background noise. These adjustments achieve state-of-the-art performance on benchmarks for verbatim speech transcription, word segmentation, and the timed detection of filler events, and can further mitigate transcription hallucinations. The code is available open https://github.com/nyrahealth/CrisperWhisper.

Speech recognition applications cover a range of different audio and text distributions, with different speaking styles, background noise, transcription punctuation and character casing. However, many speech recognition systems require dataset-specific tuning (audio filtering, punctuation removal and normalisation of casing), therefore assuming a-priori knowledge of both the audio and text distributions. This tuning requirement can lead to systems failing to generalise to other datasets and domains. To promote the development of multi-domain speech systems, we introduce the End-to-end Speech Benchmark (ESB) for evaluating the performance of a single automatic speech recognition (ASR) system across a broad set of speech datasets. Benchmarked systems must use the same data pre- and post-processing algorithm across datasets - assuming the audio and text data distributions are a-priori unknown. We compare a series of state-of-the-art (SoTA) end-to-end (E2E) systems on this benchmark, demonstrating how a single speech system can be applied and evaluated on a wide range of data distributions. We find E2E systems to be effective across datasets: in a fair comparison, E2E systems achieve within 2.6% of SoTA systems tuned to a specific dataset. Our analysis reveals that transcription artefacts, such as punctuation and casing, pose difficulties for ASR systems and should be included in evaluation. We believe E2E benchmarking over a range of datasets promotes the research of multi-domain speech recognition systems. ESB is available at https://huggingface.co/esb.

Although supervised deep learning has revolutionized speech and audio processing, it has necessitated the building of specialist models for individual tasks and application scenarios. It is likewise difficult to apply this to dialects and languages for which only limited labeled data is available. Self-supervised representation learning methods promise a single universal model that would benefit a wide variety of tasks and domains. Such methods have shown success in natural language processing and computer vision domains, achieving new levels of performance while reducing the number of labels required for many downstream scenarios. Speech representation learning is experiencing similar progress in three main categories: generative, contrastive, and predictive methods. Other approaches rely on multi-modal data for pre-training, mixing text or visual data streams with speech. Although self-supervised speech representation is still a nascent research area, it is closely related to acoustic word embedding and learning with zero lexical resources, both of which have seen active research for many years. This review presents approaches for self-supervised speech representation learning and their connection to other research areas. Since many current methods focus solely on automatic speech recognition as a downstream task, we review recent efforts on benchmarking learned representations to extend the application beyond speech recognition.

Speech patterns have been identified as potential diagnostic markers for neuropsychiatric conditions. However, most studies only compare a single clinical group to healthy controls, whereas clinical practice often requires differentiating between multiple potential diagnoses (multiclass settings). To address this, we assembled a dataset of repeated recordings from 420 participants (67 with major depressive disorder, 106 with schizophrenia and 46 with autism, as well as matched controls), and tested the performance of a range of conventional machine learning models and advanced Transformer models on both binary and multiclass classification, based on voice and text features. While binary models performed comparably to previous research (F1 scores between 0.54-0.75 for autism spectrum disorder, ASD; 0.67-0.92 for major depressive disorder, MDD; and 0.71-0.83 for schizophrenia); when differentiating between multiple diagnostic groups performance decreased markedly (F1 scores between 0.35-0.44 for ASD, 0.57-0.75 for MDD, 0.15-0.66 for schizophrenia, and 0.38-0.52 macro F1). Combining voice and text-based models yielded increased performance, suggesting that they capture complementary diagnostic information. Our results indicate that models trained on binary classification may learn to rely on markers of generic differences between clinical and non-clinical populations, or markers of clinical features that overlap across conditions, rather than identifying markers specific to individual conditions. We provide recommendations for future research in the field, suggesting increased focus on developing larger transdiagnostic datasets that include more fine-grained clinical features, and that can support the development of models that better capture the complexity of neuropsychiatric conditions and naturalistic diagnostic assessment.

There has been an increasing research interest in developing specialized dialogue systems that can offer mental health support. However, gathering large-scale and real-life multi-turn conversations for mental health support poses challenges due to the sensitivity of personal information, as well as the time and cost involved. To address these issues, we introduce the SMILE approach, an inclusive language expansion technique that employs ChatGPT to extend public single-turn dialogues into multi-turn ones. Our research first presents a preliminary exploratory study that validates the effectiveness of the SMILE approach. Furthermore, we conduct a comprehensive and systematic contrastive analysis of datasets generated with and without the SMILE approach, demonstrating that the SMILE method results in a large-scale, diverse, and close-to-real-life multi-turn mental health support conversation corpus, including dialog topics, lexical and semantic features. Finally, we use the collected corpus (SMILECHAT) to develop a more effective dialogue system that offers emotional support and constructive suggestions in multi-turn conversations for mental health support.

Multilingual automatic speech recognition (ASR) in the medical domain serves as a foundational task for various downstream applications such as speech translation, spoken language understanding, and voice-activated assistants. This technology enhances patient care by enabling efficient communication across language barriers, alleviating specialized workforce shortages, and facilitating improved diagnosis and treatment, particularly during pandemics. In this work, we introduce MultiMed, a collection of small-to-large end-to-end ASR models for the medical domain, spanning five languages: Vietnamese, English, German, French, and Mandarin Chinese, together with the corresponding real-world ASR dataset. To our best knowledge, MultiMed stands as the largest and the first multilingual medical ASR dataset, in terms of total duration, number of speakers, diversity of diseases, recording conditions, speaker roles, unique medical terms, accents, and ICD-10 codes. Secondly, we establish the empirical baselines, present the first reproducible study of multilinguality in medical ASR, conduct a layer-wise ablation study for end-to-end ASR training, and provide the first linguistic analysis for multilingual medical ASR. All code, data, and models are available online https://github.com/leduckhai/MultiMed/tree/master/MultiMed

Natural language processing (NLP) is becoming an important means for automatic recognition of human traits and states, such as intoxication, presence of psychiatric disorders, presence of airway disorders and states of stress. Such applications have the potential to be an important pillar for online help lines, and may gradually be introduced into eHealth modules. However, NLP is language specific and for languages such as Dutch, NLP models are scarce. As a result, recent Dutch NLP models have a low capture of long range semantic dependencies over sentences. To overcome this, here we present belabBERT, a new Dutch language model extending the RoBERTa architecture. belabBERT is trained on a large Dutch corpus (+32 GB) of web crawled texts. We applied belabBERT to the classification of psychiatric illnesses. First, we evaluated the strength of text-based classification using belabBERT, and compared the results to the existing RobBERT model. Then, we compared the performance of belabBERT to audio classification for psychiatric disorders. Finally, a brief exploration was performed, extending the framework to a hybrid text- and audio-based classification. Our results show that belabBERT outperformed the current best text classification network for Dutch, RobBERT. belabBERT also outperformed classification based on audio alone.

The field of natural language processing (NLP) has recently witnessed a transformative shift with the emergence of foundation models, particularly Large Language Models (LLMs) that have revolutionized text-based NLP. This paradigm has extended to other modalities, including speech, where researchers are actively exploring the combination of Speech Foundation Models (SFMs) and LLMs into single, unified models capable of addressing multimodal tasks. Among such tasks, this paper focuses on speech-to-text translation (ST). By examining the published papers on the topic, we propose a unified view of the architectural solutions and training strategies presented so far, highlighting similarities and differences among them. Based on this examination, we not only organize the lessons learned but also show how diverse settings and evaluation approaches hinder the identification of the best-performing solution for each architectural building block and training choice. Lastly, we outline recommendations for future works on the topic aimed at better understanding the strengths and weaknesses of the SFM+LLM solutions for ST.

Large Language Models (LLMs) have made significant progress in various downstream tasks, inspiring the development of Speech Understanding Language Models (SULMs) to enable comprehensive speech-based interactions. However, most advanced SULMs are developed by the industry, leveraging large-scale datasets and computational resources that are not readily available to the academic community. Moreover, the lack of transparency in training details creates additional barriers to further innovation. In this study, we present OSUM, an Open Speech Understanding Model designed to explore the potential of training SLUMs under constrained academic resources. The OSUM model combines a Whisper encoder with a Qwen2 LLM and supports a wide range of speech tasks, including speech recognition (ASR), speech recognition with timestamps (SRWT), vocal event detection (VED), speech emotion recognition (SER), speaking style recognition (SSR), speaker gender classification (SGC), speaker age prediction (SAP), and speech-to-text chat (STTC). By employing an ASR+X training strategy, OSUM achieves efficient and stable multi-task training by simultaneously optimizing ASR alongside target tasks. Beyond delivering strong performance, OSUM emphasizes transparency by providing openly available data preparation and training methodologies, offering valuable insights and practical guidance for the academic community. By doing so, we aim to accelerate research and innovation in advanced SULM technologies.

The remarkable success of transformers in the field of natural language processing has sparked the interest of the speech-processing community, leading to an exploration of their potential for modeling long-range dependencies within speech sequences. Recently, transformers have gained prominence across various speech-related domains, including automatic speech recognition, speech synthesis, speech translation, speech para-linguistics, speech enhancement, spoken dialogue systems, and numerous multimodal applications. In this paper, we present a comprehensive survey that aims to bridge research studies from diverse subfields within speech technology. By consolidating findings from across the speech technology landscape, we provide a valuable resource for researchers interested in harnessing the power of transformers to advance the field. We identify the challenges encountered by transformers in speech processing while also offering insights into potential solutions to address these issues.

Large Language Models (LLMs), such as ChatGPT, are becoming increasingly sophisticated, demonstrating capabilities that closely resemble those of humans. These AI models are playing an essential role in assisting humans with a wide array of tasks in daily life. A significant application of AI is its use as a chat agent, responding to human inquiries across various domains. Current LLMs have shown proficiency in answering general questions. However, basic question-answering dialogue often falls short in complex diagnostic scenarios, such as legal or medical consultations. These scenarios typically necessitate Task-Oriented Dialogue (TOD), wherein an AI chat agent needs to proactively pose questions and guide users towards specific task completion. Previous fine-tuning models have underperformed in TOD, and current LLMs do not inherently possess this capability. In this paper, we introduce DiagGPT (Dialogue in Diagnosis GPT), an innovative method that extends LLMs to TOD scenarios. Our experiments reveal that DiagGPT exhibits outstanding performance in conducting TOD with users, demonstrating its potential for practical applications.

This paper reports our work on building up a Cantonese Speech-to-Text (STT) system with a syllable based acoustic model. This is a part of an effort in building a STT system to aid dyslexic students who have cognitive deficiency in writing skills but have no problem expressing their ideas through speech. For Cantonese speech recognition, the basic unit of acoustic models can either be the conventional Initial-Final (IF) syllables, or the Onset-Nucleus-Coda (ONC) syllables where finals are further split into nucleus and coda to reflect the intra-syllable variations in Cantonese. By using the Kaldi toolkit, our system is trained using the stochastic gradient descent optimization model with the aid of GPUs for the hybrid Deep Neural Network and Hidden Markov Model (DNN-HMM) with and without I-vector based speaker adaptive training technique. The input features of the same Gaussian Mixture Model with speaker adaptive training (GMM-SAT) to DNN are used in all cases. Experiments show that the ONC-based syllable acoustic modeling with I-vector based DNN-HMM achieves the best performance with the word error rate (WER) of 9.66% and the real time factor (RTF) of 1.38812.

Spontaneous conversations in real-world settings such as those found in child-centered recordings have been shown to be amongst the most challenging audio files to process. Nevertheless, building speech processing models handling such a wide variety of conditions would be particularly useful for language acquisition studies in which researchers are interested in the quantity and quality of the speech that children hear and produce, as well as for early diagnosis and measuring effects of remediation. In this paper, we present our approach to designing an open-source neural network to classify audio segments into vocalizations produced by the child wearing the recording device, vocalizations produced by other children, adult male speech, and adult female speech. To this end, we gathered diverse child-centered corpora which sums up to a total of 260 hours of recordings and covers 10 languages. Our model can be used as input for downstream tasks such as estimating the number of words produced by adult speakers, or the number of linguistic units produced by children. Our architecture combines SincNet filters with a stack of recurrent layers and outperforms by a large margin the state-of-the-art system, the Language ENvironment Analysis (LENA) that has been used in numerous child language studies.

The delayed access to specialized psychiatric assessments and care for patients at risk of suicidal tendencies in emergency departments creates a notable gap in timely intervention, hindering the provision of adequate mental health support during critical situations. To address this, we present a non-invasive, speech-based approach for automatic suicide risk assessment. For our study, we have collected a novel dataset of speech recordings from 20 patients from which we extract three sets of features, including wav2vec, interpretable speech and acoustic features, and deep learning-based spectral representations. We proceed by conducting a binary classification to assess suicide risk in a leave-one-subject-out fashion. Our most effective speech model achieves a balanced accuracy of 66.2,%. Moreover, we show that integrating our speech model with a series of patients' metadata, such as the history of suicide attempts or access to firearms, improves the overall result. The metadata integration yields a balanced accuracy of 94.4,%, marking an absolute improvement of 28.2,%, demonstrating the efficacy of our proposed approaches for automatic suicide risk assessment in emergency medicine.

Wider access to therapeutic care is one of the biggest challenges in mental health treatment. Due to institutional barriers, some people seeking mental health support have turned to large language models (LLMs) for personalized therapy, even though these models are largely unsanctioned and untested. We investigate the potential and limitations of using LLMs as providers of evidence-based therapy by using mixed methods clinical metrics. Using HELPERT, a prompt run on a large language model using the same process and training as a comparative group of peer counselors, we replicated publicly accessible mental health conversations rooted in Cognitive Behavioral Therapy (CBT) to compare session dynamics and counselor's CBT-based behaviors between original peer support sessions and their reconstructed HELPERT sessions. Two licensed, CBT-trained clinical psychologists evaluated the sessions using the Cognitive Therapy Rating Scale and provided qualitative feedback. Our findings show that the peer sessions are characterized by empathy, small talk, therapeutic alliance, and shared experiences but often exhibit therapist drift. Conversely, HELPERT reconstructed sessions exhibit minimal therapist drift and higher adherence to CBT methods but display a lack of collaboration, empathy, and cultural understanding. Through CTRS ratings and psychologists' feedback, we highlight the importance of human-AI collaboration for scalable mental health. Our work outlines the ethical implication of imparting human-like subjective qualities to LLMs in therapeutic settings, particularly the risk of deceptive empathy, which may lead to unrealistic patient expectations and potential harm.

In this study, we present recent developments on ESPnet: End-to-End Speech Processing toolkit, which mainly involves a recently proposed architecture called Conformer, Convolution-augmented Transformer. This paper shows the results for a wide range of end-to-end speech processing applications, such as automatic speech recognition (ASR), speech translations (ST), speech separation (SS) and text-to-speech (TTS). Our experiments reveal various training tips and significant performance benefits obtained with the Conformer on different tasks. These results are competitive or even outperform the current state-of-art Transformer models. We are preparing to release all-in-one recipes using open source and publicly available corpora for all the above tasks with pre-trained models. Our aim for this work is to contribute to our research community by reducing the burden of preparing state-of-the-art research environments usually requiring high resources.

Human communication is a complex and diverse process that not only involves multiple factors such as language, commonsense, and cultural backgrounds but also requires the participation of multimodal information, such as speech. Large Language Model (LLM)-based multi-agent systems have demonstrated promising performance in simulating human society. Can we leverage LLM-based multi-agent systems to simulate human communication? However, current LLM-based multi-agent systems mainly rely on text as the primary medium. In this paper, we propose SpeechAgents, a multi-modal LLM based multi-agent system designed for simulating human communication. SpeechAgents utilizes multi-modal LLM as the control center for individual agent and employes multi-modal signals as the medium for exchanged messages among agents. Additionally, we propose Multi-Agent Tuning to enhance the multi-agent capabilities of LLM without compromising general abilities. To strengthen and evaluate the effectiveness of human communication simulation, we build the Human-Communication Simulation Benchmark. Experimental results demonstrate that SpeechAgents can simulate human communication dialogues with consistent content, authentic rhythm, and rich emotions and demonstrate excellent scalability even with up to 25 agents, which can apply to tasks such as drama creation and audio novels generation. Code and models will be open-sourced at https://github. com/0nutation/SpeechAgents

Speech-driven 3D facial animation has recently garnered attention due to its cost-effective usability in multimedia production. However, most current advances overlook the intelligibility of lip movements, limiting the realism of facial expressions. In this paper, we introduce a method for speech-driven 3D facial animation to generate accurate lip movements, proposing an audio-visual multimodal perceptual loss. This loss provides guidance to train the speech-driven 3D facial animators to generate plausible lip motions aligned with the spoken transcripts. Furthermore, to incorporate the proposed audio-visual perceptual loss, we devise an audio-visual lip reading expert leveraging its prior knowledge about correlations between speech and lip motions. We validate the effectiveness of our approach through broad experiments, showing noticeable improvements in lip synchronization and lip readability performance. Codes are available at https://3d-talking-head-avguide.github.io/.

In this work, we present and evaluate SELMA, a Speech-Enabled Language Model for virtual Assistant interactions that integrates audio and text as inputs to a Large Language Model (LLM). SELMA is designed to handle three primary and two auxiliary tasks related to interactions with virtual assistants simultaneously within a single end-to-end model. We employ low-rank adaptation modules for parameter-efficient training of both the audio encoder and the LLM. Additionally, we implement a feature pooling strategy enabling the system to recognize global patterns and improve accuracy on tasks less reliant on individual sequence elements. Experimental results on Voice Trigger (VT) detection, Device-Directed Speech Detection (DDSD), and Automatic Speech Recognition (ASR), demonstrate that our approach both simplifies the typical input processing pipeline of virtual assistants significantly and also improves performance compared to dedicated models for each individual task. SELMA yields relative Equal-Error Rate improvements of 64% on the VT detection task, and 22% on DDSD, while also achieving word error rates close to the baseline.

