General Parenting Research Articles

Parenting Pressures Among Academic Pediatricians During the COVID-19 Pandemic.

* Abbreviation: COVID-19 — : coronavirus disease 2019 Pediatricians advocate for parent wellbeing as a component of child health, and most pediatricians are parents themselves, the majority with partners who also work.1 Yet academic departments of pediatrics inconsistently address workplace parent supports, which resulted in challenges for pediatrician parents even before the coronavirus disease 2019 (COVID-19) pandemic. During the COVID-19 pandemic, pediatrician parents are experiencing work-related and parenting-related challenges that have spurred escalating concerns about work-life integration, burnout, and remaining in the academic workforce. We offer an approach for academic departments of pediatrics to support their faculty’s pandemic-related work-life integration, noting that such supports may benefit all faculty, parents and nonparents alike. We use the term “parent” broadly to include those with dependent-care responsibilities (eg, those caring for children, adults with disabilities, or elders) and parents-to-be (ie, pregnant or family building). “Women” is intended to include all those identifying as such. Although we focus here on academic pediatricians, the pandemic parenting load affects nonphysician colleagues as well as pediatricians in nonacademic positions; this similarly warrants attention. Supports for parenting pediatricians should be implemented by using an inclusive, team-centered approach that acknowledges that some supports for parenting physicians (eg, flexible clinic schedules) will impact other members of the health care team. Even before the pandemic, parenting pediatricians faced unique challenges to work-life integration compared with their nonparenting colleagues. Despite the preponderance of parents and women in academic pediatrics, many institutions do not yet provide robust family benefits that are increasingly available in other industries (eg, paid parental leave and back-up or on-site child care). … Address correspondence to Kimberly A. Randell, MD, MSc, Division of Emergency Medicine, Children’s Mercy, 2401 Gillham Rd, Kansas City, MO 64110. E-mail: karandell{at}cmh.edu

Evaluation of a Program to Help Low-Income, Latina Mothers Help Their Children Cope With Stress.

This paper describes the evaluation of a program that provides low-income Latina mothers with skills to help their children cope with stress. Based on focus groups with mothers and their school-aged children in two locations, we developed a five-week program for helping mothers identify signs of stress in their children, learn effective emotion-coaching skills, and learn how to effectively encourage their children to use coping strategies that match the controllability of the situation. We conducted a randomized controlled trial in an urban (n = 13) and rural (n = 78) location in which we randomly assigned mothers to either an intervention or a no-treatment control condition. We completed eight implementations of the program (2 in the urban sample and 6 in the rural one). To evaluate the program, we collected pre- and post-assessments of mothers' coping knowledge, emotion coaching, strategies for helping their children cope with stress, maternal self-efficacy in helping their children cope, general parenting practices, and general parenting self-efficacy. Observers assessed the fidelity of program delivery. Mothers who received the intervention, in contrast to those in the control condition, showed significant increases in their knowledge of strategies to help their children cope with stress, in reported emotion-coaching skills, and in the reported use of positive strategies for helping their children manage their behavior and emotions in stressful situations (i.e., helping their children relax and calm down, talking with their children about feelings, helping their children problem-solve, encouraging distraction, and helping their children improve their self-esteem). Post intervention, mothers reported increases in their efficacy for helping their children cope with stress. Analyses revealed no significant effects of the program on general parenting or general parenting self-efficacy, but did have the hypothesized effects on maternal knowledge, attitudes, and reported behavior. Subsequent research should examine the degree to which the program has effects over a longer time period and on children's approaches to coping with stress.

Knowledge of attention-deficit hyperactivity disorder among the general public, parents, and primary school teachers.

We compared the knowledge of attention-deficit hyperactivity disorder (ADHD) among the general public, parents of children with ADHD, and primary school teachers and identified factors associated with ADHD knowledge in each group, separately.Secondary data analysis was made on the pre-lecture data from those (122 from the general public, 64 parents of children with ADHD, and 515 primary school teachers) attending education lectures by the Department of Public Health, New Taipei City Government, Taiwan, 2014.ADHD onset age was least known in these 3 groups. Knowledge of ADHD was significantly better among teachers (test score, 75.3%) than among parents (65.5%) and the general public (59.2%). Among the general public, the test score significantly decreased with age and was worst in those who did not know their friends or relatives with ADHD. Among parents, service workers, and retired/unemployed knew significantly less about ADHD than housewife did. Among teachers, men knew significantly less than women; those who taught children with ADHD knew significantly more than those who did not.Primary school teachers knew more about ADHD than parents and the general public. Factors associated with ADHD knowledge varied among the 3 groups.

