Avoidant Restrictive Food Intake Disorder
Conditions
Keywords
Parent training, Exposure, ARFID, Picky eating, Brief intervention, Virtual intervention
Brief summary
This study aims to assess the acceptability, feasibility, and preliminary efficacy of a two-session, virtual parent-training exposure protocol for children ages 5-12 who experience picky eating consistent with an Avoidant-Restrictive Food Intake Disorder (ARFID) diagnosis.
Detailed description
Potential subjects aged 5 to 12 years with picky eating symptoms consistent with an ARFID diagnosis, as determined by the Pica, ARFID, Rumination Disorder Interview, a semi-structured diagnostic interview, will be recruited via social media and local doctor's offices. Eligible subjects will complete informed consent and an intake session. Participants will then be randomized to an immediate treatment group, in which they will begin treatment the following week, or a 4-week waitlist condition, in which they will wait four weeks to begin treatment. All participants will have the opportunity to receive the treatment, ARFID Parent Training Program or ARFID-PTP. ARFID-PTP was adapted from a seven-session parent-training for extremely picky eating behaviors to examine the efficacy of a two-session, virtual protocol on increasing food intake and decreasing selective eating. The two virtual treatment sessions will include psychoeducation, parent-training skills, and exposure protocol. There will be 5 major assessment time points: intake, end of treatment, 4-weeks post-treatment, 3-months post-treatment, and 6-months post-treatment.
Interventions
BEHAVIORALARFID-PTP
ARFID-PTP is a two-session virtual protocol using psychoeducation, parent training skills, and exposure to decrease picky eating symptoms consistent with an ARFID diagnosis.
Sponsors
University at Albany
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Two-arm waitlist control trial
Eligibility
Sex/Gender
ALL
Age
5 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* Children ages 5-12 * Child meets criteria for ARFID using the Pica, ARFID, Rumination Disorder Interview * Established care with a primary care provider * Not engaging in other medication or psychotherapy for ARFID during this treatment trial * Fluently speak and read English
Exclusion criteria
* Child or parent experiencing suicidal thoughts * Child or parent experiencing psychotic symptoms * Child has a cognitive functioning disability
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acceptability of treatment at 1-month follow-up | 1 month | Parents will self-report the acceptability of treatment by selecting the extent to which they agree with statements such as I would refer this treatment to a friend or I am satisfied with this treatment. |
| Retention Feasibility | Through study completion, up to 9 months | Retention rates will be measured as the percentage of families who begin treatment and complete all follow-up time points. |
| Acceptability of exposure protocol | Through study completion, up to 9 months | Acceptability of exposure will be measured as a percentage of number of daily food exposures the family completes at all follow-up time points. |
| Credibility of treatment | After week 2 of treatment | The Credibility and Expectancy Questionnaire is a 6-item measure of treatment credibility and how much participants think and feel treatment will work. |
| Acceptability of treatment | After week 2 of treatment | Parents will self-report the acceptability of treatment by selecting the extent to which they agree with statements such as I would refer this treatment to a friend or I am satisfied with this treatment. |
| Recruitment Feasibility | Enrollment | Recruitment rates will be measured by the average number of participants recruited each month. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pica, ARFID, Rumination Disorder Interview (PARDI) | Change between intake and 3-month follow-up | The PARDI is a semi-structured interview assessing for diagnostic criteria of ARFID, as well as subtype classification and severity ratings. Parents will be assessed using the PARDI. |
| Treatment Efficacy: Foods in Regular Rotation | Through study completion, up to 9 months | Parents will self-report the number of new foods a child has included in regular rotation i.e., is able to eat a full serving size regularly. |
| Behavioral Pediatric Feeding Assessment Scale | Through study completion, up to 9 months | The Behavioral Pediatric Feeding Assessment Scale is a well-validated measure of child's eating behaviors and parental perception of eating behaviors. |
| Treatment Efficacy: Goal Progress | Through study completion, up to 9 months | Treatment goals will be assessed using the ARFID-specific treatment goal checklist established by Bryant-Waugh in 2020 via the Maudsley Centre for Child and Adolescent Eating Disorders. |
Countries
United States
Contacts
Primary ContactCourtney E Breiner, MA
Outcome results
None listed