Real-time Assessment of Dialogue in Motivational Interviewing Training (ReadMI) (Ohio)

Project Details - Ongoing

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Summary:

Primary care physicians frequently fail to identify patients who misuse drugs and alcohol. One integrated approach to identifying and addressing substance misuse is Screening, Brief Intervention, and Referral to Treatment (SBIRT). The brief intervention component of SBIRT utilizes motivational interviewing (MI), an approach shown to be highly effective in triggering change in high-risk lifestyle behaviors. Described as a patient-centered conversation reinforcing the patient’s motivation to make positive health-related changes, MI is challenging for many providers to learn and adopt, as providers are accustomed to taking a directive approach in patient care.

As providers are trained in MI, it is difficult to assess their progress. To address these issues, researchers previously developed and tested the Real-time Assessment of Dialogue in Motivational Interviewing (ReadMI) training system. Through the use of deep-learning based speech recognition, natural language processing, and mobile and cloud computing technologies, ReadMI provides a real-time assessment of dialog during the course of MI training. Users receive immediate feedback about the number of open- and closed-ended questions asked, provider-versus-patient conversation time, number of reflective statements made by the provider, number of emotion words, and the provider’s use of a change ruler, a tool used to assess a person's readiness or willingness to change. Currently providing MI training metrics at 92 percent accuracy, this research aims to increase the accuracy of ReadMI to 95 percent.

The specific aims of the research are as follows:

  • Develop the ReadMI training tool with speech-recognition software that provides MI training metrics with 95 percent accuracy. 
  • Test the 95 percent accurate ReadMI in a randomized controlled trial. 

ReadMI has the potential to immediately improve clinician communication skills and the quality of MI training services. Using ReadMI may result in a healthcare workforce better equipped to identify and address patient substance misuse, improve the quality of life for at-risk patients, and significantly reduce substance misuse related healthcare costs.

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