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Substance Use Screening using Virtual Agents: Towards Automated Screening, Brief Intervention, and Referral to Treatment (SBIRT)

Published: 19 October 2020 Publication History

Abstract

Alcohol, tobacco and illicit drug use cause significant loss quality of life, and represent a large economic burden on society. Standardized questionnaires have been developed to enable healthcare providers to screen individuals for substance misuse problems that may require intervention. Although routine use of these screeners is promoted in many healthcare organizations, their administration can be irregular and lack follow through. In addition, patients may be reluctant to report substance use. We report on the development and validation of a Virtual Agent designed to automate the administration of a standard substance use screening instrument. We report on two validation studies in which a total of 57 patients at a US Veterans Administration medical center were screened by the virtual agent, comparing first to a research assistant administering the standard screening questionnaire, and second to a standard computerized text-based implementation of the questionnaire. Assessment correlations between the agent and human administration were all significant, ranging from rho=0.83 to 0.94, with more disclosure to the agent. Correlations were lower for Study 2 (0.56 - 0.88), with participants significantly more satisfied with the Agent compared to the standard tool.

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  1. Substance Use Screening using Virtual Agents: Towards Automated Screening, Brief Intervention, and Referral to Treatment (SBIRT)

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    cover image ACM Conferences
    IVA '20: Proceedings of the 20th ACM International Conference on Intelligent Virtual Agents
    October 2020
    394 pages
    ISBN:9781450375863
    DOI:10.1145/3383652
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    Published: 19 October 2020

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    Author Tags

    1. Alcohol
    2. Cannabis
    3. Cocaine
    4. Embodied Conversational Agent
    5. NMASSIST
    6. Relational Agent
    7. Tobacco
    8. VA
    9. Veterans Administration
    10. Virtual Agent

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    IVA '20
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    IVA '20: ACM International Conference on Intelligent Virtual Agents
    October 20 - 22, 2020
    Scotland, Virtual Event, UK

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    • (2024)Keeping Users Engaged During Repeated Interviews by a Virtual Agent: Using Large Language Models to Reliably Diversify QuestionsProceedings of the 24th ACM International Conference on Intelligent Virtual Agents10.1145/3652988.3673929(1-10)Online publication date: 16-Sep-2024
    • (2024)Engaging and Entertaining Adolescents in Health Education Using LLM-Generated Fantasy Narrative Games and Virtual AgentsExtended Abstracts of the CHI Conference on Human Factors in Computing Systems10.1145/3613905.3650983(1-8)Online publication date: 11-May-2024
    • (2024)Self-disclosure to conversational AI: a literature review, emergent framework, and directions for future researchPersonal and Ubiquitous Computing10.1007/s00779-024-01823-7Online publication date: 31-Aug-2024
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