About The Study: The findings of this study suggest large language models (LLMs) can produce contextually appropriate motivational interviewing-consistent responses, but limitations in coherence and stylistic alignment highlight the need for further validation before clinical use. Motivational interviewing, a structured counseling approach, provides an empirically grounded setting for evaluating alignment between LLM-generated and human therapist responses.
Corresponding Author: To contact the corresponding author, Venkat Bhat, MD, MSc, email venkat.bhat@utoronto.ca .
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(doi:10.1001/jamanetworkopen.2026.2750)
Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.
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