Characterizing the Impact of Audio Deepfakes in the Presence of Cochlear Implant

Cochlear implants (CIs) allow deaf and hard-of-hearing individuals to use audio devices, such as phones or voice assistants. However, the advent of increasingly sophisticated synthetic audio (i.e., deepfakes) potentially threatens these users. Yet, this population's susceptibility to such attacks is unclear. In this paper, we perform the first study of the impact of audio deepfakes on CI populations. We examine the use of CI-simulated audio within deepfake detectors. Based on these results, we conduct a user study with 35 CI users and 87 hearing persons (HPs) to determine differences in how CI users perceive deepfake audio. We show that CI users can, similarly to HPs, identify text-to-speech generated deepfakes. Yet, they perform substantially worse for voice conversion deepfake generation algorithms, achieving only 67% correct audio classification. We also evaluate how detection models trained on a CI-simulated audio compare to CI users and investigate if they can effectively act as proxies for CI users. This work begins an investigation into the intersection between adversarial audio and CI users to identify and mitigate threats against this marginalized group.