Conversations With Caregivers About Health and Appearance
Trial Snapshot
- Phase
- Not Applicable
- Status
- Active, not recruiting
- Sponsor
- University of Oregon
- Enrollment
- 112
- Locations
- 1
- Primary Endpoint
- Parent/caregiver disordered eating symptoms
Study Overview
Brief Summary
This clinical trial is evaluating the effects of a 2-hour, small group discussion with parents and caregivers of adolescents in Oregon. The investigators will evaluate whether parents'/caregivers' experience reductions in their disordered eating symptoms, mood symptoms, and parent-child relationship quality, relative to parent/caregiver participants in the wait list control. The investigators will also evaluate whether the children of these parents/caregivers experience improvements in their disordered eating and mood symptoms.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 12 Years to — (Child, Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •for parent/caregiver:
- •at least 18 years old
- •the primary caregiver of at least one child 12-17 years old who lives with them at least 50% of the time
- •living in the state of Oregon
- •can read and understand English at the 6th grade level or higher
- •access to internet and private space for zoom
- •Inclusion criteria for the child:
- •12-17 years of age
- •can read and understand English at the 6th grade level or higher
Exclusion Criteria
- Not provided
Arms & Interventions
Wait-list control
wait-list control group will receive the same intervention after data collection ends
Intervention
a single 2-hour, remote delivered interactive group parenting session
Intervention: Parent Group Discussion (Behavioral)
Outcomes
Primary Outcomes
Parent/caregiver disordered eating symptoms
Time Frame: baseline to 1-month
Disordered eating will be measured using the 36-item Eating Disorder Examination Questionnaire (EDE-Q)
Parent-child feeding practices
Time Frame: baseline to 1-month
Child feeding practices will be assessed using the modified Comprehensive Feeding Practices Questionnaire (CFPQ). The monitoring, restriction for weight, restriction for health, environment, modeling, and teaching about nutrition subscales (27-items) will be used. 4 responses on the measure are rated on a 5-point scale from 1 (never) to 5 (always), while the rest are rated on a 5-point scale from 1 (disagree) to 5 (agree).
Parent/caregiver weight bias internalization
Time Frame: baseline to 1-month
Weight bias internalization will be measured using the modified 10-item Weight Bias Internalization Scale (WBIS-M). Responses on the measure are rated on a 7-point scale from 1 (strongly disagree) to 7 (strongly agree).
Exercise avoidance
Time Frame: baseline to 1-month
Exercise avoidance will be assessed using 2-items used in previous research (More et al., 2019). Responses on the measure are rated on a 7-point scale from 1 (not at all true) to 7 (completely true).
Parent/caregiver self-compassion
Time Frame: baseline and 1-month
Self-compassion will be assessed using the 12-item Self-Compassion Scale-Short Form (SCS-SF). Responses on the measure are rated on a 5-point scale from 1 (almost never) to 5 (almost always). Higher summed scores indicate greater self-compassion. The SCS-SF has near perfect correlation with the original 26-item Self-Compassion Scale.
Parent/child body ideal internalization
Time Frame: baseline and 1-month
Sociocultural attitudes towards appearance, including thin-ideal internalization, muscular-ideal internalization, and appearance-related pressures will be measured using three subscales from the Sociocultural Attitudes Towards Appearance Questionnaire Revised-3 (SATAQ-R). The Internalization-TV/Mag, Internalization-Athlete, and Internalization-Comparison subscales (13-items) subscales will be used. Responses on the measures are rated on a 5-point scale from 1 (definitely disagree) to 5 (definitely agree).
Parent/caregiver stress
Time Frame: baseline and 1-month
Parental stress will be measured using the 18-item Parental Stress Scale (PSS). Responses on the measure are rated on a 5-point scale from 1 (strongly disagree) to 5 (strongly agree).
Parent/caregiver fat talk
Time Frame: baseline and 1-month
Frequency of fat talk will be assessed using the 16-item Family Fat Talk Questionnaire. Responses on the measure are rated on a 5-point scale from 1 (never) to 5 (always).
Parent/caregiver anti-fat attitudes
Time Frame: baseline and 1-month
Anti-Fat attitude will be assessed using 3-items from the Willpower subscale of the Anti-Fat Attitudes Questionnaire (AFA). Responses on the measure are rated on a 9-point scale from 0 (very strongly disagree) to 9 (very strongly agree).
Secondary Outcomes
- Parent-child relationship (child report)(baseline to 1-month)
- child anti-fat bias(baseline to 1-month)
- Child exercise avoidance(baseline to 1-month)
- child disordered eating symptoms(baseline to 1-month)
- fat talk (child report of parent/caregiver)(baseline and 1-month)
- child weight bias internalization(baseline and 1-month)
- child body ideals internalizations(baseline and 1-month)
- child self-compassion(baseline and 1-month)