Parent Group Discussion for Parent-Child Relationship

Age: Any Age

Sex: Any

Trial Phase: Academic

Sponsor: University of Oregon

Disqualifiers: Living outside Oregon, Non-English speakers, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 1

240 Participants Needed

Trial Summary

Do I need to stop my current medications to join the trial?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the treatment Conversations With Caregivers About Health and Appearance?

Research suggests that open communication between parents and adolescents about appearance-related topics can help parents stay informed about their child's emotional and social adjustment to visible differences. Additionally, online platforms have been highlighted as valuable tools to increase accessibility to specialist appearance-related care, which can support effective communication and intervention. ^{1 2 3 4 5}

How is the treatment 'Conversations With Caregivers About Health and Appearance' different from other treatments for improving parent-child relationships?

This treatment is unique because it focuses on enhancing parent-child communication about health and appearance, aiming to foster supportive discussions that can improve children's health and wellbeing. Unlike other treatments, it emphasizes warmth, openness, and allowing children choice, which are associated with positive outcomes. ^{5 6 7 8 9}

What is the purpose of this trial?

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.

Eligibility Criteria

This trial is for parents and caregivers of adolescents in Oregon who may be experiencing symptoms related to disordered eating, mood issues like depression, or challenges in the parent-child relationship. Specific eligibility details are not provided.

Inclusion Criteria

Parent/caregiver must be living in the state of Oregon

Parent/caregiver must be able to read and understand English at the 6th grade level or higher

Parent/caregiver must have access to internet and private space for zoom

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

A single 2-hour, remote delivered interactive group parenting session

1 day

1 visit (virtual)

Wait-list Control

Participants in the wait-list control group will receive the same intervention after data collection ends

1 month

Follow-up

Participants are monitored for changes in disordered eating symptoms, mood symptoms, and parent-child relationship quality

1 month

Treatment Details

Interventions

• Conversations With Caregivers About Health and Appearance

Trial Overview The study is testing if a 2-hour group discussion with other parents and caregivers can help reduce their own disordered eating and mood symptoms, as well as improve the quality of their relationship with their child.

Participant Groups

Group I: Intervention Experimental Treatment 1 Intervention

a single 2-hour, remote delivered interactive group parenting session

Group II: Wait-list control Active Control 1 Intervention

wait-list control group will receive the same intervention after data collection ends

Who Is Running the Clinical Trial?

University of Oregon

Lead Sponsor

Trials

91

Recruited

46,700+

Findings from Research

Parents of adolescents with visible differences often choose specific settings to discuss appearance issues, typically when their child shows emotional distress or needs support.

Open communication about appearance can help parents understand their adolescent's feelings and improve their psychosocial adjustment, highlighting the need for resources to support these conversations.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

"It's tough because I see that it's upsetting her…": A qualitative exploration of parents' perceptions of talking with their adolescents about having a visible difference. Zelihić, D., Williamson, H., Kling, J., et al.[2021]

Parents of children with cancer have evolving information needs throughout their child's illness, with 100% of parents discussing their child's disease and treatment, and 100% also addressing their own emotional management.

Fathers were more likely to raise concerns about the child's emotional management and treatment consequences compared to mothers, highlighting the importance of tailoring information to meet the specific needs of each parent.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

What Was on the Parents' Minds? Changes Over Time in Topics of Person-Centred Information for Mothers and Fathers of Children with Cancer. Ringnér, A., Björk, M., Olsson, C.[2023]

Health professionals in pediatric settings recognize the need for better psychosocial support for children with visible differences, highlighting a gap in current care practices.

Online platforms could enhance access to specialist support for appearance-related concerns, suggesting a shift towards integrating more comprehensive psychosocial resources in routine healthcare.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Opening a Pandora's Box that can't be salvaged: Health professionals' perceptions of appearance-related care in an Australian pediatric specialist hospital. Gee, C., Maskell, J., Newcombe, P., et al.[2020]

Parents play a crucial role in managing their child's chronic health condition, often being the primary caregivers present at medical appointments and procedures throughout childhood and adolescence.

