Evaluating Model Interpretability in Speech-Based Clinical Artificial Intelligence Systems.

Purpose: Model interpretability is a critical requirement for deploying artificial intelligence (AI) applications in clinical speech settings, yet existing evaluation methods often overlook this aspect. The complex nature of speech features and the opaque decision-making processes of AI models under...

Descripción completa

Detalles Bibliográficos
Publicado en:Perspectives of the ASHA Special Interest Groups Vol. 10; no. 5; pp. 1637 - 1649
Autores principales: Xu, Lingfeng, Berisha, Visar, Utianski, Rene L., Liss, Julie
Formato: tables/charts Journal Article
Publicado: American Speech-Language-Hearing Association Oct2025
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188539628&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 188539628
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        2381473X
        KTSD
      jtl: Perspectives of the ASHA Special Interest Groups
      issn: 2381473X
      maglogo: N
    pubinfo:
      dt: Oct2025
      vid: 10
      iid: 5
      pid: 42
      pub: American Speech-Language-Hearing Association
      place: Rockville, Maryland
    artinfo:
      ui:
        188539628
        188539628
        188539628
        10.1044/2025_PERSP-25-00003
        188539628
      ppf: 1637
      ppct: 12
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: Evaluating Model Interpretability in Speech-Based Clinical Artificial Intelligence Systems.
      aug:
        au:
          Xu, Lingfeng
          Berisha, Visar
          Utianski, Rene L.
          Liss, Julie
        affil: School of Computing and Augmented Intelligence, Arizona State University, Tempe
      sug:
        subj:
          Conceptual Framework
          Speech Evaluation
          Artificial Intelligence
          Decision Making, Clinical
          Speech-Language Pathologists
          Productivity
          Honesty
          Validity
          Cognition
          Task Performance and Analysis
          Trust
          Dysarthria Diagnosis
          Clinical Assessment Tools
          Sensitivity and Specificity
          Workflow
          Mental Processes
          Dysthymic Disorder
          Diagnosis, Differential
      ab: Purpose: Model interpretability is a critical requirement for deploying artificial intelligence (AI) applications in clinical speech settings, yet existing evaluation methods often overlook this aspect. The complex nature of speech features and the opaque decision-making processes of AI models underscore the need for a tailored framework to assess interpretability in speech-based clinical AI systems. This article proposes an initial framework composed of eight key factors to consider when evaluating the interpretability of clinical speech AI models. These factors are categorized into two groups: functional factors and clinician-centered factors. The functional factors, which can be assessed independently without user involvement, include faithfulness and computational efficiency. The clinician-centered factors include four established ones from existing literature (cognitive load, human--AI task performance, mental model, and user trust) and two new factors tailored to the unique demands of clinical speech applications: clinical understandability and decision relevance. We further suggest evaluation methods for each of the identified factors and propose modifying existing instruments such as the System Usability Scale and the Healthcare Systems Usability Scale to evaluate the two newly introduced factors. Conclusions: Our identified factors form an initial framework for evaluating the interpretability of speech-based clinical AI systems, supporting the effective integration of AI into clinical workflows. Future works include conducting an evaluation experiment using the proposed framework and refining it further based on the findings from the experiment.
      pubtype: Academic Journal
      doctype:
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N