Parenting and Child Behaviour Barriers to Managing Screen Time With Young Children

The impact of excessive screen use on child health and development is now a public health concern, and research efforts are focused on finding ways to moderate screen use. To date, the focus has mainly been on school-aged children and adolescents, and the early childhood context has been comparatively neglected. Moreover, relationships between factors likely to influence screen use by young children (e.g., child behaviour, parenting style and self-efficacy) remain largely unexplored. Our study aimed to test relationships between parenting style, parents’ self-efficacy, parental distress, child behaviour, and young children’s screen time. We used a cross-sectional study design. Parents (N = 106) of young children (aged 0–4 years) living in Australia completed an online survey which assessed parent-reported child screen use, screen time-related child behaviour problems, parents’ self-efficacy for managing child behaviour and screen time, parents’ beliefs about the positive/negative effects of screen time, parenting style, general child adjustment and parent efficacy, and parent distress. Correlation coefficients revealed relationships between dysfunctional parenting styles, screen time-related child behaviour problems, and parent self-efficacy for dealing with these behaviours. Using hierarchical multiple regression models, children’s screen time behaviour problems explained the greatest variance in parents’ self-efficacy for managing screen time, and parents’ self-efficacy for managing child screen time explained the greatest variance in parent-reported child screen time. Further research is needed to disentangle these relationships; however, preliminary results suggest that child behaviour difficulties and parents’ self-efficacy warrant further investigation as potentially useful targets for interventions aiming to improve screen use in early childhood.

Effects of Group Behavioral Skills Training on Teacher Candidates’ Acquisition and Maintenance of Active Listening

This study examined group-delivered behavioral skills training (BST) as a method for preparing special education teacher candidates to demonstrate active listening communication skills. Results indicated that: (a) BST was effective for instruction, (b) all instructional groups maintained communication skills across probes, and (c) participants felt prepared to talk to general education teachers and parents after BST in communication skills. Results offer evidence that BST can be implemented in group settings and can be used to teach communication skills to teacher candidates. Teacher preparers should consider BST as a method for communication skills training in university classrooms as a way to support preservice teachers.

Paediatric relapsed acute leukaemia: curative intent chemotherapy improves quality of life

ObjectivesPaediatric patients with leukaemia with relapse or induction failure have poor prognosis. Anticipated quality of life (QoL) is important in treatment decision making. The objective was to determine if curative...

General Parenting and Hispanic Mothers' Feeding Practices and Styles.

Previous research has shown that general parenting styles, general parenting dimensions, maternal feeding styles, and maternal feeding practices all show specific relationships with the weight status of young children. This study examined the relationships between general parenting and maternal feeding styles/practices in a sample of 187 Hispanic mothers with low incomes. As part of a larger study, mothers of preschool children were recruited through Head Start programs and completed validated questionnaires assessing their general parenting, feeding styles, and feeding practices. Results identified numerous associations between general parenting dimensions and specific feeding practices: i.e., maternal nurturance was positively associated with healthy eating guidance and feeding responsiveness; inconsistency was positively associated with restriction for weight and promotion of overconsumption; follow through on discipline was positively associated with monitoring, healthy eating guidance, and feeding responsiveness; and family organization was positively associated with monitoring and healthy eating guidance. General parenting styles were associated with feeding practices as well, with authoritative mothers showing the highest levels of healthy eating guidance and authoritarian mothers showing the lowest levels of monitoring. There were no significant associations between mothers’ general parenting styles and mothers’ feeding styles. Implications of these findings for the prevention of childhood obesity are considered.

Genetics of physiological and agronomical traits linked to salinity tolerance in tomato

Improvement of tomato (Lycopersicon esculentum L.) for growth in saline soils is a major goal of tomato breeders. The aim of this study was to identify the genetic combining ability and genetics of salinity tolerance in tomato. Plant materials were grown under normal (NG) and salinity stress (SSG) conditions. Results showed that the genetic controlling mechanism of salinity-related traits and fruit weight is complex and that all genetic components of additive, non-additive and maternal are involved. The nature of gene action for fruit weight and salinity-related traits was significantly affected by salinity stress. Dominance and additive gene action were predominant under NG and SSG, respectively. Under NG, the best general combiner parent for fruit weight was P3 (salt-tolerant with moderate fruit yield). Under SSG, P1 (highly salt-tolerant with low fruit yield) was the best general combiner parent for fruit weight and exhibited high genetic combining ability for K+/Na+, lipoxygenase activity, proline, relative water content, total carbohydrate and cell membrane stability. With the high frequency of genes effective in salt tolerance, the P1 parent appeared as the best specific mating partner with other parents under SSG. Simultaneous selection for fruit weight and surrogate traits (cell membrane stability, proline and relative water content) in a population derived from the P1 × P5 (susceptible with high fruit yield) cross could result in a salt-tolerant tomato genotype.

