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Updated: Jun 8, 2026

Virtual Agent for Real-Time Motivational Interviewing by Integrating Adaptive Nonverbal Behavior and Language Models
Published on: December 23, 2025
Motivational interviewing skills are positively associated with nutritionist self-efficacy
Scott C Marley1, Kira Carbonneau, Donna Lockner
1Department of Individual, Family & Community Education, University of New Mexico, Albuquerque, NM 87131-1246, USA. marley@unm.edu
Objective:
To examine the relationships between physical and social self-concepts, motivational interviewing (MI), and nutrition assessment skills with dimensions of counseling self-efficacy.
Design:
Cross-sectional survey.
Setting:
Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) clinics.
Participants:
Sixty-five WIC nutritionists.
Main Outcome Measures:
Counseling self-efficacy on topics related to physical activity and nutritional behaviors and in the presence of language and cultural differences.
Analysis:
Multiple linear regression.
Results:
Nutritionists' perception of their own MI skills was positively associated with their self-efficacy for counseling clients of a culture different than their own, when counseling about physical activity, and when counseling about nutrition behavior. Hispanic ethnicity and social self-concept were positively associated with counseling self-efficacy when culture differences were present. Physical self-concept was positively associated with self-efficacy related to physical activity topics. Nutrition assessment skill was negatively associated with self-efficacy for working with non-English-speaking clients.
Conclusions And Implications:
Development of MI skills and strategies to improve social and physical self-concept may increase WIC nutritionists' counseling self-efficacy, particularly when counseling clients from diverse backgrounds.
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