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

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

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	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 Algars, Monica Zerwas, Stephanie Pisetsky, Emily M. Taico, Colie Kuhns, Rebecca A. Hamer, Robert M. Bulik, Cynthia M.
Spatial Coverage	North Carolina
Description	Author Affiliation: Runfola CD ( Department of Psychiatry, University of North Carolina, Chapel Hill, North Carolina.)
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.
File Format	HTM / HTML
ISSN	02763478
e-ISSN	1098108X
DOI	10.1002/eat.22178
Journal	International Journal of Eating Disorders
Issue Number	1
Volume Number	47
Language	English
Publisher	Wiley
Publisher Date	2014-01-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Behavioral Sciences Feeding Behavior Psychology Eating Disorders Maternal Behavior Parenting Adolescent Anxiety Epidemiology Prevention & Control Child, Preschool Depression Feasibility Studies Feedback, Psychological Infant Infant, Newborn Mother-child Relations Statistics & Numerical Data North Carolina Pilot Projects Self Efficacy Self-help Groups Questionnaires Research Support, N.i.h., Extramural
Content Type	Text
Resource Type	Article
Subject	Psychiatry and Mental Health

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