Evaluation of a community based 12 week basic incredible years 2 year follow up
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Evaluation of a Community based 12 week Basic Incredible Years: 2 year follow up. Deborah Roberts Specialist Behaviour Practitioner January 2012. Why the evaluation took place. Working in Sure Start (England) evaluation was part of the culture

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Evaluation of a community based 12 week basic incredible years 2 year follow up l.jpg

Evaluation of a Community based 12 week Basic Incredible Years: 2 year follow up

Deborah Roberts

Specialist Behaviour Practitioner

January 2012


Why the evaluation took place l.jpg
Why the evaluation took place Years: 2 year follow up

  • Working in Sure Start (England) evaluation was part of the culture

  • Local criticism that parents did not hold on to their strategies

  • Coalition government – a need for financial accountability and value for money

  • Pure curiosity


Aim of evaluation l.jpg
Aim of Evaluation Years: 2 year follow up

  • To evaluate the effectiveness of a community based 12 week Basic Incredible Years Parenting Programme, 2 years post completion

  • To share information and add to the evidence about the suitability of Incredible Years Programmes as a community intervention for mild to moderate behaviour difficulties in children up to 12.


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How I went about it Years: 2 year follow up

  • Registered with the audit department of BCUHB

  • Sent out letters to previous participants informing them of our intention

  • Original questionnaires used (General Health Questionnaire and Eyberg Behaviour Checklist)

  • Structured / semi-structured questionnaire to gather data on events over the previous 2 years

  • Piloted on handful of participants

  • Carried out by the support worker in post, in the participants home


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Quantitative Results (or the number crunching exercise) Years: 2 year follow up

  • First step was to digest ‘SPSS for Dummies’

  • As majority of data did not show normal distribution – most were skewed to the left – the non-parametric Wilcoxon signed rank test was performed


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Interesting data Years: 2 year follow up

  • 12 groups were targeted

  • Sample of 57 out of original 90 participants (63%)

  • Age range 0 – 12 years, mean average age 5.7 years (5.6 yrs boys, 5.9 yrs girls)

  • Total boys 31 (54%) and girls 26 (46%)

  • Average sessions attended 9.1

  • Age breakdown

    • 0-4yrs 24

    • 5-7yrs 15

    • 8-12yrs 18


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Source of referrals Years: 2 year follow up

  • Self 22

  • Sure Start 14

  • CAMHS 9

  • School Nurses 6

  • Social Services 2

  • Community Paed 1

  • School 1

  • Family member 1

  • Voluntary org 1


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General Health Questionnaire Years: 2 year follow up




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ECBI Intensity Years: 2 year follow up

  • Above the clinical cut-off

    • Pre group 28 (50%)

    • Post group 6 (11%)

    • 2 years 18 (31%)

      Of these 18 children, 12 had a ‘significant life event’ in the past 2 years, 7 of which had gone on to be diagnosed with ADHD

      Of these 18, 5 had shown no significant change post group

      Of these 5 whose scores hadn’t changed post-group, only 2 were above the clinical cut-off


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Significant Life Events Reported Years: 2 year follow up

ADHD Diagnosis 7

Learning Disability 2

Waiting for CAMHS assessment 2

Family relationship problems 2

Referred to CAMHS but DNA 1

Seen by CAMHS but NAD 1

ASD Diagnosis 1


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Qualitative data (or what they fed back) Years: 2 year follow up

  • Participants comments themed:

    • Behaviour had remained better 24

    • Group was supportive 10

    • Enjoyed the group 9

    • Information and home practice 8

    • Group leaders supportive 6

    • Understood what to do/confident 4

    • Still struggling 4

    • Currently under assessment 4

    • Diagnosis was important 3

    • Problems with another child 3

    • Crèche facilities useful 2

    • Having further support 1


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Participants comments Years: 2 year follow up

  • Improved behaviour

    • “Things have been OK since doing the course. If I have a problem now, I go back to sticker charts”

    • “I found the group really useful, descriptive commenting was brilliant. The behaviour has been good since the group. Only 1 problem occurred when a little brother came along”

    • “It gave a good foundation on how to deal with issues. I still remember the principles, information got from the group was really good. I can see the benefits of structure, but not always able to keep this in place..”


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Group Experience Years: 2 year follow up

  • “I think this sort of parenting course is invaluable to all mums and dads, whatever age their children. I also love the interaction with other parents, you do not feel alone with a problem. Keep the course going!!!”

  • Nothing bad. Good group, leaders were helpful and explanations were really good. Meeting other people and discussing issues, realising that I wasn’t the only person struggling”


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What strategies were they predominately using? Years: 2 year follow up

  • Prompt card and asked for examples

    • Rewards 27

    • Praise 26

    • Consequences 16

    • Ignoring 15

    • Play 14

    • Time out 14

    • Limit Setting 6

    • Controlling Upsetting Thoughts 3

    • Problem Solving 3


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What has happened since Years: 2 year follow up

  • ‘Top-up’ sessions have been offered due to expressed need, but little success

  • ‘Advanced IY’ offered as a result and huge demand. Two groups run and waiting list!

  • New Support worker recruited Oct 2011 after post frozen for 12 months

  • Sure Start project ended, Behaviour Practitioner (0-4s) moved to Flying Start to run in-house – since retired

  • Run the new up-dated Basic

  • Referral source shifted to CAMHS and School Nurses

  • Maintained our universal approach to all parents in Conwy county

  • Findings been accepted for publication


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