Researching the Incredible Years Toddler Parenting Programme in Wales Nia Griffith Bangor University Supervised by Professor Judy Hutchings and Dr Dave Daley Presentation Content • What is the Toddler Programme? • How the evaluation is funded • Where the groups are running/timetable • Outcome measures and structure of home visits • Response so far, North Wales Sample • Proposed Analysis The Toddler Programme The Toddler Parenting Programme has been developed in Seattle by Professor Carolyn Webster- Stratton as part of the Incredible Years Series. Series of programmes developed for parents teachers and children. 12 week programme aimed at promoting early development. Follow on to the Incredible Years Infant Parenting Programme. Toddler 1-3 years Programme contains eight topics, and is 12 sessions in length 1. Child-Directed Play Promotes Positive Relationships 2. Promoting Toddler’s Language with Child-Directed Coaching 3. Social and Emotional Coaching 4. The Art of Praise and Encouragement 5. Spontaneous Incentives for Toddlers 6. Handling Separations and Reunions 7. Positive Discipline- Effective Limit Setting 8. Positive Discipline- Handling Misbehaviour Differences between the Basic and the Toddler Parenting programme. • Similarities • Same principals • Collaborative learning Process • Brain storming/role-play/Home activities • Group structure • Differences • Focus on coaching • Removal of ‘consequences’ • Addition of more age appropriate sessions • Developmental checklists The Evaluation Two types of Partners • Main Randomised Controlled Trial • Pre and Post-Intervention Measures Groups Participants • Parents of children aged between 12 and 36 months • Parents living in Flying Start areas Recruitment • Families recruited by group leaders in each area Randomisation • Random allocation by NWORTH (North Wales Organization for Randomised Trials in Health) • Allocated on 2:1 Ratio • Stratified for age and sex Evaluation Funding Part-funded by the Welsh Assembly Government Research funded •All materials to run the group •Staff and measures for data collection •High quality weekly supervision •Money for refreshments Service funded •Crèche •Staff to deliver the groups •Adequate time for staff to attend supervision •Travel costs to supervision Flying Start Flying start initiative aims to fund high quality services for children aged 0-3 years in disadvantaged areas in Wales • Extra health visits • Free childcare • Basic skills • Parenting courses The Infant and Toddler programmes were developed by Carolyn Webster- Stratton in response for the demand for a parenting programme to fulfill the needs of the Flying start programme Research areas across Wales • Set out to recruit 6 centers • All Flying start centers in Wales invited • Over subscribed with potential partners and as such we have two types of partners participating in the research. Main RCT Groups North Wales Sites •Blaenau Ffestiniog •Caernarfon (Maesincla) •Bangor (Maesgeirchen) •Holyhead •Llanrwst •Welshpool South Wales Sites •Rhondda Cynon Taf (Porth) •Blaenau Gwent (Llanhilleth) •Neath Non-RCT Groups North Wales •Wrexham •Flintshire •Denbighshire South Wales •Swansea X 2 •Cardiff •Caerphilly Trial Timetable Trail structure •July-Aug 2008 Baseline & Recruitment (North Wales) •Sept-Dec 2008 Groups running in North Wales (six centers) •Oct-Dec 2008 Baseline & Recruitment (South Wales) •Jan-Mar 2008 Groups running in South Wales (three centers) •Jan-Mar 2009 Follow up 1 (North Wales) •May-Jun 2009 Follow up 1 (South Wales) •Jul-Aug 2009 Follow up 2 (North Wales) •Nov-Dec 2009 Follow up 2 (South Wales) Measures Developmental Measures •Schedule of Growing Skills (Bellman, Lingham & Aukett, 1996) •Ages and Stages questionnaires (Bricker & Squires, 1999) * Measure of Home Environment •Infant & Toddler Home Observation for Measurement of the Environment (Caldwell & Brady, 2003) Parent Measures •Beck Depression Inventory II (Beck, Ward, Steer & Brown, 1996)* •Warwick-Edinburgh Mental Wellbeing Scale (NHS Health Scotland, 2006)* •Parenting Stress Index (Abidini, 1990)* •Parenting Sense of Competence (Johnson & Mash, 1989)* Direct Observation •Dyadic Parent-Child Interaction Coding System (Eyberg & Robinson, 2000) Schedule of Growing Skills II Structure of the Home visits VISIT I (1.5 hours) • Introduce the research/ explain implications/ obtain consent • Demographic Questionnaire • Explain Questionnaires, response format and administer them • Conduct the Developmental assessment with the child Throughout the visit, parents are reminded that they have the opportunity to withdraw from the research and/or decline to answer any question. VISIT II (1 hour) • 30 minute direct observation which is video recorded • HOME Inventory Response so far Services •Fantastic response from services •Great deal of hard work has been done to establish groups and recruit participants Parents •Warm welcome •Great deal of enthusiasm about the programme •Great deal of enthusiasm to be part of the evaluation Table1 Participating Dyads Across Centers in North Wales, and Allocation to Groups Centre Participating 12-24 25-36 Intervention Control Dyad months months Group Group Blaenau 13 9 4 8 5 Ffestiniog Bangor 12 7 5 8 4 Caernarfon 9 2 7 7 2 Llanrwst 14 2 12 10 4 Holyhead 12 6 6 6 6 Welshpool 14 5 9 10 4 North Wales Sample • N= 72 parent-child dyads • Parents 72 Female parents Age M =29 years (16 - 48) 22% previously attended IY course with only 4% attending in last year 0% previously attended the TODDLER course • Children 44 male children, 28 female children All aged 12-36 months • Housing 50% of sample living in Council houses/ Housing association • Income 43% of families have a combined weekly income <£200 Of these families 77% have State Benefits as their main source of income Preliminary Data Figure 1. Total PSOC scores for completed N. Wales families (n = 38) Data Analysis • Review of methods of evaluating early childhood competence • Demographic data and link to WIMD (2008) • Main outcome data of risk factors • Comparison of observed development and parent report development • Comparison of North & South Wales • Comparison of Accredited and non Accredited leaders Thank you for listening! Diolch am wrando!