Engagement, Satisfaction, and Therapeutic Alliance With an AI Conversational Agent for Parents: Quantitative Descriptive Study

Karin Mostovoy; Blanca S Pineda; Arjun Bharat; Tyrique Patterson; Jing Mao; Carlos Felipe Rivera-Cepeda; Daniel M Bagner; Antonio Y Hardan; Eduardo L Bunge; Ivan Steenstra; Karin Mostovoy; Blanca S Pineda; Arjun Bharat; Tyrique Patterson; Jing Mao; Carlos Felipe Rivera-Cepeda; Daniel M Bagner; Antonio Y Hardan; Eduardo L Bunge; Ivan Steenstra

doi:10.2196/100302

Parenting Journal · Volume 3 · Issue 1 · Licensed source edition

Engagement, Satisfaction, and Therapeutic Alliance With an AI Conversational Agent for Parents: Quantitative Descriptive Study

Karin Mostovoy; Blanca S Pineda; Arjun Bharat; Tyrique Patterson; Jing Mao; Carlos Felipe Rivera-Cepeda; Daniel M Bagner; Antonio Y Hardan; Eduardo L Bunge; Ivan Steenstra

Originally published 2026-08-19 · JMIR Formative Research
JMIR Publications Inc. · DOI 10.2196/100302 ↗

CollaborationQuantitative descriptive secondary analysis of real-world hybrid programCC BY 4.0

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AI / system type

Generative AI conversational agent; RAG/human-supervised hybrid PMT

Direct parenting evidence

Directly addresses parents or caregiving, including parent studies, syntheses and audits of parenting advice.

The AI connection

Pat provides context-aware parenting support; related program report describes retrieval-augmented generation and human supervision.

Why this reading matters

Reports repeated engagement, satisfaction and alliance measures during actual program use.

Editorial reading guide · Collaboration

How can a chatbot reinforce our work with a parenting professional between sessions?

Maps to Collaboration through between-session AI support within a human-led parenting program.

Study context

88 caregivers in therapist-led PMT in Argentina and Paraguay

Age / stage: Children 3–14 years; adult caregivers

Read with three questions

What did message counts and module completion measure?
How was alliance with Pat measured separately from child outcomes?
Why can ratings not isolate Pat from therapist-led support?

Keep the limits in view

No control group or objective child/family outcomes; self-selected, highly educated sample. Same implementation dataset as PMC13100577, not an independent replication.

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Original authorship, publication date, journal and DOI are preserved. This issue’s TRICK placement and reading questions are editorial additions, not claims made by the original authors.

CC BY 4.0 · License notice ↗Original repository record ↗

Karin Mostovoy; Blanca S Pineda; Arjun Bharat; Tyrique Patterson; Jing Mao; Carlos Felipe Rivera-Cepeda; Daniel M Bagner; Antonio Y Hardan; Eduardo L Bunge; Ivan Steenstra (2026). Engagement, Satisfaction, and Therapeutic Alliance With an AI Conversational Agent for Parents: Quantitative Descriptive Study JMIR Formative Research. https://doi.org/10.2196/100302

Permissions checked against the saved article notice; repository publication notices screened 2026-11-04. This is not a new peer-review decision. The source authors and publishers are not represented as endorsing this issue.