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Updated: Apr 25, 2026

Virtual Agent for Real-Time Motivational Interviewing by Integrating Adaptive Nonverbal Behavior and Language Models
Published on: December 23, 2025
Effectiveness of a motivational interviewing intervention on medication compliance
Alison Minkin1, Jill Snider-Meyer, Debra Olson
1Alison Minkin, PhD, is a Psychologist, Mental Health Division, Clement J. Zablocki VA Medical Center, Milwaukee, Wisconsin. Jill Snider-Meyer, MSW, is a Program Manager, Community-Based Programs, Clement J. Zablocki VA Medical Center, Milwaukee, Wisconsin. Debra Olson, MSN, MHA, CPHQ, is a Deputy Program Manager, Community-Based Programs, Clement J. Zablocki VA Medical Center, Milwaukee, Wisconsin. Susan Gresser, MS, GCNS-BC, APNP, is a Program Manager, Community Living Center, Clement J. Zablocki VA Medical Center, Milwaukee, Wisconsin. Heather Smith, PhD, is a Lead Psychologist, Clement J. Zablocki VA Medical Center, Milwaukee, Wisconsin, and an Associate Professor, Department of Psychiatry, Medical College of Wisconsin, Milwaukee, Wisconsin. Frederick J. Kier, PhD, MSHCA, is a Division Manager, Rehabilitation, Extended and Community Care, Clement J. Zablocki VA Medical Center, Milwaukee, Wisconsin, and an Associate Professor, Department of Psychiatry, Medical College of Wisconsin, Milwaukee, Wisconsin.
Abstract:
This study investigated the effectiveness of training geriatric home-based primary care (HBPC) nursing staff in motivational interviewing (MI) techniques, with the goal of increasing patient medication adherence. Nursing staff received 4 hours of training in MI techniques from a licensed psychologist. Results indicated that the MI training increased medication adherence in the HBPC veteran sample by a small, but statistically significant, margin both 1 month and 6 months after the intervention. Although the effect size may be considered small, the clinical and cost ramifications of even a small gain in adherence are extremely important for the patient, clinician, and the medical facility. MI techniques may provide a cost-effective and impactful means of enhancing patient adherence to medications.
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