Objective: Using natural language processing (NLP) to find sentences that state treatment plans in a clinical note, would automate plan extraction and would further enable their use in tools that help providers and care managers. However, as in the most NLP tasks on clinical text, creating gold standard to train and test NLP models is tedious and expensive. Fortuitously, sometimes but not always clinical notes contain sections with a heading that identifies the section as a plan. Leveraging contents of such labeled sections as a noisy training data, we assessed accuracy of NLP models trained with the data. Methods: We used common variations of plan headings and rule-based heuristics to find plan sections with headings in clinical notes, and we extracted sentences from them and formed a noisy training data of plan sentences. We trained Support Vector Machine (SVM) and Convolutional Neural Network (CNN) models with the data. We measured accuracy of the trained models on the noisy dataset using ten-fold cross validation and separately on a set-aside manually annotated dataset. Results: About 13% of 117,730 clinical notes contained treatment plans sections with recognizable headings in the 1001 longitudinal patient records that were obtained from Cleveland Clinic under an IRB approval. We were able to extract and create a noisy training data of 13,492 plan sentences from the clinical notes. CNN achieved best F measures, 0.91 and 0.97 in the cross-validation and set-aside evaluation experiments respectively. SVM slightly underperformed with F measures of 0.89 and 0.96 in the same experiments. Conclusion: Our study showed that the training supervised learning models using noisy plan sentences was effective in identifying them in all clinical notes. More broadly, sections with informal headings in clinical notes can be a good source for generating effective training data.

Indonesia ranks fourth globally in the number of deaf cases. Individuals with hearing impairments often find communication challenging, necessitating the use of sign language. However, there are limited public services that offer such inclusivity. On the other hand, advancements in artificial intelligence (AI) present promising solutions to overcome communication barriers faced by the deaf. This study aims to explore the application of AI in developing models for a simplified sign language translation app and dictionary, designed for integration into public service facilities, to facilitate communication for individuals with hearing impairments, thereby enhancing inclusivity in public services. The researchers compared the performance of LSTM and 1D CNN + Transformer (1DCNNTrans) models for sign language recognition. Through rigorous testing and validation, it was found that the LSTM model achieved an accuracy of 94.67%, while the 1DCNNTrans model achieved an accuracy of 96.12%. Model performance evaluation indicated that although the LSTM exhibited lower inference latency, it showed weaknesses in classifying classes with similar keypoints. In contrast, the 1DCNNTrans model demonstrated greater stability and higher F1 scores for classes with varying levels of complexity compared to the LSTM model. Both models showed excellent performance, exceeding 90% validation accuracy and demonstrating rapid classification of 50 sign language gestures.

Respiratory audio, such as coughing and breathing sounds, has predictive power for a wide range of healthcare applications, yet is currently under-explored. The main problem for those applications arises from the difficulty in collecting large labeled task-specific data for model development. Generalizable respiratory acoustic foundation models pretrained with unlabeled data would offer appealing advantages and possibly unlock this impasse. However, given the safety-critical nature of healthcare applications, it is pivotal to also ensure openness and replicability for any proposed foundation model solution. To this end, we introduce OPERA, an OPEn Respiratory Acoustic foundation model pretraining and benchmarking system, as the first approach answering this need. We curate large-scale respiratory audio datasets (~136K samples, 440 hours), pretrain three pioneering foundation models, and build a benchmark consisting of 19 downstream respiratory health tasks for evaluation. Our pretrained models demonstrate superior performance (against existing acoustic models pretrained with general audio on 16 out of 19 tasks) and generalizability (to unseen datasets and new respiratory audio modalities). This highlights the great promise of respiratory acoustic foundation models and encourages more studies using OPERA as an open resource to accelerate research on respiratory audio for health. The system is accessible from https://github.com/evelyn0414/OPERA.

Large Language Models (LLMs) have demonstrated significant potential in transforming clinical applications. In this study, we investigate the efficacy of four techniques in adapting LLMs for clinical use-cases: continuous pretraining, instruct fine-tuning, NEFTune, and prompt engineering. We employ these methods on Mistral 7B and Mixtral 8x7B models, leveraging a large-scale clinical pretraining dataset of 50 billion tokens and an instruct fine-tuning dataset of 500 million tokens. Our evaluation across various clinical tasks reveals the impact of each technique. While continuous pretraining beyond 250 billion tokens yields marginal improvements on its own, it establishes a strong foundation for instruct fine-tuning. Notably, NEFTune, designed primarily to enhance generation quality, surprisingly demonstrates additional gains on our benchmark. Complex prompt engineering methods further enhance performance. These findings show the importance of tailoring fine-tuning strategies and exploring innovative techniques to optimize LLM performance in the clinical domain.

In this work, we extend the instruction-tuned Llama-2 model with end-to-end general-purpose speech processing and reasoning abilities while maintaining the wide range of LLM capabilities, without using any carefully curated paired data. The proposed model can utilize audio prompts as a replacement for text and sustain a conversation. Such a model also has extended cross-modal capabilities such as being able to perform speech question answering, speech translation, and audio summarization amongst many other closed and open-domain tasks. This is unlike prior approaches in speech, in which LLMs are extended to handle audio for a limited number of pre-designated tasks. Experiments show that our end-to-end approach is on par with or outperforms a cascaded system (speech recognizer + LLM) in terms of modeling the response to a prompt. Furthermore, unlike a cascade, our approach shows the ability to interchange text and audio modalities and utilize the prior context in a conversation to provide better results.

Recently, the demand for psychological counseling has significantly increased as more individuals express concerns about their mental health. This surge has accelerated efforts to improve the accessibility of counseling by using large language models (LLMs) as counselors. To ensure client privacy, training open-source LLMs faces a key challenge: the absence of realistic counseling datasets. To address this, we introduce Cactus, a multi-turn dialogue dataset that emulates real-life interactions using the goal-oriented and structured approach of Cognitive Behavioral Therapy (CBT). We create a diverse and realistic dataset by designing clients with varied, specific personas, and having counselors systematically apply CBT techniques in their interactions. To assess the quality of our data, we benchmark against established psychological criteria used to evaluate real counseling sessions, ensuring alignment with expert evaluations. Experimental results demonstrate that Camel, a model trained with Cactus, outperforms other models in counseling skills, highlighting its effectiveness and potential as a counseling agent. We make our data, model, and code publicly available.

Intent is defined for understanding spoken language in existing works. Both textual features and acoustic features involved in medical speech contain intent, which is important for symptomatic diagnosis. In this paper, we propose a medical speech classification model named DRSC that automatically learns to disentangle intent and content representations from textual-acoustic data for classification. The intent representations of the text domain and the Mel-spectrogram domain are extracted via intent encoders, and then the reconstructed text feature and the Mel-spectrogram feature are obtained through two exchanges. After combining the intent from two domains into a joint representation, the integrated intent representation is fed into a decision layer for classification. Experimental results show that our model obtains an average accuracy rate of 95% in detecting 25 different medical symptoms.

Recent advances in language models have achieved significant progress. GPT-4o, as a new milestone, has enabled real-time conversations with humans, demonstrating near-human natural fluency. Such human-computer interaction necessitates models with the capability to perform reasoning directly with the audio modality and generate output in streaming. However, this remains beyond the reach of current academic models, as they typically depend on extra TTS systems for speech synthesis, resulting in undesirable latency. This paper introduces the Mini-Omni, an audio-based end-to-end conversational model, capable of real-time speech interaction. To achieve this capability, we propose a text-instructed speech generation method, along with batch-parallel strategies during inference to further boost the performance. Our method also helps to retain the original model's language capabilities with minimal degradation, enabling other works to establish real-time interaction capabilities. We call this training method "Any Model Can Talk". We also introduce the VoiceAssistant-400K dataset to fine-tune models optimized for speech output. To our best knowledge, Mini-Omni is the first fully end-to-end, open-source model for real-time speech interaction, offering valuable potential for future research.

In psychotherapy, therapeutic outcome assessment, or treatment outcome evaluation, is essential for enhancing mental health care by systematically evaluating therapeutic processes and outcomes. Existing large language model approaches often focus on therapist-centered, single-session evaluations, neglecting the client's subjective experience and longitudinal progress across multiple sessions. To address these limitations, we propose IPAEval, a client-Informed Psychological Assessment-based Evaluation framework that automates treatment outcome evaluations from the client's perspective using clinical interviews. IPAEval integrates cross-session client-contextual assessment and session-focused client-dynamics assessment to provide a comprehensive understanding of therapeutic progress. Experiments on our newly developed TheraPhase dataset demonstrate that IPAEval effectively tracks symptom severity and treatment outcomes over multiple sessions, outperforming previous single-session models and validating the benefits of items-aware reasoning mechanisms.

With the help of discrete neural audio codecs, large language models (LLM) have increasingly been recognized as a promising methodology for zero-shot Text-to-Speech (TTS) synthesis. However, sampling based decoding strategies bring astonishing diversity to generation, but also pose robustness issues such as typos, omissions and repetition. In addition, the high sampling rate of audio also brings huge computational overhead to the inference process of autoregression. To address these issues, we propose VALL-E R, a robust and efficient zero-shot TTS system, building upon the foundation of VALL-E. Specifically, we introduce a phoneme monotonic alignment strategy to strengthen the connection between phonemes and acoustic sequence, ensuring a more precise alignment by constraining the acoustic tokens to match their associated phonemes. Furthermore, we employ a codec-merging approach to downsample the discrete codes in shallow quantization layer, thereby accelerating the decoding speed while preserving the high quality of speech output. Benefiting from these strategies, VALL-E R obtains controllablity over phonemes and demonstrates its strong robustness by approaching the WER of ground truth. In addition, it requires fewer autoregressive steps, with over 60% time reduction during inference. This research has the potential to be applied to meaningful projects, including the creation of speech for those affected by aphasia. Audio samples will be available at: https://aka.ms/valler.

Multi-resolution spectro-temporal features of a speech signal represent how the brain perceives sounds by tuning cortical cells to different spectral and temporal modulations. These features produce a higher dimensional representation of the speech signals. The purpose of this paper is to evaluate how well the auditory cortex representation of speech signals contribute to estimate articulatory features of those corresponding signals. Since obtaining articulatory features from acoustic features of speech signals has been a challenging topic of interest for different speech communities, we investigate the possibility of using this multi-resolution representation of speech signals as acoustic features. We used U. of Wisconsin X-ray Microbeam (XRMB) database of clean speech signals to train a feed-forward deep neural network (DNN) to estimate articulatory trajectories of six tract variables. The optimal set of multi-resolution spectro-temporal features to train the model were chosen using appropriate scale and rate vector parameters to obtain the best performing model. Experiments achieved a correlation of 0.675 with ground-truth tract variables. We compared the performance of this speech inversion system with prior experiments conducted using Mel Frequency Cepstral Coefficients (MFCCs).

Millions of people participate in online peer-to-peer support sessions, yet there has been little prior research on systematic psychology-based evaluations of fine-grained peer-counselor behavior in relation to client satisfaction. This paper seeks to bridge this gap by mapping peer-counselor chat-messages to motivational interviewing (MI) techniques. We annotate 14,797 utterances from 734 chat conversations using 17 MI techniques and introduce four new interviewing codes such as chit-chat and inappropriate to account for the unique conversational patterns observed on online platforms. We automate the process of labeling peer-counselor responses to MI techniques by fine-tuning large domain-specific language models and then use these automated measures to investigate the behavior of the peer counselors via correlational studies. Specifically, we study the impact of MI techniques on the conversation ratings to investigate the techniques that predict clients' satisfaction with their counseling sessions. When counselors use techniques such as reflection and affirmation, clients are more satisfied. Examining volunteer counselors' change in usage of techniques suggest that counselors learn to use more introduction and open questions as they gain experience. This work provides a deeper understanding of the use of motivational interviewing techniques on peer-to-peer counselor platforms and sheds light on how to build better training programs for volunteer counselors on online platforms.

The rapid evolution of Large Language Models (LLMs) offers promising potential to alleviate the global scarcity of mental health professionals. However, LLMs' alignment with essential mental health counseling competencies remains understudied. We introduce CounselingBench, a novel NCMHCE-based benchmark evaluating LLMs across five key mental health counseling competencies. Testing 22 general-purpose and medical-finetuned LLMs, we find frontier models exceed minimum thresholds but fall short of expert-level performance, with significant variations: they excel in Intake, Assessment & Diagnosis yet struggle with Core Counseling Attributes and Professional Practice & Ethics. Medical LLMs surprisingly underperform generalist models accuracy-wise, while at the same time producing slightly higher-quality justifications but making more context-related errors. Our findings highlight the complexities of developing AI systems for mental health counseling, particularly for competencies requiring empathy and contextual understanding. We found that frontier LLMs perform at a level exceeding the minimal required level of aptitude for all key mental health counseling competencies, but fall short of expert-level performance, and that current medical LLMs do not significantly improve upon generalist models in mental health counseling competencies. This underscores the critical need for specialized, mental health counseling-specific fine-tuned LLMs that rigorously aligns with core competencies combined with appropriate human supervision before any responsible real-world deployment can be considered.

Objective To solve major clinical natural language processing (NLP) tasks using a unified text-to-text learning architecture based on a generative large language model (LLM) via prompt tuning. Methods We formulated 7 key clinical NLP tasks as text-to-text learning and solved them using one unified generative clinical LLM, GatorTronGPT, developed using GPT-3 architecture and trained with up to 20 billion parameters. We adopted soft prompts (i.e., trainable vectors) with frozen LLM, where the LLM parameters were not updated (i.e., frozen) and only the vectors of soft prompts were updated, known as prompt tuning. We added additional soft prompts as a prefix to the input layer, which were optimized during the prompt tuning. We evaluated the proposed method using 7 clinical NLP tasks and compared them with previous task-specific solutions based on Transformer models. Results and Conclusion The proposed approach achieved state-of-the-art performance for 5 out of 7 major clinical NLP tasks using one unified generative LLM. Our approach outperformed previous task-specific transformer models by ~3% for concept extraction and 7% for relation extraction applied to social determinants of health, 3.4% for clinical concept normalization, 3.4~10% for clinical abbreviation disambiguation, and 5.5~9% for natural language inference. Our approach also outperformed a previously developed prompt-based machine reading comprehension (MRC) model, GatorTron-MRC, for clinical concept and relation extraction. The proposed approach can deliver the ``one model for all`` promise from training to deployment using a unified generative LLM.

Laughing, sighing, stuttering, and other forms of paralanguage do not contribute any direct lexical meaning to speech, but they provide crucial propositional context that aids semantic and pragmatic processes such as irony. It is thus important for artificial social agents to both understand and be able to generate speech with semantically-important paralanguage. Most speech datasets do not include transcribed non-lexical speech sounds and disfluencies, while those that do are typically multi-speaker datasets where each speaker provides relatively little audio. This makes it challenging to train conversational Text-to-Speech (TTS) synthesis models that include such paralinguistic components. We thus present DisfluencySpeech, a studio-quality labeled English speech dataset with paralanguage. A single speaker recreates nearly 10 hours of expressive utterances from the Switchboard-1 Telephone Speech Corpus (Switchboard), simulating realistic informal conversations. To aid the development of a TTS model that is able to predictively synthesise paralanguage from text without such components, we provide three different transcripts at different levels of information removal (removal of non-speech events, removal of non-sentence elements, and removal of false starts), as well as benchmark TTS models trained on each of these levels.

As mental health care systems worldwide struggle to meet demand, there is increasing focus on using language models to infer neuropsychiatric conditions or psychopathological traits from language production. Yet, so far, this research has only delivered solutions with limited clinical applicability, due to insufficient consideration of ethical questions crucial to ensuring the synergy between possible applications and model design. To accelerate progress towards clinically applicable models, our paper charts the ethical landscape of research on language-based inference of psychopathology and provides a practical tool for researchers to navigate it. We identify seven core ethical principles that should guide model development and deployment in this domain, translate them into ELLIPS, an ethical toolkit operationalizing these principles into questions that can guide researchers' choices with respect to data selection, architectures, evaluation, and model deployment, and provide a case study exemplifying its use. With this, we aim to facilitate the emergence of model technology with concrete potential for real-world applicability.

In this paper, we demonstrated the benefit of using pre-trained model to extract acoustic embedding to jointly predict (multitask learning) three tasks: emotion, age, and native country. The pre-trained model was trained with wav2vec 2.0 large robust model on the speech emotion corpus. The emotion and age tasks were regression problems, while country prediction was a classification task. A single harmonic mean from three metrics was used to evaluate the performance of multitask learning. The classifier was a linear network with two independent layers and shared layers, including the output layers. This study explores multitask learning on different acoustic features (including the acoustic embedding extracted from a model trained on an affective speech dataset), seed numbers, batch sizes, and normalizations for predicting paralinguistic information from speech.

Alzheimer's disease (AD) constitutes a complex neurocognitive disease and is the main cause of dementia. Although many studies have been proposed targeting at diagnosing dementia through spontaneous speech, there are still limitations. Existing state-of-the-art approaches, which propose multimodal methods, train separately language and acoustic models, employ majority-vote approaches, and concatenate the representations of the different modalities either at the input level, i.e., early fusion, or during training. Also, some of them employ self-attention layers, which calculate the dependencies between representations without considering the contextual information. In addition, no prior work has taken into consideration the model calibration. To address these limitations, we propose some new methods for detecting AD patients, which capture the intra- and cross-modal interactions. First, we convert the audio files into log-Mel spectrograms, their delta, and delta-delta and create in this way an image per audio file consisting of three channels. Next, we pass each transcript and image through BERT and DeiT models respectively. After that, context-based self-attention layers, self-attention layers with a gate model, and optimal transport domain adaptation methods are employed for capturing the intra- and inter-modal interactions. Finally, we exploit two methods for fusing the self and cross-attended features. For taking into account the model calibration, we apply label smoothing. We use both performance and calibration metrics. Experiments conducted on the ADReSS Challenge dataset indicate the efficacy of our introduced approaches over existing research initiatives with our best performing model reaching Accuracy and F1-score up to 91.25% and 91.06% respectively.

