Skip to content Skip to navigation
University of Warwick
  • Study
  • |
  • Research
  • |
  • Business
  • |
  • Alumni
  • |
  • News
  • |
  • About

University of Warwick
Publications service & WRAP

Highlight your research

  • WRAP
    • Home
    • Search WRAP
    • Browse by Warwick Author
    • Browse WRAP by Year
    • Browse WRAP by Subject
    • Browse WRAP by Department
    • Browse WRAP by Funder
    • Browse Theses by Department
  • Publications Service
    • Home
    • Search Publications Service
    • Browse by Warwick Author
    • Browse Publications service by Year
    • Browse Publications service by Subject
    • Browse Publications service by Department
    • Browse Publications service by Funder
  • Help & Advice
University of Warwick

The Library

  • Login
  • Admin

Effectiveness and cost-effectiveness of a universal parenting skills programme in deprived communities : multicentre randomised controlled trial

Tools
- Tools
+ Tools

Simkiss, Douglas E., Snooks, Helen, Stallard, Nigel, Kimani, Peter K., Sewell, Bernadette, Fitzsimmons, Deborah, Anthony, Rebecca, Winstanley, Sarah, Wilson, Lynsey, Phillips, Ceri and Stewart-Brown, Sarah L. (2013) Effectiveness and cost-effectiveness of a universal parenting skills programme in deprived communities : multicentre randomised controlled trial. BMJ Open, Volume 3 (Number 8). Article number 002851. doi:10.1136/bmjopen-2013-002851

[img]
Preview
Text
WRAP_Simkiss_bmjopen-2013-002851.pdf - Published Version
Available under License Creative Commons Attribution Non-commercial.

Download (1230Kb) | Preview
Official URL: http://dx.doi.org/10.1136/bmjopen-2013-002851

Request Changes to record.

Abstract

Objective: To evaluate the effectiveness and cost utility of a universally provided early years parenting programme.
Design: Multicentre randomised controlled trial with cost-effectiveness analysis.
Setting: Early years centres in four deprived areas of South Wales.
Participants: Families with children aged between 2 and 4 years. 286 families were recruited and randomly allocated to the intervention or waiting list control.
Intervention: The Family Links Nurturing Programme (FLNP), a 10-week course with weekly 2 h facilitated group sessions.
Main outcome measures: Negative and supportive parenting, child and parental well-being and costs assessed before the intervention, following the course (3 months) and at 9 months using standardised measures.
Results: There were no significant differences in primary or secondary outcomes between trial arms at 3 or 9 months. With ‘+’ indicating improvement, difference in change in negative parenting score at 9 months was +0.90 (95%CI −1.90 to 3.69); in supportive parenting, +0.17 (95%CI −0.61 to 0.94); and 12 of the 17 secondary outcomes showed a non-significant positive effect in the FLNP arm. Based on changes in parental well-being (SF-12), the cost per quality-adjusted life year (QALY) gained was estimated to be £34 913 (range 21 485–46 578) over 5 years and £18 954 (range 11 664–25 287) over 10 years. Probability of cost per QALY gained below £30 000 was 47% at 5 years and 57% at 10 years. Attendance was low: 34% of intervention families attended no sessions (n=48); only 47% completed the course (n=68). Also, 19% of control families attended a parenting programme before 9-month follow-up.
Conclusions: Our trial has not found evidence of clinical or cost utility for the FLNP in a universal setting. However, low levels of exposure and contamination mean that uncertainty remains.

Trial registration: The trial is registered with
Current Controlled Trials ISRCTN13919732.

Item Type: Journal Article
Subjects: H Social Sciences > HQ The family. Marriage. Woman
R Medicine > RA Public aspects of medicine
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School > Biomedical Sciences > Translational & Experimental Medicine > Metabolic and Vascular Health (- until July 2016)
Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Parenting -- Great Britain, Child rearing -- Great Britain, Training -- Great Britain, Poor families -- Great Britain, Clinical trials
Journal or Publication Title: BMJ Open
Publisher: BMJ
ISSN: 2044-6055
Official Date: 1 August 2013
Dates:
DateEvent
1 August 2013Published
Volume: Volume 3
Number: Number 8
Page Range: Article number 002851
DOI: 10.1136/bmjopen-2013-002851
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access
Funder: Caerphilly (Wales). County Borough Council, Cardiff (Wales). County Council, Newport (Gwent, Wales). City Council, Torfaen (Wales). County Borough Council, Wales. Welsh Assembly Government, Esmée Fairbairn Foundation (EFF), Waterloo Foundation (WF)

Request changes or add full text files to a record

Repository staff actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics

twitter

Email us: wrap@warwick.ac.uk
Contact Details
About Us