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ARFID Parent Training Protocol: A randomized pilot trial evaluating a brief, parent-training program for
Courtney E Breiner1, McKenzie L Miller1, Julia M Hormes1
1Department of Psychology, University at Albany - State University of New York, Albany, New York, USA.
The International Journal of Eating Disorders
|November 15, 2021
Summary
This study explored a brief virtual parent training program for avoidant/restrictive food intake disorder (ARFID). The program showed promise for feasibility and acceptability, suggesting potential for wider accessibility.
Area of Science:
- Pediatric Psychology
- Clinical Psychology
- Child Psychiatry
Background:
- Evidence-based treatments for avoidant/restrictive food intake disorder (ARFID) are limited and often inaccessible.
- Families face geographic, financial, and time barriers to accessing ARFID interventions.
- There is a need for accessible, evidence-based treatment options for ARFID.
Purpose of the Study:
- To establish the acceptability and feasibility of a brief, virtual ARFID Parent Training Program (ARFID-PTP).
- To assess the preliminary efficacy of ARFID-PTP in children aged 5-12.
- To lay the groundwork for larger trials to increase ARFID treatment accessibility.
Main Methods:
- A randomized controlled trial design was used with 30 children (5-12 years) diagnosed with ARFID and their parents.
- Participants were randomized to immediate treatment or a 4-week waitlist control.
- Treatment involved two 2-hour virtual sessions and an optional booster session, with feasibility, acceptability, and preliminary efficacy assessed.
Main Results:
- The study aimed to evaluate recruitment, retention, and adherence rates for feasibility.
- Acceptability was measured using the Credibility and Expectancy Questionnaire and satisfaction ratings.
- Preliminary efficacy was assessed through changes in scores on the Pica, ARFID, and Rumination Disorder Interview.
Conclusions:
- The study protocol is designed to assess the feasibility and acceptability of a novel, brief, virtual parent training program for ARFID.
- Positive findings regarding feasibility and acceptability would support larger trials to enhance evidence-based ARFID treatment accessibility.
- This approach has the potential to overcome common barriers to accessing ARFID interventions for families.

