Detection of and response to family adversity for families attending the Hubs Not Applicable
Conditions
Interventions
Current intervention as of 05/07/2021:
This study will test and evaluate an integrated and co-located Child and Family Hub model for detecting and responding to family adversity in children aged from
Sponsors
Murdoch Children's Research Institute
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Caregiver inclusion criteria: 1. Primary caregiver to at least one child aged 0-8 years (including foster and kinship carers) 2. Possess sufficient English-language proficiency to answer survey and interview questions over the phone, in-person or online independently or with the assistance of an interpreter if the caregiver has access to interpretation services, 3. Access any of the participating health, social, child and family welfare, community, legal, financial or educational services in the Child and Family Hub @ Wyndham Vale / @Marrickville 4. Caregivers of all ages will be invited to participate (i.e. caregivers under 18 years old) 5. Provide informed consent Practitioner inclusion criteria: 1. Adults aged 18 years or older 2. Current employment in a health, social, child and family welfare, community, education and/or legal service in the Hub that provides services to families with children aged 0-8 years in Wyndham/Marrickville 3. Provide informed consent
Exclusion criteria
Exclusion criteria: Participants who have insufficient English language competency to participate or are unable to comprehend the nature of the study, as assessed by the research team upon enrolment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Current primary outcome measures as of 05/07/2021: 1. Caregivers who report being asked about adversities by a Hub practitioner at baseline, 6 and 12 months post Hub implementation commencement 2. Caregivers who report receiving an intervention for adversity by a Hub practitioner at baseline, 6 and 12 months post Hub implementation commencement 3. Caregivers who report receiving a referral for adversity from a Hub practitioner at baseline, 6 and 12 months post Hub implementation commencement _____ Previous primary outcome measures: 1. Caregivers who report being asked about adversities by a Hub practitioner at baseline, 6- and 12-months post baseline 2. Caregivers who report receiving an intervention for adversity by a Hub practitioner at baseline, 6- and 12-months post baseline 3. Caregivers who report receiving a referral for adversity from a Hub practitioner at baseline, 6- and 12-months post baseline | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 05/07/2021: 1. Caregivers who report taking up a referral for adversity from a Hub practitioner at baseline, 6 and 12 months post Hub implementation commencement 2. Practitioners who report asking family clients about adversity at baseline, 6 and 12 months post Hub implementation commencement 3. Practitioners who report providing family clients with an intervention for adversity at baseline, 6 and 12 months post Hub implementation commencement 4. Practitioners who report referring family clients to an intersectoral service for adversity at baseline, 6 and 12 months post Hub implementation commencement 5. Infant temperament measured using a single caregiver-reported item on child temperament with a moderate correlation with the Easy-Difficult Scale (EDS) at baseline, 6 and 12 months post Hub implementation commencement 6. Child mental health measured using caregiver-reported child internalising and externalising symptoms at baseline, 6 and 12 months post Hub implementation commencement measured by the Ages & Stages Questionnaire Social-Emotional Second Edition for children aged 0 to <2 years and the Strengths & Difficulties Questionnaire for children aged =2 to 8 years 7. Child global child health status measured using the caregiver-reported single item from Child Health Questionnaire at baseline, 6 and 12 months post Hub implementation commencement 8. Caregiver mental health measured using the Kessler Psychological Distress Scale 6 (K6) at baseline, 6 and 12 months post Hub implementation commencement 9. Caregiver global health status measured using the caregiver-reported single item from the Short Form Health Survey (SF-12) at baseline, 6 and 12 months post Hub implementation commencement 10. Caregiver parental warmth, hostility and efficacy measured using the subscales from the Longitudinal Study of Australian Children (LSAC) at baseline, 6 and 12 months post Hub implementation commencement 11. Caregiver quality of life mea | — |
Countries
Australia
Outcome results
None listed