Nurture: A Program for Mothers With Histories of Disordered Eating

Study Overview
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Brief Summary
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Nurture is a collaborative pilot study for mothers of children under the age of 3 who have suffered from disordered eating in the past. It is coordinated by the University of North Carolina at Chapel Hill, Duke University and Virginia Commonwealth University and sponsored by the National Institute of Mental Health. Nurture hopes to promote confident parenting and a positive meal times.

Detailed Description
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Mothers who have struggled with disordered eating or body image struggles are often concerned how best to provide proper nutrition to their child and/or model healthy eating behavior. We have developed a curriculum that provides information about how to establish healthy eating patterns and social support for mothers with children under three years of age. The curriculum will be delivered in a support group format led by co-therapists affiliated with the UNC Eating Disorder Program.

Official Title
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Breaking the Cycle of Risk: Intervention for Mothers With Eating Disorders

Conditions
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Eating Disorders

Intervention / Treatment
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* Behavioral: Nurture Support Group Therapy
* Behavioral: Group therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Has met lifetime DSM-IV criteria for anorexia nervosa (AN), bulimia nervosa (BN), or eating disorder not otherwise specified (EDNOS: including subthreshold AN, BN, and purging disorder, but excluding BED) BMI > 18.5 maintained for at least three months Has not met threshold criteria for AN or BN in the previous 28 days according to the Eating Disorders Examination, although subthreshold status or active residual symptomatology will not preclude entry Age 18 or older Has a child between the ages of 1 month and 2 years, 12 months old Exclusion Criteria: Alcohol or drug dependence in the past year Current significant suicidal ideation reported during the assessment or on the BDI-II at baseline Developmental disability that would impair the ability of the participant to benefit from the intervention Psychosis, including schizophrenia, or bipolar I disorder Any families who have been the subject of social service inquiries

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Immediate<br>This group will receive the nurture group therapy immediately after enrolling in the study. | Behavioral: Nurture Support Group Therapy<br>* Participants will be randomly assigned (like the flip of a coin) to either receive the curriculum immediately (immediate group) or at a later time point approximately 16 weeks later (delayed group). Both groups will receive 16, 90 minute long group sessions delivered over 4 months. Groups will include 4-8 mothers and one or two co-therapists.<br>* Other names: Parenting group;Behavioral: Group therapy<br>* Participants will be randomly assigned (like the flip of a coin) to either receive the curriculum immediately (immediate group) or at a later time point approximately 16 weeks later (delayed group). Both groups will receive 16, 90 minute long group sessions delivered over 4 months. Groups will include 4-8 mothers and one or two co-therapists. The curriculum will focus on increasing positive healthy eating patterns in children of mothers who have had disordered eating and body image struggles.<br>* Other names: Parenting groups;|
| Active Comparator: Delayed<br>This group will receive the nurture group therapy 16 weeks after enrolling in the study. | Behavioral: Nurture Support Group Therapy<br>* Participants will be randomly assigned (like the flip of a coin) to either receive the curriculum immediately (immediate group) or at a later time point approximately 16 weeks later (delayed group). Both groups will receive 16, 90 minute long group sessions delivered over 4 months. Groups will include 4-8 mothers and one or two co-therapists.<br>* Other names: Parenting group;Behavioral: Group therapy<br>* Participants will be randomly assigned (like the flip of a coin) to either receive the curriculum immediately (immediate group) or at a later time point approximately 16 weeks later (delayed group). Both groups will receive 16, 90 minute long group sessions delivered over 4 months. Groups will include 4-8 mothers and one or two co-therapists. The curriculum will focus on increasing positive healthy eating patterns in children of mothers who have had disordered eating and body image struggles.<br>* Other names: Parenting groups;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Parenting self-efficacy |  | 7 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Disordered Eating, Parenting, Mothers