Impact of a peer-led, community-based parenting programme delivered at a national scale: an uncontrolled cohort design with benchmarking

Day, Crispin; Harwood, Joshua; Kendall, Nadine; Nicoll, J. A. Vere

doi:10.1186/s12889-022-13691-y

Cited by 5 publications

(5 citation statements)

References 39 publications

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“…where a fellow parent acts as an intervention ‘facilitator’, ‘coach’ or ‘guide’) warrant consideration as a method for delivering evidence-based community-based parenting interventions. Such peer-led delivery models appear to be particularly effective for engaging disadvantaged families 29. Moreover, peer-led approaches are consistent with the global literature on ‘task-sharing’ of psychosocial interventions in low-resource settings, with mounting evidence that effectiveness does not depend on the involvement of highly qualified practitioners 30…”

Section: Priorities For Interventions For Ebsa In the Post-pandemic C...mentioning

confidence: 57%

“…Such peer-led delivery models appear to be particularly effective for engaging disadvantaged families. 29 Moreover, peer-led approaches are consistent with the global literature on 'task-sharing' of psychosocial interventions in low-resource settings, with mounting evidence that effectiveness does not depend on the involvement of highly qualified practitioners. 30…”

Section: Priorities For Interventions For Ebsa In the Post-pandemic C...mentioning

confidence: 66%

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Perfect storm: emotionally based school avoidance in the post-COVID-19 pandemic context

Lester,

Michelson

2024

BMJ Ment Health

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School absences have risen following the COVID-19 pandemic and persistent absenteeism remains high in primary and secondary schools in England compared with pre-pandemic levels. This coincides with an upward trend in emotionally based school avoidance (EBSA). EBSA adversely affects children’s educational attainment, health, social functioning and life prospects and warrants early intervention before a pattern of absenteeism becomes entrenched. In this article, we consider how the COVID-19 pandemic and its sequelae have created a ‘perfect storm’ of conditions, amplifying known school, family and child-based risk factors for EBSA while simultaneously reducing access to support services. We then outline priorities for developing new EBSA interventions and argue for a multi-component approach, which works across education, health and social care, and voluntary sectors to address the complex interplay between risk factors. Given the difficulties that families often face in obtaining timely support for EBSA, it is also essential that new interventions are accessible, resource-efficient and scalable. To this end, we specifically discuss the potential for contextually-sensitive, parent-focused interventions that can be delivered online with minimal synchronous support from a trained coach or facilitator.

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Section: Priorities For Interventions For Ebsa In the Post-pandemic C...mentioning

confidence: 57%

Section: Priorities For Interventions For Ebsa In the Post-pandemic C...mentioning

confidence: 66%

Perfect storm: emotionally based school avoidance in the post-COVID-19 pandemic context

Lester,

Michelson

2024

BMJ Ment Health

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“…The boosters were entitled (1) "Staying positive and motivated," (2) "Making sure everyone knows what is expected of them," (3) "Building your child's self-confidence and trust," (4) "Getting your child to follow instructions," (5) "Promoting better behaviour," (6) "Limiting conflict," (7) "Keeping calm when your kids act up," and (8) "Careful use of sanctions." These are complemented by a range of digital material aligned with their themes derived from the EPEC parenting program [11,12] and the STEPS app [13]. The Parenting Exchange provided a platform for parent-to-parent communication facilitated by 6 experienced, trained [12] EPEC parent group leaders who moderated content and responded where appropriate to parent posts.…”

Section: Parent Positivementioning

confidence: 99%

“…These are complemented by a range of digital material aligned with their themes derived from the EPEC parenting program [11,12] and the STEPS app [13]. The Parenting Exchange provided a platform for parent-to-parent communication facilitated by 6 experienced, trained [12] EPEC parent group leaders who moderated content and responded where appropriate to parent posts. The moderators were paid for their role and received monthly 1-hour group supervision.…”

Section: Parent Positivementioning

confidence: 99%

“…As a result of this co-design work with parents, the Parent Positive boosters were supplemented by a range of digital material aligned with their focus derived from 2 existing web-delivered parenting interventions: (1) the "Empowering Parents Empowering Communities" (EPEC) parenting program [11,12], concurrently featured on multiple social media channels (eg, Facebook and Instagram: see Center for Parent and Child Support for further information), and (2) the Structured E-Parenting Support app (STEPS) [13]. We also developed 2 further app zones: Parenting Exchange and Parent Resources.…”

Section: Introductionmentioning

confidence: 99%

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The Effectiveness and Cost-Effectiveness of a Universal Digital Parenting Intervention Designed and Implemented During the COVID-19 Pandemic: Evidence From a Rapid-Implementation Randomized Controlled Trial Within a Cohort