Finding ways to accelerate text input for individuals with profound motor impairments has been a long-standing area of research. Closing the speed gap for augmentative and alternative communication (AAC) devices such as eye-tracking keyboards is important for improving the quality of life for such individuals. Recent advances in neural networks of natural language pose new opportunities for re-thinking strategies and user interfaces for enhanced text-entry for AAC users. In this paper, we present SpeakFaster, consisting of large language models (LLMs) and a co-designed user interface for text entry in a highly-abbreviated form, allowing saving 57% more motor actions than traditional predictive keyboards in offline simulation. A pilot study with 19 non-AAC participants typing on a mobile device by hand demonstrated gains in motor savings in line with the offline simulation, while introducing relatively small effects on overall typing speed. Lab and field testing on two eye-gaze typing users with amyotrophic lateral sclerosis (ALS) demonstrated text-entry rates 29-60% faster than traditional baselines, due to significant saving of expensive keystrokes achieved through phrase and word predictions from context-aware LLMs. These findings provide a strong foundation for further exploration of substantially-accelerated text communication for motor-impaired users and demonstrate a direction for applying LLMs to text-based user interfaces.

Speech language models have recently demonstrated great potential as universal speech processing systems. Such models have the ability to model the rich acoustic information existing in audio signals, beyond spoken content, such as emotion, background noise, etc. Despite this, evaluation benchmarks which evaluate awareness to a wide range of acoustic aspects, are lacking. To help bridge this gap, we introduce SALMon, a novel evaluation suite encompassing background noise, emotion, speaker identity and room impulse response. The proposed benchmarks both evaluate the consistency of the inspected element and how much it matches the spoken text. We follow a modelling based approach, measuring whether a model gives correct samples higher scores than incorrect ones. This approach makes the benchmark fast to compute even for large models. We evaluated several speech language models on SALMon, thus highlighting the strengths and weaknesses of each evaluated method. Code and data are publicly available at https://pages.cs.huji.ac.il/adiyoss-lab/salmon/ .

Using large language models (LLMs) to assist psychological counseling is a significant but challenging task at present. Attempts have been made on improving empathetic conversations or acting as effective assistants in the treatment with LLMs. However, the existing datasets lack consulting knowledge, resulting in LLMs lacking professional consulting competence. Moreover, how to automatically evaluate multi-turn dialogues within the counseling process remains an understudied area. To bridge the gap, we propose CPsyCoun, a report-based multi-turn dialogue reconstruction and evaluation framework for Chinese psychological counseling. To fully exploit psychological counseling reports, a two-phase approach is devised to construct high-quality dialogues while a comprehensive evaluation benchmark is developed for the effective automatic evaluation of multi-turn psychological consultations. Competitive experimental results demonstrate the effectiveness of our proposed framework in psychological counseling. We open-source the datasets and model for future research at https://github.com/CAS-SIAT-XinHai/CPsyCoun

Recent work has shown the feasibility and benefit of bootstrapping an integrated sequence-to-sequence (Seq2Seq) linguistic frontend from a traditional pipeline-based frontend for text-to-speech (TTS). To overcome the fixed lexical coverage of bootstrapping training data, previous work has proposed to leverage easily accessible transcribed speech audio as an additional training source for acquiring novel pronunciation knowledge for uncovered words, which relies on an auxiliary ASR model as part of a cumbersome implementation flow. In this work, we propose an alternative method to leverage transcribed speech audio as an additional training source, based on multi-task learning (MTL). Experiments show that, compared to a baseline Seq2Seq frontend, the proposed MTL-based method reduces PER from 2.5% to 1.6% for those word types covered exclusively in transcribed speech audio, achieving a similar performance to the previous method but with a much simpler implementation flow.

Several studies have shown that speech and language features, automatically extracted from clinical interviews or spontaneous discourse, have diagnostic value for mental disorders such as schizophrenia and bipolar disorder. They typically make use of a large feature set to train a classifier for distinguishing between two groups of interest, i.e. a clinical and control group. However, a purely data-driven approach runs the risk of overfitting to a particular data set, especially when sample sizes are limited. Here, we first down-select the set of language features to a small subset that is related to a well-validated test of functional ability, the Social Skills Performance Assessment (SSPA). This helps establish the concurrent validity of the selected features. We use only these features to train a simple classifier to distinguish between groups of interest. Linear regression reveals that a subset of language features can effectively model the SSPA, with a correlation coefficient of 0.75. Furthermore, the same feature set can be used to build a strong binary classifier to distinguish between healthy controls and a clinical group (AUC = 0.96) and also between patients within the clinical group with schizophrenia and bipolar I disorder (AUC = 0.83).

We introduce Metis, a foundation model for unified speech generation. Unlike previous task-specific or multi-task models, Metis follows a pre-training and fine-tuning paradigm. It is pre-trained on large-scale unlabeled speech data using masked generative modeling and then fine-tuned to adapt to diverse speech generation tasks. Specifically, 1) Metis utilizes two discrete speech representations: SSL tokens derived from speech self-supervised learning (SSL) features, and acoustic tokens directly quantized from waveforms. 2) Metis performs masked generative pre-training on SSL tokens, utilizing 300K hours of diverse speech data, without any additional condition. 3) Through fine-tuning with task-specific conditions, Metis achieves efficient adaptation to various speech generation tasks while supporting multimodal input, even when using limited data and trainable parameters. Experiments demonstrate that Metis can serve as a foundation model for unified speech generation: Metis outperforms state-of-the-art task-specific or multi-task systems across five speech generation tasks, including zero-shot text-to-speech, voice conversion, target speaker extraction, speech enhancement, and lip-to-speech, even with fewer than 20M trainable parameters or 300 times less training data. Audio samples are are available at https://metis-demo.github.io/.

This paper presents an overview of a program designed to address the growing need for developing freely available speech resources for under-represented languages. At present we have released 38 datasets for building text-to-speech and automatic speech recognition applications for languages and dialects of South and Southeast Asia, Africa, Europe and South America. The paper describes the methodology used for developing such corpora and presents some of our findings that could benefit under-represented language communities.

On-device automatic speech recognition systems face several challenges compared to server-based systems. They have to meet stricter constraints in terms of speed, disk size and memory while maintaining the same accuracy. Often they have to serve several applications with different distributions at once, such as communicating with a virtual assistant and speech-to-text. The simplest solution to serve multiple applications is to build application-specific (language) models, but this leads to an increase in memory. Therefore, we explore different data- and architecture-driven language modeling approaches to build a single application-agnostic model. We propose two novel feed-forward architectures that find an optimal trade off between different on-device constraints. In comparison to the application-specific solution, one of our novel approaches reduces the disk size by half, while maintaining speed and accuracy of the original model.

Global rates of mental health concerns are rising and there is increasing realization that existing models of mental healthcare will not adequately expand to meet the demand. With the emergence of large language models (LLMs) has come great optimism regarding their promise to create novel, large-scale solutions to support mental health. Despite their nascence, LLMs have already been applied to mental health-related tasks. In this review, we summarize the extant literature on efforts to use LLMs to provide mental health education, assessment, and intervention and highlight key opportunities for positive impact in each area. We then highlight risks associated with LLMs application to mental health and encourage adoption of strategies to mitigate these risks. The urgent need for mental health support must be balanced with responsible development, testing, and deployment of mental health LLMs. Especially critical is ensuring that mental health LLMs are fine-tuned for mental health, enhance mental health equity, adhere to ethical standards, and that people, including those with lived experience with mental health concerns, are involved in all stages from development through deployment. Prioritizing these efforts will minimize potential harms to mental health and maximize the likelihood that LLMs will positively impact mental health globally.

Existing Existing automatic audio generation methods struggle to generate podcast-like audio programs effectively. The key challenges lie in in-depth content generation, appropriate and expressive voice production. This paper proposed PodAgent, a comprehensive framework for creating audio programs. PodAgent 1) generates informative topic-discussion content by designing a Host-Guest-Writer multi-agent collaboration system, 2) builds a voice pool for suitable voice-role matching and 3) utilizes LLM-enhanced speech synthesis method to generate expressive conversational speech. Given the absence of standardized evaluation criteria for podcast-like audio generation, we developed comprehensive assessment guidelines to effectively evaluate the model's performance. Experimental results demonstrate PodAgent's effectiveness, significantly surpassing direct GPT-4 generation in topic-discussion dialogue content, achieving an 87.4% voice-matching accuracy, and producing more expressive speech through LLM-guided synthesis. Demo page: https://podcast-agent.github.io/demo/. Source code: https://github.com/yujxx/PodAgent.

Recent advances in speech synthesis have enabled many useful applications like audio directions in Google Maps, screen readers, and automated content generation on platforms like TikTok. However, these systems are mostly dominated by voices sourced from data-rich geographies with personas representative of their source data. Although 3000 of the world's languages are domiciled in Africa, African voices and personas are under-represented in these systems. As speech synthesis becomes increasingly democratized, it is desirable to increase the representation of African English accents. We present Afro-TTS, the first pan-African accented English speech synthesis system able to generate speech in 86 African accents, with 1000 personas representing the rich phonological diversity across the continent for downstream application in Education, Public Health, and Automated Content Creation. Speaker interpolation retains naturalness and accentedness, enabling the creation of new voices.

Spontaneous speech has many affective and pragmatic functions that are interesting and challenging to model in TTS. However, the presence of reduced articulation, fillers, repetitions, and other disfluencies in spontaneous speech make the text and acoustics less aligned than in read speech, which is problematic for attention-based TTS. We propose a TTS architecture that can rapidly learn to speak from small and irregular datasets, while also reproducing the diversity of expressive phenomena present in spontaneous speech. Specifically, we add utterance-level prosody control to an existing neural HMM-based TTS system which is capable of stable, monotonic alignments for spontaneous speech. We objectively evaluate control accuracy and perform perceptual tests that demonstrate that prosody control does not degrade synthesis quality. To exemplify the power of combining prosody control and ecologically valid data for reproducing intricate spontaneous speech phenomena, we evaluate the system's capability of synthesizing two types of creaky voice. Audio samples are available at https://www.speech.kth.se/tts-demos/prosodic-hmm/

Despite recent advancements in speech recognition, there are still difficulties in accurately transcribing conversational and emotional speech in noisy and reverberant acoustic environments. This poses a particular challenge in the search and rescue (SAR) domain, where transcribing conversations among rescue team members is crucial to support real-time decision-making. The scarcity of speech data and associated background noise in SAR scenarios make it difficult to deploy robust speech recognition systems. To address this issue, we have created and made publicly available a German speech dataset called RescueSpeech. This dataset includes real speech recordings from simulated rescue exercises. Additionally, we have released competitive training recipes and pre-trained models. Our study indicates that the current level of performance achieved by state-of-the-art methods is still far from being acceptable.

The detection of depression through non-verbal cues has gained significant attention. Previous research predominantly centred on identifying depression within the confines of controlled laboratory environments, often with the supervision of psychologists or counsellors. Unfortunately, datasets generated in such controlled settings may struggle to account for individual behaviours in real-life situations. In response to this limitation, we present the Extended D-vlog dataset, encompassing a collection of 1, 261 YouTube vlogs. Additionally, the emergence of large language models (LLMs) like GPT3.5, and GPT4 has sparked interest in their potential they can act like mental health professionals. Yet, the readiness of these LLM models to be used in real-life settings is still a concern as they can give wrong responses that can harm the users. We introduce a virtual agent serving as an initial contact for mental health patients, offering Cognitive Behavioral Therapy (CBT)-based responses. It comprises two core functions: 1. Identifying depression in individuals, and 2. Delivering CBT-based therapeutic responses. Our Mistral model achieved impressive scores of 70.1% and 30.9% for distortion assessment and classification, along with a Bert score of 88.7%. Moreover, utilizing the TVLT model on our Multimodal Extended D-vlog Dataset yielded outstanding results, with an impressive F1-score of 67.8%

We present a joint Speech and Language Model (SLM), a multitask, multilingual, and dual-modal model that takes advantage of pretrained foundational speech and language models. SLM freezes the pretrained foundation models to maximally preserves their capabilities, and only trains a simple adapter with just 1\% (156M) of the foundation models' parameters. This adaptation not only leads SLM to achieve strong performance on conventional tasks such as speech recognition (ASR) and speech translation (AST), but also introduces the novel capability of zero-shot instruction-following for more diverse tasks: given a speech input and a text instruction, SLM is able to perform unseen generation tasks including contextual biasing ASR using real-time context, dialog generation, speech continuation, and question answering, etc. Our approach demonstrates that the representational gap between pretrained speech and language models might be narrower than one would expect, and can be bridged by a simple adaptation mechanism. As a result, SLM is not only efficient to train, but also inherits strong capabilities already acquired in foundation models of different modalities.

With the introduction of ChatGPT, Large Language Models (LLMs) have received enormous attention in healthcare. Despite their potential benefits, researchers have underscored various ethical implications. While individual instances have drawn much attention, the debate lacks a systematic overview of practical applications currently researched and ethical issues connected to them. Against this background, this work aims to map the ethical landscape surrounding the current stage of deployment of LLMs in medicine and healthcare. Electronic databases and preprint servers were queried using a comprehensive search strategy. Studies were screened and extracted following a modified rapid review approach. Methodological quality was assessed using a hybrid approach. For 53 records, a meta-aggregative synthesis was performed. Four fields of applications emerged and testify to a vivid exploration phase. Advantages of using LLMs are attributed to their capacity in data analysis, personalized information provisioning, support in decision-making, mitigating information loss and enhancing information accessibility. However, we also identifies recurrent ethical concerns connected to fairness, bias, non-maleficence, transparency, and privacy. A distinctive concern is the tendency to produce harmful misinformation or convincingly but inaccurate content. A recurrent plea for ethical guidance and human oversight is evident. Given the variety of use cases, it is suggested that the ethical guidance debate be reframed to focus on defining what constitutes acceptable human oversight across the spectrum of applications. This involves considering diverse settings, varying potentials for harm, and different acceptable thresholds for performance and certainty in healthcare. In addition, a critical inquiry is necessary to determine the extent to which the current experimental use of LLMs is necessary and justified.

Depression, a prevalent mental health disorder impacting millions globally, demands reliable assessment systems. Unlike previous studies that focus solely on either detecting depression or predicting its severity, our work identifies individual symptoms of depression while also predicting its severity using speech input. We leverage self-supervised learning (SSL)-based speech models to better utilize the small-sized datasets that are frequently encountered in this task. Our study demonstrates notable performance improvements by utilizing SSL embeddings compared to conventional speech features. We compare various types of SSL pretrained models to elucidate the type of speech information (semantic, speaker, or prosodic) that contributes the most in identifying different symptoms. Additionally, we evaluate the impact of combining multiple SSL embeddings on performance. Furthermore, we show the significance of multi-task learning for identifying depressive symptoms effectively.

Large-scale language models (LLMs), such as ChatGPT, are becoming increasingly sophisticated and exhibit human-like capabilities, playing an essential role in assisting humans in a variety of everyday tasks. An important application of AI is interactive recommendation systems that respond to human inquiries and make recommendations tailored to the user. In most conventional interactive recommendation systems, the language model is used only as a dialogue model, and there is a separate recommendation system. This is due to the fact that the language model used as a dialogue system does not have the capability to serve as a recommendation system. Therefore, we will realize the construction of a dialogue system with recommendation capability by using OpenAI's Chat-GPT, which has a very high inference capability as a dialogue system and the ability to generate high-quality sentences, and verify the effectiveness of the system.

This paper presents a speech intelligibility model based on automatic speech recognition (ASR), combining phoneme probabilities from deep neural networks (DNN) and a performance measure that estimates the word error rate from these probabilities. This model does not require the clean speech reference nor the word labels during testing as the ASR decoding step, which finds the most likely sequence of words given phoneme posterior probabilities, is omitted. The model is evaluated via the root-mean-squared error between the predicted and observed speech reception thresholds from eight normal-hearing listeners. The recognition task consists of identifying noisy words from a German matrix sentence test. The speech material was mixed with eight noise maskers covering different modulation types, from speech-shaped stationary noise to a single-talker masker. The prediction performance is compared to five established models and an ASR-model using word labels. Two combinations of features and networks were tested. Both include temporal information either at the feature level (amplitude modulation filterbanks and a feed-forward network) or captured by the architecture (mel-spectrograms and a time-delay deep neural network, TDNN). The TDNN model is on par with the DNN while reducing the number of parameters by a factor of 37; this optimization allows parallel streams on dedicated hearing aid hardware as a forward-pass can be computed within the 10ms of each frame. The proposed model performs almost as well as the label-based model and produces more accurate predictions than the baseline models.

In visual speech processing, context modeling capability is one of the most important requirements due to the ambiguous nature of lip movements. For example, homophenes, words that share identical lip movements but produce different sounds, can be distinguished by considering the context. In this paper, we propose a novel framework, namely Visual Speech Processing incorporated with LLMs (VSP-LLM), to maximize the context modeling ability by bringing the overwhelming power of LLMs. Specifically, VSP-LLM is designed to perform multi-tasks of visual speech recognition and translation, where the given instructions control the type of task. The input video is mapped to the input latent space of a LLM by employing a self-supervised visual speech model. Focused on the fact that there is redundant information in input frames, we propose a novel deduplication method that reduces the embedded visual features by employing visual speech units. Through the proposed deduplication and Low Rank Adaptors (LoRA), VSP-LLM can be trained in a computationally efficient manner. In the translation dataset, the MuAViC benchmark, we demonstrate that VSP-LLM can more effectively recognize and translate lip movements with just 15 hours of labeled data, compared to the recent translation model trained with 433 hours of labeld data.

