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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.

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evaluating the epas 2014 programme and an e version of the little parent handbook
Evaluating the EPaS 2014 programme and an e-version of the Little Parent Handbook

Margiad Elen Williams

CEBEI, Bangor University

content
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
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
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 training
Health visitor training
  • Adapted 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
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
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 study1
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
Limitations
  • Two days not enough
  • Staff had varied backgrounds & experience
  • Small sample
  • No control comparison group
epas 2014 trial
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 trial1
EPaS 2014 trial
  • Hypotheses
    • 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 trial2
EPaS 2014 trial
  • Multi-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
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
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
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)
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