Early positive approaches to support (E-PAts) for families of young children with intellectual disability: a feasibility randomised controlled trial
<br><strong>Background: </strong>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 profes...
| المؤلفون الرئيسيون: | , , , , , , , , , , , , , , , , , , , |
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| التنسيق: | Journal article |
| اللغة: | English |
| منشور في: |
Frontiers Media
2021
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| _version_ | 1826283337884368896 |
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| author | Coulman, E Gore, N Moody, G Wright, M Segrott, J Gillespie, D Petrou, S Lugg-Widger, F Kim, S Bradshaw, J McNamara, R Jahoda, A Lindsay, G Shurlock, J Totsika, V Stanford, C Flynn, S Carter, A Barlow, C Hastings, RP |
| author_facet | Coulman, E Gore, N Moody, G Wright, M Segrott, J Gillespie, D Petrou, S Lugg-Widger, F Kim, S Bradshaw, J McNamara, R Jahoda, A Lindsay, G Shurlock, J Totsika, V Stanford, C Flynn, S Carter, A Barlow, C Hastings, RP |
| author_sort | Coulman, E |
| collection | OXFORD |
| description | <br><strong>Background: </strong>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.
<br><strong>
Methods:</strong> 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.
<br><strong>
Results: </strong>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.
<br><strong>
Conclusions: </strong>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.
<br><strong>
Clinical Trial Registration: </strong>https://www.isrctn.com, identifier: ISRCTN70419473. |
| first_indexed | 2024-03-07T00:57:24Z |
| format | Journal article |
| id | oxford-uuid:888d6a1d-cd3d-4b76-bc64-b451e26cfe9f |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T00:57:24Z |
| publishDate | 2021 |
| publisher | Frontiers Media |
| record_format | dspace |
| spelling | oxford-uuid:888d6a1d-cd3d-4b76-bc64-b451e26cfe9f2022-03-26T22:18:08ZEarly positive approaches to support (E-PAts) for families of young children with intellectual disability: a feasibility randomised controlled trialJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:888d6a1d-cd3d-4b76-bc64-b451e26cfe9fEnglishSymplectic ElementsFrontiers Media2021Coulman, EGore, NMoody, GWright, MSegrott, JGillespie, DPetrou, SLugg-Widger, FKim, SBradshaw, JMcNamara, RJahoda, ALindsay, GShurlock, JTotsika, VStanford, CFlynn, SCarter, ABarlow, CHastings, RP<br><strong>Background: </strong>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. <br><strong> Methods:</strong> 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. <br><strong> Results: </strong>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. <br><strong> Conclusions: </strong>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. <br><strong> Clinical Trial Registration: </strong>https://www.isrctn.com, identifier: ISRCTN70419473. |
| spellingShingle | Coulman, E Gore, N Moody, G Wright, M Segrott, J Gillespie, D Petrou, S Lugg-Widger, F Kim, S Bradshaw, J McNamara, R Jahoda, A Lindsay, G Shurlock, J Totsika, V Stanford, C Flynn, S Carter, A Barlow, C Hastings, RP Early positive approaches to support (E-PAts) for families of young children with intellectual disability: a feasibility randomised controlled trial |
| 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 |
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