A Method for Analysis of Patient Speech in Dialogue for Dementia Detection

We present an approach to automatic detection of Alzheimer's type dementia based on characteristics of spontaneous spoken language dialogue consisting of interviews recorded in natural settings. The proposed method employs additive logistic regression (a machine learning boosting method) on content-free features extracted from dialogical interaction to build a predictive model. The model training data consisted of 21 dialogues between patients with Alzheimer's and interviewers, and 17 dialogues between patients with other health conditions and interviewers. Features analysed included speech rate, turn-taking patterns and other speech parameters. Despite relying solely on content-free features, our method obtains overall accuracy of 86.5\%, a result comparable to those of state-of-the-art methods that employ more complex lexical, syntactic and semantic features. While further investigation is needed, the fact that we were able to obtain promising results using only features that can be easily extracted from spontaneous dialogues suggests the possibility of designing non-invasive and low-cost mental health monitoring tools for use at scale.Comment: 8 pages, Resources and ProcessIng of linguistic, paralinguistic and extra-linguistic Data from people with various forms of cognitive impairment, LREC 201

A Mimetic Strategy to Engage Voluntary Physical Activity In Interactive Entertainment

We describe the design and implementation of a vision based interactive entertainment system that makes use of both involuntary and voluntary control paradigms. Unintentional input to the system from a potential viewer is used to drive attention-getting output and encourage the transition to voluntary interactive behaviour. The iMime system consists of a character animation engine based on the interaction metaphor of a mime performer that simulates non-verbal communication strategies, without spoken dialogue, to capture and hold the attention of a viewer. The system was developed in the context of a project studying care of dementia sufferers. Care for a dementia sufferer can place unreasonable demands on the time and attentional resources of their caregivers or family members. Our study contributes to the eventual development of a system aimed at providing relief to dementia caregivers, while at the same time serving as a source of pleasant interactive entertainment for viewers. The work reported here is also aimed at a more general study of the design of interactive entertainment systems involving a mixture of voluntary and involuntary control.Comment: 6 pages, 7 figures, ECAG08 worksho

Detecting Alzheimer's Disease Using Interactional and Acoustic Features from Spontaneous Speech

Alzheimer’s Disease (AD) is a form of Dementia that manifests in cognitive decline including memory, language, and changes in behavior. Speech data has proven valuable for inferring cognitive status, used in many health assessment tasks, and can be easily elicited in natural settings. Much work focuses on analysis using linguistic features; here, we focus on non-linguistic features and their use in distinguishing AD patients from similar-age Non-AD patients with other health conditions in the Carolinas Conversation Collection (CCC) dataset. We used two types of features: patterns of interaction including pausing behaviour and floor control, and acoustic features including pitch, amplitude, energy, and cepstral coefficients. Fusion of the two kinds of features, combined with feature selection, obtains very promising classification results: classification accuracy of 90% using standard models such as support vector machines and logistic regression. We also obtain promising results using interactional features alone (87% accuracy), which can be easily extracted from natural conversations in daily life and thus have the potential for future implementation as a noninvasive method for AD diagnosis and monitoring

Conversational affective social robots for ageing and dementia support

Socially assistive robots (SAR) hold significant potential to assist older adults and people with dementia in human engagement and clinical contexts by supporting mental health and independence at home. While SAR research has recently experienced prolific growth, long-term trust, clinical translation and patient benefit remain immature. Affective human-robot interactions are unresolved and the deployment of robots with conversational abilities is fundamental for robustness and humanrobot engagement. In this paper, we review the state of the art within the past two decades, design trends, and current applications of conversational affective SAR for ageing and dementia support. A horizon scanning of AI voice technology for healthcare, including ubiquitous smart speakers, is further introduced to address current gaps inhibiting home use. We discuss the role of user-centred approaches in the design of voice systems, including the capacity to handle communication breakdowns for effective use by target populations. We summarise the state of development in interactions using speech and natural language processing, which forms a baseline for longitudinal health monitoring and cognitive assessment. Drawing from this foundation, we identify open challenges and propose future directions to advance conversational affective social robots for: 1) user engagement, 2) deployment in real-world settings, and 3) clinical translation