Today….
-
Upload
dustin-boyle -
Category
Documents
-
view
19 -
download
0
description
Transcript of Today….
Incredible Years Research Update Incredible Years Centre Wales
School of Psychology
17th March, 2010
Tracey Bywater
Today….
• What type of research do we do, why, & who with?
• What research are we currently undertaking?
Type of research & why we do it
• Translational Research:– Examines what has been learned from research
studies in real life settings in order to apply in everyday life
– We evaluate IY Programmes using RCTs with parents, children and teachers
– Establishes the impact (and cost-effectiveness) of programmes and so inform decisions about whether and how to embed them within local services
General Research Questions
• For which children and families are the interventions effective in the short- and long-term?
• What are the environmental/contextual circumstances that improve the likelihood of success?
• Are the programmes implemented efficiently and effectively with fidelity?
• Does the duration of time participating in an intervention affect likelihood of success, that is, is there a dosage affect?
• What are the costs of implementing the interventions?• What are the longer term costs and benefits of
intervention?
6
Current Funded Research
• Big Lottery, evaluation of Pull-out Dina (& IYC PhD)• WAG funded evaluation (& Mantais PhD) of the IY Toddler
Programme in Flying Start areas in Wales• IY Cymru funded evaluation of IY Therapeutic Dina• NW NHS Trust, IY evaluation with Nursery workers• NWW NHS Trust, 4-yr follow-up of Sure Start sample• DSCF & LA Pathfinders evaluation• Birmingham Council, Brighter Futures Strategy, • Atlantic Philanthropies, Irish National Evaluation of IY
Postgraduate projects
• ESRC & Gwynedd Education PhD evaluation of TCM• ESRC PhD exploring SS subsample with ADHD symptoms• Objective 1 & IYW PhD fidelity & outcomes• KESS funded PhD evaluating the Baby Programme• KESS funded MRes to compare developmental measures• 125 PhD to evaluate IY School Readiness (WORD?)• MSc Live versus video-recorded observations• CePHI, costing of IY Toddler Programme
9
Teacher Programme
6 full day sessions held monthly
Child Dinosaur treatment Programme: 6 children, 18 - 22 weekly sessions
Child Dinosaur Classroom Programme:3 year curriculum, 2 sessions per week, 30 weeks
Fully revised ADVANCED Programme: 9 sessions helping adults communicate & problem solve
The Incredible Years Programmes
*** the School Aged programme also has an additional four sessions on helping your child to do their best in school
Fully revised School Aged BASIC Parent Programme:
10 - 12 sessions, 6 - 12 years***
Fully revised Pre-School BASIC Parent Programme: 18 weekly sessions, 3 – 6 years
School ReadinessProgramme:4 pre-school sessions 2 – 4 years
Infant (eight sessions) 0 - 12 months toddler 1 - 2 year olds (13 sessions) programmes
9
Teacher Programme
6 full day sessions held monthly
Child Dinosaur treatment Programme: 6 children, 18 - 22 weekly sessions
Child Dinosaur Classroom Programme:3 year curriculum, 2 sessions per week, 30 weeks
Fully revised ADVANCED Programme: 9 sessions helping adults communicate & problem solve
The Incredible Years Programmes
***The School aged programme also has an additional four session unit on helping your child to do their best in school
Fully revised School Aged BASIC Parent Programme:
10 - 12 sessions, 6 - 12 years***
Fully revised Pre-School BASIC Parent Programme: 18 weekly sessions, 3 – 6 years
School ReadinessProgramme:4 pre-school sessions 2 – 4 years
Infant (eight sessions) 0 - 12 months toddler 1 - 2 year olds (13 sessions) programmes
9
Teacher Programme
6 full day sessions held monthly
Child Dinosaur treatment Programme: 6 children, 18 - 22 weekly sessions
Child Dinosaur Classroom Programme:3 year curriculum, 2 sessions per week, 30 weeks
ADVANCED Programme: 9 sessions helping adults communicate & problem solve
The Incredible Years Programmes
***The School aged programme also has an additional four session unit on helping your child to do their best in school
School Aged BASIC Parent Programme:
12 sessions, 6 - 12 years***(6 – 8, 9 – 12 yrs)
Pre-School BASIC Parent Programme: 14 or 18 weekly sessions, 3 – 6 years
School ReadinessProgramme:4 pre-school sessions 2 – 4 years
Infant - 8 sessions 0 - 12 months Toddler 1 - 3 year olds (12/13 sessions)
10
Welsh Sure Start Trial• Children of 3-4 years ‘at risk’ of developing CD• Randomly allocated families to intervention or waiting list
control using 2:1 ratio• Saw intervention families at baseline and 3 follow-ups, all
6 months apart• Saw control families at baseline and follow-up 1 then
offered the intervention• Measures were administered at each time point – child
behaviour, parent competencies, parental depression, amongst others
11
DPICS
T i m e
21
M
e
a
n
f
r
e
q
u
e
n
c
y
s
c
o
r
e
s
3 4
3 2
3 0
2 8
2 6
2 4
2 2
2 0
C o n d i t i o n
i n t e r v e n t i o n
c o n t r o l
Figure 1. Observed Positive Parenting in 30 minutes
Ireland Results (n= 103:46) 2009
Clinical Cutoff 11
10
12
14
16
18
20
22
Baseline Follow-up
ECBI Problem Conduct Score
Control
Intervention
longer term follow-up
• Maintained 80% to 18 month follow-up and then trial was terminated -18 month F/U data (Bywater et al. 2009) all positive outcomes maintained
• Managed to find some of sample at 3 and 4 years with very limited funding (£5k)
• Families were very socially disadvantaged and children had high rates of behaviour problems at baseline
16
lessons learned to inform Policy & PracticeProgrammes can be effective (even in disadvantaged Sure/Flying Start areas) when core research principles are adhered to:
1. Know what outcomes/change are required2. Select an evidence-based programme for the target
population3. Develop a strategy for recruiting the target
population4. Address relevant service access issues 5. Ensure implementation fidelity6. Evaluate the programme delivery and outcomes
References • Hutchings, Bywater, Daley et al., (2007). A Pragmatic Randomised
Controlled Trial of a Parenting Intervention in Sure Start Services for Children at Risk of Developing Conduct Disorder, BMJ. doi:10.1136/bmj.39126.620799.55
• Bywater, Hutchings, Daley et al., (2009). Long-Term Effectiveness of a Parenting Intervention in Sure Start Services in Wales for Children at Risk of Developing Conduct Disorder, BJP. Doi:10.1192/bjp.bp.108.056531
• Edwards, R.T., Ó Céilleachair, A., Bywater, T., Hughes, D.A., & Hutchings, J. (2007). Parenting Programme for Parents of Children at Risk of Developing Conduct Disorder: Cost-Effective Analysis. BMJ, doi:10.1136/bmj.39126.699421.55.
• McGilloway, S., Bywater, T., et al. (2009). Summary Report of Short-term Findings: IY National Evaluation Ireland. Archways & NUIM.