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Trial registered on ANZCTR


Registration number
ACTRN12612000412831
Ethics application status
Approved
Date submitted
11/04/2012
Date registered
13/04/2012
Date last updated
26/03/2014
Type of registration
Prospectively registered

Titles & IDs
Public title
Hassle Free Mealtimes Triple P: Evaluation of a parenting group for problem eating in childhood.
Scientific title
The impact of Brief Hassle-Free Mealtimes Triple P on child behaviour and parenting for toddler and preschool children with mealtime difficulties.
Secondary ID [1] 280295 0
Nil
Universal Trial Number (UTN)
U1111-1129-8995
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Problem eating or mealtime behaviour 286251 0
Condition category
Condition code
Diet and Nutrition 286471 286471 0 0
Other diet and nutrition disorders
Mental Health 286518 286518 0 0
Studies of normal psychology, cognitive function and behaviour

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Brief Hassle-Free Mealtimes Triple P (Morawska & Sanders, in press) is a Level 2 Triple P intervention based on the principles of behavioural family intervention and social learning. Parents attending the Hassle-Free Mealtimes program will receive one 2-hour group session on the causes of childhood feeding difficulties, establishing eating routines and ground rules, and various behavioural strategies including praise, positive attention, behaviour charts, modelling, planned ignoring, instructions and consequences. The program will be delivered by trained practitioners to groups of 10-12 parents. Teaching methods will include didactic instruction, active skills training and homework tasks so that parents may achieve mastery of skills.
Intervention code [1] 284648 0
Behaviour
Comparator / control treatment
A waitlist control design will be applied whereby half of the parents will be randomly allocated to wait 4 weeks and complete measures again before receiving the program.
Control group
Active

Outcomes
Primary outcome [1] 286920 0
Parent-reported child mealtime behaviour on the Parent and Toddler Feeding Assessment (PATFA; Adamson, Morawska, & Sanders, 2008). The PATFA is a 90-item measure of child feeding behaviour and corresponding parental strategies, beliefs, emotions and knowledge related to feeding. Parents rated 21 child feeding items as to the frequency of each (on a 5-point Likert scale) and whether each is a problem (yes/no).
Timepoint [1] 286920 0
Measures will be administered upon entry to the study (Time 1) and then four weeks later (Time 2). For families in the start now group, this will be 4 weeks after their group session; families assigned to the start later group will receive no intervention for the same number of weeks (5 weeks) and then complete the measures before participating in the intervention. The families in the start now group will be assessed once more six months after the completion of the intervention for follow-up (Time 3).
Primary outcome [2] 286921 0
Mealtime-specific parenting style, parenting confidence and beliefs, emotions and knowledge related to feeding, rated on the PATFA (Adamson et al., 2008). Parents rate how frequently they use 30 mealtime strategies on a 5-point scale (Parent Strategies), their agreement with 39 statements about feeding on a 5-point scale (Parent Cognitions), and their level of confidence in managing each of the 21 child feeding behaviours noted above on a scale of 1-10 (Parent Confidence).
Timepoint [2] 286921 0
Measures will be administered upon entry to the study (Time 1) and then four weeks later (Time 2). For families in the start now group, this will be 4 weeks after their group session; families assigned to the start later group will receive no intervention for the same number of weeks (5 weeks) and then complete the measures before participating in the intervention. The families in the start now group will be assessed once more six months after the completion of the intervention for follow-up (Time 3).
Secondary outcome [1] 296997 0
Child behavioural and emotional adjustment as measured by the Child Adjustment and Parent Efficacy Scale (CAPES; Morawska & Sanders, 2010). This measure consists of 30 items rated on a 4-point scale (0 = not true of my child at all to 3 = true of my child very much, or most of the time). Twenty six items assess behaviour concerns (e.g., My child rudely answers back to me) and behavioural competencies (Behaviour Scale; e.g., My child accepts rules and limits), and four items assess emotional adjustment (Emotional Adjustment Scale; e.g., My child worries).
Timepoint [1] 296997 0
Measures will be administered upon entry to the study (Time 1) and then four weeks later (Time 2). For families in the start now group, this will be 4 weeks after their group session; families assigned to the start later group will receive no intervention for the same number of weeks (5 weeks) and then complete the measures before participating in the intervention. The families in the start now group will be assessed once more six months after the completion of the intervention for follow-up (Time 3).
Secondary outcome [2] 296998 0
Parental efficacy as measured by the CAPES (Morawska & Sanders, 2010). The Efficacy Scale measures parents' level of confidence in managing child emotional and behavioural problems and consists of 20 items rated on a 10-point scale (from 1 = certain I can't do it to 10 = certain I can do it).
Timepoint [2] 296998 0
Measures will be administered upon entry to the study (Time 1) and then four weeks later (Time 2). For families in the start now group, this will be 4 weeks after their group session; families assigned to the start later group will receive no intervention for the same number of weeks (5 weeks) and then complete the measures before participating in the intervention. The families in the start now group will be assessed once more six months after the completion of the intervention for follow-up (Time 3).
Secondary outcome [3] 296999 0
Parenting practices, parent adjustment, family relationships, and couple relationships, as measured by the Parenting and Family Adjustment Scale (PAFAS; Sanders & Morawska, 2010). Parents rate each of the 40-items on a 4-point scale (0 = not true of me at all, to 3 = true of me very much, or most of the time).
Timepoint [3] 296999 0
Measures will be administered upon entry to the study (Time 1) and then four weeks later (Time 2). For families in the start now group, this will be 4 weeks after their group session; families assigned to the start later group will receive no intervention for the same number of weeks (5 weeks) and then complete the measures before participating in the intervention. The families in the start now group will be assessed once more six months after the completion of the intervention for follow-up (Time 3).
Secondary outcome [4] 297006 0
Child anxiety as measured by the Childhood Concerns Survey (CCS; Edwards, Rapee, Kennedy, & Spence, 2010), a 28-item parent-report measure of anxiety in young children.
Timepoint [4] 297006 0
Measures will be administered upon entry to the study (Time 1) and then four weeks later (Time 2). For families in the start now group, this will be 4 weeks after their group session; families assigned to the start later group will receive no intervention for the same number of weeks (5 weeks) and then complete the measures before participating in the intervention. The families in the start now group will be assessed once more six months after the completion of the intervention for follow-up (Time 3).
Secondary outcome [5] 297007 0
Parent and child food neophobia (a reluctance to try new foods), as measured by the Food Neophobia Scale (FNS; Pliner & Hobden, 1993) and Children's Food Neophobia Scale (CFNS; Cooke, Carnell, & Wardle, 2006) which contain 10 and 6 items respectively and are rated by the parent.
Timepoint [5] 297007 0
Measures will be administered upon entry to the study (Time 1) and then four weeks later (Time 2). For families in the start now group, this will be 4 weeks after their group session; families assigned to the start later group will receive no intervention for the same number of weeks (5 weeks) and then complete the measures before participating in the intervention. The families in the start now group will be assessed once more six months after the completion of the intervention for follow-up (Time 3).