Through interviews with 35 parents, the study revealed that parents actively strategize their communication about their child's health, which significantly impacts family adaptation and adjustment to the child's condition.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

"I Will Communicate With You, But Let Me Be In Control": Understanding How Parents Manage Private Information About Their Chronically Ill Children. Rafferty, KA., Hutton, K., Heller, S.[2020]

A qualitative study involving 12 parents and 15 public health practitioners found that new guidance on discussing weight with children was perceived as acceptable, relevant, and helpful, potentially reducing stigma and blame associated with the topic.

The guidance provided reassurance and increased confidence among parents by offering practical tips and case studies, although suggestions for improvement included tailoring the advice for lower-income families and differentiating guidance for parents of younger versus older children.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The acceptability of evidence-informed guidance for parents in talking to their children about weight. Baber, F., Gillison, FB., Grey, EB.[2023]

The study involved nine focus groups with a total of 61 participants, including adolescents and their parents, revealing three main approaches to discussing weight: indirect/cautious, direct/open, and never/rarely discussing weight.

Both adolescents and parents preferred indirect approaches to discussing weight, focusing on behaviors rather than direct conversations about weight, indicating a need for sensitive communication strategies in weight management interventions.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Adolescent-parent interactions and communication preferences regarding body weight and weight management: a qualitative study. Shrewsbury, VA., King, LA., Hattersley, LA., et al.[2018]

Positive parent-child communication about health, characterized by warmth and openness, is linked to better health outcomes for children, while negative communication can lead to poorer outcomes.

Interventions aimed at improving parent-child health discussions, such as media campaigns and supportive strategies, show mixed results, but single directive messages can effectively increase communication frequency.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

A systematic review of the evidence on the effect of parental communication about health and health behaviours on children's health and wellbeing. Grey, EB., Atkinson, L., Chater, A., et al.[2022]

Frequent comments from mothers about their daughters' weight are linked to higher levels of depression, extreme weight control behaviors, and binge eating among adolescent girls, based on a study of 218 mother-daughter pairs.

Mothers discussing their own weight negatively impacts their daughters' self-worth and increases depressive symptoms, suggesting that reducing weight-related conversations could promote healthier behaviors and mental health in adolescent girls.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Mother-reported parental weight talk and adolescent girls' emotional health, weight control attempts, and disordered eating behaviors. Bauer, KW., Bucchianeri, MM., Neumark-Sztainer, D.[2021]

In a study of 223 children aged 2 to 17, many parents (70%) recognized their child's overweight status through visual sketches rather than verbal acknowledgment, indicating a gap in awareness about their child's weight.

Parents of older children (aged 6 and above) were more likely to identify their child as overweight and express concern, especially if they perceived their child as less active or recalled a doctor's concern, highlighting the importance of medical guidance in parental awareness.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Parents' perceptions of their child's weight and health. Eckstein, KC., Mikhail, LM., Ariza, AJ., et al.[2022]

References

1. Netherlands pubmed.ncbi.nlm.nih.gov

"It's tough because I see that it's upsetting her…": A qualitative exploration of parents' perceptions of talking with their adolescents about having a visible difference. [2021]

2. England pubmed.ncbi.nlm.nih.gov

What Was on the Parents' Minds? Changes Over Time in Topics of Person-Centred Information for Mothers and Fathers of Children with Cancer. [2023]

3. Netherlands pubmed.ncbi.nlm.nih.gov

Opening a Pandora's Box that can't be salvaged: Health professionals' perceptions of appearance-related care in an Australian pediatric specialist hospital. [2020]

4. England pubmed.ncbi.nlm.nih.gov

"I Will Communicate With You, But Let Me Be In Control": Understanding How Parents Manage Private Information About Their Chronically Ill Children. [2020]

5. England pubmed.ncbi.nlm.nih.gov

The acceptability of evidence-informed guidance for parents in talking to their children about weight. [2023]

6. England pubmed.ncbi.nlm.nih.gov

Adolescent-parent interactions and communication preferences regarding body weight and weight management: a qualitative study. [2018]

7. United States pubmed.ncbi.nlm.nih.gov

A systematic review of the evidence on the effect of parental communication about health and health behaviours on children's health and wellbeing. [2022]

8. England pubmed.ncbi.nlm.nih.gov

Mother-reported parental weight talk and adolescent girls' emotional health, weight control attempts, and disordered eating behaviors. [2021]

9. United States pubmed.ncbi.nlm.nih.gov

Parents' perceptions of their child's weight and health. [2022]