Barriers and facilitators in the delivery of a proportionate universal parenting program model (E-SEE Steps) in community family services
dc.contributor.author | Berry, V | |
dc.contributor.author | Mitchell, SB | |
dc.contributor.author | Blower, S | |
dc.contributor.author | Whittaker, K | |
dc.contributor.author | Wilkinson, K | |
dc.contributor.author | McGilloway, S | |
dc.contributor.author | Mason-Jones, A | |
dc.contributor.author | Carr, RM | |
dc.contributor.author | Bywater, T | |
dc.date.accessioned | 2022-06-14T10:17:13Z | |
dc.date.issued | 2022-06-13 | |
dc.date.updated | 2022-06-14T09:13:25Z | |
dc.description.abstract | Background A proportionate universal (PU) approach to early years’ service provision has been advocated to improve children’s health and development and to reduce health inequality, by ensuring that services provide timely and high-quality parenting support commensurate with need. Process-oriented research is critical to examine the factors that contribute to, or hinder, the effective delivery/implementation of such a model in community-based family services. This study aimed to assess the delivery, acceptability and feasibility of a new PU parenting intervention model (called E-SEE Steps), using the Incredible Years® (IY) parent program, when delivered by trained health/family service staff in three “steps”—one universal step (the IY Babies Book), and two targeted steps (group-based IY Infant and Toddler programs). Methods An embedded mixed-methods process evaluation within a pragmatic parallel two-arm, assessor blinded, randomized controlled trial was conducted in community services in four local authorities in England. The process evaluation used qualitative data gathered via interviews and focus groups with intervention arm parents who were offered the targeted steps (n = 29), practitioners (n = 50), service managers (n = 7) and IY program mentors (n = 3). This was supplemented by quantitative data collected using group leader pre-training (n = 50) and post-delivery (n = 39) questionnaires, and research notes of service design decisions. Results The E-SEE Steps model was acceptable to most parents, particularly when it was accompanied by engagement strategies that supported attendance, such as providing childcare. Practitioners also highlighted the positive development opportunities provided by the IY training and supervision. However, participant views did not support the provision of the IY Babies book as a standalone universal component, and there were barriers to eligible parents—particularly those with low mood—taking up the targeted programs. Service providers struggled to align the PU model with their commissioned service contracts and with their staff capacity to engage appropriate parents, including tackling common barriers to attendance. Conclusions Despite general enthusiasm and support for delivering high-quality parenting programs in community services in the England, several barriers exist to successfully delivering IY in a proportionate universal model within current services/systems. | en_GB |
dc.description.sponsorship | National Institute for Health Research (NIHR) | en_GB |
dc.format.extent | e0265946-e0265946 | |
dc.identifier.citation | Vol. 17(6), article e0265946 | en_GB |
dc.identifier.doi | https://doi.org/10.1371/journal.pone.0265946 | |
dc.identifier.uri | http://hdl.handle.net/10871/129938 | |
dc.identifier | ORCID: 0000-0001-6438-3731 (Berry, Vashti) | |
dc.identifier | ORCID: 0000-0002-4085-3898 (Mitchell, Siobhan B) | |
dc.identifier | ORCID: 0000-0001-8962-0991 (Wilkinson, Kath) | |
dc.language.iso | en | en_GB |
dc.publisher | Public Library of Science (PLoS) | en_GB |
dc.relation.url | https://doi.org/10.15124/41fd35ba-bd9c-4c2f-bb50-c8c92b8661ee | en_GB |
dc.rights | © 2022 Berry et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited | en_GB |
dc.title | Barriers and facilitators in the delivery of a proportionate universal parenting program model (E-SEE Steps) in community family services | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2022-06-14T10:17:13Z | |
dc.description | This is the final version. Available on open access from Public Library of Science via the DOI in this record | en_GB |
dc.description | Data Availability: The E-SEE data sharing plan follows a controlled access model as described in Good Practice Principles for Sharing Individual Participant Data from Publicly Funded Clinical Trials. Qualitative data is contained within the paper and the accompanying Supporting Information. Anonymized quantitative data is available upon request via the ‘Research Data York’ data repository: https://doi.org/10.15124/41fd35ba-bd9c-4c2f-bb50-c8c92b8661ee. To request access to this dataset please email Research Data York repository at lib-open-research@york.ac.uk. Sharing of this data set will be subject to the completion of a data access request form and, if approved, subject to a data sharing agreement, due to: a) Data containing potentially sensitive participant information such as mental health and domestic violence. b) Ethical concerns around using the data in a way that is not consistent with the PIS, e.g. for research that does not have ethical approval. Data requests will be reviewed by a 'data access committee' which will include members of the trial management team and independent members from ARC-YH Best Start Steering Committee. A data sharing agreement will be required to ensure data is used in accordance with the trial funder, and ethical guidelines. | en_GB |
dc.identifier.eissn | 1932-6203 | |
dc.identifier.journal | PLoS ONE | en_GB |
dc.relation.ispartof | PLOS ONE, 17(6) | |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | en_GB |
dcterms.dateAccepted | 2022-03-10 | |
rioxxterms.version | VoR | en_GB |
rioxxterms.licenseref.startdate | 2022-06-13 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2022-06-14T10:15:29Z | |
refterms.versionFCD | VoR | |
refterms.dateFOA | 2022-06-14T10:17:21Z | |
refterms.panel | A | en_GB |
refterms.dateFirstOnline | 2022-06-13 |
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Except where otherwise noted, this item's licence is described as © 2022 Berry et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited