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Mixed-methods evaluation protocol for the Now & Next programme: a codesigned, family-centred peer-led caregiver
Sara Cibralic1,2, Sylvana Mahmic3, Anoo Bhopti4
1Psychiatry and Mental Health/School of Clinical Medicine, UNSW Medicine & Health, Sydney, New South Wales, Australia s.cibralic@unsw.edu.au.
BMJ Open
|July 20, 2026
Summary
This study evaluates the Now & Next program, a family-centered support for caregivers of children with developmental needs. The program aims to enhance caregiver skills, goal achievement, and overall quality of life.
Area of Science:
- Child Development and Disability Research
- Family Support Interventions
- Caregiver Well-being Studies
Background:
- Increasing global rates of child developmental delay and disability necessitate comprehensive family support.
- Traditional interventions focused on the child; a whole-family approach is now recognized as crucial for improved outcomes.
- The Now & Next program is a family-centered, peer-led initiative designed to support caregivers of children with developmental needs.
Purpose of the Study:
- To evaluate the effectiveness of the Now & Next program in improving caregiver skills and outcomes.
- To assess the program's impact on goal achievement, caregiver capacity, competence, empowerment, and quality of life.
- To explore caregivers' experiences, facilitators, and barriers related to program engagement.
Main Methods:
- A mixed-methods design incorporating quantitative and qualitative data collection.
- Quantitative analysis will compare outcomes between a program group and a control group.
- Qualitative thematic analysis will explore caregivers' lived experiences and program perceptions.
Main Results:
- (Study results are pending and will be reported upon completion.)
- Quantitative data will measure changes in caregiver and child outcomes.
- Qualitative data will provide in-depth insights into program engagement.
Conclusions:
- The Now & Next program offers a promising family-centered approach to supporting caregivers of children with developmental needs.
- Evidence from this study will inform the development and implementation of effective family support interventions.
- Improved caregiver capacity and well-being are anticipated outcomes, positively impacting the child's development.
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