Towards explainable reference-free speech intelligibility evaluation of people with pathological speech

📅 2026-02-13
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📝 Abstract
Objective assessment of speech that reflects meaningful changes in communication is crucial for clinical decision making and reproducible research. While existing objective assessments, particularly reference-based approaches, can capture intelligibility changes, they are often hindered by lack of explainability and the need for labor-intensive manual transcriptions. To address these issues, this work proposes the reference-free, explainable ASR Inconsistency Score. We evaluate this method on pathological speech in Dutch, Spanish and English, and compare its performance to a reference-based Word Error Rate (WER) baseline. Our results demonstrate that the ASR Inconsistency Score achieves a high correlation with expert perceptual ratings, with performance closely matching, and in one case exceeding, a standard reference-based Word Error Rate (WER) baseline.
Problem

Research questions and friction points this paper is trying to address.

speech intelligibility
pathological speech
reference-free evaluation
explainability
objective assessment
Innovation

Methods, ideas, or system contributions that make the work stand out.

reference-free
explainable AI
speech intelligibility
pathological speech
ASR Inconsistency Score
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