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Cross-Cultural Transferability of Speech Biomarkers: Linguistic Adaptation, Model Generalization, and Global Implementation

Yi Tang, Qingyue Li, Yanxuan Wu, Johannes Tröger, Nicklas Linz, Stefan Teipel, Alexandra König

*Poster presented at AAIC 2026

Introduction: BackgroundDigital speech biomarkers are increasingly recognized as scalable, low-burden tools for early detection, staging, and monitoring of Alzheimer’s disease (AD).

State of the art: Current validation efforts focus largely on Western populations. Emerging approaches such as domain adaptation and multilingual feature representations show promise but lack systematic cross-cultural benchmarking.

Problems: Differences in language structure, communication norms, education, and sociocultural context substantially influence speech-derived features, limiting global applicability and equitable clinical deployment.

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