Various applications of voice synthesis have been developed independently despite the fact that they generate "voice" as output in common. In addition, the majority of voice synthesis models currently rely on annotated audio data, but it is crucial to scale them to self-supervised datasets in order to effectively capture the wide range of acoustic variations present in human voice, including speaker identity, emotion, and prosody. In this work, we propose Make-A-Voice, a unified framework for synthesizing and manipulating voice signals from discrete representations. Make-A-Voice leverages a "coarse-to-fine" approach to model the human voice, which involves three stages: 1) semantic stage: model high-level transformation between linguistic content and self-supervised semantic tokens, 2) acoustic stage: introduce varying control signals as acoustic conditions for semantic-to-acoustic modeling, and 3) generation stage: synthesize high-fidelity waveforms from acoustic tokens. Make-A-Voice offers notable benefits as a unified voice synthesis framework: 1) Data scalability: the major backbone (i.e., acoustic and generation stage) does not require any annotations, and thus the training data could be scaled up. 2) Controllability and conditioning flexibility: we investigate different conditioning mechanisms and effectively handle three voice synthesis applications, including text-to-speech (TTS), voice conversion (VC), and singing voice synthesis (SVS) by re-synthesizing the discrete voice representations with prompt guidance. Experimental results demonstrate that Make-A-Voice exhibits superior audio quality and style similarity compared with competitive baseline models. Audio samples are available at https://Make-A-Voice.github.io

This paper presents the development of a prototype Automatic Speech Recognition (ASR) system specifically designed for Bengali biomedical data. Recent advancements in Bengali ASR are encouraging, but a lack of domain-specific data limits the creation of practical healthcare ASR models. This project bridges this gap by developing an ASR system tailored for Bengali medical terms like symptoms, severity levels, and diseases, encompassing two major dialects: Bengali and Sylheti. We train and evaluate two popular ASR frameworks on a comprehensive 46-hour Bengali medical corpus. Our core objective is to create deployable health-domain ASR systems for digital health applications, ultimately increasing accessibility for non-technical users in the healthcare sector.

Recent advancements in spoken dialogue models, exemplified by systems like GPT-4o, have captured significant attention in the speech domain. Compared to traditional three-tier cascaded spoken dialogue models that comprise speech recognition (ASR), large language models (LLMs), and text-to-speech (TTS), modern spoken dialogue models exhibit greater intelligence. These advanced spoken dialogue models not only comprehend audio, music, and other speech-related features, but also capture stylistic and timbral characteristics in speech. Moreover, they generate high-quality, multi-turn speech responses with low latency, enabling real-time interaction through simultaneous listening and speaking capability. Despite the progress in spoken dialogue systems, there is a lack of comprehensive surveys that systematically organize and analyze these systems and the underlying technologies. To address this, we have first compiled existing spoken dialogue systems in the chronological order and categorized them into the cascaded and end-to-end paradigms. We then provide an in-depth overview of the core technologies in spoken dialogue models, covering aspects such as speech representation, training paradigm, streaming, duplex, and interaction capabilities. Each section discusses the limitations of these technologies and outlines considerations for future research. Additionally, we present a thorough review of relevant datasets, evaluation metrics, and benchmarks from the perspectives of training and evaluating spoken dialogue systems. We hope this survey will contribute to advancing both academic research and industrial applications in the field of spoken dialogue systems. The related material is available at https://github.com/jishengpeng/WavChat.

Recent advancements in generative speech models based on audio-text prompts have enabled remarkable innovations like high-quality zero-shot text-to-speech. However, existing models still face limitations in handling diverse audio-text speech generation tasks involving transforming input speech and processing audio captured in adverse acoustic conditions. This paper introduces SpeechX, a versatile speech generation model capable of zero-shot TTS and various speech transformation tasks, dealing with both clean and noisy signals. SpeechX combines neural codec language modeling with multi-task learning using task-dependent prompting, enabling unified and extensible modeling and providing a consistent way for leveraging textual input in speech enhancement and transformation tasks. Experimental results show SpeechX's efficacy in various tasks, including zero-shot TTS, noise suppression, target speaker extraction, speech removal, and speech editing with or without background noise, achieving comparable or superior performance to specialized models across tasks. See https://aka.ms/speechx for demo samples.

In this study, we aim to explore efficient tuning methods for speech self-supervised learning. Recent studies show that self-supervised learning (SSL) can learn powerful representations for different speech tasks. However, fine-tuning pre-trained models for each downstream task is parameter-inefficient since SSL models are notoriously large with millions of parameters. Adapters are lightweight modules commonly used in NLP to solve this problem. In downstream tasks, the parameters of SSL models are frozen, and only the adapters are trained. Given the lack of studies generally exploring the effectiveness of adapters for self-supervised speech tasks, we intend to fill this gap by adding various adapter modules in pre-trained speech SSL models. We show that the performance parity can be achieved with over 90% parameter reduction, and discussed the pros and cons of efficient tuning techniques. This is the first comprehensive investigation of various adapter types across speech tasks.

State-of-the-art speech synthesis models try to get as close as possible to the human voice. Hence, modelling emotions is an essential part of Text-To-Speech (TTS) research. In our work, we selected FastSpeech2 as the starting point and proposed a series of modifications for synthesizing emotional speech. According to automatic and human evaluation, our model, EmoSpeech, surpasses existing models regarding both MOS score and emotion recognition accuracy in generated speech. We provided a detailed ablation study for every extension to FastSpeech2 architecture that forms EmoSpeech. The uneven distribution of emotions in the text is crucial for better, synthesized speech and intonation perception. Our model includes a conditioning mechanism that effectively handles this issue by allowing emotions to contribute to each phone with varying intensity levels. The human assessment indicates that proposed modifications generate audio with higher MOS and emotional expressiveness.

Spoken language understanding (SLU) tasks are usually solved by first transcribing an utterance with automatic speech recognition (ASR) and then feeding the output to a text-based model. Recent advances in self-supervised representation learning for speech data have focused on improving the ASR component. We investigate whether representation learning for speech has matured enough to replace ASR in SLU. We compare learned speech features from wav2vec 2.0, state-of-the-art ASR transcripts, and the ground truth text as input for a novel speech-based named entity recognition task, a cardiac arrest detection task on real-world emergency calls and two existing SLU benchmarks. We show that learned speech features are superior to ASR transcripts on three classification tasks. For machine translation, ASR transcripts are still the better choice. We highlight the intrinsic robustness of wav2vec 2.0 representations to out-of-vocabulary words as key to better performance.

The success of large language models (LLMs) has prompted efforts to integrate speech and audio data, aiming to create general foundation models capable of processing both textual and non-textual inputs. Recent advances, such as GPT-4o, highlight the potential for end-to-end speech LLMs, which preserves non-semantic information and world knowledge for deeper speech understanding. To guide the development of speech LLMs, we propose a five-level roadmap, ranging from basic automatic speech recognition (ASR) to advanced superhuman models capable of integrating non-semantic information with abstract acoustic knowledge for complex tasks. Moreover, we design a benchmark, SAGI Bechmark, that standardizes critical aspects across various tasks in these five levels, uncovering challenges in using abstract acoustic knowledge and completeness of capability. Our findings reveal gaps in handling paralinguistic cues and abstract acoustic knowledge, and we offer future directions. This paper outlines a roadmap for advancing speech LLMs, introduces a benchmark for evaluation, and provides key insights into their current limitations and potential.

Language models (LMs) have long been used to improve results of automatic speech recognition (ASR) systems, but they are unaware of the errors that ASR systems make. Error correction models are designed to fix ASR errors, however, they showed little improvement over traditional LMs mainly due to the lack of supervised training data. In this paper, we present Denoising LM (DLM), which is a scaled error correction model trained with vast amounts of synthetic data, significantly exceeding prior attempts meanwhile achieving new state-of-the-art ASR performance. We use text-to-speech (TTS) systems to synthesize audio, which is fed into an ASR system to produce noisy hypotheses, which are then paired with the original texts to train the DLM. DLM has several key ingredients: (i) up-scaled model and data; (ii) usage of multi-speaker TTS systems; (iii) combination of multiple noise augmentation strategies; and (iv) new decoding techniques. With a Transformer-CTC ASR, DLM achieves 1.5% word error rate (WER) on test-clean and 3.3% WER on test-other on Librispeech, which to our knowledge are the best reported numbers in the setting where no external audio data are used and even match self-supervised methods which use external audio data. Furthermore, a single DLM is applicable to different ASRs, and greatly surpassing the performance of conventional LM based beam-search rescoring. These results indicate that properly investigated error correction models have the potential to replace conventional LMs, holding the key to a new level of accuracy in ASR systems.

Following the rationale of end-to-end modeling, CTC, RNN-T or encoder-decoder-attention models for automatic speech recognition (ASR) use graphemes or grapheme-based subword units based on e.g. byte-pair encoding (BPE). The mapping from pronunciation to spelling is learned completely from data. In contrast to this, classical approaches to ASR employ secondary knowledge sources in the form of phoneme lists to define phonetic output labels and pronunciation lexica. In this work, we do a systematic comparison between grapheme- and phoneme-based output labels for an encoder-decoder-attention ASR model. We investigate the use of single phonemes as well as BPE-based phoneme groups as output labels of our model. To preserve a simplified and efficient decoder design, we also extend the phoneme set by auxiliary units to be able to distinguish homophones. Experiments performed on the Switchboard 300h and LibriSpeech benchmarks show that phoneme-based modeling is competitive to grapheme-based encoder-decoder-attention modeling.

Simulating human clients in mental health counseling is crucial for training and evaluating counselors (both human or simulated) in a scalable manner. Nevertheless, past research on client simulation did not focus on complex conversation tasks such as mental health counseling. In these tasks, the challenge is to ensure that the client's actions (i.e., interactions with the counselor) are consistent with with its stipulated profiles and negative behavior settings. In this paper, we propose a novel framework that supports consistent client simulation for mental health counseling. Our framework tracks the mental state of a simulated client, controls its state transitions, and generates for each state behaviors consistent with the client's motivation, beliefs, preferred plan to change, and receptivity. By varying the client profile and receptivity, we demonstrate that consistent simulated clients for different counseling scenarios can be effectively created. Both our automatic and expert evaluations on the generated counseling sessions also show that our client simulation method achieves higher consistency than previous methods.

The emergence of large language models (LLMs) has sparked significant interest in extending their remarkable language capabilities to speech. However, modality alignment between speech and text still remains an open problem. Current solutions can be categorized into two strategies. One is a cascaded approach where outputs (tokens or states) of a separately trained speech recognition system are used as inputs for LLMs, which limits their potential in modeling alignment between speech and text. The other is an end-to-end approach that relies on speech instruction data, which is very difficult to collect in large quantities. In this paper, we address these issues and propose the BLSP approach that Bootstraps Language-Speech Pre-training via behavior alignment of continuation writing. We achieve this by learning a lightweight modality adapter between a frozen speech encoder and an LLM, ensuring that the LLM exhibits the same generation behavior regardless of the modality of input: a speech segment or its transcript. The training process can be divided into two steps. The first step prompts an LLM to generate texts with speech transcripts as prefixes, obtaining text continuations. In the second step, these continuations are used as supervised signals to train the modality adapter in an end-to-end manner. We demonstrate that this straightforward process can extend the capabilities of LLMs to speech, enabling speech recognition, speech translation, spoken language understanding, and speech conversation, even in zero-shot cross-lingual scenarios.

Large Language Models (LLMs) have recently garnered significant attention, primarily for their capabilities in text-based interactions. However, natural human interaction often relies on speech, necessitating a shift towards voice-based models. A straightforward approach to achieve this involves a pipeline of ``Automatic Speech Recognition (ASR) + LLM + Text-to-Speech (TTS)", where input speech is transcribed to text, processed by an LLM, and then converted back to speech. Despite being straightforward, this method suffers from inherent limitations, such as information loss during modality conversion and error accumulation across the three stages. To address these issues, Speech Language Models (SpeechLMs) -- end-to-end models that generate speech without converting from text -- have emerged as a promising alternative. This survey paper provides the first comprehensive overview of recent methodologies for constructing SpeechLMs, detailing the key components of their architecture and the various training recipes integral to their development. Additionally, we systematically survey the various capabilities of SpeechLMs, categorize the evaluation metrics for SpeechLMs, and discuss the challenges and future research directions in this rapidly evolving field.

The rapid development of large language models (LLMs) has brought significant attention to speech models, particularly recent progress in speech2speech protocols supporting speech input and output. However, the existing benchmarks adopt automatic text-based evaluators for evaluating the instruction following ability of these models lack consideration for paralinguistic information in both speech understanding and generation. To address these issues, we introduce S2S-Arena, a novel arena-style S2S benchmark that evaluates instruction-following capabilities with paralinguistic information in both speech-in and speech-out across real-world tasks. We design 154 samples that fused TTS and live recordings in four domains with 21 tasks and manually evaluate existing popular speech models in an arena-style manner. The experimental results show that: (1) in addition to the superior performance of GPT-4o, the speech model of cascaded ASR, LLM, and TTS outperforms the jointly trained model after text-speech alignment in speech2speech protocols; (2) considering paralinguistic information, the knowledgeability of the speech model mainly depends on the LLM backbone, and the multilingual support of that is limited by the speech module; (3) excellent speech models can already understand the paralinguistic information in speech input, but generating appropriate audio with paralinguistic information is still a challenge.

The recent advancements in large language models (LLMs) have revolutionized the field of natural language processing, progressively broadening their scope to multimodal perception and generation. However, effectively integrating listening capabilities into LLMs poses significant challenges, particularly with respect to generalizing across varied contexts and executing complex auditory tasks. In this work, we introduce WavLLM, a robust and adaptive speech large language model with dual encoders, and a prompt-aware LoRA weight adapter, optimized by a two-stage curriculum learning approach. Leveraging dual encoders, we decouple different types of speech information, utilizing a Whisper encoder to process the semantic content of speech, and a WavLM encoder to capture the unique characteristics of the speaker's identity. Within the curriculum learning framework, WavLLM first builds its foundational capabilities by optimizing on mixed elementary single tasks, followed by advanced multi-task training on more complex tasks such as combinations of the elementary tasks. To enhance the flexibility and adherence to different tasks and instructions, a prompt-aware LoRA weight adapter is introduced in the second advanced multi-task training stage. We validate the proposed model on universal speech benchmarks including tasks such as ASR, ST, SV, ER, and also apply it to specialized datasets like Gaokao English listening comprehension set for SQA, and speech Chain-of-Thought (CoT) evaluation set. Experiments demonstrate that the proposed model achieves state-of-the-art performance across a range of speech tasks on the same model size, exhibiting robust generalization capabilities in executing complex tasks using CoT approach. Furthermore, our model successfully completes Gaokao tasks without specialized training. The codes, models, audio, and Gaokao evaluation set can be accessed at aka.ms/wavllm.

Large Language Models (LLMs), with their flexible generation abilities, can be powerful data sources in domains with few or no available corpora. However, problems like hallucinations and biases limit such applications. In this case study, we pick nutrition counselling, a domain lacking any public resource, and show that high-quality datasets can be gathered by combining LLMs, crowd-workers and nutrition experts. We first crowd-source and cluster a novel dataset of diet-related issues, then work with experts to prompt ChatGPT into producing related supportive text. Finally, we let the experts evaluate the safety of the generated text. We release HAI-coaching, the first expert-annotated nutrition counselling dataset containing ~2.4K dietary struggles from crowd workers, and ~97K related supportive texts generated by ChatGPT. Extensive analysis shows that ChatGPT while producing highly fluent and human-like text, also manifests harmful behaviours, especially in sensitive topics like mental health, making it unsuitable for unsupervised use.

Depression is a common mental disorder. Automatic depression detection tools using speech, enabled by machine learning, help early screening of depression. This paper addresses two limitations that may hinder the clinical implementations of such tools: noise resulting from segment-level labelling and a lack of model interpretability. We propose a bi-modal speech-level transformer to avoid segment-level labelling and introduce a hierarchical interpretation approach to provide both speech-level and sentence-level interpretations, based on gradient-weighted attention maps derived from all attention layers to track interactions between input features. We show that the proposed model outperforms a model that learns at a segment level (p=0.854, r=0.947, F1=0.947 compared to p=0.732, r=0.808, F1=0.768). For model interpretation, using one true positive sample, we show which sentences within a given speech are most relevant to depression detection; and which text tokens and Mel-spectrogram regions within these sentences are most relevant to depression detection. These interpretations allow clinicians to verify the validity of predictions made by depression detection tools, promoting their clinical implementations.

Mental distress like depression and anxiety contribute to the largest proportion of the global burden of diseases. Automated diagnosis systems of such disorders, empowered by recent innovations in Artificial Intelligence, can pave the way to reduce the sufferings of the affected individuals. Development of such systems requires information-rich and balanced corpora. In this work, we introduce a novel mental distress analysis audio dataset DEPAC, labeled based on established thresholds on depression and anxiety standard screening tools. This large dataset comprises multiple speech tasks per individual, as well as relevant demographic information. Alongside, we present a feature set consisting of hand-curated acoustic and linguistic features, which were found effective in identifying signs of mental illnesses in human speech. Finally, we justify the quality and effectiveness of our proposed audio corpus and feature set in predicting depression severity by comparing the performance of baseline machine learning models built on this dataset with baseline models trained on other well-known depression corpora.

