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Yongxin Zhou

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2 published item(s)

preprint2026arXiv

Automated Clinical Report Generation for Remote Cognitive Remediation: Comparing Knowledge-Engineered Templates and LLMs in Low-Resource Settings

The growing demand for cognitive remediation therapy, combined with limited speech therapist availability, has accelerated the adoption of remote rehabilitation tools. These systems generate large volumes of interaction data that are difficult for clinicians to review efficiently. This paper investigates automated clinical report generation for avatar-guided, home-based cognitive remediation sessions in a low-resource setting with no reference reports. We present and compare two approaches: (1) a rule-based template system encoding speech therapy domain knowledge as explicit decision rules and validated templates, ensuring clinical reliability and traceability; and (2) a zero-shot LLM-based approach (GPT-4) aimed at more fluent and concise output. Both systems use identical pre-extracted, expert-validated structured variables, enabling a controlled factual comparison. Outputs were evaluated by eight speech therapists and final-year students using a nine-criterion questionnaire. Results reveal a clear trade-off between clinical reliability and linguistic quality. The template-based system scored higher on fluidity, coherence, and results presentation, while GPT-4 produced more concise output. Directional differences are consistent across evaluation dimensions, though no comparison reached statistical significance after correction, reflecting the scale constraints of expert clinical evaluation. Based on evaluator feedback, we derive eight design recommendations for clinical reporting systems in remote rehabilitation settings. More broadly, this work contributes a replicable methodology combining expert elicitation, taxonomy-driven generation, and multi-dimensional human evaluation for clinical NLG in low-resource settings, and illustrates how controlled comparisons can inform the responsible adoption of generative AI in healthcare.

preprint2022arXiv

Effectiveness of French Language Models on Abstractive Dialogue Summarization Task

Pre-trained language models have established the state-of-the-art on various natural language processing tasks, including dialogue summarization, which allows the reader to quickly access key information from long conversations in meetings, interviews or phone calls. However, such dialogues are still difficult to handle with current models because the spontaneity of the language involves expressions that are rarely present in the corpora used for pre-training the language models. Moreover, the vast majority of the work accomplished in this field has been focused on English. In this work, we present a study on the summarization of spontaneous oral dialogues in French using several language specific pre-trained models: BARThez, and BelGPT-2, as well as multilingual pre-trained models: mBART, mBARThez, and mT5. Experiments were performed on the DECODA (Call Center) dialogue corpus whose task is to generate abstractive synopses from call center conversations between a caller and one or several agents depending on the situation. Results show that the BARThez models offer the best performance far above the previous state-of-the-art on DECODA. We further discuss the limits of such pre-trained models and the challenges that must be addressed for summarizing spontaneous dialogues.