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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 Little Parent Handbook

  • 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) Little Parent Handbook

  • 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 Little Parent Handbook

  • 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 Little Parent Handbook

  • 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 – Little Parent Handbookto 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 Little Parent Handbook

  • 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 Little Parent Handbook

  • 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 Little Parent Handbook

  • Two days not enough

  • Staff had varied backgrounds & experience

  • Small sample

  • No control comparison group


Epas 2014 trial
EPaS 2014 trial Little Parent Handbook

  • 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 Little Parent Handbook

  • 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 Little Parent Handbook

  • 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 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? Little Parent Handbook

  • 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 Little Parent Handbook

  • 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)


Evaluating the epas 2014 programme and an e version of the little parent handbook

Thank you for listening Little Parent Handbook

Email: margiad.williams@bangor.ac.uk

Tel: 01248 383 627