NEW: The Kinship Care Practice Guide translates the strongest evidence into actionable recommendations. Find out more.

Foundations for Life

What works to support parent-child interaction in the early years?
Legacy Content

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).

Foundations for Life: What works to support parent-child interaction in the early years?

Highlights

  • This review provided advice for policy makers and commissioners about how to help parents improve how they live and play with their children up to age 5 to improve their experience of childhood and enhance their ability to flourish and avoid harm. 
  • This review assessed 75 early intervention programmes aimed at improving child outcomes through positive parent-child interactions in the early years. 

Report overview

Download

Report

Download

Summary

Foundations for Life is a groundbreaking assessment of 75 early intervention programmes aimed at improving child outcomes through positive parent-child interactions in the early years. This included a range of universal and targeted programmes that specifically supported the non-physical development of children between conception and age five through direct engagement with the parent.

Aims

This review provided advice for policy makers and commissioners about how to help parents improve how they live and play with their children up to age 5 to improve their experience of childhood and enhance their ability to flourish and avoid harm.

Method

The interventions were identified through the independent Best Start at Home review commissioned by EIF and published in March 2015. We assessed in detail 75 programmes that met the scope of this report. We assessed interventions in terms of: the strength of the evidence from evaluation studies that they have delivered the impact on child outcomes specified by the scope of the review; and the resource cost of their input requirements. The evidence for the programmes was reviewed and rated by EIF and external experts, as well as scrutinised by the EIF evidence panel of leading academics in the field of early intervention.

Key Findings

Overall, the evidence is strongest for programmes that target based on early signals of risk in child development (targeted-indicated), such as child behaviour problems, insecure attachment, delayed development of speech and lack of maternal sensitivity, although other types of programmes have also been found effective.

Programmes which focus on children’s behavioural development tend to have better evidence of effectiveness than those focused on attachment or cognitive development. This does not mean that attachment

Implications for Policy

We make a number of specific recommendations, asking that commissioners:

  • Use this evidence to inform spending decisions
  • Consider this evidence alongside wider factors such as population need and local context
  • Develop clear and consistent approaches to assess risks across the early years system for children at key stages of development
  • Support the development of a ‘test and learn’ culture of evidence use
  • Support the development of the UK evidence base for early intervention.

Implications for future research

There are four specific areas where we have found gaps in evidence and knowledge that need to be addressed to strengthen the business case for early intervention opportunities. These areas are:

  • There are not enough studies with long duration, able to track impact over extended periods through childhood and into adulthood
  • There are too many studies that are reported badly with lack of clarity on methods and on impact achieved
  • There is not enough evaluation in the UK, able to assess the relevance of findings from one location for another. Too many programmes operating in the UK are based on evidence from other locations
  • There is not enough evaluation of business as usual. It’s not just about programmes; existing practices need better evaluation, learning from the best programmes and testing what works in the practices of health visitors for example.
SHARE

Related Publications

Watch Me Play!

Use of evidence-based tools and guidance in service design and commissioning