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SemReward-VL advances multimodal learning by using semantic rewards derived from clinical outcomes to fine-tune vision-language models for describing child developmental behaviors in screening videos. The approach leverages Group Relative Policy Optimization (GRPO) and LoRA adapters to improve accuracy across 13,379 video clips, though challenges remain in capturing temporal dynamics and age-specific nuances. This work represents a significant step toward automated, scalable tools for clinical assessment using AI-driven video analysis.
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SemReward-VL: Semantic Reward-Guided Video-Language Adaptation for Developmental Behavior Assessment

arXiv2 min read

arXiv:2609.33082v1 Announce Type: cross Abstract: Developmental screening videos show how children perform specific behaviors, but clinical records usually contain outcomes rather than descriptions of what happened. We present SemReward-VL, which learns to describe item-specific behavior from these outcomes. A vision-language model generates a description, and a frozen language model scores its agreement with the clinical outcome, relevance to the item, abstention on unrelated video-item pairs, and clarity. Group relative policy optimization (GRPO) updates LoRA adapters using this semantic reward. On 13,379 videos covering 41 items, the method improves aggregate accuracy and the number of items with recall above 0.5. Errors remain in temporal direction, duration, and age-specific interpretations of behavior.

Abstract:Developmental screening videos show how children perform specific behaviors, but clinical records usually contain outcomes rather than descriptions of what happened. We present SemReward-VL, which learns to describe item-specific behavior from these outcomes. A vision-language model generates a description, and a frozen language model scores its agreement with the clinical outcome, relevance to the item, abstention on unrelated video-item pairs, and clarity. Group relative policy optimization (GRPO) updates LoRA adapters using this semantic reward. On 13,379 videos covering 41 items, the method improves aggregate accuracy and the number of items with recall above 0.5. Errors remain in temporal direction, duration, and age-specific interpretations of behavior.

Computer Vision and Pattern Recognition (cs.CV); Artificial Intelligence (cs.AI)

arXiv:2609.33082 [cs.CV]

(or arXiv:2609.33082v1 [cs.CV] for this version)

https://doi.org/10.48550/arXiv.2609.33082 Focus to learn more arXiv-issued DOI via DataCite (pending registration)

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Full text under the publisher's open licence · 205 words

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