1. Process evaluation of a Structured E-parenting Support (STEPS) in the OPTIMA randomised controlled trial: a protocol.
- Author
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Hedstrom E, Kostyrka-Allchorne K, French B, Glazebrook C, Hall CL, Kovshoff H, Lean N, and Sonuga-Barke E
- Subjects
- Humans, Child, Attention Deficit Disorder with Hyperactivity therapy, Randomized Controlled Trials as Topic, Mobile Applications, Research Design, Parenting, Parents psychology
- Abstract
Introduction: Structured E-parenting Support (STEPS) is a digital application (app) designed to help parents manage behaviour of their children who are referred to mental health services and are waiting for an assessment or treatment. STEPS is currently being evaluated in the Online Parent Training for the Initial Management of Attention-Deficit/Hyperactivity Disorder randomised controlled trial. Alongside the examination of STEPS' clinical and cost-effectiveness, we are conducting a process evaluation to better understand the contextual factors that may influence study outcomes. The purpose of this protocol is to describe the aims, objectives and methodology of the process evaluation prior to it taking place to add to the fidelity and rigour of the trial process and outcomes. Our goal is to adapt STEPS to optimise its benefits in future applications., Methods: In line with the Medical Research Council guidelines for evaluating complex interventions, the process evaluation will adopt a mixed method design using qualitative data collected from clinicians and parent interviews and app usage data from participants assigned to the intervention arm., Analysis: Qualitative data from semistructured interviews and free text box responses included in trial questionnaires will be analysed thematically using framework analysis to better understand how parents use STEPS, how it works and key factors that could aid or hinder its effective implementation in routine clinical practice., Ethics: The application for ethical approval for the study was submitted to the North West-Liverpool Central Research Ethics Committee and received a favourable opinion on further information on 26 November 2021, reference number 21/NW/0319., Dissemination: The process evaluation aims to explore how a digital app might support parents in managing their child's behaviour. Implications for policy and research will be explored and the clinical implications of offering the app to a wider audience to address the lack of support to parents as highlighted in this paper. We plan to publish findings in international, peer-reviewed journals as well as present at conferences., Trial Registration Number: The trial has been prospectively registered on 18 November 2021; ISRCTN816523503. https://www.isrctn.com/ISRCTN16523503., Competing Interests: Competing interests: STEPS concepts and content were designed by ES-B together with other members of the OPTIMA team; David Daley, Johnny Downs, Jana Kreppner, Hanna Kovshoff and Margaret Thompson. STEPS visual design and digital implementation were completed by TOAD with funding provided to ES-B by the South London& Maudsley NHS Trust. Videos were produced by EyeWitness Productions, funded by Solent NHS Trust. ES-B has received speaker fees, consultancy or research funding from Takeda, Neurotech Solutions, QBtech and Medice. He has received royalties from the New Forest Parenting Programme. BF reports personal fees and nonfinancial support from Takeda and Medice., (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
- Published
- 2024
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