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NURTURE: development and pilot testing of a novel parenting intervention for mothers with histories of an eating disorder.
Int J Eat Disord. 2014 Jan; 47(1):1-12.IJ

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 with NURTURE 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.

Authors+Show Affiliations

Department of Psychiatry, University of North Carolina, Chapel Hill, North Carolina.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

23983082

Citation

Runfola, Cristin D., et al. "NURTURE: Development and Pilot Testing of a Novel Parenting Intervention for Mothers With Histories of an Eating Disorder." The International Journal of Eating Disorders, vol. 47, no. 1, 2014, pp. 1-12.
Runfola CD, Zucker NL, Von Holle A, et al. NURTURE: development and pilot testing of a novel parenting intervention for mothers with histories of an eating disorder. Int J Eat Disord. 2014;47(1):1-12.
Runfola, C. D., Zucker, N. L., Von Holle, A., Mazzeo, S., Hodges, E. A., Perrin, E. M., Bentley, M. E., Ulman, T. F., Hoffman, E. R., Forsberg, S., Algars, M., Zerwas, S., Pisetsky, E. M., Taico, C., Kuhns, R. A., Hamer, R. M., & Bulik, C. M. (2014). NURTURE: development and pilot testing of a novel parenting intervention for mothers with histories of an eating disorder. The International Journal of Eating Disorders, 47(1), 1-12. https://doi.org/10.1002/eat.22178
Runfola CD, et al. NURTURE: Development and Pilot Testing of a Novel Parenting Intervention for Mothers With Histories of an Eating Disorder. Int J Eat Disord. 2014;47(1):1-12. PubMed PMID: 23983082.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - NURTURE: development and pilot testing of a novel parenting intervention for mothers with histories of an eating disorder. AU - Runfola,Cristin D, AU - Zucker,Nancy L, AU - Von Holle,Ann, AU - Mazzeo,Suzanne, AU - Hodges,Eric A, AU - Perrin,Eliana M, AU - Bentley,Margaret E, AU - Ulman,T Frances, AU - Hoffman,Elizabeth R, AU - Forsberg,Sarah, AU - Algars,Monica, AU - Zerwas,Stephanie, AU - Pisetsky,Emily M, AU - Taico,Colie, AU - Kuhns,Rebecca A, AU - Hamer,Robert M, AU - Bulik,Cynthia M, Y1 - 2013/08/28/ PY - 2013/07/20/revised PY - 2013/07/20/accepted PY - 2013/8/29/entrez PY - 2013/8/29/pubmed PY - 2014/4/24/medline KW - anorexia KW - bulimia KW - eating disorder KW - mother KW - parenting intervention SP - 1 EP - 12 JF - The International journal of eating disorders JO - Int J Eat Disord VL - 47 IS - 1 N2 - 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 with NURTURE 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. SN - 1098-108X UR - https://www.unboundmedicine.com/medline/citation/23983082/NURTURE:_development_and_pilot_testing_of_a_novel_parenting_intervention_for_mothers_with_histories_of_an_eating_disorder_ L2 - https://doi.org/10.1002/eat.22178 DB - PRIME DP - Unbound Medicine ER -