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Measuring the impact and costs of a universal group based parenting programme : protocol and implementation of a trial

By Douglas E. Simkiss, Helen Snooks, Nigel Stallard, Shan Davies, Marie A. Thomas, Becky Anthony, Sarah Winstanley, Lynsey Wilson and Sarah L. Stewart-Brown

Abstract

Background\ud Sub-optimal parenting is a common risk factor for a wide range of negative health, social and educational outcomes. Most parenting programmes have been developed in the USA in the context of delinquency prevention for targeted or indicated groups and the main theoretical underpinning for these programmes is behaviour management. The Family Links Nurturing Programme (FLNP) focuses on family relationships as well as behaviour management and is offered on a universal basis. As a result it may be better placed to improve health and educational outcomes. Developed in the UK voluntary sector, FLNP is popular with practitioners, has impressed policy makers throughout the UK, has been found to be effective in before/after and qualitative studies, but lacks a randomised controlled trial (RCT) evidence base.\ud \ud Methods/Design\ud A multi-centre, investigator blind, randomised controlled trial of the FLNP with a target sample of 288 south Wales families who have a child aged 2-4 yrs living in or near to Flying Start/Sure Start areas. Changes in parenting, parent child relations and parent and child wellbeing are assessed with validated measures immediately and at 6 months post intervention. Economic components include cost consequences and cost utility analyses based on parental ranking of states of quality of life. Attendance and completion rates and fidelity to the FLNP course delivery are assessed. A nested qualitative study will assess reasons for participation and non-participation and the perceived value of the programme to families. By the end of May 2010, 287 families have been recruited into the trial across four areas of south Wales. Recruitment has not met the planned timescales with barriers including professional anxiety about families entering the control arm of the trial, family concern about video and audio recording, programme facilitator concern about the recording of FLNP sessions for fidelity purposes and delays due to the new UK research governance procedures.\ud \ud Discussion\ud Whilst there are strong theoretical arguments to support universal provision of parenting programmes, few universal programmes have been subjected to randomised controlled trials. In this paper we describe a RCT protocol with quantitative and qualitative outcome measures and an economic evaluation designed to provide clear evidence with regard to effectiveness and costs. We describe challenges implementing the protocol and how we are addressing these.\u

Topics: HQ
Publisher: BioMed Central Ltd.
Year: 2010
OAI identifier: oai:wrap.warwick.ac.uk:3329

