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Positive Family Connections for families of children with a developmental disability : cluster randomized controlled trial
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Sutherland, Daniel, Griffin, Joanna, Flynn, Samantha, Thompson, Paul A. and Hastings, Richard P. (2024) Positive Family Connections for families of children with a developmental disability : cluster randomized controlled trial. Journal of Family Psychology . doi:10.1037/fam0001211 ISSN 0893-3200. (In Press)
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Official URL: https://doi.org/10.1037/fam0001211
Abstract
Positive Family Connections is a co-produced, positively-oriented, family-systems program for families of children with a developmental disability aged 8-13 years. The study was a feasibility cluster randomized-controlled trial registered prospectively (ISRCTN 14809884). Families (clusters) were randomized 1:1 to take part in Positive Family Connections immediately or to a waitlist condition and were followed up 4-months and 9-months after randomization. Feasibility outcomes included participant and facilitator recruitment rates, retention, intervention adherence, and fidelity. The proposed primary outcome measure was the family APGAR, a measure of family functioning. Quantitative data were analyzed using multilevel modelling. 60 families (60 primary parental carers and 13 second carers) were randomized. 73.33% of primary parental carers and 71.43% of second carers in the intervention group attended ≥4 intervention sessions and fidelity of delivery was high (mean=94.02% intervention components delivered). Retention for the proposed primary outcome was 97.26% at 4-month follow-up and 98.63% at 9-month follow-up. Intervention condition was not associated with family APGAR scores at 9-month follow-up (estimate=0.06, 95% CI= -0.49, 0.61, p=0.86, Hedges g=0.03, 95% CI=-0.43, 0.49). However, meaningful improvements were observed for other secondary outcomes related to parental wellbeing and family relationships. A definitive randomized-controlled trial of Positive Family Connections is feasible. Preliminary evaluation of outcomes shows that Positive Family Connections may be beneficial for parental psychological wellbeing and family relationships.
Item Type: | Journal Article | ||||||
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Subjects: | B Philosophy. Psychology. Religion > BF Psychology H Social Sciences > HV Social pathology. Social and public welfare R Medicine > R Medicine (General) R Medicine > RC Internal medicine R Medicine > RJ Pediatrics |
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Divisions: | Faculty of Social Sciences > Centre for Educational Development, Appraisal and Research (CEDAR) | ||||||
Library of Congress Subject Headings (LCSH): | Intellectual disability, Developmental disabilities, Parents of children with mental disabilities -- Services for, Children with mental disabilities, Clinical trials , Developmental psychology | ||||||
Journal or Publication Title: | Journal of Family Psychology | ||||||
Publisher: | American Psychological Association | ||||||
ISSN: | 0893-3200 | ||||||
Official Date: | 18 March 2024 | ||||||
Dates: |
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DOI: | 10.1037/fam0001211 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | In Press | ||||||
Re-use Statement: | ©American Psychological Association, 2024. This paper is not the copy of record and may not exactly replicate the authoritative document published in the APA journal. The final article is available, upon publication, at: https://doi.org/10.1037/fam0001211 | ||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||
Date of first compliant deposit: | 19 January 2024 | ||||||
Date of first compliant Open Access: | 19 January 2024 |
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