Skip to main content
Top
Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Research article

Evaluation of the national roll-out of parenting programmes across England: the parenting early intervention programme (PEIP)

Authors: Geoff Lindsay, Steve Strand

Published in: BMC Public Health | Issue 1/2013

Login to get access

Abstract

Background

Evidence based parenting programmes can improve parenting skills and the behaviour of children exhibiting, or at risk of developing, antisocial behaviour. In order to develop a public policy for delivering these programmes it is necessary not only to demonstrate their efficacy through rigorous trials but also to determine that they can be rolled out on a large scale. The aim of the present study was to evaluate the UK government funded national implementation of its Parenting Early Intervention Programme, a national roll-out of parenting programmes for parents of children 8–13 years in all 152 local authorities (LAs) across England. Building upon our study of the Pathfinder (2006–08) implemented in 18 LAs. To the best of our knowledge this is the first comparative study of a national roll-out of parenting programmes and the first study of parents of children 8–13 years.

Methods

The UK government funded English LAs to implement one or more of five evidence based programmes (later increased to eight): Triple P, Incredible Years, Strengthening Families Strengthening Communities, Families and Schools Together (FAST), and the Strengthening Families Programme (10–14). Parents completed measures of parenting style (laxness and over-reactivity), and mental well-being, and also child behaviour at three time points: pre- and post-course and again one year later.

Results

6143 parents from 43 LAs were included in the study of whom 3325 provided post-test data and 1035 parents provided data at one-year follow up. There were significant improvements for each programme, with effect sizes (Cohen’s d) for the combined sample of 0.72 parenting laxness, 0.85 parenting over-reactivity, 0.79 parent mental well-being, and 0.45 for child conduct problems. These improvements were largely maintained one year later. All four programmes for which we had sufficient data for comparison were effective. There were generally larger effects on both parent and child measures for Triple P, but not all between programme comparisons were significant. Results for the targeted group of parents of children 8–13 years were very similar.