Analysis of the supportive care needs of the parents of preterm children in South Korea using big data text-mining: Topic modeling.

PurposeThe purpose of this study was to identify the supportive care needs of parents of preterm children in South Korea using text data from a portal site.MethodsIn total, 628 online newspaper articles and 1,966 social network service posts published between January 1 and December 31, 2019 were analyzed. The procedures in this study were conducted in the following order: keyword selection, data collection, morpheme analysis, keyword analysis, and topic modeling.ResultsThe term “yirundung-yi”, which is a native Korean word referring to premature infants, was confirmed to be a useful term for parents. The following four topics were identified as the supportive care needs of parents of preterm children: 1) a vague fear of caring for a baby upon imminent neonatal intensive care unit discharge, 2) real-world difficulties encountered while caring for preterm children, 3) concerns about growth and development problems, and 4) anxiety about possible complications.ConclusionSupportive care interventions for parents of preterm children should include general parenting methods for babies. A team composed of multidisciplinary experts must support the individual growth and development of preterm children and manage the complications of prematurity using highly accessible media.

The association of parent-reported executive functioning, reading, and math is explained by nature, not nurture.

According to the hybrid model (van Bergen, van der Leij, & de Jong, 2014), the significant association among executive functioning (EF), reading, and math may be partially explained by parent-reported EF's role as a common risk and/or protective factor in reading and math (dis)abilities. The current study used a sample of 434 twin pairs (Mage = 12.12) from Florida to conduct genetically sensitive modeling on children's parent-reported EF, reading, and math skills to determine the common and unique etiological influences among the three domains. EF was measured through parent report and reading and math were measured with standardized test scores drawn from Florida's Progress Monitoring and Reporting Network as well as standardized parent-administered assessments collected by mail. Our trivariate Cholesky modeling showed that no matter which parent-reported EF component was modeled, the overlap of parent-reported EF with reading and math was explained by common genetic influences. Supplemental analysis suggested that this might in part be due to general parent report of problem behaviors. Additionally, significant environmental influences, with higher shared environmental overlap than previous work, were also found for reading and math. Findings indicate that poor parent-reported EF is a common cognitive risk factor for reading and math disabilities, which is driven by a shared genetic basis among all three domains. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Glutamatergic Correlates of Bipolar Symptoms in Adolescents.

Objectives: Prior studies demonstrate elevated cortical glutamate (Glu) in patients with bipolar disorder (BD). Studies assessing neurochemistry in early stages of bipolar illness before the emergence of manic symptoms are lacking. This study aimed to examine neurochemical correlates measured by proton magnetic resonance spectroscopy (1H-MRS) and a dimensional measure of bipolarity in a sample of depressed adolescents. Methods: Adolescent participants (aged 13-21 years) underwent a semistructured diagnostic interview and clinical assessment, which included the General Behavior Inventory Parent Version (P-GBI), a 73-item, parent-rated assessment of symptoms and behaviors. 1H-MRS scans of a left dorsolateral prefrontal cortex (L-DLPFC) voxel (8 cm3) were collected using a two-dimensional J-averaged sequence to assess N-acetylaspartate (NAA), Glu, Glx (glutamate + glutamine), and NAA/Glx concentrations. We used generalized linear models to assess the relationships between P-GBI scores and metabolite levels in L-DLPFC. Results: Thirty-six participants (17 healthy controls, 19 depressed) underwent 1H-MRS scans and clinical evaluation with the P-GBI. There was a significant negative relationship between P-GBI score and L-DLPFC NAA/Glx in the whole sample. However, the magnitude of the effect was small and statistical significance was lost after correcting for multiple comparisons. Conclusions: These preliminary results suggest that NAA/Glx may have utility as a marker of bipolar traits in healthy and depressed adolescents. If replicated, 1H-MRS measures of glutamatergic metabolism anomalies might have a role in identifying depressed adolescents at risk for mixed symptom presentations or BD. Identifying bipolarity in the early stages of the disease would have a significant impact on treatment planning and prognosis. Further longitudinal studies should examine neurochemical correlates of mood state during the developmental emergence of BD.

