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Virtual Agent for Real-Time Motivational Interviewing by Integrating Adaptive Nonverbal Behavior and Language Models
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Motivational interviewing in paediatric residency.

Nasuh Malas1,2, Dana Rofey3,4, Anne Marie Kuchera3

  • 1Division of Child and Adolescent Psychiatry, Department of Psychiatry, University of Michigan Health System, Ann Arbor, Michigan, USA.

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Summary

Pediatric residents showed improved confidence in behavior change counseling after a motivational interviewing (MI) workshop. This training is feasible and well-received, offering a model for future pediatric residency education.

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Area of Science:

  • Medical Education
  • Behavioral Science
  • Pediatrics

Background:

  • Motivational interviewing (MI) is an evidence-based counseling style for behavior change.
  • Formal instruction in MI is lacking in pediatric residency programs.
  • Addressing ambivalence about behavior change is crucial in pediatric care.

Purpose of the Study:

  • To assess the impact of a standardized MI curriculum on pediatric residents' skills and attitudes.
  • To evaluate the feasibility and acceptance of MI training in pediatric residency.
  • To improve residents' confidence in eliciting health behavior change.

Main Methods:

  • Second-year pediatric residents attended a 4-hour MI workshop and a 1-hour review course.
  • Training included hands-on supervision during Adolescent Medicine rotations.
  • Resident attitudes and skills were assessed via surveys and the Helpful Responses Questionnaire (HRQ).

Main Results:

  • A statistically significant improvement in residents' confidence in eliciting health behavior change was observed.
  • HRQ scores significantly improved across all clinical scenarios post-workshop.
  • Residents highly valued interactive elements like practice exercises, videos, and coaching.

Conclusions:

  • A standardized MI curriculum effectively enhanced pediatric residents' confidence and use of MI-consistent language.
  • The training program is feasible, well-accepted, and provides supervised practice opportunities.
  • This curriculum can serve as a model for MI training in pediatric residency programs.