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Generative Artificial Intelligence Chatbots for Motivational Interviewing: A Scoping Review From System Design to Intervention Outcomes

arXiv · AI, language, vision and robotics · article · Sep 17, 2026 · UTC

Motivational interviewing (MI) is a collaborative approach to elicit autonomous motivation for health behavior change. Generative AI (GenAI) offers new ways to deliver MI via conversational systems, but evidence on their design, assessment, and translation into interventions remains fragmented. This scoping review characterized evidence on GenAI-MI chatbots across system design, safety, MI quality, user perceptions, and intervention outcomes. We conducted a PRISMA-ScR scoping review. Nine datasets were searched for studies published or publicly available from January 1, 2015 to June 2, 2026 th

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