Early Positive Approaches to Support (E-PAtS) for Families of Young Children With Intellectual Disability: A Feasibility Randomised Controlled Trial
Background: Parents of children with intellectual disabilities are likely to experience poorer mental well-being and face challenges accessing support. Early Positive Approaches to Support (E-PAtS) is a group-based programme, co-produced with parents and professionals, based on existing research evi...
| Main Authors: | , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-12-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2021.729129/full |
| _version_ | 1818974212428136448 |
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| author | Elinor Coulman Nick Gore Gwenllian Moody Melissa Wright Jeremy Segrott David Gillespie Stavros Petrou Fiona Lugg-Widger Sungwook Kim Jill Bradshaw Rachel McNamara Andrew Jahoda Geoff Lindsay Jacqui Shurlock Vaso Totsika Vaso Totsika Vaso Totsika Catherine Stanford Samantha Flynn Annabel Carter Christian Barlow Richard P. Hastings Richard P. Hastings |
| author_facet | Elinor Coulman Nick Gore Gwenllian Moody Melissa Wright Jeremy Segrott David Gillespie Stavros Petrou Fiona Lugg-Widger Sungwook Kim Jill Bradshaw Rachel McNamara Andrew Jahoda Geoff Lindsay Jacqui Shurlock Vaso Totsika Vaso Totsika Vaso Totsika Catherine Stanford Samantha Flynn Annabel Carter Christian Barlow Richard P. Hastings Richard P. Hastings |
| author_sort | Elinor Coulman |
| collection | DOAJ |
| description | Background: Parents of children with intellectual disabilities are likely to experience poorer mental well-being and face challenges accessing support. Early Positive Approaches to Support (E-PAtS) is a group-based programme, co-produced with parents and professionals, based on existing research evidence and a developmental systems approach to support parental mental well-being. The aim of this study was to assess the feasibility of community service provider organisations delivering E-PAtS to parents/family caregivers of young children with intellectual disability, to inform a potential definitive randomised controlled trial of the effectiveness and cost-effectiveness of E-PAtS.Methods: This study was a feasibility cluster randomised controlled trial, with embedded process evaluation. Up to two parents/family caregivers of a child (18 months to <6 years old) with intellectual disability were recruited at research sites and allocated to intervention (E-PAtS and usual practise) or control (usual practise) on a 1:1 basis at cluster (family) level. Data were collected at baseline and 3 and 12 months' post-randomisation. The following feasibility outcomes were assessed: participant recruitment rates and effectiveness of recruitment pathways; retention rates; intervention adherence and fidelity; service provider recruitment rates and willingness to participate in a future trial; barriers and facilitating factors for recruitment, engagement, and intervention delivery; and feasibility of collecting outcome measures.Results: Seventy-four families were randomised to intervention or control (n = 37). Retention rates were 72% at 12 months post-randomisation, and completion of the proposed primary outcome measure (WEMWBS) was 51%. Recruitment of service provider organisations and facilitators was feasible and intervention implementation acceptable. Adherence to the intervention was 76% and the intervention was well-received by participants; exploratory analyses suggest that adherence and attendance may be associated with improved well-being. Health economic outcome measures were collected successfully and evidence indicates that linkage with routine data would be feasible in a future trial.Conclusions: The E-PAtS Feasibility RCT has demonstrated that the research design and methods of intervention implementation are generally feasible. Consideration of the limitations of this feasibility trial and any barriers to conducting a future definitive trial, do however, need to be considered by researchers.Clinical Trial Registration:https://www.isrctn.com, identifier: ISRCTN70419473. |
| first_indexed | 2024-12-20T15:36:28Z |
| format | Article |
| id | doaj.art-7d2720d608204ce7946ee7be0b2e3f92 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-12-20T15:36:28Z |
| publishDate | 2021-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-7d2720d608204ce7946ee7be0b2e3f922022-12-21T19:35:25ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402021-12-011210.3389/fpsyt.2021.729129729129Early Positive Approaches to Support (E-PAtS) for Families of Young Children With Intellectual Disability: A Feasibility Randomised Controlled TrialElinor Coulman0Nick Gore1Gwenllian Moody2Melissa Wright3Jeremy Segrott4David Gillespie5Stavros Petrou6Fiona Lugg-Widger7Sungwook Kim8Jill Bradshaw9Rachel McNamara10Andrew Jahoda11Geoff Lindsay12Jacqui Shurlock13Vaso Totsika14Vaso Totsika15Vaso Totsika16Catherine Stanford17Samantha Flynn18Annabel Carter19Christian Barlow20Richard P. Hastings21Richard P. Hastings22Centre for Trials Research, Cardiff University, Cardiff, United KingdomTizard Centre, University of Kent, Cornwallis North East, Canterbury, United KingdomCentre for Trials Research, Cardiff University, Cardiff, United KingdomCentre for Trials Research, Cardiff University, Cardiff, United KingdomCentre for Trials Research, Cardiff University, Cardiff, United KingdomCentre for Trials Research, Cardiff University, Cardiff, United KingdomNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United KingdomCentre for Trials Research, Cardiff University, Cardiff, United KingdomNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United KingdomTizard Centre, University of Kent, Cornwallis North East, Canterbury, United KingdomCentre for Trials Research, Cardiff University, Cardiff, United KingdomInstitute of Health and Wellbeing, University of