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Updated: May 26, 2026

Virtual Agent for Real-Time Motivational Interviewing by Integrating Adaptive Nonverbal Behavior and Language Models
Published on: December 23, 2025
Boosting a teen substance use prevention program with motivational interviewing
Elizabeth Barnett1, Donna Spruijt-Metz, Jennifer B Unger
1Department of Preventive Medicine, University of Southern California, Los Angeles, California 90032, USA. embarnet@usc.edu
A brief motivational interviewing intervention effectively supplemented school-based drug abuse prevention for adolescents. This approach proved feasible and was implemented with good fidelity in high schools.
Area of Science:
- Public Health
- Adolescent Psychology
- Substance Abuse Prevention
Background:
- School-based programs are crucial for adolescent substance abuse prevention.
- Motivational Interviewing (MI) shows promise as an adjunct intervention.
- Brief MI interventions need further development and evaluation in school settings.
Purpose of the Study:
- To describe the development and implementation of a brief MI intervention.
- To assess the feasibility and fidelity of MI in a school-based setting.
- To provide data on intervention dosage and content.
Main Methods:
- Development and implementation of a brief MI intervention.
- Randomized controlled trial within Project Toward No Drug Abuse.
- Data collection on MI dosage, topics, and quality using the Motivational Interviewing Skill Code (MISC).
- Study conducted with 573 adolescents in Southern California continuation high schools.
Main Results:
- The brief MI intervention protocol was feasible to implement.
- Intervention was implemented with adequate fidelity.
- Data on dosage, topics, and quality were collected and analyzed.
Conclusions:
- Brief MI is a viable adjunct to school-based substance abuse prevention.
- The intervention demonstrated feasibility and adequate fidelity in the target population.
- Further research should consider the study's limitations.
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