This work introduces the first framework for reconstructing surgical dialogue from unstructured real-world recordings, which is crucial for characterizing teaching tasks. In surgical training, the formative verbal feedback that trainers provide to trainees during live surgeries is crucial for ensuring safety, correcting behavior immediately, and facilitating long-term skill acquisition. However, analyzing and quantifying this feedback is challenging due to its unstructured and specialized nature. Automated systems are essential to manage these complexities at scale, allowing for the creation of structured datasets that enhance feedback analysis and improve surgical education. Our framework integrates voice activity detection, speaker diarization, and automated speech recaognition, with a novel enhancement that 1) removes hallucinations (non-existent utterances generated during speech recognition fueled by noise in the operating room) and 2) separates speech from trainers and trainees using few-shot voice samples. These aspects are vital for reconstructing accurate surgical dialogues and understanding the roles of operating room participants. Using data from 33 real-world surgeries, we demonstrated the system's capability to reconstruct surgical teaching dialogues and detect feedback instances effectively (F1 score of 0.79+/-0.07). Moreover, our hallucination removal step improves feedback detection performance by ~14%. Evaluation on downstream clinically relevant tasks of predicting Behavioral Adjustment of trainees and classifying Technical feedback, showed performances comparable to manual annotations with F1 scores of 0.82+/0.03 and 0.81+/0.03 respectively. These results highlight the effectiveness of our framework in supporting clinically relevant tasks and improving over manual methods.

There is debate if phoneme or viseme units are the most effective for a lipreading system. Some studies use phoneme units even though phonemes describe unique short sounds; other studies tried to improve lipreading accuracy by focusing on visemes with varying results. We compare the performance of a lipreading system by modeling visual speech using either 13 viseme or 38 phoneme units. We report the accuracy of our system at both word and unit levels. The evaluation task is large vocabulary continuous speech using the TCD-TIMIT corpus. We complete our visual speech modeling via hybrid DNN-HMMs and our visual speech decoder is a Weighted Finite-State Transducer (WFST). We use DCT and Eigenlips as a representation of mouth ROI image. The phoneme lipreading system word accuracy outperforms the viseme based system word accuracy. However, the phoneme system achieved lower accuracy at the unit level which shows the importance of the dictionary for decoding classification outputs into words.

This paper presents a new approach for classification of dysfluent and fluent speech using Mel-Frequency Cepstral Coefficient (MFCC). The speech is fluent when person's speech flows easily and smoothly. Sounds combine into syllable, syllables mix together into words and words link into sentences with little effort. When someone's speech is dysfluent, it is irregular and does not flow effortlessly. Therefore, a dysfluency is a break in the smooth, meaningful flow of speech. Stuttering is one such disorder in which the fluent flow of speech is disrupted by occurrences of dysfluencies such as repetitions, prolongations, interjections and so on. In this work we have considered three types of dysfluencies such as repetition, prolongation and interjection to characterize dysfluent speech. After obtaining dysfluent and fluent speech, the speech signals are analyzed in order to extract MFCC features. The k-Nearest Neighbor (k-NN) and Support Vector Machine (SVM) classifiers are used to classify the speech as dysfluent and fluent speech. The 80% of the data is used for training and 20% for testing. The average accuracy of 86.67% and 93.34% is obtained for dysfluent and fluent speech respectively.

The task of lip synchronization (lip-sync) seeks to match the lips of human faces with different audio. It has various applications in the film industry as well as for creating virtual avatars and for video conferencing. This is a challenging problem as one needs to simultaneously introduce detailed, realistic lip movements while preserving the identity, pose, emotions, and image quality. Many of the previous methods trying to solve this problem suffer from image quality degradation due to a lack of complete contextual information. In this paper, we present Diff2Lip, an audio-conditioned diffusion-based model which is able to do lip synchronization in-the-wild while preserving these qualities. We train our model on Voxceleb2, a video dataset containing in-the-wild talking face videos. Extensive studies show that our method outperforms popular methods like Wav2Lip and PC-AVS in Fr\'echet inception distance (FID) metric and Mean Opinion Scores (MOS) of the users. We show results on both reconstruction (same audio-video inputs) as well as cross (different audio-video inputs) settings on Voxceleb2 and LRW datasets. Video results and code can be accessed from our project page ( https://soumik-kanad.github.io/diff2lip ).

Audio-Language Models (ALMs), which are trained on audio-text data, focus on the processing, understanding, and reasoning of sounds. Unlike traditional supervised learning approaches learning from predefined labels, ALMs utilize natural language as a supervision signal, which is more suitable for describing complex real-world audio recordings. ALMs demonstrate strong zero-shot capabilities and can be flexibly adapted to diverse downstream tasks. These strengths not only enhance the accuracy and generalization of audio processing tasks but also promote the development of models that more closely resemble human auditory perception and comprehension. Recent advances in ALMs have positioned them at the forefront of computer audition research, inspiring a surge of efforts to advance ALM technologies. Despite rapid progress in the field of ALMs, there is still a notable lack of systematic surveys that comprehensively organize and analyze developments. In this paper, we present a comprehensive review of ALMs with a focus on general audio tasks, aiming to fill this gap by providing a structured and holistic overview of ALMs. Specifically, we cover: (1) the background of computer audition and audio-language models; (2) the foundational aspects of ALMs, including prevalent network architectures, training objectives, and evaluation methods; (3) foundational pre-training and audio-language pre-training approaches; (4) task-specific fine-tuning, multi-task tuning and agent systems for downstream applications; (5) datasets and benchmarks; and (6) current challenges and future directions. Our review provides a clear technical roadmap for researchers to understand the development and future trends of existing technologies, offering valuable references for implementation in real-world scenarios.

Self-supervised representation learning (SSRL) has demonstrated superior performance than supervised models for tasks including phoneme recognition. Training SSRL models poses a challenge for low-resource languages where sufficient pre-training data may not be available. A common approach is cross-lingual pre-training. Instead, we propose to use audio augmentation techniques, namely: pitch variation, noise addition, accented target language and other language speech to pre-train SSRL models in a low resource condition and evaluate phoneme recognition. Our comparisons found that a combined synthetic augmentations (noise/pitch) strategy outperformed accent and language knowledge transfer. Furthermore, we examined the scaling factor of augmented data to achieve equivalent performance to model pre-trained with target domain speech. Our findings suggest that for resource-constrained languages, combined augmentations can be a viable option than other augmentations.

Speech has long been a barrier to effective communication and connection, persisting as a challenge in our increasingly interconnected world. This research paper introduces a transformative solution to this persistent obstacle an end-to-end speech conversion framework tailored for Hindi-to-English translation, culminating in the synthesis of English audio. By integrating cutting-edge technologies such as XLSR Wav2Vec2 for automatic speech recognition (ASR), mBART for neural machine translation (NMT), and a Text-to-Speech (TTS) synthesis component, this framework offers a unified and seamless approach to cross-lingual communication. We delve into the intricate details of each component, elucidating their individual contributions and exploring the synergies that enable a fluid transition from spoken Hindi to synthesized English audio.

Text detoxification is a textual style transfer (TST) task where a text is paraphrased from a toxic surface form, e.g. featuring rude words, to the neutral register. Recently, text detoxification methods found their applications in various task such as detoxification of Large Language Models (LLMs) (Leong et al., 2023; He et al., 2024; Tang et al., 2023) and toxic speech combating in social networks (Deng et al., 2023; Mun et al., 2023; Agarwal et al., 2023). All these applications are extremely important to ensure safe communication in modern digital worlds. However, the previous approaches for parallel text detoxification corpora collection -- ParaDetox (Logacheva et al., 2022) and APPADIA (Atwell et al., 2022) -- were explored only in monolingual setup. In this work, we aim to extend ParaDetox pipeline to multiple languages presenting MultiParaDetox to automate parallel detoxification corpus collection for potentially any language. Then, we experiment with different text detoxification models -- from unsupervised baselines to LLMs and fine-tuned models on the presented parallel corpora -- showing the great benefit of parallel corpus presence to obtain state-of-the-art text detoxification models for any language.

Large language models (LLMs) have exhibited remarkable capabilities across a variety of domains and tasks, challenging our understanding of learning and cognition. Despite the recent success, current LLMs are not capable of processing complex audio information or conducting spoken conversations (like Siri or Alexa). In this work, we propose a multi-modal AI system named AudioGPT, which complements LLMs (i.e., ChatGPT) with 1) foundation models to process complex audio information and solve numerous understanding and generation tasks; and 2) the input/output interface (ASR, TTS) to support spoken dialogue. With an increasing demand to evaluate multi-modal LLMs of human intention understanding and cooperation with foundation models, we outline the principles and processes and test AudioGPT in terms of consistency, capability, and robustness. Experimental results demonstrate the capabilities of AudioGPT in solving AI tasks with speech, music, sound, and talking head understanding and generation in multi-round dialogues, which empower humans to create rich and diverse audio content with unprecedented ease. Our system is publicly available at https://github.com/AIGC-Audio/AudioGPT.

Transformer-based models have recently made significant achievements in the application of end-to-end (E2E) automatic speech recognition (ASR). It is possible to deploy the E2E ASR system on smart devices with the help of Transformer-based models. While these models still have the disadvantage of requiring a large number of model parameters. To overcome the drawback of universal Transformer models for the application of ASR on edge devices, we propose a solution that can reuse the block in Transformer models for the occasion of the small footprint ASR system, which meets the objective of accommodating resource limitations without compromising recognition accuracy. Specifically, we design a novel block-reusing strategy for speech Transformer (BRST) to enhance the effectiveness of parameters and propose an adapter module (ADM) that can produce a compact and adaptable model with only a few additional trainable parameters accompanying each reusing block. We conducted an experiment with the proposed method on the public AISHELL-1 corpus, and the results show that the proposed approach achieves the character error rate (CER) of 9.3%/6.63% with only 7.6M/8.3M parameters without and with the ADM, respectively. In addition, we also make a deeper analysis to show the effect of ADM in the general block-reusing method.

The lack of clean speech is a practical challenge to the development of speech enhancement systems, which means that there is an inevitable mismatch between their training criterion and evaluation metric. In response to this unfavorable situation, we propose a training and inference strategy that additionally uses enhanced speech as a target by improving the previously proposed noisy-target training (NyTT). Because homogeneity between in-domain noise and extraneous noise is the key to the effectiveness of NyTT, we train various student models by remixing 1) the teacher model's estimated speech and noise for enhanced-target training or 2) raw noisy speech and the teacher model's estimated noise for noisy-target training. Experimental results show that our proposed method outperforms several baselines, especially with the teacher/student inference, where predicted clean speech is derived successively through the teacher and final student models.

Mental health is a critical issue in modern society, and mental disorders could sometimes turn to suicidal ideation without adequate treatment. Early detection of mental disorders and suicidal ideation from social content provides a potential way for effective social intervention. Recent advances in pretrained contextualized language representations have promoted the development of several domain-specific pretrained models and facilitated several downstream applications. However, there are no existing pretrained language models for mental healthcare. This paper trains and release two pretrained masked language models, i.e., MentalBERT and MentalRoBERTa, to benefit machine learning for the mental healthcare research community. Besides, we evaluate our trained domain-specific models and several variants of pretrained language models on several mental disorder detection benchmarks and demonstrate that language representations pretrained in the target domain improve the performance of mental health detection tasks.

Concerns about hallucinations in Large Language Models (LLMs) have been raised by researchers, yet their potential in areas where creativity is vital, such as drug discovery, merits exploration. In this paper, we come up with the hypothesis that hallucinations can improve LLMs in drug discovery. To verify this hypothesis, we use LLMs to describe the SMILES string of molecules in natural language and then incorporate these descriptions as part of the prompt to address specific tasks in drug discovery. Evaluated on seven LLMs and five classification tasks, our findings confirm the hypothesis: LLMs can achieve better performance with text containing hallucinations. Notably, Llama-3.1-8B achieves an 18.35% gain in ROC-AUC compared to the baseline without hallucination. Furthermore, hallucinations generated by GPT-4o provide the most consistent improvements across models. Additionally, we conduct empirical analyses and a case study to investigate key factors affecting performance and the underlying reasons. Our research sheds light on the potential use of hallucinations for LLMs and offers new perspectives for future research leveraging LLMs in drug discovery.

Models like GPT-4o enable real-time interaction with large language models (LLMs) through speech, significantly enhancing user experience compared to traditional text-based interaction. However, there is still a lack of exploration on how to build speech interaction models based on open-source LLMs. To address this, we propose LLaMA-Omni, a novel model architecture designed for low-latency and high-quality speech interaction with LLMs. LLaMA-Omni integrates a pretrained speech encoder, a speech adaptor, an LLM, and a streaming speech decoder. It eliminates the need for speech transcription, and can simultaneously generate text and speech responses directly from speech instructions with extremely low latency. We build our model based on the latest Llama-3.1-8B-Instruct model. To align the model with speech interaction scenarios, we construct a dataset named InstructS2S-200K, which includes 200K speech instructions and corresponding speech responses. Experimental results show that compared to previous speech-language models, LLaMA-Omni provides better responses in both content and style, with a response latency as low as 226ms. Additionally, training LLaMA-Omni takes less than 3 days on just 4 GPUs, paving the way for the efficient development of speech-language models in the future.

SpeechBrain is an open-source and all-in-one speech toolkit. It is designed to facilitate the research and development of neural speech processing technologies by being simple, flexible, user-friendly, and well-documented. This paper describes the core architecture designed to support several tasks of common interest, allowing users to naturally conceive, compare and share novel speech processing pipelines. SpeechBrain achieves competitive or state-of-the-art performance in a wide range of speech benchmarks. It also provides training recipes, pretrained models, and inference scripts for popular speech datasets, as well as tutorials which allow anyone with basic Python proficiency to familiarize themselves with speech technologies.

Learning meaningful and general representations from unannotated speech that are applicable to a wide range of tasks remains challenging. In this paper we propose to use autoregressive predictive coding (APC), a recently proposed self-supervised objective, as a generative pre-training approach for learning meaningful, non-specific, and transferable speech representations. We pre-train APC on large-scale unlabeled data and conduct transfer learning experiments on three speech applications that require different information about speech characteristics to perform well: speech recognition, speech translation, and speaker identification. Extensive experiments show that APC not only outperforms surface features (e.g., log Mel spectrograms) and other popular representation learning methods on all three tasks, but is also effective at reducing downstream labeled data size and model parameters. We also investigate the use of Transformers for modeling APC and find it superior to RNNs.

Large Language Models(LLMs)have become effective tools for natural language processing and have been used in many different fields. This essay offers a succinct summary of various LLM subcategories. The survey emphasizes recent developments and efforts made for various LLM kinds, including task-based financial LLMs, multilingual language LLMs, biomedical and clinical LLMs, vision language LLMs, and code language models. The survey gives a general summary of the methods, attributes, datasets, transformer models, and comparison metrics applied in each category of LLMs. Furthermore, it highlights unresolved problems in the field of developing chatbots and virtual assistants, such as boosting natural language processing, enhancing chatbot intelligence, and resolving moral and legal dilemmas. The purpose of this study is to provide readers, developers, academics, and users interested in LLM-based chatbots and virtual intelligent assistant technologies with useful information and future directions.

Large Language Models (LLMs) have been applied in the speech domain, often incurring a performance drop due to misaligned between speech and language representations. To bridge this gap, we propose a joint speech and language model (SLM) using a Speech2Text adapter, which maps speech into text token embedding space without speech information loss. Additionally, using a CTC-based blank-filtering, we can reduce the speech sequence length to that of text. In speech MultiWoz dataset (DSTC11 challenge), SLM largely improves the dialog state tracking (DST) performance (24.7% to 28.4% accuracy). Further to address errors on rare entities, we augment SLM with a Speech2Entity retriever, which uses speech to retrieve relevant entities, and then adds them to the original SLM input as a prefix. With this retrieval-augmented SLM (ReSLM), the DST performance jumps to 34.6% accuracy. Moreover, augmenting the ASR task with the dialog understanding task improves the ASR performance from 9.4% to 8.5% WER.

Rapidly developing large language models (LLMs) have brought tremendous intelligent applications. Especially, the GPT-4o's excellent duplex speech interaction ability has brought impressive experience to users. Researchers have recently proposed several multi-modal LLMs in this direction that can achieve user-agent speech-to-speech conversations. This paper proposes a novel speech-text multimodal LLM architecture called Freeze-Omni. Our main contribution is that the speech input and output modalities can be easily connected to a textual LLM while keeping the LLM's parameters frozen throughout the training process. We design a three-stage training strategy for modeling both the speech input and output, enabling Freeze-Omni to obtain speech-to-speech conversation ability using text-speech paired data (such as ASR and TTS data) and only 60,000 multi-round text Q&A data on 8 GPUs. Moreover, we can effectively ensure that the intelligence of the Freeze-Omni in the speech modality is at the same level compared with that in the text modality of its backbone LLM, while achieving low latency end-to-end spoken response. In addition, we also designed a method to achieve duplex dialogue ability through multi-task training, giving Freeze-Omni a more natural style of dialogue ability between users and agents. In summary, Freeze-Omni holds great potential to conduct speech-to-speech dialogue based on a multimodal LLM under the condition of a frozen LLM, avoiding the catastrophic forgetting problem caused by limited data and training resources.

Multi-modal large language models have garnered significant interest recently. Though, most of the works focus on vision-language multi-modal models providing strong capabilities in following vision-and-language instructions. However, we claim that speech is also an important modality through which humans interact with the world. Hence, it is crucial for a general-purpose assistant to be able to follow multi-modal speech-and-language instructions. In this work, we propose Large Language and Speech Model (LLaSM). LLaSM is an end-to-end trained large multi-modal speech-language model with cross-modal conversational abilities, capable of following speech-and-language instructions. Our early experiments show that LLaSM demonstrates a more convenient and natural way for humans to interact with artificial intelligence. Specifically, we also release a large Speech Instruction Following dataset LLaSM-Audio-Instructions. Code and demo are available at https://github.com/LinkSoul-AI/LLaSM and https://huggingface.co/spaces/LinkSoul/LLaSM. The LLaSM-Audio-Instructions dataset is available at https://huggingface.co/datasets/LinkSoul/LLaSM-Audio-Instructions.

