Multimodal Technologies for Remote Assessment of Neurological and Mental Health.

Purpose: Automated remote assessment and monitoring of patients' neurological and mental health is increasingly becoming an essential component of the digital clinic and telehealth ecosystem, especially after the COVID-19 pandemic. This review article reviews various modalities of health information...

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Publicado en:Journal of Speech, Language & Hearing Research Vol. 67; no. 11; pp. 4233 - 4246
Autor principal: Ramanarayanan, Vikram
Formato: Artículo
Publicado: American Speech-Language-Hearing Association Nov2024
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2024
      vid: 67
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      pub: American Speech-Language-Hearing Association
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        180765735
        10.1044/2024_JSLHR-24-00142
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        atl: Multimodal Technologies for Remote Assessment of Neurological and Mental Health.
      aug:
        au: Ramanarayanan, Vikram
        affil:
          Modality.AI, Inc., San Francisco, CA
          Department of Otolaryngology--Head and Neck Surgery, University of California, San Francisco
      su:
        Competency assessment (Law)
        Speech
        Conversation
        Health
        Information resources
        Group dynamics
        Communication
        Cardiopulmonary system physiology
        Body mass index
        Brain
        Natural language processing
        Telemedicine
        Neurological disorders
        Physiological aspects of speech
        Combined modality therapy
        Body movement
        Case studies
      sug:
        subj:
          Competency assessment (Law)
          Speech
          Conversation
          Health
          Information resources
          Group dynamics
          Communication
          Offices of Mental Health Practitioners (except Physicians)
          Cardiopulmonary system physiology
          Body mass index
          Brain
          Natural language processing
          Telemedicine
          Neurological disorders
          Physiological aspects of speech
          Combined modality therapy
          Body movement
          Case studies
      ab: Purpose: Automated remote assessment and monitoring of patients' neurological and mental health is increasingly becoming an essential component of the digital clinic and telehealth ecosystem, especially after the COVID-19 pandemic. This review article reviews various modalities of health information that are useful for developing such remote clinical assessments in the real world at scale. Approach: We first present an overview of the various modalities of health information--speech acoustics, natural language, conversational dynamics, orofacial or full body movement, eye gaze, respiration, cardiopulmonary, and neural --which can each be extracted from various signal sources--audio, video, text, or sensors. We further motivate their clinical utility with examples of how information from each modality can help us characterize how different disorders affect different aspects of patients' spoken communication. We then elucidate the advantages of combining one or more of these modalities toward a more holistic, informative, and robust assessment. Findings: We find that combining multiple modalities of health information allows for improved scientific interpretability, improved performance on downstream health applications such as early detection and progress monitoring, improved technological robustness, and improved user experience. We illustrate how these principles can be leveraged for remote clinical assessment at scale using a real-world case study of the Modality assessment platform. Conclusion: This review article motivates the combination of human-centric information from multiple modalities to measure various aspects of patients' health, arguing that remote clinical assessment that integrates this complementary information can be more effective and lead to better clinical outcomes than using any one data stream in isolation.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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