Periodic Reporting for period 2 - RISE (Prevention of child mental health problems in Southeastern Europe - Adapt, Optimize, Test, and Extend Parenting for Lifelong Health)
Reporting period: 2019-07-01 to 2020-12-31
In Phase 1 of the study, a qualitative study was conducted in each country with officials, experts and practitioners in the public health and welfare fields in order to identify implementation factors and program adaptation requirements necessary to deliver an evidence informed parenting intervention to reduce risk for behavioral disorders in children and improve parenting practice. After gathering input from Parenting Experts Working Groups in each country, the PLH 2-9 program content, process, and structure were adapted so that they are appropriate to the cultural context and the capacity for service delivery in North Macedonia, Republic of Moldova, and Romania. The adapted PLH 2-9 program was tested in a feasibility pilot to examine implementation fidelity, program acceptability, measurement applicability, and preliminary effectiveness. Measure selection and qualitative and quantitative data collection was successfully completed for Study Phase 1. Data analyses for Phase 1 were also conducted.
In Phase 2 of the study (Optimization study), participants were successfully recruited and randomized to 8 experimental conditions in each country. Based on results from the feasibility study, the following intervention components were identified for testing during the factorial experiment based on our conceptual model: length (5 vs. 10 sessions), engagement (basic vs. enhanced package), and fidelity (on-demand vs. structured supervision). The Intervention was successfully implemented across sites. All data assessments for Phase 2 and Health Economic Analyses of Phase 2 were successfully completed. A Data management plan was developed and is followed ever since.
Due to COVID-19 restrictions, implementation strategies for Phase 3 were carefully adapted to ensure safety of staff and participants while still fulfilling the tasks outlined in the Grant Agreement. A stepwise safety plan with COVID-19 related precautions was developed. Recruitment of Phase 3 is currently ongoing.
Results of Phase 1 and preliminary results of Phase 2 were presented at internal and external scientific meetings. Three peer-revied manuscripts were published. Further manuscripts on findings of Phase 1 and Phase 2 are currently in preparation. Several conference presentations of preliminary study results were given and abstracts for conferences were submitted. A project website (http://www.rise-plh.eu/) was developed and is delivering information about the intervention and translations of the program, information about all WPs and the project team. Contact has already been established within countries with policy makers within each country.