Neural waveform models such as the WaveNet are used in many recent text-to-speech systems, but the original WaveNet is quite slow in waveform generation because of its autoregressive (AR) structure. Although faster non-AR models were recently reported, they may be prohibitively complicated due to the use of a distilling training method and the blend of other disparate training criteria. This study proposes a non-AR neural source-filter waveform model that can be directly trained using spectrum-based training criteria and the stochastic gradient descent method. Given the input acoustic features, the proposed model first uses a source module to generate a sine-based excitation signal and then uses a filter module to transform the excitation signal into the output speech waveform. Our experiments demonstrated that the proposed model generated waveforms at least 100 times faster than the AR WaveNet and the quality of its synthetic speech is close to that of speech generated by the AR WaveNet. Ablation test results showed that both the sine-wave excitation signal and the spectrum-based training criteria were essential to the performance of the proposed model.

We present a direct speech-to-speech translation (S2ST) model that translates speech from one language to speech in another language without relying on intermediate text generation. We tackle the problem by first applying a self-supervised discrete speech encoder on the target speech and then training a sequence-to-sequence speech-to-unit translation (S2UT) model to predict the discrete representations of the target speech. When target text transcripts are available, we design a joint speech and text training framework that enables the model to generate dual modality output (speech and text) simultaneously in the same inference pass. Experiments on the Fisher Spanish-English dataset show that the proposed framework yields improvement of 6.7 BLEU compared with a baseline direct S2ST model that predicts spectrogram features. When trained without any text transcripts, our model performance is comparable to models that predict spectrograms and are trained with text supervision, showing the potential of our system for translation between unwritten languages. Audio samples are available at https://facebookresearch.github.io/speech_translation/direct_s2st_units/index.html .

Spoken language understanding (SLU) tasks have been studied for many decades in the speech research community, but have not received as much attention as lower-level tasks like speech and speaker recognition. In particular, there are not nearly as many SLU task benchmarks, and many of the existing ones use data that is not freely available to all researchers. Recent work has begun to introduce such benchmark datasets for several tasks. In this work, we introduce several new annotated SLU benchmark tasks based on freely available speech data, which complement existing benchmarks and address gaps in the SLU evaluation landscape. We contribute four tasks: question answering and summarization involve inference over longer speech sequences; named entity localization addresses the speech-specific task of locating the targeted content in the signal; dialog act classification identifies the function of a given speech utterance. We follow the blueprint of the Spoken Language Understanding Evaluation (SLUE) benchmark suite. In order to facilitate the development of SLU models that leverage the success of pre-trained speech representations, we will be publishing for each task (i) annotations for a relatively small fine-tuning set, (ii) annotated development and test sets, and (iii) baseline models for easy reproducibility and comparisons. In this work, we present the details of data collection and annotation and the performance of the baseline models. We also perform sensitivity analysis of pipeline models' performance (speech recognizer + text model) to the speech recognition accuracy, using more than 20 state-of-the-art speech recognition models.

We introduce MERaLiON-AudioLLM (Multimodal Empathetic Reasoning and Learning in One Network), the first speech-text model tailored for Singapore's multilingual and multicultural landscape. Developed under the National Large Language Models Funding Initiative, Singapore, MERaLiON-AudioLLM integrates advanced speech and text processing to address the diverse linguistic nuances of local accents and dialects, enhancing accessibility and usability in complex, multilingual environments. Our results demonstrate improvements in both speech recognition and task-specific understanding, positioning MERaLiON-AudioLLM as a pioneering solution for region specific AI applications. We envision this release to set a precedent for future models designed to address localised linguistic and cultural contexts in a global framework.

Speaker adaptation in text-to-speech synthesis (TTS) is to finetune a pre-trained TTS model to adapt to new target speakers with limited data. While much effort has been conducted towards this task, seldom work has been performed for low computational resource scenarios due to the challenges raised by the requirement of the lightweight model and less computational complexity. In this paper, a tiny VITS-based TTS model, named AdaVITS, for low computing resource speaker adaptation is proposed. To effectively reduce parameters and computational complexity of VITS, an iSTFT-based wave construction decoder is proposed to replace the upsampling-based decoder which is resource-consuming in the original VITS. Besides, NanoFlow is introduced to share the density estimate across flow blocks to reduce the parameters of the prior encoder. Furthermore, to reduce the computational complexity of the textual encoder, scaled-dot attention is replaced with linear attention. To deal with the instability caused by the simplified model, instead of using the original text encoder, phonetic posteriorgram (PPG) is utilized as linguistic feature via a text-to-PPG module, which is then used as input for the encoder. Experiment shows that AdaVITS can generate stable and natural speech in speaker adaptation with 8.97M model parameters and 0.72GFlops computational complexity.

The research community has long studied computer-assisted pronunciation training (CAPT) methods in non-native speech. Researchers focused on studying various model architectures, such as Bayesian networks and deep learning methods, as well as on the analysis of different representations of the speech signal. Despite significant progress in recent years, existing CAPT methods are not able to detect pronunciation errors with high accuracy (only 60\% precision at 40\%-80\% recall). One of the key problems is the low availability of mispronounced speech that is needed for the reliable training of pronunciation error detection models. If we had a generative model that could mimic non-native speech and produce any amount of training data, then the task of detecting pronunciation errors would be much easier. We present three innovative techniques based on phoneme-to-phoneme (P2P), text-to-speech (T2S), and speech-to-speech (S2S) conversion to generate correctly pronounced and mispronounced synthetic speech. We show that these techniques not only improve the accuracy of three machine learning models for detecting pronunciation errors but also help establish a new state-of-the-art in the field. Earlier studies have used simple speech generation techniques such as P2P conversion, but only as an additional mechanism to improve the accuracy of pronunciation error detection. We, on the other hand, consider speech generation to be the first-class method of detecting pronunciation errors. The effectiveness of these techniques is assessed in the tasks of detecting pronunciation and lexical stress errors. Non-native English speech corpora of German, Italian, and Polish speakers are used in the evaluations. The best proposed S2S technique improves the accuracy of detecting pronunciation errors in AUC metric by 41\% from 0.528 to 0.749 compared to the state-of-the-art approach.

While large language models excel in a variety of natural language processing (NLP) tasks, to perform well on spoken language understanding (SLU) tasks, they must either rely on off-the-shelf automatic speech recognition (ASR) systems for transcription, or be equipped with an in-built speech modality. This work focuses on the former scenario, where LLM's accuracy on SLU tasks is constrained by the accuracy of a fixed ASR system on the spoken input. Specifically, we tackle speech-intent classification task, where a high word-error-rate can limit the LLM's ability to understand the spoken intent. Instead of chasing a high accuracy by designing complex or specialized architectures regardless of deployment costs, we seek to answer how far we can go without substantially changing the underlying ASR and LLM, which can potentially be shared by multiple unrelated tasks. To this end, we propose prompting the LLM with an n-best list of ASR hypotheses instead of only the error-prone 1-best hypothesis. We explore prompt-engineering to explain the concept of n-best lists to the LLM; followed by the finetuning of Low-Rank Adapters on the downstream tasks. Our approach using n-best lists proves to be effective on a device-directed speech detection task as well as on a keyword spotting task, where systems using n-best list prompts outperform those using 1-best ASR hypothesis; thus paving the way for an efficient method to exploit ASR uncertainty via LLMs for speech-based applications.

Recent advancements in large language models (LLMs) have revolutionized various domains, bringing significant progress and new opportunities. Despite progress in speech-related tasks, LLMs have not been sufficiently explored in multi-talker scenarios. In this work, we present a pioneering effort to investigate the capability of LLMs in transcribing speech in multi-talker environments, following versatile instructions related to multi-talker automatic speech recognition (ASR), target talker ASR, and ASR based on specific talker attributes such as sex, occurrence order, language, and keyword spoken. Our approach utilizes WavLM and Whisper encoder to extract multi-faceted speech representations that are sensitive to speaker characteristics and semantic context. These representations are then fed into an LLM fine-tuned using LoRA, enabling the capabilities for speech comprehension and transcription. Comprehensive experiments reveal the promising performance of our proposed system, MT-LLM, in cocktail party scenarios, highlighting the potential of LLM to handle speech-related tasks based on user instructions in such complex settings.

Navigating certain communication situations can be challenging due to individuals' lack of skills and the interference of strong emotions. However, effective learning opportunities are rarely accessible. In this work, we conduct a human-centered study that uses language models to simulate bespoke communication training and provide just-in-time feedback to support the practice and learning of interpersonal effectiveness skills. We apply the interpersonal effectiveness framework from Dialectical Behavioral Therapy (DBT), DEAR MAN, which focuses on both conversational and emotional skills. We present IMBUE, an interactive training system that provides feedback 25% more similar to experts' feedback, compared to that generated by GPT-4. IMBUE is the first to focus on communication skills and emotion management simultaneously, incorporate experts' domain knowledge in providing feedback, and be grounded in psychology theory. Through a randomized trial of 86 participants, we find that IMBUE's simulation-only variant significantly improves participants' self-efficacy (up to 17%) and reduces negative emotions (up to 25%). With IMBUE's additional just-in-time feedback, participants demonstrate 17% improvement in skill mastery, along with greater enhancements in self-efficacy (27% more) and reduction of negative emotions (16% more) compared to simulation-only. The improvement in skill mastery is the only measure that is transferred to new and more difficult situations; situation specific training is necessary for improving self-efficacy and emotion reduction.

Phoneme boundary detection plays an essential first step for a variety of speech processing applications such as speaker diarization, speech science, keyword spotting, etc. In this work, we propose a neural architecture coupled with a parameterized structured loss function to learn segmental representations for the task of phoneme boundary detection. First, we evaluated our model when the spoken phonemes were not given as input. Results on the TIMIT and Buckeye corpora suggest that the proposed model is superior to the baseline models and reaches state-of-the-art performance in terms of F1 and R-value. We further explore the use of phonetic transcription as additional supervision and show this yields minor improvements in performance but substantially better convergence rates. We additionally evaluate the model on a Hebrew corpus and demonstrate such phonetic supervision can be beneficial in a multi-lingual setting.

The remarkable performance achieved by Large Language Models (LLM) has driven research efforts to leverage them for a wide range of tasks and input modalities. In speech-to-text (S2T) tasks, the emerging solution consists of projecting the output of the encoder of a Speech Foundational Model (SFM) into the LLM embedding space through an adapter module. However, no work has yet investigated how much the downstream-task performance depends on each component (SFM, adapter, LLM) nor whether the best design of the adapter depends on the chosen SFM and LLM. To fill this gap, we evaluate the combination of 5 adapter modules, 2 LLMs (Mistral and Llama), and 2 SFMs (Whisper and SeamlessM4T) on two widespread S2T tasks, namely Automatic Speech Recognition and Speech Translation. Our results demonstrate that the SFM plays a pivotal role in downstream performance, while the adapter choice has moderate impact and depends on the SFM and LLM.

Exploiting effective target modeling units is very important and has always been a concern in end-to-end automatic speech recognition (ASR). In this work, we propose a phonetic-assisted multi target units (PMU) modeling approach, to enhance the Conformer-Transducer ASR system in a progressive representation learning manner. Specifically, PMU first uses the pronunciation-assisted subword modeling (PASM) and byte pair encoding (BPE) to produce phonetic-induced and text-induced target units separately; Then, three new frameworks are investigated to enhance the acoustic encoder, including a basic PMU, a paraCTC and a pcaCTC, they integrate the PASM and BPE units at different levels for CTC and transducer multi-task training. Experiments on both LibriSpeech and accented ASR tasks show that, the proposed PMU significantly outperforms the conventional BPE, it reduces the WER of LibriSpeech clean, other, and six accented ASR testsets by relative 12.7%, 6.0% and 7.7%, respectively.

Recent advancements in speech large language models (SpeechLLMs) have attracted considerable attention. Nonetheless, current methods exhibit suboptimal performance in adhering to speech instructions. Notably, the intelligence of models significantly diminishes when processing speech-form input as compared to direct text-form input. Prior work has attempted to mitigate this semantic inconsistency between speech and text representations through techniques such as representation and behavior alignment, which involve the meticulous design of data pairs during the post-training phase. In this paper, we introduce a simple and scalable training method called InSerter, which stands for Interleaved Speech-Text Representation Pre-training. InSerter is designed to pre-train large-scale unsupervised speech-text sequences, where the speech is synthesized from randomly selected segments of an extensive text corpus using text-to-speech conversion. Consequently, the model acquires the ability to generate textual continuations corresponding to the provided speech segments, obviating the need for intensive data design endeavors. To systematically evaluate speech instruction-following capabilities, we introduce SpeechInstructBench, the first comprehensive benchmark specifically designed for speech-oriented instruction-following tasks. Our proposed InSerter achieves SOTA performance in SpeechInstructBench and demonstrates superior or competitive results across diverse speech processing tasks.

Most lip-to-speech (LTS) synthesis models are trained and evaluated under the assumption that the audio-video pairs in the dataset are perfectly synchronized. In this work, we show that the commonly used audio-visual datasets, such as GRID, TCD-TIMIT, and Lip2Wav, can have data asynchrony issues. Training lip-to-speech with such datasets may further cause the model asynchrony issue -- that is, the generated speech and the input video are out of sync. To address these asynchrony issues, we propose a synchronized lip-to-speech (SLTS) model with an automatic synchronization mechanism (ASM) to correct data asynchrony and penalize model asynchrony. We further demonstrate the limitation of the commonly adopted evaluation metrics for LTS with asynchronous test data and introduce an audio alignment frontend before the metrics sensitive to time alignment for better evaluation. We compare our method with state-of-the-art approaches on conventional and time-aligned metrics to show the benefits of synchronization training.

Multimodal foundation models, such as Gemini and ChatGPT, have revolutionized human-machine interactions by seamlessly integrating various forms of data. Developing a universal spoken language model that comprehends a wide range of natural language instructions is critical for bridging communication gaps and facilitating more intuitive interactions. However, the absence of a comprehensive evaluation benchmark poses a significant challenge. We present Dynamic-SUPERB Phase-2, an open and evolving benchmark for the comprehensive evaluation of instruction-based universal speech models. Building upon the first generation, this second version incorporates 125 new tasks contributed collaboratively by the global research community, expanding the benchmark to a total of 180 tasks, making it the largest benchmark for speech and audio evaluation. While the first generation of Dynamic-SUPERB was limited to classification tasks, Dynamic-SUPERB Phase-2 broadens its evaluation capabilities by introducing a wide array of novel and diverse tasks, including regression and sequence generation, across speech, music, and environmental audio. Evaluation results indicate that none of the models performed well universally. SALMONN-13B excelled in English ASR, while WavLLM demonstrated high accuracy in emotion recognition, but current models still require further innovations to handle a broader range of tasks. We will soon open-source all task data and the evaluation pipeline.

Summaries generated from medical conversations can improve recall and understanding of care plans for patients and reduce documentation burden for doctors. Recent advancements in automatic speech recognition (ASR) and natural language understanding (NLU) offer potential solutions to generate these summaries automatically, but rigorous quantitative baselines for benchmarking research in this domain are lacking. In this paper, we bridge this gap for two tasks: classifying utterances from medical conversations according to (i) the SOAP section and (ii) the speaker role. Both are fundamental building blocks along the path towards an end-to-end, automated SOAP note for medical conversations. We provide details on a dataset that contains human and ASR transcriptions of medical conversations and corresponding machine learning optimized SOAP notes. We then present a systematic analysis in which we adapt an existing deep learning architecture to the two aforementioned tasks. The results suggest that modelling context in a hierarchical manner, which captures both word and utterance level context, yields substantial improvements on both classification tasks. Additionally, we develop and analyze a modular method for adapting our model to ASR output.

Collecting audio-text pairs is expensive; however, it is much easier to access text-only data. Unless using shallow fusion, end-to-end automatic speech recognition (ASR) models require architecture modifications or additional training schemes to use text-only data. Inspired by recent advances in decoder-only language models (LMs), such as GPT-3 and PaLM adopted for speech-processing tasks, we propose using a decoder-only architecture for ASR with simple text augmentation. To provide audio information, encoder features compressed by CTC prediction are used as prompts for the decoder, which can be regarded as refining CTC prediction using the decoder-only model. Because the decoder architecture is the same as an autoregressive LM, it is simple to enhance the model by leveraging external text data with LM training. An experimental comparison using LibriSpeech and Switchboard shows that our proposed models with text augmentation training reduced word error rates from ordinary CTC by 0.3% and 1.4% on LibriSpeech test-clean and testother set, respectively, and 2.9% and 5.0% on Switchboard and CallHome. The proposed model had advantage on computational efficiency compared with conventional encoder-decoder ASR models with a similar parameter setup, and outperformed them on the LibriSpeech 100h and Switchboard training scenarios.

