Towards a Computational Framework for Automating Substance Use Counseling with Virtual Agents

Motivational interviewing is a counseling technique that involves the in-depth exploration of a person's reasons for and against changing their behavior, and is particularly effective for substance use counseling. We are developing a computational framework that uses techniques from motivational interviewing to conduct substance use counseling sessions by simulating face-to-face interactions with a virtual agent. We evaluated the feasibility of using a virtual agent system that uses a constrained-input modality and dialogue trees to automate parts of motivational interviewing, and report the results conducted with patients at two substance use treatment facilities. We are extending this prototype to encompass all of motivational interviewing by processing information from unconstrained user speech. To that end, we report results from training a dialog act prediction model on 132 transcripts of patient-provider counseling sessions. Our best model realized an F1 score of 0.62, recall of 0.61, precision of 0.65 and accuracy of 0.6 across five classes. This indicates reasonably good performance, highlighting the potential of this approach.