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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
DOUBLE
Enrollment
115
A mix of mindfulness-based stress reduction, mindful eating, and mindful parenting strategies.
Consists of strategies meant to enhance health and well-being (e.g., health education, strategies to get more physical activity) but does not include mindfulness as an active ingredient.
American University
Washington D.C., District of Columbia, United States
Participant Satisfaction with Intervention Assessed by the Client Satisfaction Questionnaire
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.
Time frame: Immediately after the intervention
Participant Retention
Research staff will take attendance during each intervention session.
Time frame: At the beginning of each of the 6 weekly intervention sessions
Change in the Five Facet Mindfulness Questionnaire
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.
Time frame: Participants will complete this at three timepoints: baseline, immediately after the intervention, and 10-months from baseline
Change in the Perceived Stress Scale
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.
Time frame: Participants will complete this at three timepoints: baseline, immediately after the intervention, and 10-months from baseline
Change in the Child Feeding Questionnaire
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.
Time frame: Participants will complete this at three timepoints: baseline, immediately after the intervention, and 10-months from baseline
Change in the Frequency of Family Eating and Exercise Behaviors Questionnaire
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.
Time frame: Participants will complete this at three timepoints: baseline, immediately after the intervention, and 10-months from baseline
Change in height in meters
Height will be measured to the nearest 0.1cm using a precision stadiometer.
Time frame: Participants will complete this at three timepoints: baseline, immediately after the intervention, and 10-months from baseline
Change in weight in kilograms
Weight will be measured to the nearest 0.1kg using a digital scale.
Time frame: Participants will complete this at three timepoints: baseline, immediately after the intervention, and 10-months from baseline
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