This protocol summarises plans for an evidence review of effective parenting interventions for parents and carergivers of children and young people aged 0–25 years with a range of disabilities, including those caused by severe mental illness.
The experience of raising children with disabilities highlights the benefits and potential challenges that can affect both caregiver and child.
Where challenges have been identified, targeted parenting interventions which aim to enhance parenting quality, and to support the wellbeing and development of children with disabilities, may be beneficial for some parents and caregivers. With about 11 percent of children considered disabled in the UK, there is a critical need for effective interventions to support parents and caregivers of children with disabilities.
Foundations has commissioned the Anna Freud Centre to conduct an evidence review of parenting interventions aimed at improving outcomes for parents and carers of children and young people aged up to 25 years old with disabilities, including disabilities caused by severe mental illness.
This evidence review will combine findings from existing systematic reviews and meta-analyses to quantify the impact of interventions on both child and parent/caregiver outcomes, including assessment of long-term effectiveness of the intervention. The evidence review will also pull together findings from existing studies that have explored the lived experiences of parents and caregivers accessing interventions, and the barriers and enablers to successful implementation of interventions.
The evidence review aims to answer the following research questions:
This rating is based on information that programme providers have supplied about the components and requirements of their programme. Based on this information, EIF rates programmes on a scale from 1 to 5, where 1 indicates the least resource-intensive programmes and 5 the most resource-intensive.
1: A rating of 1 indicates that a programmes has a low cost to set up and deliver, compared with other interventions reviewed by EIF. This is equivalent to an estimated unit cost of less than £100.
2: A rating of 2 indicates that a programme has a medium-low cost to set up and deliver, compared with other interventions reviewed by EIF. This is equivalent to an estimated unit cost of £100–£499.
3: A rating of 3 indicates that a programme has a medium cost to set up and deliver, compared with other interventions reviewed by EIF. This is equivalent to an estimated unit cost of £500–£999.
4: A rating of 4 indicates that a programme has a medium-high cost to set up and deliver, compared with other interventions reviewed by EIF. This is equivalent to an estimated unit cost of £1,000–£2,000.
5: A rating of 5 indicates that a programme has a high cost to set up and deliver, compared with other interventions reviewed by EIF. This is equivalent to an estimated unit cost of more than £2,000.
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Supporting children’s mental health and wellbeing: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.
Preventing child maltreatment: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.
Enhancing school achievement & employment: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.
Preventing crime, violence and antisocial behaviour: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.
Preventing substance abuse: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.
Preventing risky sexual behaviour & teen pregnancy: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.
Preventing obesity and promoting healthy physical development: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.
The evidence ratings distinguish five levels of strength of evidence. This is not a rating of the scale of impact but of the degree to which a programme has been shown to have a positive, causal impact on specific child outcomes.
Level 2: Recognises programmes with preliminary evidence of improving a child outcome, but where an assumption of causal impact cannot be drawn.
Level 2+: The programme will have observed a significant positive child outcome in an evaluation meeting all of the criteria for a level 2 evaluation, but also involving a treatment and comparison group. There is baseline equivalence between the treatment and comparison‐group participants on key demographic variables of interest to the study and baseline measures of outcomes (when feasible).
Level 3: Recognises programmes with evidence of a short-term positive impact from at least one rigorous evaluation – that is, where a judgment about causality can be made.
Level 3+: The programme will have obtained evidence of a significant positive child outcome through an efficacy study, but may also have additional consistent positive evidence from other evaluations (occurring under ideal circumstances or real world settings) that do not meet this criteria, thus keeping it from receiving an assessment of 4 or higher.
Level 4: Recognises programmes with evidence of a long-term positive impact through multiple rigorous evaluations. At least one of these studies must have evidence of improving a child outcome lasting a year or longer.