Artificial Intelligence and Technology-based Interventions
Eduardo Bunge, Dr., Ph.D.
1791 Arastradero Road
Palo Alto University
Mountain View, California, United States
Robert Friedberg, ABPP, Ph.D.
Independent Training Consultant in CBT
Independent Training Consultant in CBT
San Jose, California, United States
Ana Zdravkovic, Ph.D. (she/her/hers)
Research Training Director
Kaiser Permanente Northern California Mental Health Training Program
Walnut Creek, California, United States
Christina Desage, M.S. (she/her/hers)
Graduate Student
Palo Alto University
Oakland, California, United States
Daniella Vaclavik, M.A., M.S., Ph.D. (she/her/hers)
Research Scientist
Florida International University
Miami, Florida, United States
Eduardo Bunge, Dr., Ph.D.
1791 Arastradero Road
Palo Alto University
Mountain View, California, United States
Ren Hong, Ph.D.
Clinical Psychologist Supervisor and Technology Lead
Kaiser Permanente
Vallejo, California, United States
This symposium brings together four presentations illustrating how Artificial Intelligence (AI) can enhance access, engagement, and sustainability in cognitive and behavioral interventions. Through empirical research and implementation studies, these projects demonstrate how AI can complement human expertise, reduce treatment gaps, and strengthen CBT training across diverse clinical and educational contexts.
Innovating in Behavioral Parent Training (Bunge et al.) examined a hybrid model combining human therapists with an AI conversational agent (“Pat”) to support caregivers between sessions. In Study 1, (N = 22) caregivers of children (ages 4–14) with disruptive behaviors found significant reductions in children’s externalizing and internalizing symptoms (p < .001, d = 1.00; p = .019, d = 0.63) and decreases in caregiver depression, anxiety, and stress. In Study 2 (N=116), caregivers completed nine BPT modules with group sessions plus Pat’s between-session guidance. Parents reported high satisfaction (NPS=81), strong alliance, and 89% completion, underscoring acceptability and scalability.
Advancing Training in CBT (Hong & Zdravkovic) described the Kaiser Permanente Mental Health Training Program’s integration of AI simulations into clinical practice. Graduate trainees in practiced CBT, DBT, Motivational Interviewing, multicultural awareness, and suicide risk assessment with virtual patients, received feedback on core therapeutic skills, and repeated exercises for mastery. Early results indicate improved confidence and skill acquisition, supporting AI as a scalable complement to human supervision.
Comparing Treatment Fidelity and Common Factors (Desage et al.), the Thera Turing Test (TTT) was applied to compare Parent Management Training (PMT) sessions led by human therapists versus Pat. Pat and the human therapist achieved high treatment fidelity (84–100%), while the human therapist scored higher on common factors. Pat demonstrated adaptability across different parenting styles, supporting consistent, high-quality delivery.
Feasibility and Acceptability of AI-Delivered Parent Management Training (Vaclavik et al.) evaluated the feasibility of AI-assisted Parent Management Training (PMT) alongside weekly therapist calls in 11 caregivers of children with externalizing behavior problems that were participating in an 8-week parenting group. Overall, treatment fidelity was high (98% adherence), utilization was high to moderate, and engagement (mean 352 messages) and satisfaction were high, reinforcing the intervention’s feasibility and acceptability.
Collectively, these studies advance WC-CBT goals by expanding access and engagement through digitally delivered CBT interventions for families, thereby reducing barriers to participation. They also strengthen sustainability through AI-supported education, supervision, and workforce development models that preserve therapeutic quality while facilitating broader dissemination. Together, these findings illustrate a new generation of interventions in which AI and human clinicians work collaboratively to enhance clinical practice and training.
Speaker: Ana Zdravkovic, Ph.D. (she/her/hers) – Kaiser Permanente Northern California Mental Health Training Program
Speaker: Ren Hong, Ph.D. – Kaiser Permanente
Speaker: Christina Desage, M.S. (she/her/hers) – Palo Alto University
Co-Author: Tyrique Patterson, BA – Palo Alto University
Co-Author: YingHua Wu, MS – Palo Alto University
Co-Author: Alexis Bechtel, MS – Palo Alto University
Co-Author: Arjun Bharat, BS – Palo Alto
Co-Author: Daniella Vaclavik, M.A., M.S., Ph.D. (she/her/hers) – Florida International University
Co-Author: Eduardo Bunge, Dr., Ph.D. – Palo Alto University
Speaker: Daniella Vaclavik, M.A., M.S., Ph.D. (she/her/hers) – Florida International University
Co-Author: Christina Desage, M.S. (she/her/hers) – Palo Alto University
Co-Author: Eduardo Bunge, Dr., Ph.D. – Palo Alto University
Speaker: Eduardo Bunge, Dr., Ph.D. – Palo Alto University
Co-Author: Felipe Rivera Cepeda, Mgr (he/him/his) – Universidad de Santo Tomas
Co-Author: Blanca Pineda, EdD (she/her/hers) – Palo Alto University
Co-Author: Karin Mostovoy, MS (she/her/hers) – Palo Alto University