TITLE

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

AUTHOR(S)
Simkiss, Douglas E.; Snooks, Helen A.; Stallard, Nigel; Davies, Shan; Thomas, Marie A.; Anthony, Becky; Winstanley, Sarah; Wilson, Lynsey; Stewart-Brown, Sarah
PUB. DATE
January 2010
SOURCE
BMC Public Health;2010, Vol. 10 Issue 1, p364
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: 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. Methods/Design: 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. Discussion: 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. Trial Registration: Current Controlled Trials ISRCTN13919732
ACCESSION #
52840026

 

Related Articles

  • Promoting Developmental Research on Breastfeeding, Mothers’ Lives, and Children’s Health. Crosnoe, Robert // Human Development (0018716X);Jun2018, Vol. 61 Issue 2, p96 

    The article focuses on the importance of breastfeeding practice promoting medical, developmental and anthropological interests in the society. It talks about the importance of communication and dynamics involved in the development of a child's health. It tells about breastfeeding promoting...

  • A comparison of four scoring methods based on the parent-rated Strengths and Difficulties Questionnaire as used in the Dutch preventive child health care system. Crone, Mathilde R.; Vogels, Anton G. C.; Hoekstra, Femke; Treffers, Philip D. A.; Reijneveld, Sijmen A. // BMC Public Health;2008, Vol. 8 Issue 1, p106 

    Background: Validated questionnaires can support the identification of psychosocial problems by the Preventive Child Health Care (PCH) system. This study assesses the validity and added value of four scoring methods used with the Strengths and Difficulties Questionnaire (SDQ) for the...

  • Priming the Pump... Being Selective With Screen Time Helps Students Learn. Rivera, Miquela // Hispanic Outlook in Higher Education Magazine;8/4/2014, Vol. 24 Issue 20, p34 

    The author discusses the effects of unlimited screen time to the learning and relationship skills, and health of children. Topics discussed include limiting quantity and overseeing quality of children's viewing, exercise as a deterrent to diabetes and boost to learning, and unplugging the...

  • Targeting children of substance-using parents with the community-based group intervention TRAMPOLINE: A randomised controlled trial - design, evaluation, recruitment issues.  // BMC Public Health;2012, Vol. 12 Issue 1, p223 

    The article focuses on the study conducted at Germany, which tests the effectiveness of the group programme Trampoline for children aged 8-12 years with at least one substance-abusing or -dependent caregiver. It also discusses several other factors including, developing and evaluating a...

  • Incidental Findings in Pediatric Research. Wilfond, Benjamin S.; Carpenter, Katherine J. // Journal of Law, Medicine & Ethics;Summer2008, Vol. 36 Issue 2, p332 

    The approach to incidental research fndings in children emerges by considering the child-parent relationship and balancing divergent interests and preferences. Incidental fndings with clear and proximate clinical importance should be disclosed to both. We recommend that particularly sensitive or...

  • TRYING TO BE... Asha, M. R. // Indian Journal of Psychiatry;2008, Vol. 50 Issue 2, p149 

    The poem "Trying to Be..." by M. R. Asha is presented. First Line: Understand the challenges I face; Last Line: LOVING, UNIQUE, ETERNAL, AND WHOLE!

  • Look what’s inside…. Connolly, Fiona // Woman's Day (Australia Edition);10/28/2019, Issue 1944, p3 

    An introduction to the journal is presented which discusess topics within the issue incluidng parenting, and maintaining parent-child relationship.

  • Early Childhood Caries: Analysis of Psychosocial and Biological Factors in a High-Risk Population. Quiñonez, R. B.; Keels, M. A.; Vann Jr., W. F.; McIver, F. T.; Heller, K.; Whitt, J. K. // Caries Research;Sep/Oct2001, Vol. 35 Issue 5, p376 

    The influences that link social factors and caries development are not well understood, although mediation by stress has been suggested. The association between caregiver stress and early childhood caries (ECC), in particular, remains unclear. The purpose of this study was to examine the...

  • National Pathfinder Survey on Children’s Oral Health in Italy: Pattern and Severity of Caries Disease in 4-Year-Olds. Campus, G.; Solinas, G.; Strohmenger, L.; Cagetti, M. G.; Senna, A.; Minelli, L.; Majori, S.; Montagna, M. T.; Reali, D.; Castiglia, P. // Caries Research;2009, Vol. 43 Issue 2, p155 

    This paper describes the dental health status of Italian 4-year-olds in 2004/2005 and analyzes the association between caries in preschool children and some background characteristics in children and parents. Caries was recorded according to WHO criteria. 5,538 subjects were examined....

  • 'Off school sick': mothers' accounts of school sickness absence. Prout, Alan // Sociological Review;Nov88, Vol. 36 Issue 4, p765 

    Interview material, collected as part of a wider ethnographic study of sickness absence in an English primary school, is used to examine how mothers accounted for their decisions to keep children 'off school sick'. Mothers' accounts suggested a process by which they tested their children's...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics