Evaluating the effectiveness and cost effectiveness of the ‘strengthening families, strengthening communities’ group-based parenting programme: study protocol and initial insights

Lodder, Annemarie ORCID: https://orcid.org/0000-0002-1730-6132, Mehay, Anita, Pavlickova, Hana, Hoare, Zoe, Box, Leandra, Butt, Jabeer, Weaver, Tim ORCID: https://orcid.org/0000-0002-3437-3556, Crawford, Mike J., Clutterbuck, Donna, Westbrook, Nicola, Manning, Karlet, Karlsen, Saffron, Morris, Steve, Brand, Andrew, Ramchandani, Paul, Kelly, Yvonne, Heilmann, Anja and Watt, Richard G. (2021) Evaluating the effectiveness and cost effectiveness of the ‘strengthening families, strengthening communities’ group-based parenting programme: study protocol and initial insights. BMC Public Health, 21 (1) , 1887. pp. 1-13. ISSN 1471-2458 [Article] (doi:10.1186/s12889-021-11912-4)

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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.

Item Type: Article
Keywords (uncontrolled): Study Protocol, ‘Parenting’, ‘Child outcomes’, ‘Parental well-being’, ‘Health inequalities’, ‘Randomised controlled trial’, ‘Parenting programme’, ‘Child well-being’, ‘Intervention’
Research Areas: A. > School of Health and Education > Mental Health, Social Work and Interprofessional Learning
Item ID: 34002
Notes on copyright: © The Author(s). 2021 Open Access
This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data
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Depositing User: Jisc Publications Router
Date Deposited: 20 Oct 2021 16:45
Last Modified: 21 Oct 2021 09:33
URI: https://eprints.mdx.ac.uk/id/eprint/34002

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