Glasgow, Glasgow, United KingdomCentre for Educational Development, Appraisal and Research, University of Warwick, Coventry, United KingdomThe Challenging Behaviour Foundation, Kent, United KingdomCentre for Educational Development, Appraisal and Research, University of Warwick, Coventry, United KingdomDivision of Psychiatry, Faculty of Brain Sciences, University College London, London, United KingdomCentre for Developmental Psychiatry and Psychology, Monash University, Melbourne, VIC, AustraliaCentre for Educational Development, Appraisal and Research, University of Warwick, Coventry, United KingdomCentre for Educational Development, Appraisal and Research, University of Warwick, Coventry, United KingdomTizard Centre, University of Kent, Cornwallis North East, Canterbury, United KingdomCentre for Trials Research, Cardiff University, Cardiff, United KingdomCentre for Educational Development, Appraisal and Research, University of Warwick, Coventry, United KingdomCentre for Developmental Psychiatry and Psychology, Monash University, Melbourne, VIC, AustraliaBackground: Parents of children with intellectual disabilities are likely to experience poorer mental well-being and face challenges accessing support. Early Positive Approaches to Support (E-PAtS) is a group-based programme, co-produced with parents and professionals, based on existing research evidence and a developmental systems approach to support parental mental well-being. The aim of this study was to assess the feasibility of community service provider organisations delivering E-PAtS to parents/family caregivers of young children with intellectual disability, to inform a potential definitive randomised controlled trial of the effectiveness and cost-effectiveness of E-PAtS.Methods: This study was a feasibility cluster randomised controlled trial, with embedded process evaluation. Up to two parents/family caregivers of a child (18 months to <6 years old) with intellectual disability were recruited at research sites and allocated to intervention (E-PAtS and usual practise) or control (usual practise) on a 1:1 basis at cluster (family) level. Data were collected at baseline and 3 and 12 months' post-randomisation. The following feasibility outcomes were assessed: participant recruitment rates and effectiveness of recruitment pathways; retention rates; intervention adherence and fidelity; service provider recruitment rates and willingness to participate in a future trial; barriers and facilitating factors for recruitment, engagement, and intervention delivery; and feasibility of collecting outcome measures.Results: Seventy-four families were randomised to intervention or control (n = 37). Retention rates were 72% at 12 months post-randomisation, and completion of the proposed primary outcome measure (WEMWBS) was 51%. Recruitment of service provider organisations and facilitators was feasible and intervention implementation acceptable. Adherence to the intervention was 76% and the intervention was well-received by participants; exploratory analyses suggest that adherence and attendance may be associated with improved well-being. Health economic outcome measures were collected successfully and evidence indicates that linkage with routine data would be feasible in a future trial.Conclusions: The E-PAtS Feasibility RCT has demonstrated that the research design and methods of intervention implementation are generally feasible. Consideration of the limitations of this feasibility trial and any barriers to conducting a future definitive trial, do however, need to be considered by researchers.Clinical Trial Registration:https://www.isrctn.com, identifier: ISRCTN70419473.https://www.frontiersin.org/articles/10.3389/fpsyt.2021.729129/fullintellectual disabilitydevelopmental disabilitydevelopmental delayrandomised controlled trialparentingEarly Positive Approaches to Support (E-PAtS) |
| spellingShingle | Elinor Coulman Nick Gore Gwenllian Moody Melissa Wright Jeremy Segrott David Gillespie Stavros Petrou Fiona Lugg-Widger Sungwook Kim Jill Bradshaw Rachel McNamara Andrew Jahoda Geoff Lindsay Jacqui Shurlock Vaso Totsika Vaso Totsika Vaso Totsika Catherine Stanford Samantha Flynn Annabel Carter Christian Barlow Richard P. Hastings Richard P. Hastings Early Positive Approaches to Support (E-PAtS) for Families of Young Children With Intellectual Disability: A Feasibility Randomised Controlled Trial Frontiers in Psychiatry intellectual disability developmental disability developmental delay randomised controlled trial parenting Early Positive Approaches to Support (E-PAtS) |
| title | Early Positive Approaches to Support (E-PAtS) for Families of Young Children With Intellectual Disability: A Feasibility Randomised Controlled Trial |
| title_full | Early Positive Approaches to Support (E-PAtS) for Families of Young Children With Intellectual Disability: A Feasibility Randomised Controlled Trial |
| title_fullStr | Early Positive Approaches to Support (E-PAtS) for Families of Young Children With Intellectual Disability: A Feasibility Randomised Controlled Trial |
| title_full_unstemmed | Early Positive Approaches to Support (E-PAtS) for Families of Young Children With Intellectual Disability: A Feasibility Randomised Controlled Trial |
| title_short | Early Positive Approaches to Support (E-PAtS) for Families of Young Children With Intellectual Disability: A Feasibility Randomised Controlled Trial |
| title_sort | early positive approaches to support e pats for families of young children with intellectual disability a feasibility randomised controlled trial |
| topic | intellectual disability developmental disability developmental delay randomised controlled trial parenting Early Positive Approaches to Support (E-PAtS) |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2021.729129/full |
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