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Clinical and cost-effectiveness of parenting intervention for mothers experiencing psychosocial stress: insights from the early closure of the Mellow Babies RCT

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Názov: Clinical and cost-effectiveness of parenting intervention for mothers experiencing psychosocial stress: insights from the early closure of the Mellow Babies RCT
Autori: Lucy Thompson, Jessica Tanner, Matthew Breckons, Naomi Young, Laura Ternent, Thenmalar Vadiveloo, Philip Wilson, Danny Wight, Louise Marryat, Iain McGowan, Graeme MacLennan, Angus MacBeth, James McTaggart, Tim Allison, John Norrie
Prispievatelia: University of Aberdeen.Other Applied Health Sciences, University of Aberdeen.Institute of Applied Health Sciences, University of Aberdeen.Centre for Healthcare Randomised Trials (CHaRT), University of Aberdeen.Aberdeen Centre for Evaluation
Zdroj: Public Health Research, Vol 12, Iss 17 (2024)
Thompson, L, Tanner, J, Breckons, M, Young, N, Ternent, L, Vadiveloo, T, Wilson, P, Wright, D, Marryat, L, McGowan, I, MacLennan, G, MacBeth, A, McTaggart, J, Allison, T & Norrie, J 2024, 'Clinical and cost-effectiveness of parenting intervention for mothers experiencing psychosocial stress: insights from the early closure of the Mellow Babies RCT', Public Health Research, vol. 12, no. 17. https://doi.org/10.3310/KCVL7125
Informácie o vydavateľovi: National Institute for Health and Care Research, 2024.
Rok vydania: 2024
Predmety: Parenting - psychology, Adult, MATERNAL MENTAL HEALTH, STRESS, Supplementary Data, Cost-Benefit Analysis, mellows babies randomised controlled trial, MELLOWS BABIES RANDOMISED CONTROLLED TRIAL, Mothers, maternal mental health, R Medicine, stress, Young Adult, 03 medical and health sciences, 0302 clinical medicine, SDG 3 - Good Health and Well-being, parenting, INFANT MENTAL HEALTH, Humans, 0501 psychology and cognitive sciences, PARENTING, PSYCHOLOGICAL, group-based interventions, Parenting, 05 social sciences, Infant, COVID-19, Mothers - psychology, Mother-Child Relations, Scotland, psychological, Female, infant mental health, Public aspects of medicine, RA1-1270, GROUP-BASED INTERVENTIONS, Stress, Psychological, COVID-19 - prevention & control - psychology - epidemiology
Popis: Background Problems in children’s early social and emotional development are likely to have major long-term consequences for the individual and society: maternal emotional well-being is associated with better outcomes. Interventions designed to improve both maternal mental health and the mother–child relationship are thus likely to benefit both maternal health and child development. Objectives To establish the clinical and cost-effectiveness of the Mellow Babies parenting intervention for women experiencing psychosocial stress and their 6- to 18-month-old babies. Secondary aims included understanding the process of recruitment, retention and engagement in both the trial and the intervention. Design This was a single-centre randomised controlled trial, employing 1 : 1 randomisation with participants allocated to receive Mellow Babies plus usual care, or usual care only. Setting Community settings in the Highland Council region of Scotland. Participants We aimed to recruit 212 mothers to provide evaluable data for 170 participants (90% power to detect an effect size of 0.5 for the primary outcome). Eligible mothers lived within the Highland Council region; were aged ≥ 16 years; had primary caregiving responsibility of a baby aged 6–18 months and scored above threshold for anxiety (≥ 11) and/or depression (≥ 7) on the Hospital Anxiety and Depression Scale. Intervention Mellow Babies is a 14-week group-based parenting programme specifically designed for mothers with psychosocial difficulties. Sessions run for 5 hours each and include 4–10 participants. Main outcome measures Maternal Hospital Anxiety and Depression Scale scores at 8 months post randomisation and when the child reaches 30 months. Health economic (service use and quality of life) and child development (language development and mental well-being) outcomes were also examined. Results Due to the COVID-19 pandemic, the trial did not recruit to target: 106 women were recruited (53 per arm). It was not possible to explore the clinical and cost-effectiveness of Mellow Babies. Baseline, follow-up and process evaluation data were analysed to allow optimal learning from the study. Direct communication (letter) combined with health visitor referral was a better means of recruitment. Despite relatively low sociodemographic disadvantage, there was a high prevalence of mental ill health. Retention to follow-up and within the intervention was good (75% to study end point), and data were well-completed. Quality-of-life ratings increased at 8 months post randomisation, then decreased somewhat at 30 months of age, but remained above baseline. Qualitative interviews highlighted barriers and facilitators of engagement with the intervention groups. There was no observed difference in baseline characteristics or outcomes between participants recruited before and after the pandemic, although the logistical impact on the trial was profound. Limitations The study was not sufficiently powered to answer the main outcome questions. The occurrence of the COVID-19 pandemic severely hampered the current trial. Conclusions This trial was not able to answer questions on clinical and cost-effectiveness. Learning from this trial could inform a new re-designed trial including cluster randomisation and based within a larger and more varied population. Future work There is still a need for a definitive trial of Mellow Babies. It would likely be most fruitful to conduct a cluster randomised trial, with full buy-in from key health service stakeholders and front-line practitioners, to maximise recruitment, engagement and participation. Trial registration The trial is registered as ISRCTN47575326. Funding This award was funded by the National Institute for Health and Care Research (NIHR) Public Health Research programme (NIHR award ref: 15/126/05) and is published in full in Public Health Research; Vol. 12, No. 17. See the NIHR Funding and Awards website for further award information.