Conclusions

Evidence-based parenting programmes can be rolled out effectively in community settings on a national scale. This study also demonstrates the impact of research on shaping government policy.
Appendix
Available only for authorised users
Literature
1.
go back to reference Biglan A, Flay BR, Embry DD, Sander IN: The critical role of nurturing environments for promoting human well-being. Amer Psychol. 2012, 67: 257-272.CrossRef Biglan A, Flay BR, Embry DD, Sander IN: The critical role of nurturing environments for promoting human well-being. Amer Psychol. 2012, 67: 257-272.CrossRef
2.
go back to reference Lindsay G, Strand S, Davis H: A comparison of the effectiveness of three parenting programmes in improving parenting skills, parent mental well-being and children’s behaviour when implemented on a large scale in community settings in 18 English local authorities: the parenting early intervention pathfinder. BMC Public Health. 2011, 11: 962-10.1186/1471-2458-11-962.CrossRefPubMedPubMedCentral Lindsay G, Strand S, Davis H: A comparison of the effectiveness of three parenting programmes in improving parenting skills, parent mental well-being and children’s behaviour when implemented on a large scale in community settings in 18 English local authorities: the parenting early intervention pathfinder. BMC Public Health. 2011, 11: 962-10.1186/1471-2458-11-962.CrossRefPubMedPubMedCentral
3.
go back to reference Patterson J, Mockford C, Barlow J, Pyper C, Stewart-Brown S: Need and demand for parenting programmes in general practice. Arch Dis Child. 2002, 87: 468-487. 10.1136/adc.87.6.468.CrossRefPubMedPubMedCentral Patterson J, Mockford C, Barlow J, Pyper C, Stewart-Brown S: Need and demand for parenting programmes in general practice. Arch Dis Child. 2002, 87: 468-487. 10.1136/adc.87.6.468.CrossRefPubMedPubMedCentral
4.
go back to reference Green H, McGinnity A, Meltzer H, Ford T, Goodman R: The Mental Health of Children and Young People in Great Britain, 2004. 2005, Basingstoke: Palgrave MacMillanCrossRef Green H, McGinnity A, Meltzer H, Ford T, Goodman R: The Mental Health of Children and Young People in Great Britain, 2004. 2005, Basingstoke: Palgrave MacMillanCrossRef
5.
go back to reference Nowak C, Heinrichs N: A comprehensive meta-analysis of Triple P—Positive Parenting Program using hierarchical linear modelling: Effectiveness and moderating variable. Clin Child Fam Psychol Rev. 2008, 11: 114-144. 10.1007/s10567-008-0033-0.CrossRefPubMed Nowak C, Heinrichs N: A comprehensive meta-analysis of Triple P—Positive Parenting Program using hierarchical linear modelling: Effectiveness and moderating variable. Clin Child Fam Psychol Rev. 2008, 11: 114-144. 10.1007/s10567-008-0033-0.CrossRefPubMed
6.
go back to reference Barlow J, Coren E: Parenting Programmes for Improving Maternal Psychosocial Health. Cochrane Review. The Cochrane Library, Issue 4. 2000, Oxford: Update Software Barlow J, Coren E: Parenting Programmes for Improving Maternal Psychosocial Health. Cochrane Review. The Cochrane Library, Issue 4. 2000, Oxford: Update Software
7.
go back to reference Dretzke J, Davenport C, Frew E, Barlow J, Stewart-Brown S, Bayliss S, Taylor RS, Sandercock J, Hyde C: The clinical effectiveness of different parenting programmes for children with conduct problems: a systematic review of randomized control trials. Child Adol Psychiat Ment Health. 2009, 3: 7-10.1186/1753-2000-3-7. doi:10.1186/1753-2000-3-7CrossRef Dretzke J, Davenport C, Frew E, Barlow J, Stewart-Brown S, Bayliss S, Taylor RS, Sandercock J, Hyde C: The clinical effectiveness of different parenting programmes for children with conduct problems: a systematic review of randomized control trials. Child Adol Psychiat Ment Health. 2009, 3: 7-10.1186/1753-2000-3-7. doi:10.1186/1753-2000-3-7CrossRef
8.
go back to reference Furlong M, McGilloway S, Bywater T, Hutchings J, Smith SM, Donnelly M: Behavioural and cognitive-behavioural group-based parenting programmes for early-onset conduct problems in children aged 3–12 years. Cochrane Database Syst Rev. 2012, 2: CD008225. doi:10.1002/14651858. CD008225.pub2 Furlong M, McGilloway S, Bywater T, Hutchings J, Smith SM, Donnelly M: Behavioural and cognitive-behavioural group-based parenting programmes for early-onset conduct problems in children aged 3–12 years. Cochrane Database Syst Rev. 2012, 2: CD008225. doi:10.1002/14651858. CD008225.pub2
9.
go back to reference Moran P, Ghate D, van der Werwe A: What Works in Parenting Support? A Review of the International Literature. Research Report 574. 2004, London: Department for Education and Skills Moran P, Ghate D, van der Werwe A: What Works in Parenting Support? A Review of the International Literature. Research Report 574. 2004, London: Department for Education and Skills
10.
go back to reference Stewart-Brown SL, Schrader-McMillan A: Parenting for mental health: what does the evidence say we need to do? Report of Workpackage 2 of the DataPrev project. Health Prom Int. 2011, 26: i10-i26. 10.1093/heapro/dar056. doi:10.1093/heapro/dat056CrossRef Stewart-Brown SL, Schrader-McMillan A: Parenting for mental health: what does the evidence say we need to do? Report of Workpackage 2 of the DataPrev project. Health Prom Int. 2011, 26: i10-i26. 10.1093/heapro/dar056. doi:10.1093/heapro/dat056CrossRef
