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The Reflective Fostering Programme—improving the wellbeing of children in care through a group intervention for foster carers: a randomised controlled trial

BACKGROUND: The needs of children in care are a government priority, yet the evidence base for effective interventions to support the emotional wellbeing of children in care is lacking. Research suggests that supporting the carer-child relationship, by promoting the carer’s reflective parenting, may...

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Autores principales: Midgley, Nick, Irvine, Karen, Rider, Beth, Byford, Sarah, Cirasola, Antonella, Ganguli, Poushali, Katangwe-Chigamba, Thando, Murdoch, Jamie, Pond, Martin, Pursch, Benita, Redfern, Sheila, Richards, Zena Louise, Shepstone, Lee, Sims, Erika, Smith, Caroline, Sprecher, Eva, Swart, Ann Marie, Wyatt, Solange, Wellsted, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8613455/
https://www.ncbi.nlm.nih.gov/pubmed/34823552
http://dx.doi.org/10.1186/s13063-021-05739-y
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author Midgley, Nick
Irvine, Karen
Rider, Beth
Byford, Sarah
Cirasola, Antonella
Ganguli, Poushali
Katangwe-Chigamba, Thando
Murdoch, Jamie
Pond, Martin
Pursch, Benita
Redfern, Sheila
Richards, Zena Louise
Shepstone, Lee
Sims, Erika
Smith, Caroline
Sprecher, Eva
Swart, Ann Marie
Wyatt, Solange
Wellsted, David
author_facet Midgley, Nick
Irvine, Karen
Rider, Beth
Byford, Sarah
Cirasola, Antonella
Ganguli, Poushali
Katangwe-Chigamba, Thando
Murdoch, Jamie
Pond, Martin
Pursch, Benita
Redfern, Sheila
Richards, Zena Louise
Shepstone, Lee
Sims, Erika
Smith, Caroline
Sprecher, Eva
Swart, Ann Marie
Wyatt, Solange
Wellsted, David
author_sort Midgley, Nick
collection PubMed
description BACKGROUND: The needs of children in care are a government priority, yet the evidence base for effective interventions to support the emotional wellbeing of children in care is lacking. Research suggests that supporting the carer-child relationship, by promoting the carer’s reflective parenting, may be an effective approach to improving the wellbeing of these children. METHODS: The study comprises a definitive, superiority, two-armed, parallel, pragmatic, randomised controlled trial, with embedded process evaluation and economic evaluation, and an internal pilot, to evaluate the effectiveness, and cost-effectiveness, of the Reflective Fostering Programme. Randomisation is at the individual level using a 1:1 allocation ratio. The study is being conducted in local authority sites across England, and is targeted at foster carers (including kinship carers) looking after children aged 4 to 13. Consenting participants are randomly allocated to the Reflective Fostering Programme (intervention arm) in addition to usual support or usual support alone (control arm). The primary outcome is behavioural and emotional wellbeing of the child 12 months post-baseline, and secondary outcomes include the following: foster carer’s level of stress, quality of life, reflective capacity, compassion fatigue and burnout, placement stability, the quality of the child-carer relationship, child’s capacity for emotional regulation, and achievement of personalised goals set by the carer. DISCUSSION: A feasibility study has indicated effectiveness of the Programme in improving the child-carer relationship and emotional and behavioural wellbeing of children in care. This study will test the effectiveness and cost-effectiveness of implementing the Reflective Fostering Programme as an additional aid to the support already available to local authority foster carers. TRIAL REGISTRATION: ISRCTN 70832140.
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spelling pubmed-86134552021-11-26 The Reflective Fostering Programme—improving the wellbeing of children in care through a group intervention for foster carers: a randomised controlled trial Midgley, Nick Irvine, Karen Rider, Beth Byford, Sarah Cirasola, Antonella Ganguli, Poushali Katangwe-Chigamba, Thando Murdoch, Jamie Pond, Martin Pursch, Benita Redfern, Sheila Richards, Zena Louise Shepstone, Lee Sims, Erika Smith, Caroline Sprecher, Eva Swart, Ann Marie Wyatt, Solange Wellsted, David Trials Study Protocol BACKGROUND: The needs of children in care are a government priority, yet the evidence base for effective interventions to support the emotional wellbeing of children in care is lacking. Research suggests that supporting the carer-child relationship, by promoting the carer’s reflective parenting, may be an effective approach to improving the wellbeing of these children. METHODS: The study comprises a definitive, superiority, two-armed, parallel, pragmatic, randomised controlled trial, with embedded process evaluation and economic evaluation, and an internal pilot, to evaluate the effectiveness, and cost-effectiveness, of the Reflective Fostering Programme. Randomisation is at the individual level using a 1:1 allocation ratio. The study is being conducted in local authority sites across England, and is targeted at foster carers (including kinship carers) looking after children aged 4 to 13. Consenting participants are randomly allocated to the Reflective Fostering Programme (intervention arm) in addition to usual support or usual support alone (control arm). The primary outcome is behavioural and emotional wellbeing of the child 12 months post-baseline, and secondary outcomes include the following: foster carer’s level of stress, quality of life, reflective capacity, compassion fatigue and burnout, placement stability, the quality of the child-carer relationship, child’s capacity for emotional regulation, and achievement of personalised goals set by the carer. DISCUSSION: A feasibility study has indicated effectiveness of the Programme in improving the child-carer relationship and emotional and behavioural wellbeing of children in care. This study will test the effectiveness and cost-effectiveness of implementing the Reflective Fostering Programme as an additional aid to the support already available to local authority foster carers. TRIAL REGISTRATION: ISRCTN 70832140. BioMed Central 2021-11-25 /pmc/articles/PMC8613455/ /pubmed/34823552 http://dx.doi.org/10.1186/s13063-021-05739-y Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Study Protocol
Midgley, Nick
Irvine, Karen
Rider, Beth
Byford, Sarah
Cirasola, Antonella
Ganguli, Poushali
Katangwe-Chigamba, Thando
Murdoch, Jamie
Pond, Martin
Pursch, Benita
Redfern, Sheila
Richards, Zena Louise
Shepstone, Lee
Sims, Erika
Smith, Caroline
Sprecher, Eva
Swart, Ann Marie
Wyatt, Solange
Wellsted, David
The Reflective Fostering Programme—improving the wellbeing of children in care through a group intervention for foster carers: a randomised controlled trial
title The Reflective Fostering Programme—improving the wellbeing of children in care through a group intervention for foster carers: a randomised controlled trial
title_full The Reflective Fostering Programme—improving the wellbeing of children in care through a group intervention for foster carers: a randomised controlled trial
title_fullStr The Reflective Fostering Programme—improving the wellbeing of children in care through a group intervention for foster carers: a randomised controlled trial
title_full_unstemmed The Reflective Fostering Programme—improving the wellbeing of children in care through a group intervention for foster carers: a randomised controlled trial
title_short The Reflective Fostering Programme—improving the wellbeing of children in care through a group intervention for foster carers: a randomised controlled trial
title_sort reflective fostering programme—improving the wellbeing of children in care through a group intervention for foster carers: a randomised controlled trial
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8613455/
https://www.ncbi.nlm.nih.gov/pubmed/34823552
http://dx.doi.org/10.1186/s13063-021-05739-y
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