MedPath

Reducing Maternal Stress to Improve Obesity-related Parenting Practices

Not Applicable
Active, not recruiting
Conditions
Obesity, Childhood
Interventions
Behavioral: Enhanced Usual Care
Behavioral: CCC
Registration Number
NCT05032430
Lead Sponsor
American University
Brief Summary

Maternal stress is associated with children's risk for obesity controlling for socioeconomic status. The association between maternal stress and child obesity is particularly strong in Latinx families, whose children also have the highest rates of obesity in the United States. A mindful parenting program might reduce Latina mothers' psychological stress and lead to improved parenting practices and ability to create a healthier environment. The primary objective of the proposed research is to evaluate the feasibility and acceptability of a culturally-relevant intervention that integrates mindfulness-based stress reduction and mindful parenting in Latina mothers. The investigators will conduct a randomized clinical trial comparing the Calma, Conversa, y Cría (CCC) intervention to an active control condition in 50 Latina mothers of elementary-school age children. Participant satisfaction rates and qualitative interviews will provide evidence of the program's acceptability. Feasibility will be determined by examining recruitment rates, retention rates, and treatment fidelity. Completion of this project will inform the development of a full-scale efficacy trial.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
Female
Target Recruitment
115
Inclusion Criteria
  • over the age of 18 years
  • identify as female
  • identify as Hispanic or Latina
  • have a child between the ages of 3 and 11 years who primarily resides with them
  • able to understand basic instructions in either Spanish or English
Exclusion Criteria
  • pregnant or planning on becoming pregnant in the near future
  • actively dependent on a substance
  • have untreated psychosis, PTSD, or social anxiety that would impair their ability to function in a group setting
  • child has an obesity-associated genetic syndrome
  • child has a pervasive developmental disorder

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Enhanced Usual CareEnhanced Usual CareComparator group designed to influence health and well-being that does not include mindfulness as an active ingredient.
Calma, Conversa, y Cría (CCC)CCCMindfulness-based parental stress reduction intervention
Primary Outcome Measures
NameTimeMethod
Participant Satisfaction with Intervention Assessed by the Client Satisfaction QuestionnaireImmediately after the intervention

Parents will be asked to complete a brief, 8-item, widely used measure of satisfaction with health-related services, available in Spanish and English. Scores range from 8 to 32, with higher values indicating higher satisfaction.

Participant RetentionAt the beginning of each of the 6 weekly intervention sessions

Research staff will take attendance during each intervention session.

Secondary Outcome Measures
NameTimeMethod
Change in the Child Feeding QuestionnaireParticipants will complete this at three timepoints: baseline, immediately after the intervention, and 10-months from baseline

The Child Feeding Questionnaire is a 31-item self-report questionnaire that assesses parents' beliefs, attitudes, and approaches toward feeding their children. Scores range from 31 to 155 with higher scores representing greater use of controlling feeding practices.

Change in height in metersParticipants will complete this at three timepoints: baseline, immediately after the intervention, and 10-months from baseline

Height will be measured to the nearest 0.1cm using a precision stadiometer.

Change in the Frequency of Family Eating and Exercise Behaviors QuestionnaireParticipants will complete this at three timepoints: baseline, immediately after the intervention, and 10-months from baseline

28 items used in previous work by Neumark-Sztainer et al. will be used to assess eating and weight-related habits of families. Items assess: frequency of family meals, fast food consumption, and watching TV during meals; availability of fruits and vegetables and sugar sweetened beverages; and parents' encouragement of healthy food consumption and physical activity.

Change in the Perceived Stress ScaleParticipants will complete this at three timepoints: baseline, immediately after the intervention, and 10-months from baseline

The Perceived Stress Scale is a 10-item, widely used self-report measure of perceptions of psychological stress. Scores range from 0 to 40 with higher scores indicating greater perceived stress.

Change in weight in kilogramsParticipants will complete this at three timepoints: baseline, immediately after the intervention, and 10-months from baseline

Weight will be measured to the nearest 0.1kg using a digital scale.

Change in the Five Facet Mindfulness QuestionnaireParticipants will complete this at three timepoints: baseline, immediately after the intervention, and 10-months from baseline

The Five Facet Mindfulness Questionnaire (Spanish version) is a 39-item self-report measure of five facets of mindfulness: observing, describing, acting with awareness, non-judgment, and non-reactivity. Scores range from 39 to 190 with higher scores suggesting greater mindfulness.

Trial Locations

Locations (1)

American University

🇺🇸

Washington, District of Columbia, United States

© Copyright 2025. All Rights Reserved by MedPath