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Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
A pilot effectiveness study of the Enhancing Parenting Skills (EPaS) 2014 programme for parents of children with
Margiad Elen Williams1, Judy Hutchings2
1Centre for Evidence Based Early Intervention, Nantlle Building, Normal Site, Bangor University, Bangor, Gwynedd, LL57 2PZ, UK. margiad.williams@bangor.ac.uk.
Insights
This study evaluates the Enhancing Parenting Skills (EPaS) 2014 program for children with behavior problems. It compares the home-based intervention to usual care to assess effectiveness.
Area of Science:
- Child Psychology
- Parenting Interventions
- Health Services Research
Background:
- The Enhancing Parenting Skills (EPaS) 2014 programme is a home-based support program for parents of children with behavior issues.
- Health visitors deliver this intervention, which is designed to assist families with identified child behavior problems.
Purpose of the Study:
- To evaluate the effectiveness of the EPaS 2014 programme.
- To compare the EPaS 2014 programme against a waiting-list control group receiving usual care.
Main Methods:
- A pragmatic, multicentre randomised controlled trial involving 60 health visitors.
- Families with children scoring above the clinical cut-off for behavior problems on the Eyberg Child Behaviour Inventory (ECBI) were recruited.
- Participants were randomised 1:1 to either the intervention or a waiting-list control group, with randomisation stratified by health visitor.
Main Results:
- The primary outcome is the change in child behavior problems, measured by parent-reported ECBI scores.
- Secondary outcomes include other child behavior measures, parent behavior, and parental depression.
- Follow-up assessments are conducted 6 months after baseline data collection.
Conclusions:
- This is the first rigorous evaluation of the EPaS 2014 programme.
- The trial will yield crucial data on the efficacy of home-based, one-to-one interventions for preschool children's behavior problems.
- The study will also explore potential mediating and moderating factors, such as parental behavior, depression, and socioeconomic status.
Background:
The Enhancing Parenting Skills (EPaS) 2014 programme is a home-based, health visitor-delivered parenting support programme for parents of children with identified behaviour problems. This trial aims to evaluate the effectiveness of the EPaS 2014 programme compared to a waiting-list treatment as usual control group.
Methods/Design:
This is a pragmatic, multicentre randomised controlled trial. Sixty health visitors will each be asked to identify two families that have a child scoring above the clinical cut-off for behaviour problems using the Eyberg Child Behaviour Inventory (ECBI). Families recruited to the trial will be randomised in a 1:1 ratio into an intervention or waiting-list control group. Randomisation will occur within health visitor to ensure that each health visitor has one intervention family and one control family. The primary outcome is change in child behaviour problems as measured by the parent-reported ECBI. Secondary outcomes include other measures of child behaviour, parent behaviour, and parental depression as measured by parent-reports and an independent observation of parent and child behaviour. Follow-up measures will be collected 6-months after the collection of baseline measures.
Discussion:
This is the first rigorous evaluation of the EPaS 2014 programme. The trial will provide important information on the effectiveness of a one-to-one home-based intervention, delivered by health visitors, for pre-school children with behaviour problems. It will also examine potential mediating (improved parent behaviour and/or improved parental depression) and moderating (single parent, teenage parent, poverty, low education level) factors.
Trial Registration:
Current Controlled Trials ISRCTN06867279 (18 June 2014).
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