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Preventing mental health problems in children : the families in mind population-based cluster randomised controlled trial.

Hiscock, Harriet, Bayer, Jordana K., Lycett, Kate, Ukoumunne, Obioha C., Shaw, Daniel, Gold, Lisa, Gerner, Bibi, Loughman, Amy and Wake, Melissa 2012, Preventing mental health problems in children : the families in mind population-based cluster randomised controlled trial., BMC public health, vol. 12, no. 420, pp. 1-9.

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Title Preventing mental health problems in children : the families in mind population-based cluster randomised controlled trial.
Author(s) Hiscock, Harriet
Bayer, Jordana K.
Lycett, Kate
Ukoumunne, Obioha C.
Shaw, Daniel
Gold, Lisa
Gerner, Bibi
Loughman, Amy
Wake, Melissa
Journal name BMC public health
Volume number 12
Issue number 420
Start page 1
End page 9
Total pages 9
Publisher BioMed Central
Place of publication London, England
Publication date 2012-06-08
ISSN 1471-2458
Keyword(s) mental health
children
Summary Background

Externalising and internalising problems affect one in seven school-aged children and are the single strongest predictor of mental health problems into early adolescence. As the burden of mental health problems persists globally, childhood prevention of mental health problems is paramount. Prevention can be offered to all children (universal) or to children at risk of developing mental health problems (targeted). The relative effectiveness and costs of a targeted only versus combined universal and targeted approach are unknown. This study aims to the effectiveness, costs and uptake of two approaches to early childhood prevention of mental health problems ie: a Combined universal-targeted approach, versus a Targeted only approach, in comparison to current primary care services (Usual care).
Design

Three armed, population-level cluster randomised trial (2010-2014) within the universal, well child Maternal Child Health system, attended by more than 80% of families in Victoria, Australia at infant age eight months. Participants: Families of eight month old children from nine participating local government areas. Randomised to one of three groups: Combined, Targeted or Usual care. Intervention: (a) the Combined universal and targeted program where all families are offered the universal Toddlers Without Tears group parenting program followed by the targeted Family Check-Up one-on-one program or (b) the Targeted Family Check-Up program. The Family Check-Up program is only offered to children at risk of behavioural problems. Analysis: Participants will be analysed according to the trial arm to which they were randomised, using logistic and linear regression models to compare primary and secondary outcomes. An economic evaluation (cost consequences analysis) will compare incremental costs to all incremental outcomes from a societal perspective.
Discussion

This trial will inform public health policy by making recommendations about the effectiveness and cost-effectiveness of these early prevention programs. If effective prevention programs can be implemented at the population level, the growing burden of mental health problems could be curbed.
Notes This is an open access article distributed under the terms of the attached BioMed Central License. See license for details.
Language eng
Field of Research 111704 Community Child Health
Socio Economic Objective 920208 Health Policy Evaluation
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2012, Hiscock et al. ; licensee BioMed Central Ltd.
Persistent URL http://hdl.handle.net/10536/DRO/DU:30045838

Document type: Journal Article
Collections: Population Health
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Created: Thu, 14 Jun 2012, 14:06:08 EST by Jane Moschetti

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.