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Parent–Child Interaction Therapy Supports Healthy Eating Behavior in Child Welfare-Involved Children

Author

Listed:
  • Emma R. Lyons

    (Pediatric Mental Health Institute, Children’s Hospital Colorado, Aurora, CO 80045, USA)

  • Akhila K. Nekkanti

    (Center for Innovation and Research on Choice-Filled Lives, Choice-Filled Lives, Inc., Atlanta, GA 30305, USA)

  • Beverly W. Funderburk

    (Department of Developmental and Behavioral Pediatrics, Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA)

  • Elizabeth A. Skowron

    (Department of Psychology, University of Oregon, Eugene, OR 97403, USA)

Abstract

Objective: We tested the efficacy of standard Parent–Child Interaction Therapy (PCIT), a live-coached, behavioral parent-training program, for modifying problematic eating behaviors in a larger effectiveness trial of PCIT for children involved in the child welfare system. Method: Children ages 3–7 years and their parents were randomly assigned to PCIT intervention ( n = 120) or services as the usual control (SAU; n = 84) groups in a randomized clinical trial. Children’s eating behaviors were assessed pre- and post-intervention via the Child Eating Behaviors Questionnaire (CEBQ). Intention-to-treat analyses were conducted, followed by per-protocol analyses, on treatment-engaging families only. Results: PCIT led to reductions in child welfare-involved children’s food responsiveness, speed of food consumption, and tendency to engage in emotional overeating relative to children in the services-as-usual control condition. Standard PCIT may be an effective intervention to promote healthy child eating behaviors in families involved with child welfare, even when food-related behaviors are not directly targeted by the intervention. Public Health Significance: This clinical trial provides evidence that child welfare-involved children who received PCIT experienced significant reductions in maladaptive eating-related behaviors, namely food responsiveness, emotional overeating, and speed of eating. These findings were observed in relation to children in a comparison control group who had access to child welfare services-as-usual.

Suggested Citation

  • Emma R. Lyons & Akhila K. Nekkanti & Beverly W. Funderburk & Elizabeth A. Skowron, 2022. "Parent–Child Interaction Therapy Supports Healthy Eating Behavior in Child Welfare-Involved Children," IJERPH, MDPI, vol. 19(17), pages 1-13, August.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:17:p:10535-:d:896123
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    References listed on IDEAS

    as
    1. van Buuren, Stef & Groothuis-Oudshoorn, Karin, 2011. "mice: Multivariate Imputation by Chained Equations in R," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 45(i03).
    2. Domoff, Sarah E. & Niec, Larissa N., 2018. "Parent-child interaction therapy as a prevention model for childhood obesity: A novel application for high-risk families," Children and Youth Services Review, Elsevier, vol. 91(C), pages 77-84.
    3. Skowron, Elizabeth A. & Funderburk, Beverly W., 2022. "In vivo social regulation of high-risk parenting: A conceptual model of Parent-Child Interaction Therapy for child maltreatment prevention," Children and Youth Services Review, Elsevier, vol. 136(C).
    4. Kimberley A. Baxter & Smita Nambiar & Tsz Hei Jeffrey So & Danielle Gallegos & Rebecca Byrne, 2022. "Parental Feeding Practices in Families Experiencing Food Insecurity: A Scoping Review," IJERPH, MDPI, vol. 19(9), pages 1-43, May.
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