Transcript Pathfinders Early Intervention Project

Results from the Incredible Years
School Age Programme for
children aged 8+ years
Margiad Elen Williams
Pathfinders project
• Funded 2006 to support 18 Authorities, six
with the school aged IY parent programme
• First trial of the school age programme with
older age range
The Programme
• 18 sessions (School Age Basic + Advanced
adult relationship programme)
• Delivered by 6 Authorities some with no or
limited IY experience
• Targeted 8+ years but delivered to wider age
range
• Training, supervision and mentoring provided
(co-ordinated from Bangor)
Sample - children
• N = 300 aged between 8 – 16 years
• Mean age 10.5 (SD 1.63)
Sample Characteristics
Percentage of sample
Male / Female
67% / 33%
Involved in statementing process
50%
Receiving additional school help
53%
Entitled to free school meals
62%
Sample - parents
Sample Characteristics
Percentage of sample
Primary carer/Biological parent
100%
Married
31%
Single parent
26%
Income ≤£64 per person per week
57%
Benefits main source income
61%
Left school before 16 years of age
63%
Measures
• Child Behaviour Measures
– Eyberg Child Behaviour Inventory (ECBI)
– Strengths & Difficulties Questionnaire (SDQ)
• Parenting Skills
- Arnold-O’Leary Parenting Scale
• Parental Depression
- Beck Depression Inventory (BDI)
• Sample Characteristics
- Personal Data & Health Questionnaire (PDHQ2)
Results
• Analysis run for using available pre- and postdata (approx 50%) plus Intention To Treat (ITT)
analysis
• Unfunded study data collected by service
delivery staff
• Significant improvements on all measures,
also demonstrated in ITT analysis
Baseline
Measure
Clinical cut-off level
Percentage above cut-off
ECBI Intensity scale
127
71%
ECBI Problem scale
11
83%
SDQ Total scale
17-20
74%
SDQ Impact Supplement
2+
72%
BDI parental depression
Mild-moderate (10-18)
Moderate-Severe (19-20)
79%
Measure
Clinical cut-off level
Mean score
Arnold-O’Leary
3.1
3.74
Child Behaviour Results
• Child behaviour problems reduced to under
clinical cut-off
ECBI - Intensity
150
145
140
135
130
Cut-off 127
125
120
115
110
Baseline
Follow-up
Child Behaviour Results 2
• Improvements in child behaviour also seen on
the SDQ.
SDQ - Total
20.5
20
19.5
19
18.5
18
17.5
Cut-off 17-20
17
16.5
16
15.5
Baseline
Follow-up
Parental Depression Results
• Significant reductions in parental depression
BDI
25
20
15
Cut-off 18-20
10
5
0
Baseline
Follow-up
Parenting Skills Results
• Significant improvements in parenting skills
Arnold-O'Leary
4
3.5
3
Clinic referred
parent mean 3.1
2.5
2
Baseline
Follow-up
Baseline vs. Follow-up
Measure
Baseline percentage above Follow-up percentage
clinical cut-off
above clinical cut-off
ECBI - Intensity
71%
44%
ECBI - Problem
83%
42%
SDQ - Total
74%
52%
SDQ – Impact Supplement
72%
55%
BDI
79%
42%
Mediator/Moderator
• What was bringing about the change and for whom?
• Mediator – improvements in parenting skills
mediated improvements in child behaviour
• Moderator – usual risk factors, teen parent, single
parent, drug/alcohol, poverty, parental depression
did NOT predict child behaviour outcomes all did
equally well
• Family history of crime did reduce child behaviour
outcomes
Conclusions
• Results demonstrate that the programme is
effective in improving children’s problem
behaviours
• Also effective in improving parental mental
health and parenting skills
• The programme is effective for older children
and their parents
Future recommendations
• A Randomised Controlled Trial (RCT) is now
needed
• Many remained above clinical cut-off levels.
18 session programme is the minimum for use
with older age group.
Thank you for listening
Any questions?
Email: [email protected]
Address: Nantlle Building, Normal Site, Bangor
University, Bangor, Gwynedd, LL57 2PZ