Problem: Effective patient-centered communication is a core competency for physicians. However, both seasoned providers and medical trainees report decreased confidence in leading conversations on sensitive topics such as goals of care or end-of-life discussions. The significant administrative burden and the resources required to provide dedicated training in leading difficult conversations has been a long-standing problem in medical education. Approach: In this work, we present a novel educational tool designed to facilitate interactive, real-time simulations of difficult conversations in a video-based format through the use of multimodal generative artificial intelligence (AI). Leveraging recent advances in language modeling, computer vision, and generative audio, this tool creates realistic, interactive scenarios with avatars, or "synthetic patients." These synthetic patients interact with users throughout various stages of medical care using a custom-built video chat application, offering learners the chance to practice conversations with patients from diverse belief systems, personalities, and ethnic backgrounds. Outcomes: While the development of this platform demanded substantial upfront investment in labor, it offers a highly-realistic simulation experience with minimal financial investment. For medical trainees, this educational tool can be implemented within programs to simulate patient-provider conversations and can be incorporated into existing palliative care curriculum to provide a scalable, high-fidelity simulation environment for mastering difficult conversations. Next Steps: Future developments will explore enhancing the authenticity of these encounters by working with patients to incorporate their histories and personalities, as well as employing the use of AI-generated evaluations to offer immediate, constructive feedback to learners post-simulation.

Large language models (LLMs) have been applied to tasks in healthcare, ranging from medical exam questions to responding to patient questions. With increasing institutional partnerships between companies producing LLMs and healthcare systems, real world clinical application is coming closer to reality. As these models gain traction, it is essential for healthcare practitioners to understand what LLMs are, their development, their current and potential applications, and the associated pitfalls when utilized in medicine. This review and accompanying tutorial aim to give an overview of these topics to aid healthcare practitioners in understanding the rapidly changing landscape of LLMs as applied to medicine.

Traditional applications of natural language processing (NLP) in healthcare have predominantly focused on patient-centered services, enhancing patient interactions and care delivery, such as through medical dialogue systems. However, the potential of NLP to benefit inexperienced doctors, particularly in areas such as communicative medical coaching, remains largely unexplored. We introduce ``ChatCoach,'' an integrated human-AI cooperative framework. Within this framework, both a patient agent and a coaching agent collaboratively support medical learners in practicing their medical communication skills during consultations. Unlike traditional dialogue systems, ChatCoach provides a simulated environment where a human doctor can engage in medical dialogue with a patient agent. Simultaneously, a coaching agent provides real-time feedback to the doctor. To construct the ChatCoach system, we developed a dataset and integrated Large Language Models such as ChatGPT and Llama2, aiming to assess their effectiveness in communicative medical coaching tasks. Our comparative analysis demonstrates that instruction-tuned Llama2 significantly outperforms ChatGPT's prompting-based approaches.

Speech encompasses a wealth of information, including but not limited to content, paralinguistic, and environmental information. This comprehensive nature of speech significantly impacts communication and is crucial for human-computer interaction. Chat-Oriented Large Language Models (LLMs), known for their general-purpose assistance capabilities, have evolved to handle multi-modal inputs, including speech. Although these models can be adept at recognizing and analyzing speech, they often fall short of generating appropriate responses. We argue that this is due to the lack of principles on task definition and model development, which requires open-source datasets and metrics suitable for model evaluation. To bridge the gap, we present SD-Eval, a benchmark dataset aimed at multidimensional evaluation of spoken dialogue understanding and generation. SD-Eval focuses on paralinguistic and environmental information and includes 7,303 utterances, amounting to 8.76 hours of speech data. The data is aggregated from eight public datasets, representing four perspectives: emotion, accent, age, and background sound. To assess the SD-Eval benchmark dataset, we implement three different models and construct a training set following a similar process as SD-Eval. The training set contains 1,052.72 hours of speech data and 724.4k utterances. We also conduct a comprehensive evaluation using objective evaluation methods (e.g. BLEU and ROUGE), subjective evaluations and LLM-based metrics for the generated responses. Models conditioned with paralinguistic and environmental information outperform their counterparts in both objective and subjective measures. Moreover, experiments demonstrate LLM-based metrics show a higher correlation with human evaluation compared to traditional metrics. We open-source SD-Eval at https://github.com/amphionspace/SD-Eval.

Dictation enables efficient text input on mobile devices. However, writing with speech can produce disfluent, wordy, and incoherent text and thus requires heavy post-processing. This paper presents Rambler, an LLM-powered graphical user interface that supports gist-level manipulation of dictated text with two main sets of functions: gist extraction and macro revision. Gist extraction generates keywords and summaries as anchors to support the review and interaction with spoken text. LLM-assisted macro revisions allow users to respeak, split, merge and transform dictated text without specifying precise editing locations. Together they pave the way for interactive dictation and revision that help close gaps between spontaneous spoken words and well-structured writing. In a comparative study with 12 participants performing verbal composition tasks, Rambler outperformed the baseline of a speech-to-text editor + ChatGPT, as it better facilitates iterative revisions with enhanced user control over the content while supporting surprisingly diverse user strategies.

Medical vision-and-language models (MVLMs) have attracted substantial interest due to their capability to offer a natural language interface for interpreting complex medical data. Their applications are versatile and have the potential to improve diagnostic accuracy and decision-making for individual patients while also contributing to enhanced public health monitoring, disease surveillance, and policy-making through more efficient analysis of large data sets. MVLMS integrate natural language processing with medical images to enable a more comprehensive and contextual understanding of medical images alongside their corresponding textual information. Unlike general vision-and-language models trained on diverse, non-specialized datasets, MVLMs are purpose-built for the medical domain, automatically extracting and interpreting critical information from medical images and textual reports to support clinical decision-making. Popular clinical applications of MVLMs include automated medical report generation, medical visual question answering, medical multimodal segmentation, diagnosis and prognosis and medical image-text retrieval. Here, we provide a comprehensive overview of MVLMs and the various medical tasks to which they have been applied. We conduct a detailed analysis of various vision-and-language model architectures, focusing on their distinct strategies for cross-modal integration/exploitation of medical visual and textual features. We also examine the datasets used for these tasks and compare the performance of different models based on standardized evaluation metrics. Furthermore, we highlight potential challenges and summarize future research trends and directions. The full collection of papers and codes is available at: https://github.com/YtongXie/Medical-Vision-and-Language-Tasks-and-Methodologies-A-Survey.

Large language models have exhibited exceptional performance on various Natural Language Processing (NLP) tasks, leveraging techniques such as the pre-training, and instruction fine-tuning. Despite these advances, their effectiveness in medical applications is limited, due to challenges such as factual inaccuracies, reasoning abilities, and lack grounding in real-world experience. In this study, we present ClinicalGPT, a language model explicitly designed and optimized for clinical scenarios. By incorporating extensive and diverse real-world data, such as medical records, domain-specific knowledge, and multi-round dialogue consultations in the training process, ClinicalGPT is better prepared to handle multiple clinical task. Furthermore, we introduce a comprehensive evaluation framework that includes medical knowledge question-answering, medical exams, patient consultations, and diagnostic analysis of medical records. Our results demonstrate that ClinicalGPT significantly outperforms other models in these tasks, highlighting the effectiveness of our approach in adapting large language models to the critical domain of healthcare.

We aim to evaluate the efficacy of traditional machine learning and large language models (LLMs) in classifying anxiety and depression from long conversational transcripts. We fine-tune both established transformer models (BERT, RoBERTa, Longformer) and more recent large models (Mistral-7B), trained a Support Vector Machine with feature engineering, and assessed GPT models through prompting. We observe that state-of-the-art models fail to enhance classification outcomes compared to traditional machine learning methods.

The limited availability of psychologists necessitates efficient identification of individuals requiring urgent mental healthcare. This study explores the use of Natural Language Processing (NLP) pipelines to analyze text data from online mental health forums used for consultations. By analyzing forum posts, these pipelines can flag users who may require immediate professional attention. A crucial challenge in this domain is data privacy and scarcity. To address this, we propose utilizing readily available curricular texts used in institutes specializing in mental health for pre-training the NLP pipelines. This helps us mimic the training process of a psychologist. Our work presents CASE-BERT that flags potential mental health disorders based on forum text. CASE-BERT demonstrates superior performance compared to existing methods, achieving an f1 score of 0.91 for Depression and 0.88 for Anxiety, two of the most commonly reported mental health disorders. Our code is publicly available.

Flattery is an important aspect of human communication that facilitates social bonding, shapes perceptions, and influences behavior through strategic compliments and praise, leveraging the power of speech to build rapport effectively. Its automatic detection can thus enhance the naturalness of human-AI interactions. To meet this need, we present a novel audio textual dataset comprising 20 hours of speech and train machine learning models for automatic flattery detection. In particular, we employ pretrained AST, Wav2Vec2, and Whisper models for the speech modality, and Whisper TTS models combined with a RoBERTa text classifier for the textual modality. Subsequently, we build a multimodal classifier by combining text and audio representations. Evaluation on unseen test data demonstrates promising results, with Unweighted Average Recall scores reaching 82.46% in audio-only experiments, 85.97% in text-only experiments, and 87.16% using a multimodal approach.

Large Language Models (LLMs) offer numerous applications, the full extent of which is not yet understood. This paper investigates if LLMs can be applied for editing structured and semi-structured documents with minimal effort. Using a qualitative research approach, we conduct two case studies with ChatGPT and thoroughly analyze the results. Our experiments indicate that LLMs can effectively edit structured and semi-structured documents when provided with basic, straightforward prompts. ChatGPT demonstrates a strong ability to recognize and process the structure of annotated documents. This suggests that explicitly structuring tasks and data in prompts might enhance an LLM's ability to understand and solve tasks. Furthermore, the experiments also reveal impressive pattern matching skills in ChatGPT. This observation deserves further investigation, as it may contribute to understanding the processes leading to hallucinations in LLMs.

This survey paper provides a comprehensive overview of the recent advancements and challenges in applying large language models to the field of audio signal processing. Audio processing, with its diverse signal representations and a wide range of sources--from human voices to musical instruments and environmental sounds--poses challenges distinct from those found in traditional Natural Language Processing scenarios. Nevertheless, Large Audio Models, epitomized by transformer-based architectures, have shown marked efficacy in this sphere. By leveraging massive amount of data, these models have demonstrated prowess in a variety of audio tasks, spanning from Automatic Speech Recognition and Text-To-Speech to Music Generation, among others. Notably, recently these Foundational Audio Models, like SeamlessM4T, have started showing abilities to act as universal translators, supporting multiple speech tasks for up to 100 languages without any reliance on separate task-specific systems. This paper presents an in-depth analysis of state-of-the-art methodologies regarding Foundational Large Audio Models, their performance benchmarks, and their applicability to real-world scenarios. We also highlight current limitations and provide insights into potential future research directions in the realm of Large Audio Models with the intent to spark further discussion, thereby fostering innovation in the next generation of audio-processing systems. Furthermore, to cope with the rapid development in this area, we will consistently update the relevant repository with relevant recent articles and their open-source implementations at https://github.com/EmulationAI/awesome-large-audio-models.

Personal Digital Assistants (PDAs) - such as Siri, Alexa and Google Assistant, to name a few - play an increasingly important role to access information and complete tasks spanning multiple domains, and by diverse groups of users. A text-to-speech (TTS) module allows PDAs to interact in a natural, human-like manner, and play a vital role when the interaction involves people with visual impairments or other disabilities. To cater to the needs of a diverse set of users, inclusive TTS is important to recognize and pronounce correctly text in different languages and dialects. Despite great progress in speech synthesis, the pronunciation accuracy of named entities in a multi-lingual setting still has a large room for improvement. Existing approaches to correct named entity (NE) mispronunciations, like retraining Grapheme-to-Phoneme (G2P) models, or maintaining a TTS pronunciation dictionary, require expensive annotation of the ground truth pronunciation, which is also time consuming. In this work, we present a highly-precise, PDA-compatible pronunciation learning framework for the task of TTS mispronunciation detection and correction. In addition, we also propose a novel mispronunciation detection model called DTW-SiameseNet, which employs metric learning with a Siamese architecture for Dynamic Time Warping (DTW) with triplet loss. We demonstrate that a locale-agnostic, privacy-preserving solution to the problem of TTS mispronunciation detection is feasible. We evaluate our approach on a real-world dataset, and a corpus of NE pronunciations of an anonymized audio dataset of person names recorded by participants from 10 different locales. Human evaluation shows our proposed approach improves pronunciation accuracy on average by ~6% compared to strong phoneme-based and audio-based baselines.

This paper introduces RyanSpeech, a new speech corpus for research on automated text-to-speech (TTS) systems. Publicly available TTS corpora are often noisy, recorded with multiple speakers, or lack quality male speech data. In order to meet the need for a high quality, publicly available male speech corpus within the field of speech recognition, we have designed and created RyanSpeech which contains textual materials from real-world conversational settings. These materials contain over 10 hours of a professional male voice actor's speech recorded at 44.1 kHz. This corpus's design and pipeline make RyanSpeech ideal for developing TTS systems in real-world applications. To provide a baseline for future research, protocols, and benchmarks, we trained 4 state-of-the-art speech models and a vocoder on RyanSpeech. The results show 3.36 in mean opinion scores (MOS) in our best model. We have made both the corpus and trained models for public use.

Large language models (LLMs), such as ChatGPT, have received substantial attention due to their impressive human language understanding and generation capabilities. Therefore, the application of LLMs in medicine to assist physicians and patient care emerges as a promising research direction in both artificial intelligence and clinical medicine. To reflect this trend, this survey provides a comprehensive overview of the principles, applications, and challenges faced by LLMs in medicine. Specifically, we aim to address the following questions: 1) How can medical LLMs be built? 2) What are the downstream performances of medical LLMs? 3) How can medical LLMs be utilized in real-world clinical practice? 4) What challenges arise from the use of medical LLMs? and 5) How can we better construct and utilize medical LLMs? As a result, this survey aims to provide insights into the opportunities and challenges of LLMs in medicine and serve as a valuable resource for constructing practical and effective medical LLMs. A regularly updated list of practical guides on medical LLMs can be found at https://github.com/AI-in-Health/MedLLMsPracticalGuide.

Large language models (LLMs) have shown incredible proficiency in performing tasks that require semantic understanding of natural language instructions. Recently, many works have further expanded this capability to perceive multimodal audio and text inputs, but their capabilities are often limited to specific fine-tuned tasks such as automatic speech recognition and translation. We therefore develop SpeechVerse, a robust multi-task training and curriculum learning framework that combines pre-trained speech and text foundation models via a small set of learnable parameters, while keeping the pre-trained models frozen during training. The models are instruction finetuned using continuous latent representations extracted from the speech foundation model to achieve optimal zero-shot performance on a diverse range of speech processing tasks using natural language instructions. We perform extensive benchmarking that includes comparing our model performance against traditional baselines across several datasets and tasks. Furthermore, we evaluate the model's capability for generalized instruction following by testing on out-of-domain datasets, novel prompts, and unseen tasks. Our empirical experiments reveal that our multi-task SpeechVerse model is even superior to conventional task-specific baselines on 9 out of the 11 tasks.

Recent end-to-end speech language models (SLMs) have expanded upon the capabilities of large language models (LLMs) by incorporating pre-trained speech models. However, these SLMs often undergo extensive speech instruction-tuning to bridge the gap between speech and text modalities. This requires significant annotation efforts and risks catastrophic forgetting of the original language capabilities. In this work, we present a simple yet effective automatic process for creating speech-text pair data that carefully injects speech paralinguistic understanding abilities into SLMs while preserving the inherent language capabilities of the text-based LLM. Our model demonstrates general capabilities for speech-related tasks without the need for speech instruction-tuning data, achieving impressive performance on Dynamic-SUPERB and AIR-Bench-Chat benchmarks. Furthermore, our model exhibits the ability to follow complex instructions derived from LLMs, such as specific output formatting and chain-of-thought reasoning. Our approach not only enhances the versatility and effectiveness of SLMs but also reduces reliance on extensive annotated datasets, paving the way for more efficient and capable speech understanding systems.

Millions of users come to online peer counseling platforms to seek support on diverse topics ranging from relationship stress to anxiety. However, studies show that online peer support groups are not always as effective as expected largely due to users' negative experiences with unhelpful counselors. Peer counselors are key to the success of online peer counseling platforms, but most of them often do not have systematic ways to receive guidelines or supervision. In this work, we introduce CARE: an interactive AI-based tool to empower peer counselors through automatic suggestion generation. During the practical training stage, CARE helps diagnose which specific counseling strategies are most suitable in the given context and provides tailored example responses as suggestions. Counselors can choose to select, modify, or ignore any suggestion before replying to the support seeker. Building upon the Motivational Interviewing framework, CARE utilizes large-scale counseling conversation data together with advanced natural language generation techniques to achieve these functionalities. We demonstrate the efficacy of CARE by performing both quantitative evaluations and qualitative user studies through simulated chats and semi-structured interviews. We also find that CARE especially helps novice counselors respond better in challenging situations.

As mental health issues globally escalate, there is a tremendous need for advanced digital support systems. We introduce MentalAgora, a novel framework employing large language models enhanced by interaction between multiple agents for tailored mental health support. This framework operates through three stages: strategic debating, tailored counselor creation, and response generation, enabling the dynamic customization of responses based on individual user preferences and therapeutic needs. We conduct experiments utilizing a high-quality evaluation dataset TherapyTalk crafted with mental health professionals, shwoing that MentalAgora generates expert-aligned and user preference-enhanced responses. Our evaluations, including experiments and user studies, demonstrate that MentalAgora aligns with professional standards and effectively meets user preferences, setting a new benchmark for digital mental health interventions.

Abstractive Speech Summarization (SSum) aims to generate human-like text summaries from spoken content. It encounters difficulties in handling long speech input and capturing the intricate cross-modal mapping between long speech inputs and short text summaries. Research on large language models (LLMs) and multimodal information fusion has provided new insights for addressing these challenges. In this paper, we propose an end-to-end SSum model that utilizes Q-Former as a connector for the audio-text modality and employs LLMs to generate text summaries directly from speech features. We adopt a multi-stage training approach that includes LLM based ASR and Text Summarization (TSum) tasks as auxiliary tasks. ASR tasks are used to align feature spaces and enhance the LLM's ability to handle longer speech. Then, we utilize a curriculum learning strategy to facilitate the model's transition from TSum to SSum. Finally, our model achieves competitive performance on the How-2 dataset.