Druh dokumentu: Article
Popis súboru: application/pdf
Jazyk: English
ISSN: 2050-439X
DOI: 10.3310/kcvl7125
Prístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/39704733
https://doaj.org/article/57fc59529e0440b182a98fe4e176e028
https://pure.qub.ac.uk/en/publications/90a7e6f9-a0c5-40a3-9681-05d12bddf042
Rights: CC BY
Prístupové číslo: edsair.doi.dedup.....b877ac93047f8da977fa490466ff38eb
Databáza: OpenAIRE
Popis
Abstrakt:Background Problems in children’s early social and emotional development are likely to have major long-term consequences for the individual and society: maternal emotional well-being is associated with better outcomes. Interventions designed to improve both maternal mental health and the mother–child relationship are thus likely to benefit both maternal health and child development. Objectives To establish the clinical and cost-effectiveness of the Mellow Babies parenting intervention for women experiencing psychosocial stress and their 6- to 18-month-old babies. Secondary aims included understanding the process of recruitment, retention and engagement in both the trial and the intervention. Design This was a single-centre randomised controlled trial, employing 1 : 1 randomisation with participants allocated to receive Mellow Babies plus usual care, or usual care only. Setting Community settings in the Highland Council region of Scotland. Participants We aimed to recruit 212 mothers to provide evaluable data for 170 participants (90% power to detect an effect size of 0.5 for the primary outcome). Eligible mothers lived within the Highland Council region; were aged ≥ 16 years; had primary caregiving responsibility of a baby aged 6–18 months and scored above threshold for anxiety (≥ 11) and/or depression (≥ 7) on the Hospital Anxiety and Depression Scale. Intervention Mellow Babies is a 14-week group-based parenting programme specifically designed for mothers with psychosocial difficulties. Sessions run for 5 hours each and include 4–10 participants. Main outcome measures Maternal Hospital Anxiety and Depression Scale scores at 8 months post randomisation and when the child reaches 30 months. Health economic (service use and quality of life) and child development (language development and mental well-being) outcomes were also examined. Results Due to the COVID-19 pandemic, the trial did not recruit to target: 106 women were recruited (53 per arm). It was not possible to explore the clinical and cost-effectiveness of Mellow Babies. Baseline, follow-up and process evaluation data were analysed to allow optimal learning from the study. Direct communication (letter) combined with health visitor referral was a better means of recruitment. Despite relatively low sociodemographic disadvantage, there was a high prevalence of mental ill health. Retention to follow-up and within the intervention was good (75% to study end point), and data were well-completed. Quality-of-life ratings increased at 8 months post randomisation, then decreased somewhat at 30 months of age, but remained above baseline. Qualitative interviews highlighted barriers and facilitators of engagement with the intervention groups. There was no observed difference in baseline characteristics or outcomes between participants recruited before and after the pandemic, although the logistical impact on the trial was profound. Limitations The study was not sufficiently powered to answer the main outcome questions. The occurrence of the COVID-19 pandemic severely hampered the current trial. Conclusions This trial was not able to answer questions on clinical and cost-effectiveness. Learning from this trial could inform a new re-designed trial including cluster randomisation and based within a larger and more varied population. Future work There is still a need for a definitive trial of Mellow Babies. It would likely be most fruitful to conduct a cluster randomised trial, with full buy-in from key health service stakeholders and front-line practitioners, to maximise recruitment, engagement and participation. Trial registration The trial is registered as ISRCTN47575326. Funding This award was funded by the National Institute for Health and Care Research (NIHR) Public Health Research programme (NIHR award ref: 15/126/05) and is published in full in Public Health Research; Vol. 12, No. 17. See the NIHR Funding and Awards website for further award information.
ISSN:2050439X
DOI:10.3310/kcvl7125