Longitudinal Links Between Media Use and Focused Attention Through Toddlerhood: A Cumulative Risk Approach.

Previous studies that examined the links between media use and children’s attention abilities have yielded inconclusive findings. In the current study, we aimed to move beyond the focus on isolated aspects of media use to a comprehensive assessment of both direct and indirect media use and practices in early childhood. Drawing from the cumulative risk literature, we examined whether cumulative media use is related to children’s subsequent attention abilities. Participants were 199 mothers of toddlers (60% male) who completed questionnaires assessing various aspects of children’s media use, as well as children’s focused attention abilities at three time points: 18 months (T1), 22 months (T2), and 26 months (T3) of age. Cumulative media use scores were computed based on four indicators: (1) child average daily screen time; (2) household background television; (3) maternal use of media to regulate child distress; and (4) maternal use of mobile devices while spending time with the child. An autoregressive cross-lagged (ARCL) path model controlling for child sex, maternal education, and general parenting practices showed that cumulative media use at 18 months negatively predicted children’s focused attention at 22 months. Moreover, there was a significant negative indirect effect from cumulative media use at 18 months to focused attention at 26 months via focused attention at 22 months. Finally, the cumulative media index appeared to be a better predictor of focused attention than any of the singular media use indicators. Children’s focused attention did not predict subsequent cumulative media use across time, providing no evidence for bidirectional links. Findings suggest that exposure to multiple (rather than single) aspects of media use is related to decreased subsequent focused attention abilities during toddlerhood. Family media plans that designate media-free time and increase parental awareness to media use habits in the household should therefore be encouraged.

Parent-Focused Sexual Abuse Prevention: Results From a Cluster Randomized Trial.

This study tested whether a child sexual abuse (CSA) prevention program, Smart Parents-Safe and Healthy Kids (SPSHK), could be implemented as an additional module in evidence-based parent training and whether the added module might detract from the efficacy of the original program. In a cluster randomized trial, six community-based organizations were randomized to deliver Parents as Teachers (PAT) with SPSHK (PAT+SPSHK) or PAT as usual (PAT-AU). CSA-related awareness and protective behaviors, as well as general parenting behaviors taught by PAT were assessed at baseline, post-PAT, post-SPSHK, and 1-month follow-up. Multilevel analyses revealed significant group by time interactions for both awareness and behaviors (ps < .0001), indicating the PAT+SPSHK group had significantly greater awareness of CSA and used protective behaviors more often (which were maintained at follow-up) compared to the PAT-AU group. No differences were observed in general parenting behaviors taught by PAT suggesting adding SPHSK did not interfere with PAT efficacy as originally designed. Results indicate adding SPHSK to existing parent training can significantly enhance parents' awareness of and readiness to engage in protective behavioral strategies. Implementing SPHSK as a selective prevention strategy with at-risk parents receiving parent training through child welfare infrastructures is discussed.

The effectiveness of interventions to improve psychosocial outcomes in parents of children with appearance-affecting health conditions: A systematic review.

Although many cope well, the impact of supporting a child with an Appearance-Affecting Health Condition (AAHC) can place a significant demand on parents. As such, it is vital that families have access to appropriate psychosocial support to reduce any potential difficulties. Although previous reviews have explored the effectiveness of psychosocial interventions for parents of Children and Young People (CYP) with general health conditions, the evidence of effectiveness remains limited. Further, little is known about the effectiveness of such interventions specifically among parents of CYP with AAHCs. This review aimed to identify and assess the evidence of effectiveness of psychosocial interventions among parents of CYP with AAHCs. Database searches were conducted using MEDLINE, PsychARTICLES, PsychINFO, CINAHL Plus, the British Nursing Database and the Cochrane Library. Results were reviewed against the inclusion criteria and data were extracted. Methodological quality was assessed using the Effective Public Health Practice Project Quality Assessment Tool, and a narrative synthesis was conducted. Fifteen studies, evaluating 10 interventions, were included and overall seven interventions were found to be effective (effect sizes and methodological quality varied). This review finds moderate to strong evidence of effectiveness of the Triple P Positive Parenting Program, the Early Family Intervention Program and general parent education/training interventions. These findings offer useful insights relating to the delivery of current support, as well as for the development of future parent and family interventions. Finally, recommendations for future intervention evaluation studies in this area are made.

