Preventing child mental health problems through parenting interventions in Southeastern Europe (RISE): protocol for a multi-country cluster randomized factorial study

Lachman, J. M. et al. (2019) Preventing child mental health problems through parenting interventions in Southeastern Europe (RISE): protocol for a multi-country cluster randomized factorial study. Contemporary Clinical Trials, 86, 105855. (doi: 10.1016/j.cct.2019.105855) (PMID:31669446)

[img]
Preview
Text
207380.pdf - Accepted Version
Available under License Creative Commons Attribution Non-commercial No Derivatives.

791kB

Abstract

Background: Child mental health problems continue to be a major global concern, especially in low- and middle-income countries (LMICs). Parenting interventions have been shown to be effective for reducing child behavior problems in high-income countries, with emerging evidence supporting similar effects in LMICs. However, there remain substantial barriers to scaling up evidence-based interventions due to limited human and financial resources in such countries. Methods: This protocol is for a multi-center cluster randomized factorial trial of an evidence-based parenting intervention, Parenting for Lifelong Health for Young Children, for families with children ages two to nine years with subclinical levels of behavior problems in three Southeastern European countries, Republic of Moldova, North Macedonia, and Romania (8 conditions, 48 clusters, 864 families, 108 per condition). The trial will test three intervention components: length (5 vs. 10 sessions), engagement (basic vs. enhanced package), and fidelity (on-demand vs. structured supervision). Primary outcomes are child aggressive behavior, dysfunctional parenting, and positive parenting. Analyses will examine the main effect and cost-effectiveness of each component, as well as potential interaction effects between components, in order to identify the most optimal combination of program components. Discussion: This study is the first factorial experiment of a parenting program in LMICs. Findings will inform the subsequent testing of the optimized program in a multisite randomized controlled trial in 2021. Trial registration: NCT03865485 registered in ClinicalTrials.gov on March 5, 2019.

Item Type:Articles
Additional Information:This project has received funding from the European Union's Horizon 2020 research and innovation program under grant agreement No 779318.
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Lachman, Dr Jamie
Authors: Lachman, J. M., Heinrichs, N., Jansen, E., Brühl, A., Taut, D., Fang, X., Gardner, F., Hutchings, J., Ward, C. L., Williams, M. E., Raleva, M., Båban, A., Lesco, G., and Foran, H. M.
Subjects:H Social Sciences > H Social Sciences (General)
H Social Sciences > HV Social pathology. Social and public welfare
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU
Journal Name:Contemporary Clinical Trials
Publisher:Elsevier
ISSN:1551-7144
ISSN (Online):1559-2030
Published Online:24 October 2019
Copyright Holders:Copyright © 2019 Elsevier Inc.
First Published:First published in Contemporary Clinical Trials 86: 105855
Publisher Policy:Reproduced in accordance with the publisher copyright policy

University Staff: Request a correction | Enlighten Editors: Update this record