Bipolar disorder Mental and Behavioural Disorders Bipolar affective disorder
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Current inclusion criteria as of 17/06/2025: 1. Bipolar diagnosis of parent confirmed by structured clinical interview 2. Have a child aged 4-11 years with =10 hours of face-to-face contact weekly 3. Internet access 4. Ability to provide informed consent 5. Resident in the UK Previous inclusion criteria: 1. Bipolar diagnosis of parent confirmed by structured clinical interview 2. Have a child aged 4-10 years with =10 hours of face-to-face contact weekly 3. Internet access 4. Ability to provide informed consent 5. Resident in the UK
Exclusion criteria
Exclusion criteria: 1. Primary parent diagnosis of alcohol/other substance misuse 2. Parents already receiving a parenting intervention and/or intensive psychotherapy 3. Index child in receipt of current psychological therapy 4. Child subject to child protection proceedings
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The child’s behavioural and emotional wellbeing is measured using the Strengths and Difficulties Questionnaire (SDQ) at 0, 24 and 48 weeks. The primary outcome is SDQ at 24 weeks. This will be completed by the parent about the index child. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Clinical: Child behavioural and emotional problems at 48 weeks, Parenting stress, confidence, and competence 2. Parental Mood: Family Functioning 3. Health Cost: Measures of parent-reported child and parent quality of life and cost at 24 and 48 weeks 4. Qualitative: Participants’ views on the intervention 1. Behavioural and emotional wellbeing of non-index children (any other eligible children aged 4-10 who parents spend 10+ hours a week with) assessed using the SDQ at 0, 24 and 48 weeks 2. Parenting stress and competency measured using the Parenting Sense of Competence Scale (PSOC), Parenting Scale (PS) and Parenting Stress Index Short Form (PSI-4-SF) at 0, 24 and 48 weeks 3. Parental mood measured with the Internal States Scale (ISS), the Centre for Epidemiologic Studies Depression Scale (CES-D), the Altman Self Rating Mania Scale (ASRM), the Generalised Anxiety Disorder Scale (GAD-7), and the National Institute of Mental Health’s Self-Rated Retrospective Life Chart Method (LCM) at 0, 24 and 48 weeks 4. Family functioning measured with the Confusion, Hubbub and Order Scale (CHAOS-9) at 0, 24 and 48 weeks 5. Cost-effectiveness determined from a societal perspective using the Child and Adolescent Service Use Schedule (CA-SUS) and the CARER-SUS in which parents will report on both their child’s and their own use of health, social, and educational services, as well as time off work for parents in employment. These will be completed by parents at 0, 24 and 48 weeks. 6. Parent-reported child and parent quality of life (CHU-9D; EQ-5D-3L) and cost (CA-SUS; CARER-SUS). Using these measures, the researchers will determine quality-adjusted life years (QALYS) for parents (EURO-QOL Research Group, 2018) and children (Stevens, 2012). These will be completed by parents at 0, 24 and 48 weeks. 7. Demographic information about the parent and their index child collected via self-report questionnaires at 0 weeks only Feedback interviews Following the completion of the Internal | — |
Countries
England, United Kingdom