Evidence map›Paper›PMID 42780825›Full record

ArticleFrontiers in digital health2026

Fed-XLM-R: a privacy-preserving federated framework with adapter-scoped differential privacy for mental health triage-level intent classification on resource-constrained edge devices.

Karthiga M, Emerson Raja Joseph, Subhash Patil, K Saranya

Abstract read
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Article in Frontiers in digital health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Karthiga MDepartment of Computer Science and Engineering, Bannari Amman Institute of Technology, Sathyamangalam, Erode, Tamilnadu, India.
Emerson Raja JosephFaculty of Engineering and Technology, Centre for Advanced Analytics COE of Artificial Intelligence, Multimedia University, Melaka, Malaysia.
Subhash PatilProfessor and Head of Surgery Department, International Medical University, Management and Science University, Federal Territory of Kuala Lumpur, Malaysia.
K SaranyaDepartment of Computer Science and Engineering, Bannari Amman Institute of Technology, Sathyamangalam, Erode, Tamilnadu, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Mental health triage-level intent classification in linguistically diverse and resource-constrained clinical environments requires models that simultaneously meet strict patient data privacy regulations, cross-lingual generalization to low-resource languages, and real-time inference on edge hardware. No existing federated NLP system has jointly demonstrated this combination. This work proposes Fed-XLM-R, a unified federated learning framework designed to close that gap. Methods: Fed-XLM-R integrates XLM-RoBERTa with lightweight bottleneck adapter layers, adapter-scoped differentially private stochastic gradient descent (DP-SGD), proximal regularization for straggler-robust aggregation (FedProx), and INT8 post-training quantization for edge deployment. Gradient perturbation is confined exclusively to the 0.87% trainable adapter subspace rather than the full 270-million-parameter model. The framework was evaluated in a simulated 10-client federation on a public benchmark, with intent classification trained and evaluated on English data. A cross-lingual diagnostic was additionally run on the XNLI benchmark across five languages (English, Spanish, Hindi, Swahili, Arabic) against an mBERT baseline, and canary phrase memorization analysis was conducted across all 50 federated rounds to assess data extraction risk. Results: At the clinically meaningful privacy budget of Discussion: These findings characterize the mechanism's behavior under controlled conditions in a simulated federation rather than demonstrating field deployment. The cross-lingual results support the feasibility of future multilingual extension but do not themselves constitute multilingual intent classification. The three-category label scheme (Anxiety/Depression/Normal) supports triage-level intent routing but has not been validated against standardized clinical instruments; the system is not proposed as a clinical diagnostic or screening tool. Overall, Fed-XLM-R demonstrates that privacy-preserving, communication-efficient, and edge-deployable federated NLP is achievable without substantial accuracy loss, offering a practical pathway toward privacy-compliant mental health triage systems pending real-world and multilingual validation.

Indexed as

adapter fine-tuningcross-lingual transferdifferential privacyDP-SGDedge deploymentfederated learningFedProxINT8 quantization

Identifiers

PMID42780825
PMCPMC13597855

What OpenQuestion holds

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Registered trials

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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.