# SemReward-VL: Semantic Reward-Guided Video-Language Adaptation for Developmental Behavior Assessment

arXiv: https://arxiv.org/abs/2609.33082 · HTML: https://mlsanity.com/paper/2609.33082/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 31 of its 32 references that are in the map.
- First posted on arXiv 27 Sep 2026.

## Builds on (most cited first, 30 of 31)

- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [LoRA: Low-Rank Adaptation of Large Language Models](https://mlsanity.com/paper/2106.09685/) (2021)
- [DeepSeekMath: Pushing the Limits of Mathematical Reasoning in Open Language Models](https://mlsanity.com/paper/2402.03300/) (2024)
- [Judging LLM-as-a-Judge with MT-Bench and Chatbot Arena](https://mlsanity.com/paper/2306.05685/) (2023)
- [Visual Instruction Tuning](https://mlsanity.com/paper/2304.08485/) (2023)
- [Qwen2.5-VL Technical Report](https://mlsanity.com/paper/2502.13923/) (2025)
- [Flamingo: a Visual Language Model for Few-Shot Learning](https://mlsanity.com/paper/2204.14198/) (2022)
- [Qwen2-VL: Enhancing Vision-Language Model's Perception of the World at Any Resolution](https://mlsanity.com/paper/2409.12191/) (2024)
- [Scaling Up Visual and Vision-Language Representation Learning With Noisy Text Supervision](https://mlsanity.com/paper/2102.05918/) (2021)
- [InstructBLIP: Towards General-purpose Vision-Language Models with Instruction Tuning](https://mlsanity.com/paper/2305.06500/) (2023)
- [LLaVA-OneVision: Easy Visual Task Transfer](https://mlsanity.com/paper/2408.03326/) (2024)
- [MiniGPT-4: Enhancing Vision-Language Understanding with Advanced Large Language Models](https://mlsanity.com/paper/2304.10592/) (2023)
- [Video-LLaMA: An Instruction-tuned Audio-Visual Language Model for Video Understanding](https://mlsanity.com/paper/2306.02858/) (2023)
- [Video-LLaVA: Learning United Visual Representation by Alignment Before Projection](https://mlsanity.com/paper/2311.10122/) (2023)
- [LLaVA-Med: Training a Large Language-and-Vision Assistant for Biomedicine in One Day](https://mlsanity.com/paper/2306.00890/) (2023)
- [MVBench: A Comprehensive Multi-modal Video Understanding Benchmark](https://mlsanity.com/paper/2311.17005/) (2023)
- [Video-ChatGPT: Towards Detailed Video Understanding via Large Vision and Language Models](https://mlsanity.com/paper/2306.05424/) (2023)
- [VideoChat: Chat-Centric Video Understanding](https://mlsanity.com/paper/2305.06355/) (2023)
- [VideoLLaMA 2: Advancing Spatial-Temporal Modeling and Audio Understanding in Video-LLMs](https://mlsanity.com/paper/2406.07476/) (2024)
- [LLaMA-VID: An Image is Worth 2 Tokens in Large Language Models](https://mlsanity.com/paper/2311.17043/) (2023)
- [MovieChat: From Dense Token to Sparse Memory for Long Video Understanding](https://mlsanity.com/paper/2307.16449/) (2023)
- [BiomedCLIP: a multimodal biomedical foundation model pretrained from fifteen million scientific image-text pairs](https://mlsanity.com/paper/2303.00915/) (2023)
- [Video-R1: Reinforcing Video Reasoning in MLLMs](https://mlsanity.com/paper/2503.21776/) (2025)
- [TimeChat: A Time-sensitive Multimodal Large Language Model for Long Video Understanding](https://mlsanity.com/paper/2312.02051/) (2023)
- [Med-Flamingo: a Multimodal Medical Few-shot Learner](https://mlsanity.com/paper/2307.15189/) (2023)
- [TempCompass: Do Video LLMs Really Understand Videos?](https://mlsanity.com/paper/2403.00476/) (2024)
- [R1-VL: Learning to Reason with Multimodal Large Language Models via Step-wise Group Relative Policy Optimization](https://mlsanity.com/paper/2503.12937/) (2025)
- [MA-LMM: Memory-Augmented Large Multimodal Model for Long-Term Video Understanding](https://mlsanity.com/paper/2404.05726/) (2024)
- [VideoLLM-online: Online Video Large Language Model for Streaming Video](https://mlsanity.com/paper/2406.11816/) (2024)
- [InternLM-XComposer-2.5: A Versatile Large Vision Language Model Supporting Long-Contextual Input and Output](https://mlsanity.com/paper/2407.03320/) (2024)

## Abstract (arXiv)

Developmental screening videos show how children perform specific behaviors, but clinical records usually contain outcomes rather than descriptions of what happened. We present SemReward-VL, which learns to describe item-specific behavior from these outcomes. A vision-language model generates a description, and a frozen language model scores its agreement with the clinical outcome, relevance to the item, abstention on unrelated video-item pairs, and clarity. Group relative policy optimization (GRPO) updates LoRA adapters using this semantic reward. On 13,379 videos covering 41 items, the method improves aggregate accuracy and the number of items with recall above 0.5. Errors remain in temporal direction, duration, and age-specific interpretations of behavior.