Palmer¹,

Beckley-Hoelscher²,

Shearer³

et al. 2023

J Med Internet Res

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Background Children’s conduct and emotional problems increased during the COVID-19 pandemic. Objective We tested whether a smartphone parenting support app, Parent Positive, developed specifically for this purpose, reversed these effects in a cost-effective way. Parent Positive includes 3 zones. Parenting Boosters (zone 1) provided content adapted from standard face-to-face parent training programs to tackle 8 specific challenges identified by parents and parenting experts as particularly relevant for parents during the pandemic. The Parenting Exchange (zone 2) was a parent-to-parent and parent-to-expert communication forum. Parenting Resources (zone 3) provided access to existing high-quality web-based resources on a range of additional topics of value to parents (eg, neurodevelopmental problems, diet, and sleep). Methods Supporting Parents And Kids Through Lockdown Experiences (SPARKLE), a randomized controlled trial, was embedded in the UK-wide COVID-19: Supporting Parents, Adolescents and Children during Epidemics (Co-SPACE) longitudinal study on families’ mental health during the pandemic. Parents of children aged 4 to 10 years were randomized 1:1 to Parent Positive or follow-up as usual (FAU) between May 19, 2021, and July 26, 2021. Parent Positive provided advice on common parenting challenges and evidence-based web-based resources and facilitated parent-to-parent and expert-to-parent support. Child conduct and emotional problems and family well-being were measured before randomization (T1) and at 1 (T2) and 2 (T3) months after randomization. Service use, costs, and adverse events were measured, along with app use and satisfaction. The primary outcome was T2 parent-reported child conduct problems, which were analyzed using linear mixed regression models. Results A total of 320 participants were randomized to Parent Positive, and 326 were randomized to FAU. The primary outcome analysis included 79.3% (512/646) of the participants (dropout: 84/320, 26% on Parent Positive and 50/326, 15% on FAU). There were no statistically significant intervention effects on conduct problems at either T2 (standardized effect=−0.01) or T3 (secondary outcome; standardized effect=−0.09) and no moderation by baseline conduct problems. Significant intervention-related reductions in emotional problems were observed at T2 and T3 (secondary outcomes; standardized effect=−0.13 in both cases). Parent Positive, relative to FAU, was associated with more parental worries at T3 (standardized effect=0.14). Few intervention-attributable adverse events were reported. Parent Positive was cost-effective once 4 outliers with extremely high health care costs were excluded. Conclusions Parent Positive reduced child emotional problems and was cost-effective compared with FAU once outliers were removed. Although small when considered against targeted therapeutic interventions, the size of these effects was in line with trials of nontargeted universal mental health interventions. This highlights the public health potential of Parent Positive if implemented at the community level. Nevertheless, caution is required before making such an interpretation, and the findings need to be replicated in large-scale, whole-community studies. Trial Registration ClinicalTrials.gov NCT04786080; https://clinicaltrials.gov/ct2/show/NCT04786080

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Scale-up of Global Child and Youth Mental Health Services: A Scoping Review

Walker,

Wissow,

Gubner

et al. 2024

Adm Policy Ment Health

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Numerous influential policy and scientific bodies are calling for more rapid advances in the scale-up of child and youth mental health services (CYMHS). A number of CYMHS innovations hold promise for advancing scale-up but little is known about how real-world efforts are progressing. We conducted a scoping review to identify promising approaches to CYMHS scale-up across the globe. Searches were completed in six databases (Academic Search Complete, CINAHL, MEDLINE, PsychInfo, PubMed, and Web of Science). Article selection and synthesis were conducted in accordance to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR) checklist. A second search focused on low-and-middle-income countries (LMIC) was conducted based on the Cochrane Library recommended search filters of the World Bank listed LMIC countries. Authors used a double coding strategy during the title/abstract and full-text review. Twenty-eight articles meeting the eligibility criteria were identified that described 22 initiatives (in 11 different countries). Our review found the majority of published scale-up studies in CYMHS were not informed by scale-up frameworks in design or reporting. The methods and outcomes used in the identified articles were highly variable and limited our ability to draw conclusions about comparative effectiveness although promising approaches emerged. Successes and failures identified in our review largely reflect consensus in the broader literature regarding the need for strategies to better navigate the complexities of system and policy implementation while ensuring CYMHS interventions fit local contexts.

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Impact of a peer-led, community-based parenting programme delivered at a national scale: an uncontrolled cohort design with benchmarking

Cited by 5 publications

References 39 publications

Perfect storm: emotionally based school avoidance in the post-COVID-19 pandemic context

Perfect storm: emotionally based school avoidance in the post-COVID-19 pandemic context

The Effectiveness and Cost-Effectiveness of a Universal Digital Parenting Intervention Designed and Implemented During the COVID-19 Pandemic: Evidence From a Rapid-Implementation Randomized Controlled Trial Within a Cohort

Scale-up of Global Child and Youth Mental Health Services: A Scoping Review

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