Objective
To characterize parental concerns about child disordered eating among youth with high weights in a motivational interviewing-based behavioral intervention, exploring associations with sociodemographic characteristics and study retention.
Design
Data were from the Population Effects of Motivational Interviewing on Pediatric Obesity in Primary Care study, a cluster-randomized controlled trial.
Participants
Participants (n = 214) were English/Spanish-speaking parents/guardians of children aged 3–11 years with a body mass index ≥ 85th percentile, randomized to the intervention.
Intervention
Six remote counseling calls with registered dietitians and 4 in-person visits with primary care providers.
Variables Measured
Four screening questions captured parental concerns about child disordered eating (loss of control eating, weight loss, weight/shape preoccupation, dietary restriction) at baseline and follow-up.
Analysis
Bivariate analyses examined associations between baseline concerns and sociodemographic characteristics and study retention. McNemar’s chi-square test compared concerns at baseline and follow-up.
Results
At baseline, 44.9% of parents reported ≥ 1 disordered eating concern, with higher concerns seen among parents describing their child as overweight or obese (57.1% vs 29.8%, P < 0.001). Baseline concerns were not associated with study retention and did not change significantly throughout the intervention.
Conclusions and Implications
Future research could benefit from examining the influence of behavioral intervention components on disordered eating risk over time and exploring the application of staged screening approaches among diverse groups.
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