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Evaluating the Enhancing Parenting Skills (EPaS) 2014 programme

Evaluating the Enhancing Parenting Skills (EPaS) 2014 programme. Margiad Elen Williams. Background. 6-24% of children meet criteria for one or more mental disorder ( Skovgaard et al., 2007) Behaviour problems are a strong predictor of later psychopathology (Colman et al., 2009)

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Evaluating the Enhancing Parenting Skills (EPaS) 2014 programme

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  1. Evaluating the Enhancing Parenting Skills (EPaS) 2014 programme Margiad Elen Williams

  2. Background • 6-24% of children meet criteria for one or more mental disorder(Skovgaard et al., 2007) • Behaviour problems are a strong predictor of later psychopathology (Colman et al., 2009) • They create increased economic and social burden on families (Houtrow & Okumura, 2011) • Parenting is a modifiable and key risk factor (Farrington & Welsh, 2007)

  3. Background • Behavioural parenting interventions • Group not always best option • Individual may be more appropriate • Tailored to family needs (Fettig & Ostrosky, 2011) • Especially helpful for disadvantaged families (Lundahl et al., 2006)

  4. Enhancing Parenting Skills • Developed in 1990s • Individually delivered • Three core components

  5. What do we know about the family? Why does the behaviour occur? What strategies can be used? What types of behaviour problems are evident? What are the possible triggers?

  6. Intensive Treatment trial 1996-98 • Children referred to CAMHS • Significant improvements compared to control group (maintained 4-years)

  7. Health visitor trial 1998-2000 • Adapted for health visitors • Significant improvements compared to control group

  8. Waterloo Foundation funded trial 2012-13 • Adapted for wide-scale dissemination • Significant improvements (no control group)

  9. EPaS 2014 trial • Aims to address limitations • Course re-designed • Day 1 – Structured Assessment • Day 2 – Case Analysis • Day 3 – Intervention Strategies • Tailored to support health visitors

  10. EPaS 2014 trial design • Multi-centre pragmatic randomised controlled trial • North West Wales • Central North Wales • North East Wales • Shropshire

  11. EPaS 2014 trial design • Health visitors recruit 2 families • Families randomised to intervention or TAU • Weekly visits for ~ 12 weeks • Data collection at baseline and 6-months • Child behaviour • Parenting skills • Parental depression • Observation of parent-child interaction

  12. Health visitors • 37 attended training

  13. Health visitors

  14. Families - Children • 63 consented

  15. Families - Parents

  16. Next Steps • Finish inputting follow-up data • Conduct data analysis • Write up results for publication

  17. References • Colman, I., Murray, J., Abbott, R.A., Maughan, B., Kuh, D., Croudace, T.J., & Jones, P.B. (2009). Outcomes of conduct problems in adolescence: 40 year follow-up of national cohort. British Medical Journal, 338, a2981-a2989. • Farrington, D., & Welsh, B.C. (2007). Saving children from a life of crime: early risk factors and effective interventions. New York: Oxford University Press • Fettig, A., & Ostrosky, M.M. (2011). Collaborating with parents in reducing children’s challenging behaviors: Linking functional assessment to intervention. Child Development Research, doi: 10.1155/2011/835941 • Houtrow, A.J., & Okumura, M.J. (2011). Pediatric mental health problems and associated burden on families. Vulnerable Child Youth Studies, 6, 222-233. • Lundahl, B., Risser, H.J., & Lovejoy, M.C. (2006). A meta-analysis of parent training: Moderators and follow-up effects. Clinical Psychology Review, 26, 86-104. • Skovgaard, A.M., Houmann, T., Christiansen, E., Landorph, S., Jorgensen, T., & CCC 2000 Study Team (2007). The prevalence of mental health problems in children 1.5 years of age – the Copenhagen Child Cohort 2000. Journal of Child Psychology and Psychiatry, 48, 62-70.

  18. Thank you for listening Diolch am wrando

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