Clinical and cost effectiveness of a parent mediated intervention to reduce challenging behaviour in pre-schoolers

Olayinka Farris1, Rachel Royston2, Michael Absoud3

  • 1Division of Psychiatry, University College London, 6th Floor Maple House, 149 Tottenham Court Road, London, W1T 7NF, UK.

BMC Psychiatry
|February 1, 2020
PubMed

Insights

This study evaluates the Stepping Stones Triple P (SSTP) intervention for challenging behaviour in preschool children with intellectual disabilities. Findings will guide UK policy on effective support for these children.

Area of Science:

  • Child Psychology
  • Developmental Disabilities
  • Intervention Science

Background:

  • Children with intellectual disabilities frequently exhibit challenging behaviours.
  • Parent-mediated interventions show promise, but UK research is limited.
  • National Institute for Health and Care Excellence (NICE) guidelines recommend Stepping Stones Triple P (SSTP).

Purpose of the Study:

  • To assess the clinical and cost-effectiveness of SSTP.
  • To evaluate SSTP for preschool children with moderate to severe intellectual disabilities.
  • To inform UK policy on interventions for challenging behaviour.

Main Methods:

  • A trial involving 258 children aged 30-59 months across four English sites.
  • Intervention group received 9 weeks of SSTP plus Treatment as Usual (TAU).
  • Control group received TAU only. Measurements taken at baseline, 4, and 12 months.

Main Results:

  • Parent reports and structured observations of behaviour were primary outcomes.
  • Service use and health-related quality of life data were collected.
  • Cost-effectiveness and utility evaluations were conducted.

Conclusions:

  • Study findings will inform policy on interventions for challenging behaviour in young children with intellectual disabilities.
  • The trial provides crucial UK-based evidence on SSTP effectiveness.
  • Results will guide future service provision and support strategies.
Abstract

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