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  1. (1998). A prospective longitudinal study of attachment disorganisation/disorientation. Child Development doi
  2. (2004). C: The Incredible Years: a trouble shooting guide for parents of young children aged 3-8 years.
  3. (2005). Care research Networks: Child Care and child development: results of the NICHD study of early child care and youth development. doi
  4. (1989). CN: Family functioning and stress as predictors of influenza B infection. J Fam Prac
  5. (1986). Conduct disorder and hyperactivity: 1. Separation of hyperactivity and antisocial behaviour in British child psychiatric patients. doi
  6. (1992). Darling N: Impact of parenting practices on adolescent achievement: authoritative parenting, school involvement, and encouragement to succeed. Child Development doi
  7. Differential susceptibility to rearing influence: an evolutionary hypothesis and some evidence. In Origins of the social mind: evolutionary psychology and child development Edited by: Ellis BJ, Bjorklund DF.
  8. (2002). Dishion TJ: Family Centred Preventive Intervention Science: toward benefits to larger populations of children, youth and families. Prevention Science
  9. Education and Skills: Curriculum Guidance for the Foundation Stage. doi
  10. (2005). Education and Skills: Sure Start Children's Centres Practice Guidance.
  11. (2003). Engels RCME: Parenting style and adolescent fruit consumption. Appetite doi
  12. (2005). Evaluation of the Webster Stratton Group Parenting Programme.
  13. (2002). Evidence that the cycle of violence in maltreated children depends on genotype. Science
  14. (2005). Family Links Pilot Evaluation Study. Oxford: Health Services Research Unit;
  15. (2009). Family relationships in childhood and later psychopathology: a systematic review of longitudinal studies. The British Journal of Psychiatry doi
  16. (2005). Futh A: What makes parenting programmes work in disadvantaged areas? The PALS trial. A report to the Joseph Rowntree Foundation; doi
  17. (2005). Government: Designed for Life: creating world class health and social care for Wales in the 21st century.
  18. (2005). Government: National Service Framework for Children Young People and Maternity Services in Wales.
  19. (2004). Impact of a general practice based group parenting programme: quantitative and qualitative results from a controlled trial at 12 months. Archives of Disease in Childhood doi
  20. (2008). Implementing child mental health interventions in service settings: lessons from three pragmatic randomised controlled trials in Wales. doi
  21. JA: Socialization in the context of the family: parent-child interaction.
  22. (2006). MC: A meta-analysis of parent training: moderators and follow-up effects. Clinical Psychology Review doi
  23. (2004). Mellow Parenting - learning to observe Parent -Child Relationships. C&G Print:
  24. (2006). Monitoring positive mental health in Scotland: validating the Affectometer 2 scale Simkiss et al.
  25. (2007). National Evaluation of Sure Start: The impact of Sure Start local programmes on child development and family functioning; report of the longitudinal study of 9 month old and 3 year old children and their families. doi
  26. (2005). Netten A: Unit costs of health and social care. PSSRU
  27. (2001). Nipping Early Risk Factors in the Bud: preventing substance abuse, delinquency and violence in adolescence through interventions targeted at young children (0-8 year). Prevention Science
  28. (1999). One social world: The integrated development of parent-child and peer relationships. In Relationships as developmental concepts Edited by: Collins. Mahwah: Lawrence Erlbaum Associates;
  29. (1998). Parent Training with low income clients: promoting parental engagement through a collaborative approach.
  30. (2003). Parent training with multi-ethnic families of toddlers. doi
  31. (1991). Parent-adolescent conflict and adolescent injuries. Developmental and Behavioural Pediatrics doi
  32. (2005). Parent-Child relationships and health problems in adulthood in three UK national birth cohort studies. European journal of Public Health doi
  33. (2008). Parenting and health in midchildhood: a longitudinal study. doi
  34. (1994). Parenting behaviours and the onset of smoking and alcohol use: a longitudinal study. Pediatrics
  35. (2007). Parenting during the Preschool Years and Child Health Age 6 Years. doi
  36. (1996). Parenting Stress Index Manual.
  37. (1998). Pediatric quality of Life inventory. doi
  38. (2001). Preventing conduct problems, promoting social competence: A parent and teacher training partnership in Head Start. doi
  39. (1998). Public health implications of childhood behaviour problems and parenting programmes.
  40. (1984). RH: Home observations for measurement of the environment. Little Rock:
  41. SF: Parenting skills and social-communicative competence in childhood.
  42. (1997). Social economics and childhood glucocorticoid stress response and health. doi
  43. (2001). Stewart-Brown S: Understanding parenting programmes: parents views. Child Health Care Research and Development doi
  44. (2002). TE: Risky families: family social determinants and the mental and physical health of offspring. doi
  45. (2002). The development and dissemination of the Triple P Positive Parenting Programme. A multilevel evidence based system of parenting and family support. Prevention Science
  46. (2005). The effectiveness and cost -effectiveness of parent training/education programmes for the treatment of conduct disorder, including oppositional defiant disorder, in children. Health Technology Assessment doi
  47. (2003). The Family Bereavement Program: efficacy evaluation of a theory based prevention program for parents of bereaved children and adolescents. J Consulting and Clinical Psychology doi
  48. (2005). The Family Links Nurturing Programme: a report of a qualitative evaluation of training and implementation.
  49. (2003). The Parenting Puzzle: How to get the best out of Family Life.
  50. (2000). Triple P Positive Parenting Programmes: A guide to the system. Brisbane Australia: Families International;
  51. (1998). Whitbeck LB: Predicting risk for pregnancy by late adolescence: a social contextual perspective. Developmental Psychology doi
  52. (2003). Why a universal population level approach to the prevention of child abuse is essential. Child Abuse Review doi

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