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Published on in Vol 12 (2026)

This is a member publication of University of Toronto

Preprints (earlier versions) of this paper are available at https://preprints.jmir.org/preprint/92964, first published .
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Multiagent Large Language Model Framework for Psychotherapy Fidelity Assessment in Motivational Interviewing and Cognitive Behavioral Therapy Training: Cross-Sectional, Simulation-Based Evaluation Study

Multiagent Large Language Model Framework for Psychotherapy Fidelity Assessment in Motivational Interviewing and Cognitive Behavioral Therapy Training: Cross-Sectional, Simulation-Based Evaluation Study

Mohammad Amin Kamaleddin   1, 2 , PhD ;   Mina Mirjalili   3, 4 , PhD ;   Reza Barzegar   1 , MSc ;   Nghia Trung Le   1 , BSc ;   Zachary Cote   1 , BSc ;   Olga Winkler   5 , MD ;   Lisa Burback   5, 6 , MD ;   Yanbo Zhang   5, 6 , MD, PhD ;   Osmar R Zaiane   7, 8 , PhD ;   Candice Monson   9 , PhD ;   Divya Sharma   10 , PhD ;   Sri Krishnan   11 , PEng, PhD ;   Andrew J Greenshaw   5, 6 , PhD ;   Richard Zeifman   12, 13, 14 , PhD ;   Peter Selby   3, 15, 16 , MD ;   Venkat Bhat   1, 2, 16 , MSc, MD

1 AI for Mental Health Program, St. Michael’s Hospital, Unity Health Toronto, Toronto, ON, Canada

2 Temerty Centre for Artificial Intelligence Research and Education in Medicine, University of Toronto, Toronto, ON, Canada

3 Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada

4 Adult Neurodevelopment and Geriatric Psychiatry Division, Centre for Addiction and Mental Health, Toronto, ON, Canada

5 Department of Psychiatry, University of Alberta, Edmonton, AB, Canada

6 Neuroscience and Mental Health Institute, University of Alberta, Edmonton, AB, Canada

7 Department of Computing Science, University of Alberta, Edmonton, AB, Canada

8 Alberta Machine Intelligence Institute, Edmonton, AB, Canada

9 Department of Psychology, Toronto Metropolitan University, Toronto, ON, Canada

10 Department of Mathematics and Statistics, York University, Toronto, ON, Canada

11 Department of Electrical, Computer, and Biomedical Engineering, Toronto Metropolitan University, Toronto, ON, Canada

12 NYU Langone Center for Psychedelic Medicine, Department of Psychiatry, NYU Grossman School of Medicine, New York, NY, United States

13 Center for Psychedelic Research, Department of Brain Sciences, Imperial College London, London, United Kingdom

14 Department of Psychology, The New School for Social Research, New York, NY, United States

15 Department of Family and Community Medicine and Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada

16 Department of Psychiatry, University of Toronto, Toronto, ON, Canada

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