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Preventing mental health problems in children
ISRCTN ISRCTN61137690
ClinicalTrials.gov identifier
Public title Preventing mental health problems in children
Scientific title Preventing mental health problems in children: a population-based cluster controlled trial
Acronym N/A
Serial number at source N/A
Study hypothesis This population-level randomised control trial aims to prevent behavioural and emotional problems from developing in pre-school children. The study has three arms: (A) combined universal-targeted approach; (B) targeted approach; and (C) usual care. We hypothesise that:
1. Each of the combined universal-targeted approach (A) and the targeted only approach (B) will be more effective and have greater population reach than current primary care services (C)
2. Uptake of the targeted prevention component for families where the child is at "high risk" of behavioural problems will be greater under the combined universal-targeted approach (A) than under the targeted only approach (B)
Lay summary
Ethics approval Royal Children's Hospital Melbourne Ethics and Research Board approved on the 17th of June 2010 (ref: 29144A)
Study design Randomised controlled trial
Countries of recruitment Australia
Disease/condition/study domain Child externalising and internalising problems
Participants - inclusion criteria Eligible participants are parents (primarily mothers) of 8 month old babies in 9 Melbourne local government areas. Parents will be invited to join the study between August and October 2010. We expect an even distribution of girls and boys in the study.
Participants - exclusion criteria 1. Parents with insufficient English to participate
2. Parents with babies with a major health condition
Anticipated start date 01/08/2010
Anticipated end date 30/09/2015
Status of trial Ongoing
Patient information material Not available in web format, please use ms Kate Lycett [kate.lycett@mcri.edu.au] to request a patient information sheet
Target number of participants Target sample size is 1475
Interventions Arm A: All families in this group will be offered a parenting program (universal approach). This involves attending a parenting session when their child is 15, 18 and 24 months old. If at about 2 years of age a child is having behaviour or emotional difficulties or a family feels stressed, a one-on-one family support program (targeted approach) will also be offered.

Arm B: Some families in this group will be offered one-on-one family support (targeted approach). Families will be offered this service if their child is having behaviour or emotional difficulties at about age 2 or if the family feels stressed.

Arm C: Families in this group will only be offered ‘usual care’ by their maternal child health nurse
Primary outcome measure(s) Child externalising and internalising diagnoses/symptoms and a measure of parent behaviour (nurturing/harsh discipline) at ages 3, 4 and 5.
Secondary outcome measure(s) Parenting practices, parent mental health, and economic evaluation at ages 3, 4 and 5.
Sources of funding 1. National Health and Medical Research Council (NHMRC) (Australia) (ref: 546525)
2. Department of Human Services (Australia) - Mental Health
3. Department of Human Services (Australia) - Primary Health
4. Municipal Associations of Victoria (Australia)
5. Department of Education and Early Childhood (Australia)
Trial website
Publications
Contact name Dr  Harriet  Hiscock
  Address Centre for Community Child Health
Royal Children's Hospital Melbourne
Flemington Road
Parkville, Victoria
  City/town Melbourne
  Zip/Postcode 3052
  Country Australia
  Email Harriet.Hiscock@rch.org.au
Sponsor National Health and Medical Research Council (NHMRC) (Australia)
  Address Level 1, 16 Marcus Clarke Street
  City/town Canberra
  Zip/Postcode 2601
  Country Australia
  Sponsor website: http://www.nhmrc.gov.au/
Date applied 20/04/2010
Last edited 29/06/2010
Date ISRCTN assigned 29/06/2010
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