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Studies in pediatric primary care suggest that interactions between parents and providers may have therapeutic impact on children's mental health problems. Methods to measure interactions specific to mental health outcomes have been developed in psychotherapy but are only beginning to be applied in primary care. We tested an adaptation of the Vanderbilt Therapeutic Alliance Scale (VTAS) for rating parent-provider interactions in pediatric primary care.

Therapeutic Alliance in Pediatric Primary Care: Preliminary Evidence for a Relationship With Physician Communication Style and Mothers' Satisfaction