Multimodal AI Screening of Developmental Language Disorder in Tunisian Arabic Children: Clinical Markers and Computational Detection

Developmental Language Disorder (DLD) is a common neurodevelopmental condition that affects language acquisition in children. However, standardized diagnostic tools for Tunisian Arabic, a widely spoken yet underrepresented dialect, is still lacking. This study presents a multimodal biomedical informatics framework that integrates clinical assessments, speech recordings, and artificial intelligence (AI) for early DLD detection. Three linguistic tasks (the CLT Task, the Arabic Verb Evaluation Task, and the Nonword Repetition Task) were adapted for Tunisian Arabic, and spontaneous speech samples were collected from children with typical development and those with DLD. Statistical analyses revealed significant deficits in verb production, past-tense morphology, and phonological memory in the DLD group. For automated screening, we developed two systems: a Random Forest classifier based on structured clinical and linguistic features and a multimodal deep learning model using Wav2Vec2 acoustic embeddings. The best model achieved an F1 score of 0.85, demonstrating the feasibility of AI-assisted DLD screening. This work introduces the first standardized dataset and computational baseline for DLD in Tunisian Arabic, providing clinically relevant tools for early identification and supporting research on underrepresented Arabic dialects. This work also highlights future implications, including potential applications in early screening, the integration of acoustic markers, and the development of culturally adapted assessment tools for underrepresented languages.