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Development and Evaluation of ClientBot: Patient-Like Conversational Agent to Train Basic Counseling Skills.
Tanana, Michael J; Soma, Christina S; Srikumar, Vivek; Atkins, David C; Imel, Zac E.
Afiliação
  • Tanana MJ; Social Research Institute, College of Social Work, University of Utah, Salt Lake City, UT, United States.
  • Soma CS; College of Education, University of Utah, Salt Lake City, UT, United States.
  • Srikumar V; School of Computing, University of Utah, Salt Lake City, UT, United States.
  • Atkins DC; Psychiatry and Behavioral Science, University of Washington, Seattle, UT, United States.
  • Imel ZE; College of Education, University of Utah, Salt Lake City, UT, United States.
J Med Internet Res ; 21(7): e12529, 2019 07 15.
Article em En | MEDLINE | ID: mdl-31309929
BACKGROUND: Training therapists is both expensive and time-consuming. Degree-based training can require tens of thousands of dollars and hundreds of hours of expert instruction. Counseling skills practice often involves role-plays, standardized patients, or practice with real clients. Performance-based feedback is critical for skill development and expertise, but trainee therapists often receive minimal and subjective feedback, which is distal to their skill practice. OBJECTIVE: In this study, we developed and evaluated a patient-like neural conversational agent, which provides real-time feedback to trainees via chat-based interaction. METHODS: The text-based conversational agent was trained on an archive of 2354 psychotherapy transcripts and provided specific feedback on the use of basic interviewing and counseling skills (ie, open questions and reflections-summary statements of what a client has said). A total of 151 nontherapists were randomized to either (1) immediate feedback on their use of open questions and reflections during practice session with ClientBot or (2) initial education and encouragement on the skills. RESULTS: Participants in the ClientBot condition used 91% (21.4/11.2) more reflections during practice with feedback (P<.001) and 76% (14.1/8) more reflections after feedback was removed (P<.001) relative to the control group. The treatment group used more open questions during training but not after feedback was removed, suggesting that certain skills may not improve with performance-based feedback. Finally, after feedback was removed, the ClientBot group used 31% (32.5/24.7) more listening skills overall (P<.001). CONCLUSIONS: This proof-of-concept study demonstrates that practice and feedback can improve trainee use of basic counseling skills.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Psicoterapia / Comunicação / Aconselhamento / Aprendizado Profundo Tipo de estudo: Clinical_trials / Prognostic_studies Limite: Humans Idioma: En Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Psicoterapia / Comunicação / Aconselhamento / Aprendizado Profundo Tipo de estudo: Clinical_trials / Prognostic_studies Limite: Humans Idioma: En Ano de publicação: 2019 Tipo de documento: Article