arXiv AI By Pehu\'en Moure, Niclas Pokel, Bilal Bounajma, Yingqiang Gao, Roman Boehringer, Longbiao Cheng, Shih-Chii Liu

When Audio-Language Models Fail to Leverage Multimodal Context for Dysarthric Speech Recognition

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The paper evaluates whether audio‑language models can use multimodal clinical context to improve dysarthric speech recognition. Using a benchmark built on the Speech Accessibility Project dataset, the authors test diagnosis labels, clinician ratings, and detailed clinical descriptions as prompts for nine models. They find that these prompts yield negligible or negative effects on word error rate, though fine‑tuning with LoRA and mixed prompt formats reduces WER by 52% and benefits certain subgroups such as Down syndrome and mild‑severity speakers.

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