Positive parenting approaches and their association with child eating and weight: A narrative review from infancy to adolescence

Parents play a critical role in the development of children's eating behaviours and weight status, serving as providers, models and regulators of the food environment. Many research reviews have focused on the robust body of evidence on coercive control in feeding: how parenting practices such as restriction and pressure to eat increase children's risk for developing undesirable eating behaviours and unhealthy weight outcomes. Fewer reviews adopt a strengths-based perspective focusing on the ways that parents can actively support the development of healthy eating behaviours and weight trajectories. Emerging research on such positive parenting styles and practices offers solutions beyond the avoidance of coercive control, as well as opportunities to highlight parallels between research on food parenting and the broader, well-established developmental literature on positive parenting. The focus of this review is to summarize what is known regarding benefits of positive parenting styles and practices for child eating and weight outcomes and discuss recommendations for future research. Current evidence supports starting with responsive feeding and parenting during infancy and incorporating structure and limit setting in early childhood, with monitoring and mealtime structure remaining important during middle childhood and adolescence. Areas for future research include: (1) further examination of the implications of identified food parenting practices and styles among diverse groups and caregivers; (2) increased consideration of child factors (eg, temperament) as moderators or mediators; and (3) further clarification of the relationship between general parenting and food parenting.

Evaluation of effectiveness of a sexuality education program for parents of male adolescents: promoting of parent-adolescent sexual communication.

Parents play a significant role in promoting of healthy sexuality in adolescents. The purpose of the present study was to assess the effectiveness of a sexuality education intervention program to enhance parent-adolescent sexual communication. This study was a randomized controlled field trial. Parents of male adolescent aged 13-16 years were recruited from eight public all-boys high schools in Karaj, Iran. A multi-stage stratified random sampling method was used and 102 parents were assigned into intervention and control groups. The recruitment and data collection process lasted from February to November 2019. Self-report demographic questionnaire and six general parenting and parent-adolescent sexual communication measures were used to assess the impact of intervention. Sexuality education program was presented for the parents of intervention group, in the form of four weekly 2-h sessions. Parents were assessed at the baseline, within one week post-intervention, and three-month follow-up to evaluate the outcome variables. The data were analyzed using the Chi-square test, two-sample t-test, general linear model analyses, and Bonferroni test. In terms of parent-adolescent general communication, parental monitoring, parent-adolescent communication about sex-related topics, parent's sexual communication skills, parent's self-efficacy, and responsiveness to sexual communication. There were no significant differences between intervention and control groups at the baseline (p>0.05). Compared to controls, intervention parents reported more improvement in general communication across the time; however, significant differences were not observed regarding general communication and parental monitoring (p=0.94, p=0.95). Parents in the intervention group significantly differed from those in the control group for the mean scores of parent-adolescent communication about sex-related topics (p=0.04), parent's sexual communication skills (p=0.04), parent's self-efficacy (p=0.002), and responsiveness (p<0.001) to sexual communication at each follow-up. We identified the educational program as a promising tool for improving parent-adolescent communication regarding sexuality-related issues. This program provides the evidence for implementation of parent-based sexuality education programs.

Online assessment of problem-solving skills among fathers of young and school-age children with type 1 diabetes: Associations with parent and child outcomes.

Type 1 diabetes (T1D) is a pediatric chronic illness that is associated with significant parenting stress due to its lifelong course, burdensome disease management, and life-threatening complications. Although mothers of children with T1D have been studied extensively in relation to parenting stress, coping, and diabetes outcomes, there is a need to examine similar variables among fathers. The aim of the present study was to examine if fathers' use of problem-solving skills was related to parenting stress and diabetes regimen adherence and if problem-solving skills moderated the associations between paternal involvement in diabetes care and parenting stress in a national online sample of 215 fathers of children with T1D. Self-report measures completed by fathers through Qualtrics included a demographic and disease-related questionnaire, the Social Problem-Solving Inventory-Revised; Parenting Stress Index-Fourth Edition, Short Form; Pediatric Inventory for Parents; Dads' Active Disease Support Scale; and Self-Care Inventory-Revised. Pearson correlations were computed to assess associations among study variables. Four separate multiple linear regression analyses were conducted to determine the interactive effects of problem-solving skills and paternal involvement on parenting stress. Analyses revealed a large positive correlation between problem-solving skills and general parenting stress (r = .63), and a large negative correlation between problem-solving skills and pediatric parenting stress (r = -.52). The interaction between problem-solving skills and father involvement accounted for a significant amount of variance in a general parenting stress subscale (p < .01) and pediatric parenting stress (p < .05). These results highlight the importance of problem-solving skills for father outcomes in the context of T1D while implicating the potential benefit of a problem-solving intervention for this population.