11.
go back to reference United Nations Office on Drugs and Crime: Compilation of Evidence-Based Family Skills Training Programmes. 2010, New York: United Nations United Nations Office on Drugs and Crime: Compilation of Evidence-Based Family Skills Training Programmes. 2010, New York: United Nations
14.
go back to reference Webster-Stratton C, Reid M: The Incredible Years parents, teachers and child training series: a multifaceted treatment approach for young children with conduct problems. Evidence-based Psychotherapies for Children and Adolescents. Edited by: Kazdin A, Weisz J. 2003, New York: Guilford Press Webster-Stratton C, Reid M: The Incredible Years parents, teachers and child training series: a multifaceted treatment approach for young children with conduct problems. Evidence-based Psychotherapies for Children and Adolescents. Edited by: Kazdin A, Weisz J. 2003, New York: Guilford Press
15.
go back to reference Eisner M: No effects in independent prevention trials: can we reject the cynical view?. J Exp Criminol. 2009, 5: 163-183. 10.1007/s11292-009-9071-y. doi:10.1007/s 11292-009-9071-yCrossRef Eisner M: No effects in independent prevention trials: can we reject the cynical view?. J Exp Criminol. 2009, 5: 163-183. 10.1007/s11292-009-9071-y. doi:10.1007/s 11292-009-9071-yCrossRef
16.
go back to reference La Roca R, Yost J, Dobbins M, Ciliska D, Butt M: The effectiveness of knowledge transfer strategies used in public health: a systematic review. Impl Sci. 2012, 12: 751-doi:10.1186/1471–2458-12-751 La Roca R, Yost J, Dobbins M, Ciliska D, Butt M: The effectiveness of knowledge transfer strategies used in public health: a systematic review. Impl Sci. 2012, 12: 751-doi:10.1186/1471–2458-12-751
17.
go back to reference Kothari A, Armstrong R: Community-based knowledge translation: unexplored opportunities. Impl Sci. 2011, 6: 59-10.1186/1748-5908-6-59. doi:10.1186/1748-5908-6-59CrossRef Kothari A, Armstrong R: Community-based knowledge translation: unexplored opportunities. Impl Sci. 2011, 6: 59-10.1186/1748-5908-6-59. doi:10.1186/1748-5908-6-59CrossRef
18.
go back to reference Wilson MG, Lavis JN, Travers R, Rourke SB: Community-based knowledge transfer and exchange: Helping community-based organisations link research to action. Imp Sci. 2010, 5: 33-10.1186/1748-5908-5-33.CrossRef Wilson MG, Lavis JN, Travers R, Rourke SB: Community-based knowledge transfer and exchange: Helping community-based organisations link research to action. Imp Sci. 2010, 5: 33-10.1186/1748-5908-5-33.CrossRef
19.
go back to reference Olds DL, Hill PL, O’Brien R: Taking preventive intervention to scale: The nurse-family partnership. Cog and Behav Practice. 2003, 10: 278-290. 10.1016/S1077-7229(03)80046-9.CrossRef Olds DL, Hill PL, O’Brien R: Taking preventive intervention to scale: The nurse-family partnership. Cog and Behav Practice. 2003, 10: 278-290. 10.1016/S1077-7229(03)80046-9.CrossRef
20.
go back to reference Respect Taskforce: Respect action plan. 2006, London: Home Office Respect Taskforce: Respect action plan. 2006, London: Home Office
22.
go back to reference Sanders M: The Triple P—Positive Parenting Program: towards an empirically validated multilevel parenting and family support strategy for the prevention of behavior and emotional problems in children. Clin Child Fam Psychol Dev. 1999, 2: 71-90. 10.1023/A:1021843613840.CrossRef Sanders M: The Triple P—Positive Parenting Program: towards an empirically validated multilevel parenting and family support strategy for the prevention of behavior and emotional problems in children. Clin Child Fam Psychol Dev. 1999, 2: 71-90. 10.1023/A:1021843613840.CrossRef
23.
go back to reference Webster-Stratton C, Reid MJ, Hammond ML: Treating children with early-onset conduct problems: Intervention outcomes for parents, child and teacher training. J Clin Child Adol Psychol. 2004, 33: 105-124. 10.1207/S15374424JCCP3301_11.CrossRef Webster-Stratton C, Reid MJ, Hammond ML: Treating children with early-onset conduct problems: Intervention outcomes for parents, child and teacher training. J Clin Child Adol Psychol. 2004, 33: 105-124. 10.1207/S15374424JCCP3301_11.CrossRef
24.
go back to reference Steele M, Marigna M, Tello J, Johnston R: Strengthening Families, Strengthening Communities: an Inclusive Programme. Facilitator Manual. 2000, London: Race Equality Unit Steele M, Marigna M, Tello J, Johnston R: Strengthening Families, Strengthening Communities: an Inclusive Programme. Facilitator Manual. 2000, London: Race Equality Unit
25.
go back to reference McDonald L, Billingham S, Conrad T, Morgan A, Payton E: Families and schools together (FAST). Integrating community development with clinical strategies. Fam in Soc. 1997, 78: 140-155. 10.1606/1044-3894.754.CrossRef McDonald L, Billingham S, Conrad T, Morgan A, Payton E: Families and schools together (FAST). Integrating community development with clinical strategies. Fam in Soc. 1997, 78: 140-155. 10.1606/1044-3894.754.CrossRef
26.
