call-motivational-interviewing-fidelity-auditor

call-motivational-interviewing-fidelity-auditor is a skill for Claude Code, Codex from CALLE-AI/awesome-phone-call-agents. It costs 83 tokens per session (2,049 once invoked), scanned A, original, MIT.

An offline analyzer for health-behavior calls that labels agent sentences by conversational behavior, counts those labels, and gives a coarse Motivational Interviewing result. Motivational Interviewing is a counseling approach that uses reflection and open questions to support behavior change; this tool is not a clinical assessment.

In plain words
What is it for?
Use it to review refill reminders, medication-adherence calls, care check-ins, or similar behavior-change conversations. It reports counts, ratios, and a limited summary for evaluating prompts or call quality.
Why use it?
It helps reveal when an agent coached someone versus lectured or confronted them. It also avoids claiming a result when the caller showed no change talk.

Skill for Claude CodeCodex

Written for no agent in particular: nothing here depends on one.

Good fit Use it to review refill reminders, medication-adherence calls, care check-ins, or similar behavior-change conversations. It reports counts, ratios, and a limited summary for evaluating prompts or call quality.

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Install with agentmods
npx agentmods add skills/calle-ai/awesome-phone-call-agents/call-motivational-interviewing-fidelity-auditor
Install

Getting it into your agent

One page per mod, every tool's command on it. A separate URL per tool would split the same page into five that compete with each other.

Any agent
npx skills add CALLE-AI/awesome-phone-call-agents --skill call-motivational-interviewing-fidelity-auditor
Clone the repo
git clone --depth 1 https://github.com/CALLE-AI/awesome-phone-call-agents

Made for: Claude Code, Codex.

Wrote this? Show the measurements

A badge with what this costs and how it scanned, read live from this page, so it follows the numbers instead of freezing them. Markdown for a README, HTML for a documentation site or a project page.

agentmods badge for call-motivational-interviewing-fidelity-auditor

README.md
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Your own site
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Or the 80×15 button, for a site that already has a row of RSS and ATOM ones. Only the verdict fits; the numbers stay here.

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Your own site · 80×15
<a href="https://agentmods.dev/skills/calle-ai/awesome-phone-call-agents/call-motivational-interviewing-fidelity-auditor"><img src="https://agentmods.dev/badge/skills/calle-ai/awesome-phone-call-agents/call-motivational-interviewing-fidelity-auditor.svg" alt="Reviewed on agentmods" width="80" height="20"></a>
Per session 83 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.
When invoked 2,049 The whole file, excluding the scripts and references it only reads on demand.
Security scan A 0 findings. A grade says what 26 rules found in the file — not that it is safe.
Origin original No closer match found in the catalogue.
Token cost

What it costs to keep this loaded

Counted locally with the o200k_base tokenizer, which is exact for GPT models; Claude uses its own tokenizer and its counts differ. Treat this as one consistent yardstick across the catalogue rather than a bill. Prices are per million input tokens.

ModelPer sessionOnce invoked
Fable 5.1 $0.00083 $0.02049
Opus 5.5 $0.00033 $0.00820
Sonnet 5.5 $0.00017 $0.00410
Haiku 4.5 $0.00008 $0.00205

Measured 9d ago against content hash 78bc21f73f7e, method: parsed. Prices are Anthropic first-party input rates as of 2026-10-07, from the pricing page.

Security

Grade A, and why

call-motivational-interviewing-fidelity-auditor scanned grade A with 0 findings against 26 rules in 11 categories — prompt injection, anti-refusal, data exfiltration, privilege escalation, supply chain, agent snooping, system-prompt leakage, SSRF and excessive agency — measured 9d ago.

The scan reads SKILL.md. This mod also ships 2 executable files (scripts/motivational_interviewing_fidelity_auditor.py, scripts/test_motivational_interviewing_fidelity_auditor.py), listed below but not scanned — reading those needs a real analyzer, not pattern matching.

A static scan of the body, not an audit. Every finding is printed with the line that produced it so you can judge whether it matters here. A mod is markdown that instructs an agent; that is exactly why what it instructs is worth reading.

Nothing flagged

None of the 26 patterns this scan looks for appear in this file: no shell pipes, no recursive deletes, no credential paths, no hidden text, no instruction-override or anti-refusal phrasing, no agent-config snooping. That is not a guarantee, it is the absence of the things that are checkable.

skills/call-motivational-interviewing-fidelity-auditor/SKILL.md · 143 lines

How it starts

The opening of the file, as written. The whole thing — 143 lines — stays where its author put it; the contents beside it link to each section on GitHub.

call-motivational-interviewing-fidelity-auditor

Behavior-change calls deserve the same fidelity scrutiny clinicians get. Counts first, verdict second, honesty always.

This repo is full of health-call applications - refill reminders, adherence callbacks, care check-ins - and every one of them assumes the agent coached the patient rather than lectured them. Nothing in the sibling skills codes WHETHER the agent actually practiced Motivational Interviewing: did it reflect, ask open questions, gate advice behind permission - or did it slip into "you should" and "if you keep skipping" confrontation? This skill is a heuristic lexical coder inspired by the MITI 4.2.1 instrument: it classifies every agent sentence, counts the behaviors, derives the classic ratios, and grades a coarse verdict - abstaining honestly with NOT_MI_CALL when the callee never voiced any change talk. The counts and ratios are the product; the verdict is a coarse summary, not a clinical judgment.

When To Use

  • after any behavior-change call - refill reminder, medication adherence, care check-in - before trusting that the agent coached rather than lectured
  • when iterating on goal templates to improve agent style: run the audit, read the weakest counters, adjust the template, re-run
  • as a gate between get_call_run and any automation that acts on how the call went

When Not To Use

  • as a clinical instrument or therapist QA; this is heuristic lexical coding of a phone agent, never a basis for evaluating human clinicians
  • on calls with no change talk: NOT_MI_CALL is the honest abstention, not an error - grading agent style on a call that was never an MI conversation would be noise
  • on non-English transcripts; all lexicons are English-only stems
  • as a lie detector or intent test; it counts sentence shapes, it does not read minds

Verdicts

Verdict Meaning Suggested routing
MI_ADHERENT zero non-adherent behaviors, at least one reflection, open questions >= closed questions proceed, keep the card as evidence
PARTIALLY_ADHERENT catch-all: zero reflections, closed-heavy questioning, or scattered unpermitted advice below the threshold review the weakest counters before trusting the style
NON_ADHERENT any confrontation or warning, OR >= 3 pieces of advice without permission a human reviews the call; template rework before more calls
NOT_MI_CALL no callee change talk detected abstain; do not grade style on a non-MI call

Read the full file on GitHub · 143 lines

Changes

What this file has done since we first saw it

Hashed on every crawl. A supply-chain change to an agent config is a question of when, not whether, so the history is kept rather than the latest state alone.

  1. 9d ago First seen · 143 lines · 83 tokens per session scan A 78bc21f73f7e

Subscribe to this mod's changes

call-motivational-interviewing-fidelity-auditor is a skill published in the GitHub repository CALLE-AI/awesome-phone-call-agents (109 stars, last pushed yesterday), licensed MIT. It adds 83 tokens to every session and 2,049 once invoked, about $0.0003 per session on Opus 5.5. A static security scan graded it A with 0 findings. No closer match exists in the catalogue, so it is treated as the original; first seen 2026-10-11.

Related

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