Transcript Document

Evaluating the Incredible Years Toddler Programme
Nia Griffith, Professor Judy Hutchings, Dr Dave Daley & Dr Tracey Bywater
School of Psychology, Bangor University
Introduction
Well documented poor outcomes for children living in disadvantaged communities
including delayed development, poor educational attainment, poor peer-relationships.
These problems can continue to develop into later life with poor employment
prospects, increased antisocial behaviour, drug abuse and involvement in criminal
activity.
A key protective factor identified has been the role of parenting.
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Programme Content
Outcome Measures
The Toddler Programme 12-36 months (12 sessions)
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Child Development
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Parent Mental Health
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Parental Competence
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Parental Stress
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Parent-child Interaction
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Home Environment
1. Child-Directed Play Promotes Positive Relationships
2. Promoting Toddler’s Language with Child-Directed Coaching
3. Social and Emotional Coaching
4. The Art of Praise and Encouragement
5. Spontaneous Incentives for Toddlers
Data collected over 2 home
visits at each time-point
6. Handling Separations and Reunions
7. Positive Discipline- Effective Limit Setting
8. Positive Discipline- Handling Misbehavior
RCT
89 families from Flying Start areas with children aged 12-36 months at Baseline
Random allocation (60 Intervention: 29 Wait-list control)
Stratified for age and sex
Eight sites across North, Mid & South Wales
Baseline
Main Outcomes
61% Below poverty line
Parent Mental Well-being
36% No qualifications at 16 yrs
38% Single parents
53% Living social housing
15% Family member drug/alcohol
Mean mental wellbeing score
52
1% Family member criminal activity
51
50.95
51.18
50
49
Intervention
47.83
47.37
Control
46
45
Baseline
Follow-up 1
Risk
FS
clinical
range
n=89
Sure
Start
Sample
M (SD)
SS
clinical
range
N=89
P-value
Observed Negative Parenting
Stress
PSI-SF
10.82
(9.44)
76.01
(20.54)
16%
21%
16.48
(10.39)
100.36
(23.47)
37%
67%
<.001
<.001
Mean negative parenting score
29.00
Depression
BDI-II
24.00
19.00
23.05
19.60
21.00
17.90
14.00
Intervention
13.00
Control
9.00
4.00
Baseline
Risk
SED6
1.99
(1.60)
55%
2.88
(1.48)
80%
<.001
Comparison of Flying Start baseline characteristics and
previously collected Sure Start data (Hutchings et al.2007)
Contact: Nia Griffith Email: [email protected] Tel: 01248 388898
Follow-up 1
•Many children/families not showing
evidence of clinical risk
•Short-term improvements in mental
well-being, sustained over time
Follow-up 2
Time
Figure 1: Change in mean mental wellbeing score over time
Flying
Start
Sample
M (SD)
•Baseline data indicates sample is not
as disadvantaged as predicted by
locality characteristics relative to a
targeted sample in Sure Start areas
48.86
48
47
Conclusions
Follow-up 2
Time
Figure 2: Change in observed negative parenting composite over time
•Short-term improvements in
observed negative parenting, not
sustained over time
•Long-term improvements in
depression, quality of home
environment and child development
•No long-term improvements in
observed positive parenting, parental
competence or parenting stress
•Highlights need for specific targeting
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http://incredible-years-wales-research.bangor.ac.uk