Traditionally, bioacoustics has relied on spectrograms and continuous, per-frame audio representations for the analysis of animal sounds, also serving as input to machine learning models. Meanwhile, the International Phonetic Alphabet (IPA) system has provided an interpretable, language-independent method for transcribing human speech sounds. In this paper, we introduce ISPA (Inter-Species Phonetic Alphabet), a precise, concise, and interpretable system designed for transcribing animal sounds into text. We compare acoustics-based and feature-based methods for transcribing and classifying animal sounds, demonstrating their comparable performance with baseline methods utilizing continuous, dense audio representations. By representing animal sounds with text, we effectively treat them as a "foreign language," and we show that established human language ML paradigms and models, such as language models, can be successfully applied to improve performance.

Recent directions in automatic speech recognition (ASR) research have shown that applying deep learning models from image recognition challenges in computer vision is beneficial. As automatic music transcription (AMT) is superficially similar to ASR, in the sense that methods often rely on transforming spectrograms to symbolic sequences of events (e.g. words or notes), deep learning should benefit AMT as well. In this work, we outline an online polyphonic pitch detection system that streams audio to MIDI by ConvLSTMs. Our system achieves state-of-the-art results on the 2007 MIREX multi-F0 development set, with an F-measure of 83\% on the bassoon, clarinet, flute, horn and oboe ensemble recording without requiring any musical language modelling or assumptions of instrument timbre.

Transducer and Attention based Encoder-Decoder (AED) are two widely used frameworks for speech-to-text tasks. They are designed for different purposes and each has its own benefits and drawbacks for speech-to-text tasks. In order to leverage strengths of both modeling methods, we propose a solution by combining Transducer and Attention based Encoder-Decoder (TAED) for speech-to-text tasks. The new method leverages AED's strength in non-monotonic sequence to sequence learning while retaining Transducer's streaming property. In the proposed framework, Transducer and AED share the same speech encoder. The predictor in Transducer is replaced by the decoder in the AED model, and the outputs of the decoder are conditioned on the speech inputs instead of outputs from an unconditioned language model. The proposed solution ensures that the model is optimized by covering all possible read/write scenarios and creates a matched environment for streaming applications. We evaluate the proposed approach on the MuST-C dataset and the findings demonstrate that TAED performs significantly better than Transducer for offline automatic speech recognition (ASR) and speech-to-text translation (ST) tasks. In the streaming case, TAED outperforms Transducer in the ASR task and one ST direction while comparable results are achieved in another translation direction.

Neural network based end-to-end text to speech (TTS) has significantly improved the quality of synthesized speech. Prominent methods (e.g., Tacotron 2) usually first generate mel-spectrogram from text, and then synthesize speech from the mel-spectrogram using vocoder such as WaveNet. Compared with traditional concatenative and statistical parametric approaches, neural network based end-to-end models suffer from slow inference speed, and the synthesized speech is usually not robust (i.e., some words are skipped or repeated) and lack of controllability (voice speed or prosody control). In this work, we propose a novel feed-forward network based on Transformer to generate mel-spectrogram in parallel for TTS. Specifically, we extract attention alignments from an encoder-decoder based teacher model for phoneme duration prediction, which is used by a length regulator to expand the source phoneme sequence to match the length of the target mel-spectrogram sequence for parallel mel-spectrogram generation. Experiments on the LJSpeech dataset show that our parallel model matches autoregressive models in terms of speech quality, nearly eliminates the problem of word skipping and repeating in particularly hard cases, and can adjust voice speed smoothly. Most importantly, compared with autoregressive Transformer TTS, our model speeds up mel-spectrogram generation by 270x and the end-to-end speech synthesis by 38x. Therefore, we call our model FastSpeech.

Interactions with virtual assistants typically start with a trigger phrase followed by a command. In this work, we explore the possibility of making these interactions more natural by eliminating the need for a trigger phrase. Our goal is to determine whether a user addressed the virtual assistant based on signals obtained from the streaming audio recorded by the device microphone. We address this task by combining 1-best hypotheses and decoder signals from an automatic speech recognition system with acoustic representations from an audio encoder as input features to a large language model (LLM). In particular, we are interested in data and resource efficient systems that require only a small amount of training data and can operate in scenarios with only a single frozen LLM available on a device. For this reason, our model is trained on 80k or less examples of multimodal data using a combination of low-rank adaptation and prefix tuning. We compare the proposed system to unimodal baselines and show that the multimodal approach achieves lower equal-error-rates (EERs), while using only a fraction of the training data. We also show that low-dimensional specialized audio representations lead to lower EERs than high-dimensional general audio representations.

Custom voice, a specific text to speech (TTS) service in commercial speech platforms, aims to adapt a source TTS model to synthesize personal voice for a target speaker using few speech data. Custom voice presents two unique challenges for TTS adaptation: 1) to support diverse customers, the adaptation model needs to handle diverse acoustic conditions that could be very different from source speech data, and 2) to support a large number of customers, the adaptation parameters need to be small enough for each target speaker to reduce memory usage while maintaining high voice quality. In this work, we propose AdaSpeech, an adaptive TTS system for high-quality and efficient customization of new voices. We design several techniques in AdaSpeech to address the two challenges in custom voice: 1) To handle different acoustic conditions, we use two acoustic encoders to extract an utterance-level vector and a sequence of phoneme-level vectors from the target speech during training; in inference, we extract the utterance-level vector from a reference speech and use an acoustic predictor to predict the phoneme-level vectors. 2) To better trade off the adaptation parameters and voice quality, we introduce conditional layer normalization in the mel-spectrogram decoder of AdaSpeech, and fine-tune this part in addition to speaker embedding for adaptation. We pre-train the source TTS model on LibriTTS datasets and fine-tune it on VCTK and LJSpeech datasets (with different acoustic conditions from LibriTTS) with few adaptation data, e.g., 20 sentences, about 1 minute speech. Experiment results show that AdaSpeech achieves much better adaptation quality than baseline methods, with only about 5K specific parameters for each speaker, which demonstrates its effectiveness for custom voice. Audio samples are available at https://speechresearch.github.io/adaspeech/.

This report introduces FunAudioLLM, a model family designed to enhance natural voice interactions between humans and large language models (LLMs). At its core are two innovative models: SenseVoice, which handles multilingual speech recognition, emotion recognition, and audio event detection; and CosyVoice, which facilitates natural speech generation with control over multiple languages, timbre, speaking style, and speaker identity. SenseVoice-Small delivers exceptionally low-latency ASR for 5 languages, and SenseVoice-Large supports high-precision ASR for over 50 languages, while CosyVoice excels in multi-lingual voice generation, zero-shot in-context learning, cross-lingual voice cloning, and instruction-following capabilities. The models related to SenseVoice and CosyVoice have been open-sourced on Modelscope and Huggingface, along with the corresponding training, inference, and fine-tuning codes released on GitHub. By integrating these models with LLMs, FunAudioLLM enables applications such as speech-to-speech translation, emotional voice chat, interactive podcasts, and expressive audiobook narration, thereby pushing the boundaries of voice interaction technology. Demos are available at https://fun-audio-llm.github.io, and the code can be accessed at https://github.com/FunAudioLLM.

Recent advances in GPT-4o like multi-modality models have demonstrated remarkable progress for direct speech-to-speech conversation, with real-time speech interaction experience and strong speech understanding ability. However, current research focuses on discrete speech tokens to align with discrete text tokens for language modelling, which depends on an audio codec with residual connections or independent group tokens, such a codec usually leverages large scale and diverse datasets training to ensure that the discrete speech codes have good representation for varied domain, noise, style data reconstruction as well as a well-designed codec quantizer and encoder-decoder architecture for discrete token language modelling. This paper introduces Flow-Omni, a continuous speech token based GPT-4o like model, capable of real-time speech interaction and low streaming latency. Specifically, first, instead of cross-entropy loss only, we combine flow matching loss with a pretrained autoregressive LLM and a small MLP network to predict the probability distribution of the continuous-valued speech tokens from speech prompt. second, we incorporated the continuous speech tokens to Flow-Omni multi-modality training, thereby achieving robust speech-to-speech performance with discrete text tokens and continuous speech tokens together. Experiments demonstrate that, compared to discrete text and speech multi-modality training and its variants, the continuous speech tokens mitigate robustness issues by avoiding the inherent flaws of discrete speech code's representation loss for LLM.

The integration of pre-trained text-based large language models (LLM) with speech input has enabled instruction-following capabilities for diverse speech tasks. This integration requires the use of a speech encoder, a speech adapter, and an LLM, trained on diverse tasks. We propose the use of discrete speech units (DSU), rather than continuous-valued speech encoder outputs, that are converted to the LLM token embedding space using the speech adapter. We generate DSU using a self-supervised speech encoder followed by k-means clustering. The proposed model shows robust performance on speech inputs from seen/unseen domains and instruction-following capability in spoken question answering. We also explore various types of DSU extracted from different layers of the self-supervised speech encoder, as well as Mel frequency Cepstral Coefficients (MFCC). Our findings suggest that the ASR task and datasets are not crucial in instruction-tuning for spoken question answering tasks.

Africa has a very low doctor-to-patient ratio. At very busy clinics, doctors could see 30+ patients per day -- a heavy patient burden compared with developed countries -- but productivity tools such as clinical automatic speech recognition (ASR) are lacking for these overworked clinicians. However, clinical ASR is mature, even ubiquitous, in developed nations, and clinician-reported performance of commercial clinical ASR systems is generally satisfactory. Furthermore, the recent performance of general domain ASR is approaching human accuracy. However, several gaps exist. Several publications have highlighted racial bias with speech-to-text algorithms and performance on minority accents lags significantly. To our knowledge, there is no publicly available research or benchmark on accented African clinical ASR, and speech data is non-existent for the majority of African accents. We release AfriSpeech, 200hrs of Pan-African English speech, 67,577 clips from 2,463 unique speakers across 120 indigenous accents from 13 countries for clinical and general domain ASR, a benchmark test set, with publicly available pre-trained models with SOTA performance on the AfriSpeech benchmark.

Speech recognition has become an important task in the development of machine learning and artificial intelligence. In this study, we explore the important task of keyword spotting using speech recognition machine learning and deep learning techniques. We implement feature engineering by converting raw waveforms to Mel Frequency Cepstral Coefficients (MFCCs), which we use as inputs to our models. We experiment with several different algorithms such as Hidden Markov Model with Gaussian Mixture, Convolutional Neural Networks and variants of Recurrent Neural Networks including Long Short-Term Memory and the Attention mechanism. In our experiments, RNN with BiLSTM and Attention achieves the best performance with an accuracy of 93.9 %

Simultaneous speech translation (SimulST) is the task in which output generation has to be performed on partial, incremental speech input. In recent years, SimulST has become popular due to the spread of cross-lingual application scenarios, like international live conferences and streaming lectures, in which on-the-fly speech translation can facilitate users' access to audio-visual content. In this paper, we analyze the characteristics of the SimulST systems developed so far, discussing their strengths and weaknesses. We then concentrate on the evaluation framework required to properly assess systems' effectiveness. To this end, we raise the need for a broader performance analysis, also including the user experience standpoint. SimulST systems, indeed, should be evaluated not only in terms of quality/latency measures, but also via task-oriented metrics accounting, for instance, for the visualization strategy adopted. In light of this, we highlight which are the goals achieved by the community and what is still missing.

Recently, instruction-following audio-language models have received broad attention for human-audio interaction. However, the absence of benchmarks capable of evaluating audio-centric interaction capabilities has impeded advancements in this field. Previous models primarily focus on assessing different fundamental tasks, such as Automatic Speech Recognition (ASR), and lack an assessment of the open-ended generative capabilities centered around audio. Thus, it is challenging to track the progression in the Large Audio-Language Models (LALMs) domain and to provide guidance for future improvement. In this paper, we introduce AIR-Bench (Audio InstRuction Benchmark), the first benchmark designed to evaluate the ability of LALMs to understand various types of audio signals (including human speech, natural sounds, and music), and furthermore, to interact with humans in the textual format. AIR-Bench encompasses two dimensions: foundation and chat benchmarks. The former consists of 19 tasks with approximately 19k single-choice questions, intending to inspect the basic single-task ability of LALMs. The latter one contains 2k instances of open-ended question-and-answer data, directly assessing the comprehension of the model on complex audio and its capacity to follow instructions. Both benchmarks require the model to generate hypotheses directly. We design a unified framework that leverages advanced language models, such as GPT-4, to evaluate the scores of generated hypotheses given the meta-information of the audio. Experimental results demonstrate a high level of consistency between GPT-4-based evaluation and human evaluation. By revealing the limitations of existing LALMs through evaluation results, AIR-Bench can provide insights into the direction of future research.

Linking clinical narratives to standardized vocabularies and coding systems is a key component of unlocking the information in medical text for analysis. However, many domains of medical concepts lack well-developed terminologies that can support effective coding of medical text. We present a framework for developing natural language processing (NLP) technologies for automated coding of under-studied types of medical information, and demonstrate its applicability via a case study on physical mobility function. Mobility is a component of many health measures, from post-acute care and surgical outcomes to chronic frailty and disability, and is coded in the International Classification of Functioning, Disability, and Health (ICF). However, mobility and other types of functional activity remain under-studied in medical informatics, and neither the ICF nor commonly-used medical terminologies capture functional status terminology in practice. We investigated two data-driven paradigms, classification and candidate selection, to link narrative observations of mobility to standardized ICF codes, using a dataset of clinical narratives from physical therapy encounters. Recent advances in language modeling and word embedding were used as features for established machine learning models and a novel deep learning approach, achieving a macro F-1 score of 84% on linking mobility activity reports to ICF codes. Both classification and candidate selection approaches present distinct strengths for automated coding in under-studied domains, and we highlight that the combination of (i) a small annotated data set; (ii) expert definitions of codes of interest; and (iii) a representative text corpus is sufficient to produce high-performing automated coding systems. This study has implications for the ongoing growth of NLP tools for a variety of specialized applications in clinical care and research.

Recent advancements in large language models (LLMs) and multimodal speech-text models have laid the groundwork for seamless voice interactions, enabling real-time, natural, and human-like conversations. Previous models for voice interactions are categorized as native and aligned. Native models integrate speech and text processing in one framework but struggle with issues like differing sequence lengths and insufficient pre-training. Aligned models maintain text LLM capabilities but are often limited by small datasets and a narrow focus on speech tasks. In this work, we introduce MinMo, a Multimodal Large Language Model with approximately 8B parameters for seamless voice interaction. We address the main limitations of prior aligned multimodal models. We train MinMo through multiple stages of speech-to-text alignment, text-to-speech alignment, speech-to-speech alignment, and duplex interaction alignment, on 1.4 million hours of diverse speech data and a broad range of speech tasks. After the multi-stage training, MinMo achieves state-of-the-art performance across various benchmarks for voice comprehension and generation while maintaining the capabilities of text LLMs, and also facilitates full-duplex conversation, that is, simultaneous two-way communication between the user and the system. Moreover, we propose a novel and simple voice decoder that outperforms prior models in voice generation. The enhanced instruction-following capabilities of MinMo supports controlling speech generation based on user instructions, with various nuances including emotions, dialects, and speaking rates, and mimicking specific voices. For MinMo, the speech-to-text latency is approximately 100ms, full-duplex latency is approximately 600ms in theory and 800ms in practice. The MinMo project web page is https://funaudiollm.github.io/minmo, and the code and models will be released soon.

Creating Automatic Speech Recognition (ASR) systems that are robust and resilient to classroom conditions is paramount to the development of AI tools to aid teachers and students. In this work, we study the efficacy of continued pretraining (CPT) in adapting Wav2vec2.0 to the classroom domain. We show that CPT is a powerful tool in that regard and reduces the Word Error Rate (WER) of Wav2vec2.0-based models by upwards of 10%. More specifically, CPT improves the model's robustness to different noises, microphones and classroom conditions.

Neural Text-to-Speech (TTS) systems find broad applications in voice assistants, e-learning, and audiobook creation. The pursuit of modern models, like Diffusion Models (DMs), holds promise for achieving high-fidelity, real-time speech synthesis. Yet, the efficiency of multi-step sampling in Diffusion Models presents challenges. Efforts have been made to integrate GANs with DMs, speeding up inference by approximating denoising distributions, but this introduces issues with model convergence due to adversarial training. To overcome this, we introduce CM-TTS, a novel architecture grounded in consistency models (CMs). Drawing inspiration from continuous-time diffusion models, CM-TTS achieves top-quality speech synthesis in fewer steps without adversarial training or pre-trained model dependencies. We further design weighted samplers to incorporate different sampling positions into model training with dynamic probabilities, ensuring unbiased learning throughout the entire training process. We present a real-time mel-spectrogram generation consistency model, validated through comprehensive evaluations. Experimental results underscore CM-TTS's superiority over existing single-step speech synthesis systems, representing a significant advancement in the field.

Research related to automatically detecting Alzheimer's disease (AD) is important, given the high prevalence of AD and the high cost of traditional methods. Since AD significantly affects the content and acoustics of spontaneous speech, natural language processing and machine learning provide promising techniques for reliably detecting AD. We compare and contrast the performance of two such approaches for AD detection on the recent ADReSS challenge dataset: 1) using domain knowledge-based hand-crafted features that capture linguistic and acoustic phenomena, and 2) fine-tuning Bidirectional Encoder Representations from Transformer (BERT)-based sequence classification models. We also compare multiple feature-based regression models for a neuropsychological score task in the challenge. We observe that fine-tuned BERT models, given the relative importance of linguistics in cognitive impairment detection, outperform feature-based approaches on the AD detection task.