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Updated: May 6, 2026

Virtual Agent for Real-Time Motivational Interviewing by Integrating Adaptive Nonverbal Behavior and Language Models
Published on: December 23, 2025
Teaching motivational interviewing to nurse practitioner students: a pilot study.
Bonnie J Nesbitt1, Debra A Murray, Angela R Mensink
1Viterbo University, La Crosse, Wisconsin.
Graduate nursing students improved their motivational interviewing (MI) skills after a brief educational module, using more open questions and fewer closed questions. Students reported high satisfaction with the MI training.
Area of Science:
- Nursing Education
- Health Behavior Change
- Communication Skills
Background:
- Nurse practitioner (NP) education must include skills for promoting positive health behaviors.
- Motivational Interviewing (MI) is effective for behavior change, but integrating it into NP curricula is challenging.
- Limited research exists on teaching MI skills within NP programs.
Purpose of the Study:
- To evaluate the effectiveness of a brief educational module on motivational interviewing (MI) consistent counseling skills for graduate nursing students.
- To assess changes in students' communication patterns when using MI techniques.
- To gauge student satisfaction with MI training.
Main Methods:
- Quasi-experimental design utilizing pre- and post-intervention data.
- Data collected through narrative and video-taped patient encounters, surveys, and self-reports.
- Analysis of communication skills, including question types, advice-giving, affirmations, reflections, and summaries.
Main Results:
- Post-education narratives showed a significant decrease in closed questions and advice-giving without permission, and an increase in open questions.
- Video-taped sessions revealed significantly more affirmations, reflections, and summaries after the educational module.
- Student surveys and self-reports indicated high satisfaction with the MI educational experience.
Conclusions:
- A brief educational module can significantly improve graduate nursing students' MI counseling skills.
- Incorporating MI training into NP programs is feasible and recommended, with suggested formats including practice and booster sessions.
- Further research is needed to establish best practices for teaching MI to NPs and its impact on patient health outcomes.
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