1. Enhancing Social-Emotional Outcomes in Early Years (E-SEE): Randomized Pilot Study of Incredible Years Infant and Toddler Programs.
- Author
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Blower, Sarah L., Berry, Vashti L., Bursnall, Matthew C., Cohen, Judith, Gridley, Nicole, Loban, Amanda, Mandefield, Laura, Mason-Jones, Amanda J., McGilloway, Sinéad, McKendrick, Kirsty L., Mitchell, Siobhan B., Pickett, Kate E., Richardson, Gerry A., Teare, M. Dawn, Tracey, Louise C., Walker, Simon M., Whittaker, Karen A., Wright, Jessica, and Bywater, Tracey J.
- Subjects
WELL-being ,PILOT projects ,PARENTING education ,EVALUATION of human services programs ,INFANT development ,CHILD development ,RANDOMIZED controlled trials ,EARLY intervention (Education) ,HEALTH ,DESCRIPTIVE statistics ,STATISTICAL sampling ,EMOTIONS ,EDUCATIONAL outcomes ,SOCIAL skills education - Abstract
Social emotional development in infancy is a predictor of outcomes in later life, yet there is little evidence of effectiveness for parenting interventions designed to enhance social emotional wellbeing in infancy. An 18-month two-arm randomized controlled pilot trial evaluated the feasibility of a definitive trial of Incredible Years (IY) Infant and Toddler parent programs delivered in a proportionate universal model, called Enhancing Social-Emotional Health and Wellbeing in the Early Years (E-SEE) Steps. Intervention families received an IY Babies book (universal dose), followed by the IY Infant and/or the Toddler group-based programs, based on parent depression (PHQ-9) and/or child social emotional development (ASQ:SE-2) scores. Control parents received services as usual. Parents from two English local authorities with a child eight-weeks-old or younger participated, and were block randomized using a web-based system. Primary endpoints for the study were feasibility parameters relating to recruitment, retention, intervention fidelity and appropriateness of measures. 205 participants were randomized (152:53, intervention:control). Our target was 288 parents. Trial retention rate was higher than expected, with a completion rate of 88% (n = 181, 137:44) at follow-up 3; equating to 94% of 192 expected participants. Intervention uptake was lower than expected. Fidelity of delivery was acceptable and measures were deemed appropriate. A definitive trial is feasible with design amendments to include: introduction of a child screener for intervention eligibility; enhanced intervention material; revised sample size and random allocation ratio. Our internal pilot became an external pilot due to these changes. Highlights: This is the first pilot of a proportionate universal delivery of the IY parent program. Trial retention was high at 88% at final follow-up (18 months post baseline). Emerging findings suggest a definitive trial of E-SEE STEPS is warranted. Definitive trials should consider methods to enhance intervention uptake. Trials should consider intervention compliance with relevant guidelines. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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