Parenting as an inhibitor of gender disparities in alcohol use: the case of early adolescents in China

BackgroundGender differences in alcohol use are more substantial among early adolescents in China than in the United States, presumably because of more permissive drinking norms for boys than girls in Chinese culture. This study tested a theory that gender differences in early experimentation with alcohol can be reduced through general parenting practices. Whereas traditional research has identified mediators of gender differences in alcohol use, the current research isolated moderators of gender differences and developed their implications for prevention programs.MethodsThe study analyzed the data from the China Global School-Based Student Health Survey (n = 8805 middle school students in four cities). Youth completed anonymous surveys in classroom settings. The study examined interaction effects between gender and parenting variables using multiple regression with robust standard errors.ResultsEarly adolescent boys exhibited higher levels of drinking than girls for all drinking outcomes. The gender differences in drinking were negatively associated with the level of perceived parental monitoring, parental involvement in adolescent school performance, and parental empathy in a nonlinear way.ConclusionsResults suggested that early adolescents’ perceptions of general parenting practice nonlinearly moderated gender disparities in alcohol use.

0933 Preschoolers Sleep Explains Parent Cognitions and Parenting Behaviors

Abstract Introduction Children sleep is influenced by biological and socio-environmental factors. The contribution of various bedtime practices on child sleep is now well established. Emerging literature now seeks to understand the influence of more general parenting practices on child sleep. Thus, the current study examined how perceived children needs and parenting behaviors are associated with children sleep. Methods In a first study, 88 mothers (children 2-71 months) recruited during community activities completed the Child’s Sleep Habit Questionnaire, as well as a questionnaire regarding child needs (CN) and parents response to those needs (RN). Multiple linear regression analyses examined child sleep associations first to CN and then to RN, controlled by the child developmental score. Following this first study, 12 vulnerable mothers (children 39-68 months) participated in a child sleep intervention specifically developed for vulnerable families. The same measures were administered and Wilcoxon t-tests were calculated to compared pre and post intervention scores. Results Daytime sleepiness (β=.26, p=.008), sleep anxiety (β=.29, p=.007) and children cognitive development (β=-.32, p=.008) explained 31,6% of CN variance. Daytime sleepiness (β=.26, p=.03), and bedtime routine (β=-.68, p=.00), explained 20,8% of RN variance. Following the child sleep intervention, no change in CN were obtained, but a significant improvement in RN was found (Mpre=5.28 ± 1.60, Mpost=4.33 ± .65, p=.045). Conclusion Results suggest that parents perceived more needs in their child when they present higher daytime sleepiness, higher sleep anxiety and cognitive developmental difficulties. On the other hand, parents have more difficulty responding to their child needs when they see sleepiness in their child or struggle with bedtime routine. A child sleep intervention does not seem to change the perception of child needs but have a positive impact on the parent response to those needs. Support

Changes in parental feeding practices and preschoolers’ food intake following a randomized controlled childhood obesity trial

Childhood obesity treatment involving parents is most effective during the preschool age. However, the mechanisms of change are not known. The present study reports on secondary outcomes (changes in parental feeding practices and child food intake) of early obesity treatment. The More and Less study is a randomized controlled trial conducted in Stockholm County, Sweden. Children with obesity (n = 174, mean BMI SDS 3.0, mean age 5 years, 56% girls) and their parents (60% with foreign background, 40% with a university degree) were randomized to: 1) standard treatment focusing on lifestyle recommendations (ST), 2) a parent support program with boosters (PGB), and 3) a parent support program without boosters (PGNB). The Child Feeding Questionnaire (CFQ) was used to measure parental feeding practices. Child food intake was assessed with a Food Frequency Questionnaire (FFQ). We calculated the monthly changes in CFQ practices and FFQ items based on four measurements. We did not find any significant between-group differences in parental feeding practices and child food intake over time. However, general linear models showed that changes in certain feeding practices predicted changes in child food intake. When ST was compared to the parent support groups, some associations moved in opposite directions. For example, increasing maternal restriction predicted increased consumption of cookies/buns in PGNB (b = 2.3, p < 0.05) and decreased consumption of cookies/buns in ST (b = −2.1, p < 0.05). This is among the few studies to examine the effect of parental feeding practices on child food intake and weight status after obesity treatment among preschoolers. We found no evidence that changes in feeding practices or changes in child food intake mediated child weight loss. Future studies should consider other intermediary processes related to general parenting practices and parent-child interactions.