Project Description

Despite a drastic increase in public reliance on peer-delivered helpline services (e.g., hotlines, warmlines) in the United States, very little is known about how evidence-based interventions (EBIs) such as motivational interviewing can be further implemented in this service setting. Innovations in Artificial Intelligence (AI) are rapidly developing, and AI-assisted services such as Lyssn, an evidence-based performance feedback (PF) tool, have demonstrated initial validity to support large-scale implementation of EBIs. This project will adapt performance feedback as an implementation strategy and evaluate its usability, engagement, and appropriateness to increase the use of motivational interviewing on a mental health teen-to-teen helpline. We will utilize human-centered design methods to systematically evaluate the process of adapting Lyssn’s PF interface to support the integration of Motivational Interviewing among teen helpers in Here App, a large helpline that provides teen-to-teen emotional support under the supervision of mental health staff. A Discover, Design/Build, Test model will be used. The discover stage will rely on teen helper and helpline supervisor/ leadership focus groups to assess usability issues and initial redesign solutions to support the uptake of this AI-assisted PF implementation tool. The design/build stage will involve iterative rapid prototyping through sustained engagement with participants completing surveys, cognitive interviews and focus groups to develop an adapted, tailored, teen-friendly PF interface that integrates Lyssn’s existing AI tools. The finalized adapted PF prototype will be used to support a larger grant application (NIMH K23) which will conduct a pilot feasibility implementation-effectiveness trial in teen-delivered helplines. 

SettingVirtual platform
PopulationTeen peer helpers in the United States who are volunteers serving teens ages 13-19 through the Teen Talk App
TimelineAugust 2026 to July 2027

Intervention and/or Implementation Strategy Designed or Redesigned

InterventionMotivational interviewing
Implementation StrategyPerformance feedback facilitated by Lyssn – a service tool that uses a trained AI to provide performance feedback based on Motivational Interviewing adherence metrics.

Anticipated Impact

This project has the potential to support motivational interviewing adherence and self-efficacy among peer helpers of a text-based helpline by adapting an existing tool (Lyssn). Advancing quality improvements to support the use of motivational interviewing within a helpline can help promote patient-level help-seeking in real life. The finalized prototype from this project will support an NIMH Career Mentored K23 grant application (Vargas) to conduct a feasibility hybrid effectiveness-implementation trial that will rely on a multi-component implementation strategy to promote MI adherence within a teen-delivered mental health helpline