Evaluation of Motivational Interviewing Counsellors with Task-Aware Multi-Stage LLM-Based Simulated Clients

Abstract

The development and benchmarking of Large Language Model (LLM)-based Motivational Interviewing (MI) counsellors now often rely on LLM-based simulated clients. Prior work on simulated clients, however, has not aligned with the specific tasks fundamental to the MI therapy approach. A key task is evoking, in which the counsellor first elicits the client's ambivalence and then strengthens the client's motivation for change. We present Evoke-Sim, a task-aware, multi-stage LLM-based client simulation framework for evaluating MI counsellors in smoking cessation, designed specifically for the evoking MI task. Evoke-Sim employs structured client profiles, an evoking-specific three-stage conversation flow, and a reveal policy that regulates which client profile information might be disclosed at each stage. We show that compared to existing profile-grounded simulated clients, Evoke-Sim is better at differentiating levels of MI quality using task-aware evaluation metrics, while reducing non-grounded client statements and premature disclosure of client information, setting a higher standard for the evaluation of LLM-based MI counsellors.