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Related Experiment Video

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Virtual Agent for Real-Time Motivational Interviewing by Integrating Adaptive Nonverbal Behavior and Language Models

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Published on: December 23, 2025

Motivational interviewing workshop in a virtual world: learning as avatars.

Marianna Shershneva¹, Ji-Hye Kim, Cynthia Kear

¹University of Wisconsin School of Medicine and Public Health, Madison, WI.

Family Medicine

|May 3, 2014

Summary

Continuing medical education in virtual worlds improved motivational interviewing (MI) skills for smoking cessation counseling. Participants demonstrated enhanced competencies and integrated new learning into clinical practice.

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Area of Science:

Medical Education
Virtual Reality in Healthcare
Behavioral Counseling

Background:

Continuing medical education (CME) in immersive virtual environments is underexplored.
Motivational interviewing (MI) is crucial for smoking cessation counseling.

Purpose of the Study:

To evaluate the educational impact of a 3D virtual world workshop on MI for smoking cessation.
To assess changes in physician competencies and clinical practice.

Main Methods:

A workshop on MI in a virtual world was developed with specified competencies.
13 physicians/residents participated, with data from observations and interviews.
MI competency was assessed by experts and standardized patients pre- and post-workshop.

Main Results:

Significant improvement was observed in six of seven MI competencies.
All participants reported knowledge gain, with nine applying it to practice.
Practice with standardized patients and observation were key beneficial components.

Conclusions:

The virtual world workshop positively impacted MI competencies and clinical application for smoking cessation.
3D virtual worlds show promise as effective CME learning environments.