Cargando…

Preventing mental health problems in children: the Families in Mind population-based cluster randomised controlled trial

BACKGROUND: Externalising and internalising problems affect one in seven school-aged children and are the single strongest predictor of mental health problems into early adolescence. As the burden of mental health problems persists globally, childhood prevention of mental health problems is paramoun...

Descripción completa

Detalles Bibliográficos
Autores principales: Hiscock, Harriet, Bayer, Jordana K, Lycett, Kate, Ukoumunne, Obioha C, Shaw, Daniel, Gold, Lisa, Gerner, Bibi, Loughman, Amy, Wake, Melissa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3458935/
https://www.ncbi.nlm.nih.gov/pubmed/22682229
http://dx.doi.org/10.1186/1471-2458-12-420
_version_ 1782244736836304896
author Hiscock, Harriet
Bayer, Jordana K
Lycett, Kate
Ukoumunne, Obioha C
Shaw, Daniel
Gold, Lisa
Gerner, Bibi
Loughman, Amy
Wake, Melissa
author_facet Hiscock, Harriet
Bayer, Jordana K
Lycett, Kate
Ukoumunne, Obioha C
Shaw, Daniel
Gold, Lisa
Gerner, Bibi
Loughman, Amy
Wake, Melissa
author_sort Hiscock, Harriet
collection PubMed
description BACKGROUND: Externalising and internalising problems affect one in seven school-aged children and are the single strongest predictor of mental health problems into early adolescence. As the burden of mental health problems persists globally, childhood prevention of mental health problems is paramount. Prevention can be offered to all children (universal) or to children at risk of developing mental health problems (targeted). The relative effectiveness and costs of a targeted only versus combined universal and targeted approach are unknown. This study aims to determine the effectiveness, costs and uptake of two approaches to early childhood prevention of mental health problems ie: a Combined universal-targeted approach, versus a Targeted only approach, in comparison to current primary care services (Usual care). METHODS/DESIGN: Three armed, population-level cluster randomised trial (2010–2014) within the universal, well child Maternal Child Health system, attended by more than 80% of families in Victoria, Australia at infant age eight months. Participants were families of eight month old children from nine participating local government areas. Randomised to one of three groups: Combined, Targeted or Usual care. The interventions comprises (a) the Combined universal and targeted program where all families are offered the universal Toddlers Without Tears group parenting program followed by the targeted Family Check-Up one-on-one program or (b) the Targeted Family Check-Up program. The Family Check-Up program is only offered to children at risk of behavioural problems. Participants will be analysed according to the trial arm to which they were randomised, using logistic and linear regression models to compare primary and secondary outcomes. An economic evaluation (cost consequences analysis) will compare incremental costs to all incremental outcomes from a societal perspective. DISCUSSION: This trial will inform public health policy by making recommendations about the effectiveness and cost-effectiveness of these early prevention programs. If effective prevention programs can be implemented at the population level, the growing burden of mental health problems could be curbed. TRIAL REGISTRATION: ISRCTN61137690
format Online
Article
Text
id pubmed-3458935
institution National Center for Biotechnology Information
language English
publishDate 2012
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-34589352012-09-27 Preventing mental health problems in children: the Families in Mind population-based cluster randomised controlled trial Hiscock, Harriet Bayer, Jordana K Lycett, Kate Ukoumunne, Obioha C Shaw, Daniel Gold, Lisa Gerner, Bibi Loughman, Amy Wake, Melissa BMC Public Health Study Protocol BACKGROUND: Externalising and internalising problems affect one in seven school-aged children and are the single strongest predictor of mental health problems into early adolescence. As the burden of mental health problems persists globally, childhood prevention of mental health problems is paramount. Prevention can be offered to all children (universal) or to children at risk of developing mental health problems (targeted). The