Related Experiment Video
Updated: Apr 7, 2026

Virtual Agent for Real-Time Motivational Interviewing by Integrating Adaptive Nonverbal Behavior and Language Models
Published on: December 23, 2025
Feasibility and Acceptability of a Brief Motivational Stage-Tailored Intervention to Advance Care Planning: A Pilot
Eunjeong Ko1, Melinda Hohman2, Jaehoon Lee3
1School of Social Work, San Diego State University, San Diego, CA, USA eko@mail.sdsu.edu.
Aim:
This pilot study explored the feasibility and acceptability of a stage-tailored motivational interviewing intervention with education that focuses on changes in end-of-life (EOL) communication, completion of advance directives (ADs), and readiness for advance care planning (ACP).
Methods:
One group pretest-posttest design was implemented with 30 low-income older adults.
Results:
This pilot study showed its feasibility in enhancing ACP. Action for ACP-that is, identifying a proxy for decision making and documenting EOL treatment preference in an AD-increased significantly by 23.3% (n = 7). The participants' readiness for ACP, knowledge, self-efficacy, positive attitudes, and perceived importance of ACP increased significantly after the intervention.
Conclusion:
Health care professionals and service providers who interact with older adults should tailor ACP dialogues in accordance with individuals' motivation.
Related Concept Videos
Planning Nursing Care I
Planning Nursing Care II
Role of Communication in the Nursing Process II: Planning and Implementation
Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
Stress Prevention and Stress Management Techniques VI
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Ethical Dilemmas II
