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Parents Plus Early Years

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Evidence rating: 2+
Cost rating: 1

Parents Plus Early Years (PPEY) is for parents with concerns about a child between the ages of one and six.

Parents attend between eight and 10 weekly sessions, where they learn positive parenting strategies and effective discipline.

The group sessions involve eight to 12 parents and last approximately two hours. The session topics are drawn from two teaching DVDs of videotaped scenes of real parent-child interactions that were filmed both at home and in the clinic. The video input is backed up by group discussion, practice exercises, skills role play, homework activities and handouts.

EIF Programme Assessment

Evidence rating: 2+
Level 2 indicates that the programme has evidence of improving a child outcome from a study involving at least 20 participants, representing 60% of the sample, using validated instruments. This programme does not receive a rating of 3 as its best evidence is not from a rigorously conducted RCT or QED evaluation
Cost rating: 1
A rating of 1 indicates that a programme has a low cost to set up and deliver, compared with other interventions reviewed by EIF. This is equivalent to an estimated unit cost of less than €125. This figure is based on an analysis of UK costs and a conversion rate of 1.19.

What does the plus mean?

The plus rating indicates that a programme’s best available evidence is based on an evaluation that is more rigorous than a level 2 standard but does not meet the criteria for level 3.

Child outcomes

This programme can affect outcomes for children in Active and healthy, physical and mental wellbeing.

According to the best available evidence for this programme's impact, it can achieve the following positive outcomes for children:

Preventing crime, violence and antisocial behaviour

Improved behaviour

based on study 1

Reduced hyperactivity

based on study 1

This programme also has evidence of supporting positive outcomes for couples, parents or families that may be relevant to a commissioning decision. Please see About the evidence for more detail.

Who is it for?

The best available evidence for this programme relates to the following age-groups:

Toddlers Preschool

How is it delivered?

The best available evidence for this programme relates to implementation through these delivery models:

  • Group

Where is it delivered?

The best available evidence for this programme relates to its implementation in these settings:

  • Home
  • Children's centre or early-years setting
  • Primary school
  • Community centre
  • Out-patient health setting

How is it targeted?

The best available evidence for this programme relates to its implementation as:

  • Universal

Where has it been implemented?

  • Ireland
  • United Kingdom

Ireland provision

This programme has been implemented in Ireland.

Ireland evaluation

This programme’s best evidence includes evaluation conducted in Ireland.

About the programme

What happens during the delivery?

How is it delivered?

  • Parents Plus Early Years is delivered in nine sessions of 2.5 hours duration by two mental-health professionals to groups of parents.

What happens during the intervention?

  • Parents attend a combination of group and individual sessions.
  • The individual sessions, which include parent, child and therapist, are designed to give parents an opportunity to ‘try out’ the ideas in the course and raise specific concerns, as well as tailor aspects of the course to an individual child’s needs. Videos of parent-child interaction are created and then replayed and discussed in the individual sessions. The use of video feedback is central to these sessions. 
  • The group sessions involve eight to 12 parents and last approximately two hours. The session topics are drawn from two teaching DVDs of videotaped scenes of real parent-child interactions that were filmed both at home and in the clinic. The video input is backed up by group discussion, practice exercises, skills role play, homework activities and handouts.


What are the implementation requirements?

Who can deliver it?

  • Two practitioners deliver this programme. Both are mental-health professionals with NFQ-7/8 level qualifications.


What are the training requirements?

  • The practitioners have 21 hours of programme training each. Booster training of practitioners is recommended.

How are the practitioners supervised?

  • It is recommended that practitioners supervised by one programme developer supervisor (qualified to NFQ-9/10 level), and one host-agency supervisor (qualified to NFQ-7/8 level).


What are the systems for maintaining fidelity?

  • Supervision
  • Booster training
  • A ‘Parent Plus quality protocol’ checklist for practitioners to complete after every session

Is there a licensing requirement?

There is no licence required to run this programme.



How does it work? (Theory of Change)

How does it work?

  • Developing and maintaining warm, positive, and enjoyable relationships with children is central to changing their behaviour.
  • Once parents ‘tune into’ and understand their children, they are in a better position to learn more effective parenting strategies.
  • Parents unintentionally reinforce unwanted child behaviours through ineffective parenting strategies.
  • PPEY assumes that when parents have the opportunity to reflect on the reasons underpinning their child’s behaviour they will understand how to encourage children’s positive behaviours rather than inadvertently reward negative child behaviours.
  • More effective parenting strategies lead to short-term improvements in children’s behaviour and reduced parenting stress.
  • In the longer term, children will be less likely to engage in antisocial behaviour, have an improved sense of self and perform better in school.

Intended outcomes

  • Safe and protected from harm


Contact details

John Sharry
Parents Plus
admin@parentsplus.ie

http://www.parentsplus.ie/


About the evidence

Parents Plus Early Years’ (PPEY) most rigorous evidence comes from a QED which was conducted in Ireland. 

This study identified statistically significant positive impact on a number of child outcomes.

This programme is underpinned by one study with a Level 2+, hence the programme receives a Level 2+ rating overall.

Study 1

Citation:Griffen et al (2010)
Design:QED
Country:Ireland
Sample:117 parents and their children attending mental health services in Dublin
Timing:Post-test; five-month follow-up
Child outcomes:
  • Improved behaviour
  • Reduced hyperactivity
Other outcomes:
    Study rating:2+

    Griffin, C., Guerin, S., Sharry, J. & Drumm, M. (2010). A multicentre controlled study of an early intervention parenting programme for young children with behavioural and developmental difficulties. International Journal of Clinical and Health Psychology, 10, 279-294.

    Available at
    http://www.aepc.es/ijchp/articulos_pdf/ijchp-351.pdf

    Study design and sample

    The first study is a QED.  

    This study involved parents and children recruited from mental health services in Dublin, Ireland. A sequential block design was used to assign families to PPEY treatment group and a wait-list control group. 

    This study was conducted in Ireland, with a sample of 117 children aged 3 years to 6 years and 8 months.  

    Measures

    Child behaviour (hyperactivity, conduct problems, emotional symptoms, prosocial behaviour) was measured using the Strengths and Difficulties Questionnaire (parent report). Parent defined problems and goals were measured using the Parent Defined Problems and Goals Form (parent report).

    Parental stress was measured using the Parental Stress Scale (parent report).

    Findings

    This study identified statistically significant positive impact on a number of child outcomes.

    This includes:

    • Improved behaviour
    • Reduced hyperactivity

    The conclusions that can be drawn from this study are limited by methodological issues pertaining to the treatment and comparison groups not being generated by sufficiently robust methods, hence why a higher rating is not achieved.