# Analyzing Multimodal Features of Spontaneous Voice Assistant Commands for Mild Cognitive Impairment Detection

arXiv: https://arxiv.org/abs/2411.04158 · HTML: https://mlsanity.com/paper/2411.04158/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 5 of its 31 references that are in the map.
- First posted on arXiv 6 Nov 2024.

## Builds on (most cited first, 5 of 5)

- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [HuBERT: Self-Supervised Speech Representation Learning by Masked Prediction of Hidden Units](https://mlsanity.com/paper/2106.07447/) (2021)
- [Alzheimer's Dementia Recognition through Spontaneous Speech: The ADReSS Challenge](https://mlsanity.com/paper/2004.06833/) (2020)
- [Detecting cognitive decline using speech only: The ADReSSo Challenge](https://mlsanity.com/paper/2104.09356/) (2021)
- [Evaluating Picture Description Speech for Dementia Detection using Image-text Alignment](https://mlsanity.com/paper/2308.07933/) (2023)

## Abstract (arXiv)

Mild cognitive impairment (MCI) is a major public health concern due to its high risk of progressing to dementia. This study investigates the potential of detecting MCI with spontaneous voice assistant (VA) commands from 35 older adults in a controlled setting. Specifically, a command-generation task is designed with pre-defined intents for participants to freely generate commands that are more associated with cognitive ability than read commands. We develop MCI classification and regression models with audio, textual, intent, and multimodal fusion features. We find the command-generation task outperforms the command-reading task with an average classification accuracy of 82%, achieved by leveraging multimodal fusion features. In addition, generated commands correlate more strongly with memory and attention subdomains than read commands. Our results confirm the effectiveness of the command-generation task and imply the promise of using longitudinal in-home commands for MCI detection.