A Fully Generative Motivational Interviewing Counsellor Chatbot for Moving Smokers Towards the Decision to Quit

The conversational capabilities of Large Language Models (LLMs) suggest that they may be able to perform as automated talk therapists. It is crucial to know if these systems would be effective and adhere to known standards. We present a counsellor chatbot that focuses on motivating tobacco smokers to quit smoking. It uses a state-of-the-art LLM and a widely applied therapeutic approach called Motivational Interviewing (MI), and was evolved in collaboration with clinician-scientists with expertise in MI. We also describe and validate an automated assessment of both the chatbot's adherence to MI and client responses. The chatbot was tested on 106 participants, and their confidence that they could succeed in quitting smoking was measured before the conversation and one week later. Participants' confidence increased by an average of 1.7 on a 0-10 scale. The automated assessment of the chatbot showed adherence to MI standards in 98% of utterances, higher than human counsellors. The chatbot scored well on a participant-reported metric of perceived empathy but lower than typical human counsellors. Furthermore, participants' language indicated a good level of motivation to change, a key goal in MI. These results suggest that the automation of talk therapy with a modern LLM has promise.

Plug and Play with Prompts: A Prompt Tuning Approach for Controlling Text Generation

Transformer-based Large Language Models (LLMs) have shown exceptional language generation capabilities in response to text-based prompts. However, controlling the direction of generation via textual prompts has been challenging, especially with smaller models. In this work, we explore the use of Prompt Tuning to achieve controlled language generation. Generated text is steered using prompt embeddings, which are trained using a small language model, used as a discriminator. Moreover, we demonstrate that these prompt embeddings can be trained with a very small dataset, with as low as a few hundred training examples. Our method thus offers a data and parameter efficient solution towards controlling language model outputs. We carry out extensive evaluation on four datasets: SST-5 and Yelp (sentiment analysis), GYAFC (formality) and JIGSAW (toxic language). Finally, we demonstrate the efficacy of our method towards mitigating harmful, toxic, and biased text generated by language models.

Generation, Distillation and Evaluation of Motivational Interviewing-Style Reflections with a Foundational Language Model

Large Foundational Language Models are capable of performing many tasks at a high level but are difficult to deploy in many applications because of their size and proprietary ownership. Many will be motivated to distill specific capabilities of foundational models into smaller models that can be owned and controlled. In the development of a therapeutic chatbot, we wish to distill a capability known as reflective listening, in which a therapist produces reflections of client speech. These reflections either restate what a client has said, or connect what was said to a relevant observation, idea or guess that encourages and guides the client to continue contemplation. In this paper, we present a method for distilling the generation of reflections from a Foundational Language Model (GPT-4) into smaller models. We first show that GPT-4, using zero-shot prompting, can generate reflections at near 100% success rate, superior to all previous methods. Using reflections generated by GPT-4, we fine-tune different sizes of the GPT-2 family. The GPT-2-small model achieves 83% success on a hold-out test set and the GPT-2 XL achieves 90% success. We also show that GPT-4 can help in the labor-intensive task of evaluating the quality of the distilled models, using it as a zero-shot classifier. Using triple-human review as a guide, the classifier achieves a Cohen-Kappa of 0.66, a substantial inter-rater reliability figure.