Neck-Learn: Attention-Based Multiple Instance Learning and Ensemble Framework for Ecological Momentary Assessment

Vocal hyperfunction (VH) is a prevalent voice disorder whose ambulatory detection remains challenging despite extensive daily voice data. Prior approaches capture week-long neck-surface accelerometer recordings but collapse them into fixed-length subject-level feature vectors, discarding within-day temporal dynamics encoding nuanced voicing feature interactions. We introduce a novel hybrid architecture combining gradient-boosted trees on day-level distributional features with a CNN-based multiple instance learning (MIL) framework that preserves and learns from from temporal dynamics throughout each day. On the held-out test set, our model exceeds the challenge baselines (AUC: 0.82 PVH, 0.77 NPVH), achieving AUCs of 0.879 for PVH (Rank 5) and 0.848 for NPVH (Rank 3), while also providing insights into clinically relevant information about both pathologies.