arXiv subjects

Janice Sabin

Publications and source records attributed to Janice Sabin.

3 recordsLinked to original sources

arXiv2026

Depression Detection at the Point of Care: Automated Analysis of Linguistic Signals from Routine Primary Care Encounters

Depression is underdiagnosed in primary care, yet timely identification remains critical. Recorded clinical encounters, increasingly common with digital scribing technologies, present an opportunity to detect depression from naturalistic dialogue. We investigated automated depression detection from 1,108 audio-recorded primary care encounters in the Establishing Focus study, with depression defined by PHQ-9 (n=253 depressed, n=855 non-depressed). We compared three supervised approaches, Sentence-BERT + Logistic Regression (LR), LIWC+LR and ModernBERT, against a zero-shot GPT-OSS. GPT-OSS achieved the strongest performance (AUPRC=0.510, AUROC=0.774), with LIWC+LR competitive among supervised models (AUPRC=0.500, AUROC=0.742). Combined dyadic transcripts outperformed single-speaker configurations, with providers linguistically mirroring patients in depression encounters, an additive signal not captured by either speaker alone. Meaningful detection is achievable from the first 128 patient tokens (AUPRC=0.356, AUROC=0.675), supporting in-the-moment clinical decision support. These findings argue for passively collected clinical audio as a low-burden complement to existing screening workflows.

cs.CL↗

arXiv2024

Toward Automated Detection of Biased Social Signals from the Content of Clinical Conversations

Implicit bias can impede patient-provider interactions and lead to inequities in care. Raising awareness is key to reducing such bias, but its manifestations in the social dynamics of patient-provider communication are difficult to detect. In this study, we used automated speech recognition (ASR) and natural language processing (NLP) to identify social signals in patient-provider interactions. We built an automated pipeline to predict social signals from audio recordings of 782 primary care visits that achieved 90.1% average accuracy across codes, and exhibited fairness in its predictions for white and non-white patients. Applying this pipeline, we identified statistically significant differences in provider communication behavior toward white versus non-white patients. In particular, providers expressed more patient-centered behaviors towards white patients including more warmth, engagement, and attentiveness. Our study underscores the potential of automated tools in identifying subtle communication signals that may be linked with bias and impact healthcare quality and equity.

cs.CY↗

arXiv2023

Towards Enhanced Human Activity Recognition through Natural Language Generation and Pose Estimation

Vision-based human activity recognition (HAR) has made substantial progress in recognizing predefined gestures but lacks adaptability for emerging activities. This paper introduces a paradigm shift by harnessing generative modeling and large language models (LLMs) to enhance vision-based HAR. We propose utilizing LLMs to generate descriptive textual representations of activities using pose keypoints as an intermediate representation. Incorporating pose keypoints adds contextual depth to the recognition process, allowing for sequences of vectors resembling text chunks, compatible with LLMs. This innovative fusion of computer vision and natural language processing holds significant potential for revolutionizing activity recognition. A proof of concept study on a Kinetics700 dataset subset validates the approach's efficacy, highlighting improved accuracy and interpretability. Future implications encompass enhanced accuracy, novel research avenues, model generalization, and ethical considerations for transparency. This framework has real-world applications, including personalized gym workout feedback and nuanced sports training insights. By connecting visual cues to interpretable textual descriptions, the proposed framework advances HAR accuracy and applicability, shaping the landscape of pervasive computing and activity recognition research. As this approach evolves, it promises a more insightful understanding of human activities across diverse contexts, marking a significant step towards a better world.

cs.HC↗