Sleep, Eat, Move, Repeat (SEMoRe)

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This project or publication was produced before or during the merger of What Works for Children’s Social Care (WWCSC) and the Early Intervention Foundation (EIF).

Sleep, Eat, Move, Repeat (SEMoRe)

Summary

This protocol summarises plans for a feasibility study of Sleep, Eat, Move, Repeat (SEMoRe), an intervention designed for young people in care which aims to boost mental health and wellbeing by targeting sleep, dietary, and physical activity habits.

Who, what, why and how?

Quality sleep, a balanced diet, and regular exercise can be crucial for mental wellbeing. Establishing healthy habits such as these during childhood and adolescence can have a lasting positive impact on mental health throughout their lives.

The intervention, delivered by Coram and Redbridge London Borough Council, includes training sessions for professionals, workshops on sleep, diet, and exercise, up to 12 direct sessions conducted by a systemic psychotherapist with young people and their carers, individual support as required, and input on the child’s wellbeing through information on sleep, diet, and exercise.,

We have commissioned the Centre for Evidence and Implementation to conduct a feasibility study, seeking to determine if the intervention can be effectively implemented within the service system and if it is considered suitable by foster carers and local authority staff. Additionally, it will assess the feasibility of data collection procedures and set the foundation for future evaluations and programme scale-up.

The study will involve SEMoRe staff, Redbridge London Borough Council staff, and recipients of the SEMoRe programme, including children and foster carers. Foster carers will collect data on their children’s well-being, sleep, and activity levels through measures like the Strengths and Difficulties Questionnaire (SDQ) and Child Behaviour Checklist (CBCL), as well as Fitbit data. These will form the primary outcomes. Additionally, 16 interviews will be conducted with foster carers and SEMoRe/local authority staff to assess the program’s acceptability and feasibility. The results will help us to understand the potential for larger-scale implementation and/orimprovements to the model, and the feasibility of a future impact evaluation.

Research Questions

  • Feasibility: Can SEMoRe feasibly be delivered as intended, and does it fit with the service system?
  • Acceptability and appropriateness: Is SEMoRe viewed as appropriate and acceptable by carers and practitioners?
  • Readiness for a trial and process evaluation: How feasible are data collection procedures (e.g., collection of Fitbit data, child self-report, adult report, data from LA management information services) and what might trial processes look like?
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Cost ratings:

Rated 1: Set up and delivery is low cost, equivalent to an estimated unit cost of less than £100.

Rated 2: Set up and delivery is medium-low cost, equivalent to an estimated unit cost of £100–£499.

Rated 3: Set up and delivery is medium cost, equivalent to an estimated unit cost of £500–£999.

Rated 4: Set up and delivery is medium-high cost, equivalent to an estimated unit cost of £1,000–£2,000.

Rating 5: Set up and delivery is high cost. Equivalent to an estimated unit cost of more than £2,000.

Set up and delivery cost is not applicable, not available, or has not been calculated.

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Child Outcomes:

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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.

Evidence ratings:

Rated 2: Has preliminary evidence of improving a child outcome from a quantitative impact study, but there is not yet evidence of causal impact.

Rated 2+: Meets the level 2 rating and the best available evidence is based on a study which is more rigorous than a level 2 standard but does not meet the level 3 standard.

Rated 3: Has evidence of a short-term positive impact from at least one rigorous study.

Rated 3+: Meets the level 3 rating and has evidence from other studies with a comparison group at level 2 or higher.

Rated 4: Has evidence of a long-term positive impact through at least two rigorous studies.

Rated 4+: Meets the level 4 rating and has at least a third study contributing to the Level 4 rating, with at least one of the studies conducted independently of the intervention provider.

Rating has a *: The evidence base includes mixed findings i.e., studies suggesting positive impact alongside studies, which on balance, indicate no effect or negative impact.

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