Dementia Assessment Using Mandarin Speech with an Attention-Based Speech Recognition Encoder

Zih-Jyun Lin, Yi-Ju Chen, Po-Chih Kuo, Likai Huang, Chaur-Jong Hu, Cheng-Yu Chen

Abstract: Dementia diagnosis requires a series of different testing methods, which is complex and time-consuming. Early detection of dementia is crucial as it can prevent further deterioration of the condition. This paper utilizes a speech recognition model to construct a dementia assessment system tailored for Mandarin speakers during the picture description task. By training an attention-based speech recognition model on voice data closely resembling real-world scenarios, we have significantly enhanced the model’s recognition capabilities. Subsequently, we extracted the encoder from the speech recognition model and added a linear layer for dementia assessment. We collected Mandarin speech data from 99 subjects and acquired their clinical assessments from a local hospital. We achieved an accuracy of 92.04% in Alzheimer’s disease detection and a mean absolute error of 9% in clinical dementia rating score prediction. 1