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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | a single 2-hour, remote delivered interactive group parenting session |
|
| Wait-list control | No Intervention | wait-list control group will receive the same intervention after data collection ends |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Parent Group Discussion | Behavioral | A 2-hour interactive parent group delivered to 5-10 parents via zoom; discuss weight bias and discrimination; brainstorm ways to respond in parent-child interactions involving health and appearance; and identify action steps. |
| Measure | Description | Time Frame |
|---|---|---|
| Parent/caregiver disordered eating symptoms | Disordered eating will be measured using the 36-item Eating Disorder Examination Questionnaire (EDE-Q) | baseline to 1-month |
| Parent-child feeding practices | 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). | baseline to 1-month |
| Parent/caregiver weight bias internalization | 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). | baseline to 1-month |
| Exercise avoidance | 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). | baseline to 1-month |
| Parent/caregiver self-compassion | 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. | baseline and 1-month |
| Parent/child body ideal internalization |
| Measure | Description | Time Frame |
|---|---|---|
| child disordered eating symptoms | Disordered eating will be measured using the 36-item Eating Disorder Examination Questionnaire (EDE-Q). | baseline to 1-month |
| Parent-child relationship (child report) |
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Inclusion criteria for parent/caregiver:
Inclusion criteria for the child:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Oregon | Eugene | Oregon | 97405 | United States |
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| ID | Term |
|---|---|
| D000098322 | Disordered Eating Behavior |
| D003863 | Depression |
| D005247 | Feeding Behavior |
| ID | Term |
|---|---|
| D001519 | Behavior |
| D001068 | Feeding and Eating Disorders |
| D001523 | Mental Disorders |
| D001526 | Behavioral Symptoms |
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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). |
| baseline and 1-month |
| Parent/caregiver stress | 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). | baseline and 1-month |
| Parent/caregiver fat talk | 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). | baseline and 1-month |
| Parent/caregiver anti-fat attitudes | 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). | baseline and 1-month |
Child perceived quality of relationship with parent will be measured using the 8-item Parent-Adolescent Relationship Scale. Three items on the measure are rated on a 5-point scale from 0 (strongly disagree) to 4 (strongly agree) while the other 5 items on the measure are rated on a 5-pooint scale from 0 (never) to 4 (always). This measure has been validated in an adolescent sample.
| baseline to 1-month |
| child anti-fat bias | 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). This measure has been validated in an adolescent sample. | baseline to 1-month |
| Child exercise avoidance | 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). | baseline to 1-month |
| fat talk (child report of parent/caregiver) | Frequency of fat talk will be measured using the 14-item Fat Talk Questionnaire. Responses on the measure are rated on a 5-point scale from 1 (never) to 5 (always). Our team will make revisions to the language in the scale to replace gendered language with gender neutral language. This measure has been validated in adolescents 12 and up. | baseline and 1-month |
| child weight bias internalization | 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). The measure has been validated in an adolescent sample. | baseline and 1-month |
| child body ideals internalizations | 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). This measure has been validated in an adolescent sample. | baseline and 1-month |
| child self-compassion | Self-compassion will be assessed using the 17-item Self-Compassion Scale Youth Version (SCS-Youth). 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-Youth has been validated in an adolescent sample. | baseline and 1-month |
| D001522 |
| Behavior, Animal |