This clinical trial is evaluating the effects of a 2-hour, small group discussion with parents and caregivers of adolescents in Oregon. We 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. We will also evaluate whether the children of these parents/caregivers experience improvements in their disordered eating and mood symptoms.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
240
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.
University of Oregon
Eugene, Oregon, United States
RECRUITINGParent/caregiver disordered eating symptoms
Disordered eating will be measured using the 36-item Eating Disorder Examination Questionnaire (EDE-Q)
Time frame: 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).
Time frame: 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).
Time frame: 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).
Time frame: 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.
Time frame: baseline and 1-month
Parent/child body ideal internalization
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).
Time frame: 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).
Time frame: 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).
Time frame: 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).
Time frame: baseline and 1-month
child disordered eating symptoms
Disordered eating will be measured using the 36-item Eating Disorder Examination Questionnaire (EDE-Q).
Time frame: baseline to 1-month
Parent-child relationship (child report)
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.
Time frame: 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.
Time frame: 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).
Time frame: 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.
Time frame: 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.
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Time frame: 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.
Time frame: 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.
Time frame: baseline and 1-month