"It sounds like...": A natural language processing approach to detecting counselor reflections in motivational interviewing

Journal of Counseling Psychology
Doğan CanShrikanth S Narayanan

Abstract

The dissemination and evaluation of evidence-based behavioral treatments for substance abuse problems rely on the evaluation of counselor interventions. In Motivational Interviewing (MI), a treatment that directs the therapist to utilize a particular linguistic style, proficiency is assessed via behavioral coding-a time consuming, nontechnological approach. Natural language processing techniques have the potential to scale up the evaluation of behavioral treatments such as MI. We present a novel computational approach to assessing components of MI, focusing on 1 specific counselor behavior-reflections, which are believed to be a critical MI ingredient. Using 57 sessions from 3 MI clinical trials, we automatically detected counselor reflections in a maximum entropy Markov modeling framework using the raw linguistic data derived from session transcripts. We achieved 93% recall, 90% specificity, and 73% precision. Results provide insight into the linguistic information used by coders to make ratings and demonstrate the feasibility of new computational approaches to scaling up the evaluation of behavioral treatments.

Citations

Mar 6, 2016·Journal of Substance Abuse Treatment·Michael TananaVivek Srikumar
Sep 22, 2017·PloS One·Md NasirShrikanth Narayanan
Jan 19, 2019·The Journal of Primary Prevention·Cady BerkelC Hendricks Brown
Jan 31, 2019·Journal of Pediatric Psychology·April Idalski CarconeAlexander Kotov
Aug 12, 2017·Implementation Science : IS·Bryan HartzlerKathryn E McCollister
Aug 31, 2020·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Katie Aafjes-van DoornMarc Aafjes
Jul 17, 2019·Journal of Medical Internet Research·Michael J TananaZac E Imel
Oct 12, 2019·Journal of Healthcare Informatics Research·Mehedi HasanAlexander Kotov
Nov 27, 2020·JMIR Mental Health·Shiri Sadeh-Sharvit, Steven D Hollon
Jun 8, 2017··David C. AtkinsKritzia Merced
Jun 11, 2018··Zac E. ImelPatty Kuo

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