Augmenting Large Audio Language Models with Low-Level Acoustic Features for Dysarthric Speech Detection

Automatic dysarthric speech detection approaches can support traditional clinical diagnosis, which relies on costly and time-consuming evaluation by a speech and language pathologist. Existing automatic approaches predominantly rely on deep learning (DL). More recently, Large Audio Language Models (LALMs) have emerged as a promising alternative given their strong performance across various tasks, but their application to dysarthric speech detection has not yet been established. We propose a framework that fine-tunes LALMs for dysarthric speech detection on speech recordings combined with textual information comprising low-level acoustic features and speaker demographics. Across two LALMs, our framework outperforms DL-based baselines, with Qwen2-Audio-Instruct achieving state-of-the-art performance. An ablation study shows that incorporating acoustic features and speaker demographics during fine-tuning improves LALM performance, while LALMs alone exhibit only chance-level zero-shot performance. These findings establish an effective approach for adapting LALMs to dysarthric speech detection.