ARFID Parent Training Protocol ("ARFID-PTP"): Results of a Randomized Pilot Trial Evaluating a Brief, Parent-Training Program for Avoidant/Restrictive Food Intake Disorder.

Autor: Breiner CE; Department of Psychiatry, Columbia University Irving Medical Center, New York, New York, USA.; Department of Psychology, University at Albany, State University of New York, Albany, New York, USA., Miller ML; Department of Psychology, University at Albany, State University of New York, Albany, New York, USA., Hormes JM; Department of Psychology, University at Albany, State University of New York, Albany, New York, USA.
Jazyk: angličtina
Zdroj: The International journal of eating disorders [Int J Eat Disord] 2024 Nov; Vol. 57 (11), pp. 2306-2317. Date of Electronic Publication: 2024 Jul 19.
DOI: 10.1002/eat.24269
Abstrakt: Objective: Accessible treatment options for avoidant/restrictive food intake disorder (ARFID) in children are limited. The current study sought to assess acceptability, feasibility, and preliminary efficacy of a brief, virtual intervention for ARFID in children ("ARFID-PTP").
Method: Families of children ages 5-12 with ARFID (n = 30) were randomized to immediate or waitlist treatment groups, with both groups ultimately receiving ARFID-PTP. ARFID-PTP consists of two, 2-h individual treatment sessions with an optional booster session at 4-week follow-up. Families completed acceptability and feasibility measures at end-of-treatment, as well as preliminary efficacy measures at 4-week, 3-month, and 6-month follow-up.
Results: Of 30 families who completed an intake session, 27 (90%) completed treatment. Families rated acceptability as high (M CEQ-C  = 7.75). Treatment was feasible by participant retention. Exposure adherence was lower than expected, and booster session requests were higher than expected, indicating that achieving feasibility across measures may require treatment modifications. Regarding preliminary efficacy, children in the immediate treatment group had a decrease in ARFID symptoms compared to those on the waitlist. Overall, at 6-month follow-up linear mixed models showed participants had significantly reduced ARFID symptoms by presentation (p < 0.05) and in follow-up completers, children incorporated eight new foods on average.
Discussion: ARFID-PTP is acceptable and preliminarily efficacious. The protocol may benefit from modifications to increase feasibility; however, booster session content and treatment outcomes suggest a priori feasibility markers may not accurately capture the utility of ARFID-PTP. Further work should continue to examine the efficacy ARFID-PTP, particularly in diverse samples where treatment accessibility is urgently needed.
Trial Registration: ClinicalTrials.gov identifier: NCT04913194.
(© 2024 Wiley Periodicals LLC.)
Databáze: MEDLINE
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