Process evaluation protocol for the (BeST?) Services trial

Kainth, G., Turner, F., Crawford, K., Watson, N. , Dundas, R. and Minnis, H. (2022) Process evaluation protocol for the (BeST?) Services trial. Developmental Child Welfare, 4(1), pp. 56-72. (doi: 10.1177/25161032211070861)

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Background: Outcomes for children who have been received into state care due to maltreatment or neglect are very poor in comparison to the general population. A mental health focussed intervention is being trialled in the UK which seeks to improve outcomes for such children. Although the main study is concerned with outcome evaluation (child mental health measures), a robust process evaluation adds nuance to the findings by examining the relationship between the interventions, the participants and the context-thereby determining what works, for whom and in what context. This paper sets out the protocol for that process evaluation. Methods: The process evaluation is embedded within a Randomised Control Trial and uses Realist Evaluation as its theoretical framework. It sets out the mechanisms of change that are used to effect positive outcomes and outlines the various aspects of the context (including service provision and the legal system that provides the statutory basis for involvement with families). Data collection is primarily qualitative and takes place with a large group of stakeholders. The analysis of the interplay between context, mechanisms and outcomes will provide a richer understanding of the main trial outcomes. Discussion: The nature of the interaction between the social, legal and practice context is complex. The use of a variety of methods including case studies, focus groups and analysis of routine data are justified and it is argued that they will provide for greater understanding of the nature of the interactions within such a challenging context.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Crawford, Mrs Karen and Watson, Professor Nicholas and Turner, Ms Fiona and Dundas, Professor Ruth and Minnis, Professor Helen and Kainth, Mr Gurpreet
Authors: Kainth, G., Turner, F., Crawford, K., Watson, N., Dundas, R., and Minnis, H.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Mental Health and Wellbeing
College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU
College of Social Sciences > School of Social and Political Sciences > Sociology Anthropology and Applied Social Sciences
Journal Name:Developmental Child Welfare
Publisher:SAGE Publications
ISSN (Online):2516-1040
Published Online:01 March 2022
Copyright Holders:Copyright © The Author(s) 2022
First Published:First published in Developmental Child Welfare 4(1):56-72
Publisher Policy:Reproduced under a Creative Commons licence

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
190911The Best Services Trial: Effectiveness and cost-effectiveness of the New Orleans Intervention Model for Infant Mental Health (BeST 2)Helen MinnisNational Institute for Health Research (NIHR)12/211/54HW - Mental Health and Wellbeing
3048231Inequalities in healthAlastair LeylandMedical Research Council (MRC)MC_UU_00022/2HW - MRC/CSO Social and Public Health Sciences Unit
727651Measuring and Analysing Socioeconomic Inequalities in HealthAlastair LeylandChief Scientist Office (CSO)SPHSU13HW - MRC/CSO Social and Public Health Sciences Unit