Parents of children aged 2 - 11 who are concerned about their child's behaviour and who themselves have significant emotional and interpersonal difficulties, including those with a diagnosis of personality disorder. Mental and Behavioural Disorders
Conditions
Interventions
Seventy-two parent/caregiver participants recruited via community pathways will be randomised using a minimisation approach to either: (i) BaP-Enjoying Family Life or (ii) standard Empowering Parents
Sponsors
South London and Maudsley NHS Foundation Trust
King's College London
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Prent inclusion criteria: 1. Primary parental caregiver (self-report of substantial caregiving responsibility), including non-biological caregiver, for index child 2. Aged between 18 - 65 years 3. Persistent emotional and relationship difficulties, assessed by a score of =3 on the Structured Assessment of Personality- Abbreviated Scale 4. Caregiver must have proficient written and spoken English 5. Caregiver must have capacity to provide informed consent to participate. Index Child inclusion criteria: 6. Aged 2 - 11 years 7. Living with parents/caregiver 8. Caregiver reported behavioral difficulties
Exclusion criteria
Exclusion criteria: Parent exclusion criteria: 1. Presence of psychosis, significant brain injury and/or learning disability 2. Engaged in another structured parenting intervention or previous attendance to BaP-Enjoying Family Life/EPEC-Being a Parent group 3. Receiving inpatient mental health treatment 4. Caregiver pregnancy/breastfeeding 5. Family is subject to safeguarding proceedings to remove child from the home Index child exclusion criteria: 6. Presence of neurodevelopmental disorder and/or psychosis 7. Not residing with index parents/caregivers
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Feasibility outcome: 1. Rate of participant identification and retention, measured through structured record sheets. Clinical outcome: 2. Child behavioural problems, measured using the parent-report Eyberg Child Behaviours Inventory pre, post and at 6 months post intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary feasibility outcomes are intervention acceptability, measured using a treatment acceptability rating scale administered post intervention. Secondary clinical outcomes are: 1. Parent/caregiver concerns about child behavioural and emotional difficulties, measured using the concerns about my child visual analogue scale at pre, post and 6 month post intervention. 2. Parenting behaviour measured using parent-report Arnold O'Leary Parenting Scale at pre, post and 6 month post intervention. 3. Quality and Quantity of cognitive stimulation and emotional support in the home environment, measured using the Home Observational Measurement of the Environment, an observational and structured interview assessment, at pre, post and 6 month post intervention. 4. Parent/caregiver Satisfaction, measured using the Kansas Parent Satisfaction Scale at pre, post and 6 month post intervention. 5.Parent/caregiver self efficacy, measured using the Brief Parent Self-efficacy Scale at pre, post and 6 month post intervention. 6. Parent/caregiver Reflective function, measured using the Parent reflective functioning questionnaire at pre, post and 6 month post intervention. 7. Parent/caregiver emotional functioning, measured using the Brief Adjustment Scale- 6 at pre, post and 6 month post intervention. 8. Group Cohesion, measured using the Group Cohesiveness Scale at post intervention. Qualitative interviews with a subsample of participants will also be conducted post-intervention to develop a fine grain understanding of trial and intervention experience and evaluate trial and intervention processes. | — |
Countries
England, United Kingdom
Contacts
Public ContactEllie Baker
Outcome results
None listed