Cross-sectional study finds general alignment of language model responses in motivational interviewing, suggesting room for improvement before clinical use.
In this cross-sectional study of 154 MI sessions, prompted LLMs showed general alignment with therapist responses in MI-oriented conversations, as judged by automated similarity metrics. However, limitations in long-range coherence, stylistic alignment, and the use of indirect proxies for therapeutic quality highlight the need for improved prompt design, MI-specific evaluation methods, and clinical validation before integration into mental health care.
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Teferra et al. (2026) studied this question.
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