evaluating the epas 2014 programme and an e-version of the little parent handbook margiad elen...
TRANSCRIPT
Evaluating the EPaS 2014 programme and an e-version of the Little Parent Handbook
Margiad Elen Williams
CEBEI, Bangor University
Content
Study 1: EPaS 2014 project Background Proposed research project
Study 2: e-version of Little Parent Handbook Background Proposed research project
Enhancing Parenting Skills (EPaS)
Developed in 1990s
Three core components:
Structured assessment of child behaviour, family circumstances and assets
Case analysis
Intervention strategies
Intensive Treatment trial
Intervention with CAMHS-referred children
Compared to Standard CAMHS management advice
Significant improvements child behaviour, maternal depression, positive parenting skills
Maintained at 4-year follow-up
See Hutchings et al. (2002, 2004)
Health visitor trainingAdapted for health visitors
24 health visitors, 36 families (24 I & 12 C)
12 weekly two-hour training sessions for HVs
Significant improvements child behaviour & parental mental health
Increased knowledge & use of behaviour principles
High levels satisfaction
See Lane & Hutchings (2002)
Waterloo Foundation grant – to evaluate a shorter version of the EPaS training delivered across
Wales
Rationale: the original EPaS course was not designed in a format for wide-scale dissemination
Training for staff working with children facing developmental challenges
Underlying principles work for all children
Re-designed programme Two-day training course Detailed intervention manual Parent help sheets
Waterloo Foundation study
Five locations across Wales
62 attended day 1 (assessment)
42 attended day 2 (case analysis & intervention strategies)
High levels of satisfaction with training & content
Increased use of behaviour principles
Waterloo Foundation study
Data from 25 families (10 complete)
Children with behaviour problems, parents with low mental well-being and problematic parenting skills
Significant improvements in child behaviour, parental mental well-being, and parenting skills
Parents rated programme as useful and would recommend to others
Limitations
Two days not enough
Staff had varied backgrounds & experience
Small sample
No control comparison group
EPaS 2014 trial
Aims to address limitations
Course redesigned to be delivered in three days and manual improved and expanded (based on feedback form Waterloo trial) Day 1 – assessment Day 2 – case analysis Day 3 – intervention strategies
Tailored to support health visitors who already have good child development understanding (as with initial EPaS training).
EPaS 2014 trialHypotheses
Three days of detailed assessment, case analysis and behavioural intervention skills training will enable HVs to effectively support families of high challenge pre-school children and achieve positive outcomes.
This will demonstrate a scalable model for dissemination of effective training for HVs in core behavioural case planning and intervention strategies
EPaS 2014 trialMulti-centre randomised controlled trial
Recruit 60 health visitors
Screen for child behaviour problems in children aged 30 – 48 months (above clinical cut-off ECBI)
Recruit two families each (n=120)
Baseline, 4-month FU, 8-month FU (intervention only)
Child behaviour, parental mental health, parenting skills, child language skills, observation parent-child interaction
Little Parent Handbook
Booklet for parents introducing effective core parenting skills
Covers variety of behaviours problems
Based on parent help sheets from the Waterloo Foundation project
Published November 2013
Why web-based version?
Group-based programmes inappropriate and/or inaccessible to some
One-to-one support is resource intensive and not accessible to all parents
83% of UK households have internet access (ONS, 2013)
70% of people own smartphone with internet access
Web-based trial
Aim to develop and evaluate a web-based version
Weekly chapters, worksheets, video vignettes, quizzes with feedback
Randomised controlled trial
Health visitors to recruit families
Target parents of children at-risk of behaviour problems (aged 3 – 8 years)
