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Evaluating the effectiveness and cost effectiveness of the 'strengthening families, strengthening communities' group-based parenting programme: study protocol and initial insights.
Lodder, Annemarie; Mehay, Anita; Pavlickova, Hana; Hoare, Zoe; Box, Leandra; Butt, Jabeer; Weaver, Tim; Crawford, Mike J; Clutterbuck, Donna; Westbrook, Nicola; Manning, Karlet; Karlsen, Saffron; Morris, Steve; Brand, Andrew; Ramchandani, Paul; Kelly, Yvonne; Heilmann, Anja; Watt, Richard G.
  • Lodder A; Department of Epidemiology and Public Health, University College London, London, UK. a.lodder@ucl.ac.uk.
  • Mehay A; Department of Epidemiology and Public Health, University College London, London, UK.
  • Pavlickova H; NWORTH Clinical Trials Unit, Bangor University, Bangor, UK.
  • Hoare Z; NWORTH Clinical Trials Unit, Bangor University, Bangor, UK.
  • Box L; Race Equality Foundation, London, UK.
  • Butt J; Race Equality Foundation, London, UK.
  • Weaver T; School of Health and Education, Middlesex University, London, UK.
  • Crawford MJ; Division of Psychiatry, Imperial College London, London, UK.
  • Clutterbuck D; Race Equality Foundation, London, UK.
  • Westbrook N; Department of Epidemiology and Public Health, University College London, London, UK.
  • Manning K; PPI lead, Manchester, UK.
  • Karlsen S; Centre for the Study of Ethnicity and Citizenship, University of Bristol, Bristol, UK.
  • Morris S; Department of Public Health & Primary Care, Cambridge University, Cambridge, UK.
  • Brand A; NWORTH Clinical Trials Unit, Bangor University, Bangor, UK.
  • Ramchandani P; PEDAL Research Centre, Faculty of Education, Cambridge University, Cambridge, UK.
  • Kelly Y; Department of Epidemiology and Public Health, University College London, London, UK.
  • Heilmann A; Department of Epidemiology and Public Health, University College London, London, UK.
  • Watt RG; Department of Epidemiology and Public Health, University College London, London, UK.
BMC Public Health ; 21(1): 1887, 2021 10 19.
Article in English | MEDLINE | ID: covidwho-1477405
ABSTRACT

BACKGROUND:

Up to 20% of UK children experience socio-emotional difficulties which can have serious implications for themselves, their families and society. Stark socioeconomic and ethnic inequalities in children's well-being exist. Supporting parents to develop effective parenting skills is an important preventive strategy in reducing inequalities. Parenting interventions have been developed, which aim to reduce the severity and impact of these difficulties. However, most parenting interventions in the UK focus on early childhood (0-10 years) and often fail to engage families from ethnic minority groups and those living in poverty. Strengthening Families, Strengthening Communities (SFSC) is a parenting programme designed by the Race Equality Foundation, which aims to address this gap. Evidence from preliminary studies is encouraging, but no randomised controlled trials have been undertaken so far. METHODS/

DESIGN:

The TOGETHER study is a multi-centre, waiting list controlled, randomised trial, which aims to test the effectiveness of SFSC in families with children aged 3-18 across seven urban areas in England with ethnically and socially diverse populations. The primary outcome is parental mental well-being (assessed by the Warwick-Edinburgh Mental Well-Being Scale). Secondary outcomes include child socio-emotional well-being, parenting practices, family relationships, self-efficacy, quality of life, and community engagement. Outcomes are assessed at baseline, post intervention, three- and six-months post intervention. Cost effectiveness will be estimated using a cost-utility analysis and cost-consequences analysis. The study is conducted in two stages. Stage 1 comprised a 6-month internal pilot to determine the feasibility of the trial. A set of progression criteria were developed to determine whether the stage 2 main trial should proceed. An embedded process evaluation will assess the fidelity and acceptability of the intervention.

DISCUSSION:

In this paper we provide details of the study protocol for this trial. We also describe challenges to implementing the protocol and how these were addressed. Once completed, if beneficial effects on both parental and child outcomes are found, the impact, both immediate and longer term, are potentially significant. As the intervention focuses on supporting families living in poverty and those from minority ethnic communities, the intervention should also ultimately have a beneficial impact on reducing health inequalities. TRIAL REGISTRATION Prospectively registered Randomised Controlled Trial ISRCTN15194500 .
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Quality of Life / Parenting Type of study: Experimental Studies / Prognostic study / Randomized controlled trials Limits: Child, preschool / Humans Language: English Journal: BMC Public Health Journal subject: Public Health Year: 2021 Document Type: Article Affiliation country: S12889-021-11912-4

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Quality of Life / Parenting Type of study: Experimental Studies / Prognostic study / Randomized controlled trials Limits: Child, preschool / Humans Language: English Journal: BMC Public Health Journal subject: Public Health Year: 2021 Document Type: Article Affiliation country: S12889-021-11912-4