NURTURE: development and pilot testing of a novel parenting intervention for mothers with histories of an eating disorder

Runfola Cristin D, Zucker Nancy L, Von Holle Ann, Mazzeo Suzanne, Hodges Eric A, Perrin Eliana M, Bentley Margaret E, Ulman T Frances, Hoffman Elizabeth R, Forsberg Sarah, Monica Ålgars, Zerwas Stephanie, Pisetsky Emily M, Taico Colie, Kuhns Rebecca A, Hamer Robert M, Bulik Cynthia M

    Research output: Contribution to journalArticleScientificpeer-review

    11 Citations (Scopus)

    Abstract

    OBJECTIVE:

    To describe the treatment development and pilot testing of a group parenting intervention, NURTURE (Networking, Uniting, and Reaching out To Upgrade Relationships and Eating), for mothers with histories of eating disorders.

    METHOD:

    Based on focus group findings, extant research, and expert opinion, NURTURE was designed to be delivered weekly over 16 (1.5 h) sessions via an interactive web conferencing forum. It comprises four modules: (1) laying the foundation, (2) general parenting skills, (3) eating and feeding, and (4) breaking the cycle of risk. Pilot testing was conducted with three groups of 3-6 mothers (N = 13) who had children ages 0-3 years to determine feasibility (e.g., retention), acceptability (e.g., feedback questionnaire responses), and preliminary efficacy. Maternal satisfaction withNURTURE and changes in mother-child feeding relationship measures, maternal feeding style, maternal self-efficacy, and maternal psychopathology (eating disorder, depression, and anxiety symptoms) across three time points (baseline, post-treatment, 6-month follow-up) were examined. All outcomes were exploratory.

    RESULTS:

    The intervention was well tolerated with a 100% retention rate. Feedback from mothers was generally positive and indicated that the groups provided an engaging, supportive experience to participants. We observed changes suggestive of improvement in self-reported maternal self-efficacy and competence with parenting. There were no notable changes in measures of maternal feeding style or psychopathology.

    DISCUSSION:

    NURTURE is a feasible, acceptable, and potentially valuable intervention for mothers with eating disorder histories. Results of this pilot will inform a larger randomized-controlled intervention to determine efficacy and impact on child outcomes.

    Original languageUndefined/Unknown
    Pages (from-to)1–12
    JournalInternational Journal of Eating Disorders
    Volume47
    Issue number1
    DOIs
    Publication statusPublished - 2014
    MoE publication typeA1 Journal article-refereed

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