TY - JOUR
T1 - An online parenting intervention to prevent affective disorders in high-risk adolescents
T2 - the PIPA trial protocol
AU - Connor, C.
AU - Yap, Marie B.H.
AU - Warwick, J.
AU - Birchwood, M.
AU - De Valliere, N.
AU - Madan, J.
AU - Melvin, G. A.
AU - Padfield, E.
AU - Patterson, P.
AU - Petrou, Steven
AU - Raynes, K.
AU - Stewart-Brown, S.
AU - Thompson, A.
N1 - Funding Information:
This research is funded by the NIHR under the Grants for Public Health Research [project number: 17/04/34]. The views expressed in this paper are those of the trial team and not necessarily those of the NIHR or the Department of Health and Social Care.
Funding Information:
We are grateful for the support of the Birmingham Education Partnership, Coventry City Council and Birmingham Diocesan Education Services in engaging with and recruiting schools for the trial. We also acknowledge the support of NIHR Applied Research Collaboration (ARC) West Midlands, who provided funding for the parenting programme adaptations. We acknowledge the support of Dr. Mairead Cardamone-Breen who supported the programme development and testing process and Action Lab (Dr. Jue Xie, Dr. Tom Bartindale and Professor Patrick Olivier) for supporting the Partners in Parenting Site. We are also grateful for the support of Local Clinical Research Networks across the UK who helped promote the trial in the UK. At time of writing, these included CRN North East and North Cumbria, CRN North West Coast, CRN Yorkshire and Humber, CRN Greater Manchester, CRN East Midlands, CRN West Midlands, CRN Thames Valley and South Midlands, CRN East of England, CRN Kent, Surrey and Sussex, CRN South West Peninsula, CRN North Thames and CRN North West London.
Publisher Copyright:
© 2022, The Author(s).
PY - 2022/12
Y1 - 2022/12
N2 - Background: Adolescent depression can place a young person at high risk of recurrence and a range of psychosocial and vocational impairments in adult life, highlighting the importance of early recognition and prevention. Parents/carers are well placed to notice changes in their child’s emotional wellbeing which may indicate risk, and there is increasing evidence that modifiable factors exist within the family system that may help reduce the risk of depression and anxiety in an adolescent. A randomised controlled trial (RCT) of the online personalised ‘Partners in Parenting’ programme developed in Australia, focused on improving parenting skills, knowledge and awareness, showed that it helped reduce depressive symptoms in adolescents who had elevated symptom levels at baseline. We have adapted this programme and will conduct an RCT in a UK setting. Methods: In total, 433 family dyads (parents/carers and children aged 11–15) will be recruited through schools, social media and parenting/family groups in the UK. Following completion of screening measures of their adolescent’s depressive symptoms, parents/carers of those with elevated scores will be randomised to receive either the online personalised parenting programme or a series of online factsheets about adolescent development and wellbeing. The primary objective will be to test whether the personalised parenting intervention reduces depressive symptoms in adolescents deemed at high risk, using the parent-reported Short Mood & Feelings Questionnaire. Follow-up assessments will be undertaken at 6 and 15 months and a process evaluation will examine context, implementation and impact of the intervention. An economic evaluation will also be incorporated with cost-effectiveness of the parenting intervention expressed in terms of incremental cost per quality-adjusted life year gained. Discussion: Half of mental health problems emerge before mid-adolescence and approximately three-quarters by mid-20s, highlighting the need for effective preventative strategies. However, few early interventions are family focused and delivered online. We aim to conduct a National Institute for Health and Care Research (NIHR) funded RCT of the online personalised ‘Partners in Parenting’ programme, proven effective in Australia, targeting adolescents at risk of depression to evaluate its effectiveness, cost-effectiveness and usability in a UK setting. Trial registration {2a}: ISRCTN63358736. Registered 18 September 2019.
AB - Background: Adolescent depression can place a young person at high risk of recurrence and a range of psychosocial and vocational impairments in adult life, highlighting the importance of early recognition and prevention. Parents/carers are well placed to notice changes in their child’s emotional wellbeing which may indicate risk, and there is increasing evidence that modifiable factors exist within the family system that may help reduce the risk of depression and anxiety in an adolescent. A randomised controlled trial (RCT) of the online personalised ‘Partners in Parenting’ programme developed in Australia, focused on improving parenting skills, knowledge and awareness, showed that it helped reduce depressive symptoms in adolescents who had elevated symptom levels at baseline. We have adapted this programme and will conduct an RCT in a UK setting. Methods: In total, 433 family dyads (parents/carers and children aged 11–15) will be recruited through schools, social media and parenting/family groups in the UK. Following completion of screening measures of their adolescent’s depressive symptoms, parents/carers of those with elevated scores will be randomised to receive either the online personalised parenting programme or a series of online factsheets about adolescent development and wellbeing. The primary objective will be to test whether the personalised parenting intervention reduces depressive symptoms in adolescents deemed at high risk, using the parent-reported Short Mood & Feelings Questionnaire. Follow-up assessments will be undertaken at 6 and 15 months and a process evaluation will examine context, implementation and impact of the intervention. An economic evaluation will also be incorporated with cost-effectiveness of the parenting intervention expressed in terms of incremental cost per quality-adjusted life year gained. Discussion: Half of mental health problems emerge before mid-adolescence and approximately three-quarters by mid-20s, highlighting the need for effective preventative strategies. However, few early interventions are family focused and delivered online. We aim to conduct a National Institute for Health and Care Research (NIHR) funded RCT of the online personalised ‘Partners in Parenting’ programme, proven effective in Australia, targeting adolescents at risk of depression to evaluate its effectiveness, cost-effectiveness and usability in a UK setting. Trial registration {2a}: ISRCTN63358736. Registered 18 September 2019.
KW - Adolescence
KW - Depression and anxiety
KW - Internet
KW - Online parenting programme
KW - Prevention
KW - Randomised controlled trial
UR - http://www.scopus.com/inward/record.url?scp=85136013535&partnerID=8YFLogxK
U2 - 10.1186/s13063-022-06563-8
DO - 10.1186/s13063-022-06563-8
M3 - Article
C2 - 35971178
AN - SCOPUS:85136013535
SN - 1745-6215
VL - 23
JO - Trials
JF - Trials
IS - 1
M1 - 655
ER -
