Out of the Box, into the Clinic? Evaluating State-of-the-Art ASR for Clinical Applications for Older Adults

Voice-controlled interfaces can support older adults in clinical contexts, with chatbots being a prime example, but reliable Automatic Speech Recognition (ASR) for underrepresented groups remains a bottleneck. This study evaluates state-of-the-art ASR models on language use of older Dutch adults, who interacted with the Welzijn.AI chatbot designed for geriatric contexts. We benchmark generic multilingual ASR models, and models fine-tuned for Dutch spoken by older adults, while also considering processing speed. Our results show that generic multilingual models outperform fine-tuned models, which suggests recent ASR models can generalise well out of the box to realistic datasets. Furthermore, our results suggest that truncating existing architectures is helpful in balancing the accuracy-speed trade-off, though we also identify some cases with high WER due to hallucinations.