Supported by the 1R34-MH080750-01, F30-MH087998, T32-MH076694, R01-MH078211, and K23-MH070418 from NIH; supported by UL1RR025747 from CTSA; supported by K12-HD01441 from NIH Building Interdisciplinary Careers in Women's Health award.
NURTURE: Development and pilot testing of a novel parenting intervention for mothers with histories of an eating disorder
Article first published online: 28 AUG 2013
Copyright © 2013 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 47, Issue 1, pages 1–12, January 2014
How to Cite
Runfola, C. D., Zucker, N. L., Holle, A. V., Mazzeo, S., Hodges, E. A., Perrin, E. M., Bentley, M. E., Ulman, T. F., Hoffman, E. R., Forsberg, S., Ålgars, M., Zerwas, S., Pisetsky, E. M., Taico, C., Kuhns, R. A., Hamer, R. M. and Bulik, C. M. (2014), NURTURE: Development and pilot testing of a novel parenting intervention for mothers with histories of an eating disorder. Int. J. Eat. Disord., 47: 1–12. doi: 10.1002/eat.22178
- Issue published online: 10 DEC 2013
- Article first published online: 28 AUG 2013
- Manuscript Revised: 20 JUL 2013
- Manuscript Accepted: 20 JUL 2013
- eating disorder;
- parenting intervention
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.
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.
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.
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. © 2013 Wiley Periodicals, Inc. (Int J Eat Disord 2014; 47:1–12)