Eligibility
Key inclusion criteria
Parent of a child aged 2-5 years of age who is concerned about their child's feeding and/or mealtimes.
Minimum age
2 Years
Maximum age
5 Years
Sex
Both males and females
Can healthy volunteers participate?
Yes
Key exclusion criteria
a) Child with a disability and/or chronic illness, including language and speech impairment; b) Parents currently seeing a professional for the child’s behaviour difficulties; c) Parents currently receiving psychological/psychiatric help or counselling (personal/marital); d) Parents intellectually disabled and/or hearing impaired.

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Following screening and upon completion of Time 1 measures, participants will be allocated in turn by opening a sequentially numbered sealed envelope. The sequence in the envelopes has been created by an independent third party, so that the allocation sequence is concealed from the researcher assessing participants.
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Sequence will be determined via a computer-generated list of random numbers.
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Parallel
Other design features
Phase
Not Applicable
Type of endpoint/s
Efficacy
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Date of first participant enrolment
Anticipated
24/04/2012
Actual
10/04/2013
Date of last participant enrolment
Anticipated
Actual
13/08/2013
Date of last data collection
Anticipated
Actual
Sample size
Target
100
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
Recruitment postcode(s) [1] 5187 0
4655
Recruitment postcode(s) [2] 5188 0
4072

Funding & Sponsors
Funding source category [1] 285069 0
Self funded/Unfunded
Name [1] 285069 0
Country [1] 285069 0
Australia
Primary sponsor type
University
Name
The University of Queensland
Address
Dr. Alina Morawska
Parenting and Family Support Centre
School of Psychology
The University of Queensland
ST LUCIA Q 4072
Country
Australia
Secondary sponsor category [1] 283935 0
None
Name [1] 283935 0
Address [1] 283935 0
Country [1] 283935 0
Other collaborator category [1] 260718 0
University
Name [1] 260718 0
University of Southern Queensland
Address [1] 260718 0
Dr. Michelle Adamson
Department of Psychology
University of Southern Queensland
P O Box 910
HERVEY BAY Q 4655
Country [1] 260718 0
Australia

Ethics approval
Ethics application status
Approved
Ethics committee name [1] 287077 0
Behavioural and Social Sciences Ethical Review Committee
Ethics committee address [1] 287077 0
The University of Queensland
ST LUCIA Q 4072
Ethics committee country [1] 287077 0
Australia
Date submitted for ethics approval [1] 287077 0
Approval date [1] 287077 0
01/02/2012
Ethics approval number [1] 287077 0
2011001428

Summary
Brief summary
The project will aim to test a single-session parenting group for parents of children with problem eating. It is anticipated that the group will improve child feeding, the strategies parent use at mealtimes, and how parents think and feel about mealtimes. The study will also seek to identify which types of feeding problems respond best to this intervention.
Trial website
Trial related presentations / publications
Morawska, A., Adamson, M., Hinchliffe, K., & Adams, T. (2014). Hassle Free Mealtimes Triple P: A randomised controlled trial of a brief parenting group for childhood mealtime difficulties. Behavior Research and Therapy, 53, 1-9. doi:10.106/j.brat.2013.11.007
Public notes

Contacts
Principal investigator
Name 34040 0
Dr Alina Morawska
Address 34040 0
Parenting and Family Support Centre
School of Psychology
The University of Queensland
St Lucia Q 4072
Country 34040 0
Australia
Phone 34040 0
+617 3363 7304
Fax 34040 0
Email 34040 0
[email protected]
Contact person for public queries
Name 17287 0
Dr. Alina Morawska
Address 17287 0
Parenting and Family Support Centre
School of Psychology
The University of Queensland
ST LUCIA Q 4072
Country 17287 0
Australia
Phone 17287 0
+617 3365 7304
Fax 17287 0
+617 3365 6724
Email 17287 0
[email protected]
Contact person for scientific queries
Name 8215 0
Dr. Alina Morawska
Address 8215 0
Parenting and Family Support Centre
School of Psychology
The University of Queensland
ST LUCIA Q 4072
Country 8215 0
Australia
Phone 8215 0
+617 3365 7304
Fax 8215 0
+617 3365 6724
Email 8215 0
[email protected]

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Results publications and other study-related documents

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