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My Early Relational Trust-Informed Learning (MERTIL) for Parents: A study protocol for a brief, universal, online,
Jessica Opie1, Leesa Hooker2,3, Tanudja Gibson1
1School of Psychology & Public Health, La Trobe University, Melbourne, Australia.
Insights
Early relational trauma impacts infant development, but is modifiable. A new online program, MERTIL for Parents, aims to improve parental knowledge of relational trust and infant wellbeing, with pilot studies beginning in 2023.
Area of Science:
- Child Development
- Parental Mental Health
- Trauma-Informed Care
Background:
- Early relational health is crucial for child development.
- Relational trauma in parent-infant dyads can negatively impact infants.
- Early relational trauma is identifiable and treatable.
Purpose of the Study:
- To develop and evaluate MERTIL for Parents, an online, evidence-based parenting program.
- To enhance parental knowledge of relational trust and its significance for infant development.
- To assess the feasibility and efficacy of a universal preventative online program for parental and relational wellbeing.
Main Methods:
- Mixed methods, uncontrolled, repeated measures design.
- Recruitment of 48 Australian Maternal and Child Health (MCH) practitioners to recruit 480 parents with children aged 0-5 years.
- Data collection via surveys and focus groups at multiple time points, including socioemotional assessments and feasibility reports.
Main Results:
- Maternal and Child Health nurses reported confidence in identifying and responding to relational trauma after initial training.
- Program evaluations indicated a need for improved parent referral options, leading to the development of MERTIL for Parents.
- Pilot studies commencing March 2023 will assess practitioner and parent perspectives on program feasibility and efficacy.
Conclusions:
- The MERTIL for Parents online program offers a low-cost, accessible resource for early intervention.
- Universal preventative online programs targeting parental and relational wellbeing hold significant potential.
- This study protocol outlines the implementation of a pilot study to gather crucial data on the program's feasibility and efficacy.
Background:
Early relational health is a key determinant of childhood development, while relational trauma in the parent-infant dyad can instigate a cascading pattern of infant risk. Fortunately, early relational trauma is detectable and modifiable. In 2018, Australian Maternal and Child Health (MCH) nurses participated in MERTIL (My Early Relational Trauma-Informed Learning), a program to identify and prevent relational trauma. Program evaluations revealed nurses felt competent and confident to identify and respond to relational trauma; however, response capacity was inhibited by inadequate parent referral options. In response, MERTIL for Parents (My Early Relational Trust-Informed Learning) was developed, which is an online, evidence-based, self-paced parenting program that focuses on enhancing parental knowledge of relational trust and its significance for infant development. This low-cost, accessible prevention resource targets emerging relational concerns to reduce later service system engagement. The potential for universal preventative online programs that target parental and relational wellbeing remains under-explored. This paper reports on a protocol for implementing a MERTIL for Parents pilot study describing practitioners' and parents' perspectives on program feasibility and efficacy.
Methods:
This study is a mixed methods, parallel armed, uncontrolled, repeated measures design. We aim to recruit 48 Australian MCH practitioners from the states of Victoria and New South Wales. These professionals will in turn recruit 480 parents with a child aged 0-5 years. All parents will receive MERTIL for Parents, which entails a 40-minute video, tipsheets, posters, and support resources. Parent data will be obtained at three periods: pre-program, program exit, and program follow-up. Practitioner data will be collected at two periods: pre-parent recruitment and program follow-up. Data collection will occur through surveys and focus groups. Primary parent outcomes will be socioemotional assessments of program efficacy. Practitioners and parents will each report on program feasibility.
Discussion:
This protocol describes the feasibility and efficacy of a new online parenting program, MERTIL for Parents, with pilot field studies commencing in March 2023. We anticipate that this resource will be a valuable addition to various child and family services, for use in individual support and group work.
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