# Exploiting Longitudinal Speech Sessions via Voice Assistant Systems for Early Detection of Cognitive Decline

arXiv: https://arxiv.org/abs/2410.12885 · HTML: https://mlsanity.com/paper/2410.12885/

## Key facts

- Cited by 3 papers in the map (data through 14 Oct 2026).
- Builds on 11 of its 37 references that are in the map.
- First posted on arXiv 16 Oct 2024.

## Builds on (most cited first, 11 of 11)

- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [Llama 2: Open Foundation and Fine-Tuned Chat Models](https://mlsanity.com/paper/2307.09288/) (2023)
- [wav2vec 2.0: A Framework for Self-Supervised Learning of Speech Representations](https://mlsanity.com/paper/2006.11477/) (2020)
- [QLoRA: Efficient Finetuning of Quantized LLMs](https://mlsanity.com/paper/2305.14314/) (2023)
- [WavLM: Large-Scale Self-Supervised Pre-Training for Full Stack Speech Processing](https://mlsanity.com/paper/2110.13900/) (2021)
- [SUPERB: Speech processing Universal PERformance Benchmark](https://mlsanity.com/paper/2105.01051/) (2021)
- [XLS-R: Self-supervised Cross-lingual Speech Representation Learning at Scale](https://mlsanity.com/paper/2111.09296/) (2021)
- [Alzheimer's Dementia Recognition through Spontaneous Speech: The ADReSS Challenge](https://mlsanity.com/paper/2004.06833/) (2020)
- [ML-SUPERB: Multilingual Speech Universal PERformance Benchmark](https://mlsanity.com/paper/2305.10615/) (2023)
- [Explainable Identification of Dementia from Transcripts using Transformer Networks](https://mlsanity.com/paper/2109.06980/) (2021)
- [The Dem@Care Experiments and Datasets: a Technical Report](https://mlsanity.com/paper/1701.01142/) (2016)

## Built on by (most cited first, 3 of 3)

- [Unveil Multi-Picture Descriptions for Multilingual Mild Cognitive Impairment Detection via Contrastive Learning](https://mlsanity.com/paper/2505.17067/) (2025)
- [Cog-TiPRO: Iterative Prompt Refinement with LLMs to Detect Cognitive Decline via Longitudinal Voice Assistant Commands](https://mlsanity.com/paper/2505.17137/) (2025)
- [Explainable Graph Neural Networks: Understanding Brain Connectivity and Biomarkers in Dementia](https://mlsanity.com/paper/2509.18568/) (2025)

## Abstract (arXiv)

Mild Cognitive Impairment (MCI) is an early stage of Alzheimer's disease (AD), a form of neurodegenerative disorder. Early identification of MCI is crucial for delaying its progression through timely interventions. Existing research has demonstrated the feasibility of detecting MCI using speech collected from clinical interviews or digital devices. However, these approaches typically analyze data collected at limited time points, limiting their ability to identify cognitive changes over time. This paper presents a longitudinal study using voice assistant systems (VAS) to remotely collect seven-session speech data at three-month intervals across 18 months. We propose two methods to improve MCI detection and the prediction of cognitive changes. The first method incorporates historical data, while the second predicts cognitive changes at two time points. Our results indicate improvements when incorporating historical data: the average F1-score for MCI detection improves from 58.6% to 71.2% (by 12.6%) in the case of acoustic features and from 62.1% to 75.1% (by 13.0%) in the case of linguistic features. Additionally, the prediction of cognitive changes achieves an F1-score of 73.7% in the case of acoustic features. These results confirm the potential of VAS-based speech sessions for early detection of cognitive decline.