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Early Positive Approaches to Support (E-PAtS) for families of young children with intellectual disability : a feasibility randomised controlled trial
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(2021) Early Positive Approaches to Support (E-PAtS) for families of young children with intellectual disability : a feasibility randomised controlled trial. Frontiers in Psychiatry, 12 . 729129. doi:10.3389/fpsyt.2021.729129 ISSN 1664-0640.
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Official URL: http://dx.doi.org/10.3389/fpsyt.2021.729129
Abstract
Background: Parents of children with intellectual disabilities are likely to experience poorer mental well-being and face challenges accessing support. Early Positive Approaches to Support (E-PAtS) is a group-based programme, co-produced with parents and professionals, based on existing research evidence and a developmental systems approach to support parental mental well-being. The aim of this study was to assess the feasibility of community service provider organisations delivering E-PAtS to parents/family caregivers of young children with intellectual disability, to inform a potential definitive randomised controlled trial of the effectiveness and cost-effectiveness of E-PAtS.
Methods: This study was a feasibility cluster randomised controlled trial, with embedded process evaluation. Up to two parents/family caregivers of a child (18 months to <6 years old) with intellectual disability were recruited at research sites and allocated to intervention (E-PAtS and usual practise) or control (usual practise) on a 1:1 basis at cluster (family) level. Data were collected at baseline and 3 and 12 months' post-randomisation. The following feasibility outcomes were assessed: participant recruitment rates and effectiveness of recruitment pathways; retention rates; intervention adherence and fidelity; service provider recruitment rates and willingness to participate in a future trial; barriers and facilitating factors for recruitment, engagement, and intervention delivery; and feasibility of collecting outcome measures.
Results: Seventy-four families were randomised to intervention or control (n = 37). Retention rates were 72% at 12 months post-randomisation, and completion of the proposed primary outcome measure (WEMWBS) was 51%. Recruitment of service provider organisations and facilitators was feasible and intervention implementation acceptable. Adherence to the intervention was 76% and the intervention was well-received by participants; exploratory analyses suggest that adherence and attendance may be associated with improved well-being. Health economic outcome measures were collected successfully and evidence indicates that linkage with routine data would be feasible in a future trial.
Conclusions: The E-PAtS Feasibility RCT has demonstrated that the research design and methods of intervention implementation are generally feasible. Consideration of the limitations of this feasibility trial and any barriers to conducting a future definitive trial, do however, need to be considered by researchers.
Item Type: | Journal Article | |||||||||
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Subjects: | H Social Sciences > HQ The family. Marriage. Woman L Education > LC Special aspects of education R Medicine > RA Public aspects of medicine 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) Faculty of Social Sciences > Centre for Education Studies (2013- ) |
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Library of Congress Subject Headings (LCSH): | Intellectual disability, Learning disabled children, Parents of children with mental disabilities, Parents of children with mental disabilities -- Services for, Parents of children with mental disabilities -- Psychological aspects, Mental health promotion | |||||||||
Journal or Publication Title: | Frontiers in Psychiatry | |||||||||
Publisher: | Frontiers Research Foundation | |||||||||
ISSN: | 1664-0640 | |||||||||
Official Date: | 21 December 2021 | |||||||||
Dates: |
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Volume: | 12 | |||||||||
Article Number: | 729129 | |||||||||
DOI: | 10.3389/fpsyt.2021.729129 | |||||||||
Status: | Peer Reviewed | |||||||||
Publication Status: | Published | |||||||||
Access rights to Published version: | Open Access (Creative Commons) | |||||||||
Date of first compliant deposit: | 21 December 2021 | |||||||||
Date of first compliant Open Access: | 21 December 2021 | |||||||||
RIOXX Funder/Project Grant: |
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