go back to reference Molgaard VK, Spoth RL, Redmond C: Competency Training: The Strengthening Families Program – for Parents and Youth 10–14. OJJDP Juvenile Justice Bulletin. 2000, Washington DC: United States Department of Justice, Office of Justice Programs, Office of Juvenile Justice and Delinquency Prevention Molgaard VK, Spoth RL, Redmond C: Competency Training: The Strengthening Families Program – for Parents and Youth 10–14. OJJDP Juvenile Justice Bulletin. 2000, Washington DC: United States Department of Justice, Office of Justice Programs, Office of Juvenile Justice and Delinquency Prevention
27.
go back to reference Strand S: The limits of social class in explaining ethnic gaps in educational attainment. B Ed Res J. 2011, 37 (2): 197-229. 10.1080/01411920903540664.CrossRef Strand S: The limits of social class in explaining ethnic gaps in educational attainment. B Ed Res J. 2011, 37 (2): 197-229. 10.1080/01411920903540664.CrossRef
28.
go back to reference Department for Education: Children with Special Educational Needs 20910: An Analysis. DfE 00553–2010. 2010, London: Department for Education Department for Education: Children with Special Educational Needs 20910: An Analysis. DfE 00553–2010. 2010, London: Department for Education
29.
go back to reference Irvine AB, Biglan A, Smolkowski K, Ary DV: The value of the parenting scale for measuring the discipline practices of parents of middle school children. Behav Res Ther. 1999, 37: 127-142. 10.1016/S0005-7967(98)00114-4.CrossRefPubMed Irvine AB, Biglan A, Smolkowski K, Ary DV: The value of the parenting scale for measuring the discipline practices of parents of middle school children. Behav Res Ther. 1999, 37: 127-142. 10.1016/S0005-7967(98)00114-4.CrossRefPubMed
30.
go back to reference Tennant R, Fishwick R, Platt S, Joseph S, Stewart-Brown S: Monitoring Positive Mental Health in Scotland: Validating the Affectometer 2 Scale and Developing the Warwick Edinburgh Mental Well-being Scale for the UK. 2006, NHS Health Scotland: Edinburgh Tennant R, Fishwick R, Platt S, Joseph S, Stewart-Brown S: Monitoring Positive Mental Health in Scotland: Validating the Affectometer 2 Scale and Developing the Warwick Edinburgh Mental Well-being Scale for the UK. 2006, NHS Health Scotland: Edinburgh
31.
go back to reference Goodman R: The strengths and difficulties questionnaire: a research note. J Child Psychol Psychiat. 1997, 38: 581-586. 10.1111/j.1469-7610.1997.tb01545.x.CrossRefPubMed Goodman R: The strengths and difficulties questionnaire: a research note. J Child Psychol Psychiat. 1997, 38: 581-586. 10.1111/j.1469-7610.1997.tb01545.x.CrossRefPubMed
32.
go back to reference Johnston C, Mash EJ: A measure of parenting satisfaction and efficacy. J Clin Child Psychol. 1989, 18: 167-175. 10.1207/s15374424jccp1802_8.CrossRef Johnston C, Mash EJ: A measure of parenting satisfaction and efficacy. J Clin Child Psychol. 1989, 18: 167-175. 10.1207/s15374424jccp1802_8.CrossRef
33.
go back to reference Arnold DH, O’Leary SG, Wolff LS, Acker MM: The parenting scale: a measure of dysfunctional parenting in discipline situations. Psychol Assess. 1993, 5: 137-144.CrossRef Arnold DH, O’Leary SG, Wolff LS, Acker MM: The parenting scale: a measure of dysfunctional parenting in discipline situations. Psychol Assess. 1993, 5: 137-144.CrossRef
34.
go back to reference Goodman A, Goodman R: Strengths and difficulties questionnaire as a dimensional measure of child mental health. Amer Acad Child Adol Ment Health. 2009, 48 (4): 400-403. 10.1097/CHI.0b013e3181985068.CrossRef Goodman A, Goodman R: Strengths and difficulties questionnaire as a dimensional measure of child mental health. Amer Acad Child Adol Ment Health. 2009, 48 (4): 400-403. 10.1097/CHI.0b013e3181985068.CrossRef
36.
go back to reference Hutchings J, Bywater T, Daley D, Gardner F, Whitaker C, Jones K, et al: Parenting intervention in Sure Start services for children at risk of developing conduct disorder: pragmatic randomised controlled trial. BMJ. 2007, 334: 678-10.1136/bmj.39126.620799.55.CrossRefPubMedPubMedCentral Hutchings J, Bywater T, Daley D, Gardner F, Whitaker C, Jones K, et al: Parenting intervention in Sure Start services for children at risk of developing conduct disorder: pragmatic randomised controlled trial. BMJ. 2007, 334: 678-10.1136/bmj.39126.620799.55.CrossRefPubMedPubMedCentral
37.
go back to reference Scott S, Spender Q, Doolan M, Jacobs B, Aspland H: Multicentre controlled trial of parenting groups for childhood antisocial behavior in clinical practice. BMJ. 2001, 323: 194-198. 10.1136/bmj.323.7306.194.CrossRefPubMedPubMedCentral Scott S, Spender Q, Doolan M, Jacobs B, Aspland H: Multicentre controlled trial of parenting groups for childhood antisocial behavior in clinical practice. BMJ. 2001, 323: 194-198. 10.1136/bmj.323.7306.194.CrossRefPubMedPubMedCentral
Metadata
Title
Evaluation of the national roll-out of parenting programmes across England: the parenting early intervention programme (PEIP)
Authors
Geoff Lindsay
Steve Strand
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-972

Other articles of this Issue 1/2013

BMC Public Health 1/2013 Go to the issue