relative effectiveness and costs of a targeted only versus combined universal and targeted approach are unknown. This study aims to determine the effectiveness, costs and uptake of two approaches to early childhood prevention of mental health problems ie: a Combined universal-targeted approach, versus a Targeted only approach, in comparison to current primary care services (Usual care). METHODS/DESIGN: Three armed, population-level cluster randomised trial (2010–2014) within the universal, well child Maternal Child Health system, attended by more than 80% of families in Victoria, Australia at infant age eight months. Participants were families of eight month old children from nine participating local government areas. Randomised to one of three groups: Combined, Targeted or Usual care. The interventions comprises (a) the Combined universal and targeted program where all families are offered the universal Toddlers Without Tears group parenting program followed by the targeted Family Check-Up one-on-one program or (b) the Targeted Family Check-Up program. The Family Check-Up program is only offered to children at risk of behavioural problems. Participants will be analysed according to the trial arm to which they were randomised, using logistic and linear regression models to compare primary and secondary outcomes. An economic evaluation (cost consequences analysis) will compare incremental costs to all incremental outcomes from a societal perspective. DISCUSSION: This trial will inform public health policy by making recommendations about the effectiveness and cost-effectiveness of these early prevention programs. If effective prevention programs can be implemented at the population level, the growing burden of mental health problems could be curbed. TRIAL REGISTRATION: ISRCTN61137690 BioMed Central 2012-06-08 /pmc/articles/PMC3458935/ /pubmed/22682229 http://dx.doi.org/10.1186/1471-2458-12-420 Text en Copyright ©2012 Hiscock et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Study Protocol
Hiscock, Harriet
Bayer, Jordana K
Lycett, Kate
Ukoumunne, Obioha C
Shaw, Daniel
Gold, Lisa
Gerner, Bibi
Loughman, Amy
Wake, Melissa
Preventing mental health problems in children: the Families in Mind population-based cluster randomised controlled trial
title Preventing mental health problems in children: the Families in Mind population-based cluster randomised controlled trial
title_full Preventing mental health problems in children: the Families in Mind population-based cluster randomised controlled trial
title_fullStr Preventing mental health problems in children: the Families in Mind population-based cluster randomised controlled trial
title_full_unstemmed Preventing mental health problems in children: the Families in Mind population-based cluster randomised controlled trial
title_short Preventing mental health problems in children: the Families in Mind population-based cluster randomised controlled trial
title_sort preventing mental health problems in children: the families in mind population-based cluster randomised controlled trial
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3458935/
https://www.ncbi.nlm.nih.gov/pubmed/22682229
http://dx.doi.org/10.1186/1471-2458-12-420
work_keys_str_mv AT hiscockharriet preventingmentalhealthproblemsinchildrenthefamiliesinmindpopulationbasedclusterrandomisedcontrolledtrial
AT bayerjordanak preventingmentalhealthproblemsinchildrenthefamiliesinmindpopulationbasedclusterrandomisedcontrolledtrial
AT lycettkate preventingmentalhealthproblemsinchildrenthefamiliesinmindpopulationbasedclusterrandomisedcontrolledtrial
AT ukoumunneobiohac preventingmentalhealthproblemsinchildrenthefamiliesinmindpopulationbasedclusterrandomisedcontrolledtrial
AT shawdaniel preventingmentalhealthproblemsinchildrenthefamiliesinmindpopulationbasedclusterrandomisedcontrolledtrial
AT goldlisa preventingmentalhealthproblemsinchildrenthefamiliesinmindpopulationbasedclusterrandomisedcontrolledtrial
AT gernerbibi preventingmentalhealthproblemsinchildrenthefamiliesinmindpopulationbasedclusterrandomisedcontrolledtrial
AT loughmanamy preventingmentalhealthproblemsinchildrenthefamiliesinmindpopulationbasedclusterrandomisedcontrolledtrial
AT wakemelissa preventingmentalhealthproblemsinchildrenthefamiliesinmindpopulationbasedclusterrandomisedcontrolledtrial