Evidence map›Paper›PMID 32550644›Full record

ArticleNPJ digital medicine2020

Assessing the accuracy of automatic speech recognition for psychotherapy.

Adam S Miner, Albert Haque, Jason A Fries, Scott L Fleming, Denise E Wilfley, G Terence Wilson, Arnold Milstein, Dan Jurafsky, Bruce A Arnow, W Stewart Agras and 2 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Adam S Miner *Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA USA.ORCID 0000-0002-5125-4735
Albert Haque *Department of Computer Science, Stanford University, Stanford, CA USA.ORCID 0000-0001-6769-6370
Jason A FriesCenter for Biomedical Informatics Research, Stanford University, Stanford, CA USA.
Scott L FlemingDepartment of Biomedical Data Science, Stanford University, Stanford, CA USA.
Denise E WilfleyDepartments of Psychiatry, Medicine, Pediatrics, and Psychological & Brain Sciences, Washington University in St. Louis, St. Louis, MO USA.
G Terence WilsonGraduate School of Applied and Professional Psychology, Rutgers, the State University of New Jersey, New Brunswick, New Jersey USA.
Arnold MilsteinClinical Excellence Research Center, Stanford University, Stanford, CA USA.ORCID 0000-0002-2794-2378
Dan JurafskyDepartment of Computer Science, Stanford University, Stanford, CA USA.
Bruce A ArnowDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA USA.
W Stewart AgrasDepartment of Psychiatry and Behavioral Sciences, Stanford University, Stanford, CA USA.
Li Fei-FeiDepartment of Computer Science, Stanford University, Stanford, CA USA.
Nigam H ShahCenter for Biomedical Informatics Research, Stanford University, Stanford, CA USA.

Funding

Stanford Center for Clinical & Translational Education and Research (Spectrum)UL1TR003142 · NCATS · STANFORD UNIVERSITY · PI O'HARA, RUTH M · 2019 to 2023
$45.0M
Spectrum Stanford Center for clinical and Translational Research and EducationUL1TR001085 · NCATS · STANFORD UNIVERSITY · PI CULLEN, MARK RICHARD, GREENBERG, HARRY BERNARD · 2013 to 2017
$37.1M
Institutional Career Development Core (KL2)KL2TR003143 · NCATS · STANFORD UNIVERSITY · PI ASCH, STEVEN M. · 2019 to 2023
$8.7M
Spectrum Stanford Center for clinical and Translational Research and EducationKL2TR001083 · NCATS · STANFORD UNIVERSITY · PI CULLEN, MARK RICHARD, GREENBERG, HARRY BERNARD · 2013 to 2017
$4.9M
Biomedical Data Science Graduate Training at StanfordT32LM012409 · NLM · STANFORD UNIVERSITY · PI PLEVRITIS, SYLVIA KATINA · 2016 to 2020
$1.5M
NCATS NIH HHS KL2 TR001083NCATS NIH HHS KL2 TR003143NCATS NIH HHS UL1 TR001085NCATS NIH HHS UL1 TR003142NLM NIH HHS T32 LM012409
6 · The paper itself

Abstract

Accurate transcription of audio recordings in psychotherapy would improve therapy effectiveness, clinician training, and safety monitoring. Although automatic speech recognition software is commercially available, its accuracy in mental health settings has not been well described. It is unclear which metrics and thresholds are appropriate for different clinical use cases, which may range from population descriptions to individual safety monitoring. Here we show that automatic speech recognition is feasible in psychotherapy, but further improvements in accuracy are needed before widespread use. Our HIPAA-compliant automatic speech recognition system demonstrated a transcription word error rate of 25%. For depression-related utterances, sensitivity was 80% and positive predictive value was 83%. For clinician-identified harm-related sentences, the word error rate was 34%. These results suggest that automatic speech recognition may support understanding of language patterns and subgroup variation in existing treatments but may not be ready for individual-level safety surveillance.

Indexed as

DepressionTranslational research

Identifiers

PMID32550644
PMCPMC7270106

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.