Mechanistic Insights into Context Failures of Audio-Language Models for Impaired Speech
P. Moure, Bilal Bounajma, Niclas Pokel et al.
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A benchmark built on the Speech Accessibility Project (SAP) dataset is introduced that tests whether diagnosis labels, clinician-derived speech ratings, and progressively richer clinical descriptions improve transcription accuracy for dysarthric speech, finding that current models do not meaningfully use this context.