Acoustic Analysis of Primary Care Patient-provider Conversations to Screen for Cognitive Impairment.

ABSTRACT:

Importance

Cognitive impairment (CI) is often under detected in primary care due to time and resource constraints. Passive analysis of clinical dialogue may offer an accessible approach for screening.

Objective

To assess whether audio recordings of patient-physician dialogue during routine primary care visits can be used to identify CI using acoustic speech features and machine learning (ML).

Design

This observational study conducted among older primary care patients involved audio recording primary care visits using a microphone and portable device. An external validation cohort was recruited in a separate city to assess reproducibility of findings.

Setting

The study was conducted in primary care practices in New York City, with additional participants recruit

SUBMITTER: Colonel JT 

PROVIDER: S-EPMC12772652 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature