Caution must therefore be exercised in interpreting results , but the case for investment in parenting and health visitor-related programmes appears most strong , especially when impacts beyond the health sector are taken into account .
In the workplace an economic return on investment in a number of comprehensive workplace health promotion programmes and stress management projects ( largely in the USA ) was reported , while group-based exercise and psychosocial interventions are of potential benefit to older people .
'Right from the Start': randomized trial comparing an attachment group intervention to supportive home visiting.
BACKGROUND  Infant attachment security is a protective factor for future mental health , and may be promoted by individual interventions . Given service dem and s , it is important to determine if a group-based intervention for parents  could be used to enhance infant attachment security . METHODS In a r and omized trial involving 76 mothers , an 8-session attachment group called ' Right from the Start ' ( RFTS ) was compared to home visiting ( treatment as usual ) . RESULTS Intention-to-treat analyses indicated no significant differences between RFTS and home visiting , with both groups showing small improvements in infant attachment security and maternal sensitivity .  RFTS  cost significantly less and was more cost effective than home visiting , and was not significantly different in terms of participation ratings , client satisfaction , or follow-up service requests . There was differential compliance for the two interventions , with 89 % and 58 % attending 4 or more sessions of home visiting and RFTS , respectively . Secondary analyses considering non-attenders as a separate ( nonr and omized ) group indicated a significant advantage for those who attended RFTS on pre-test/post-test maternal sensitivity change scores ( d = .52 ) and pre-test/6-month follow-up infant attachment security changes scores ( d = .55 ) . CONCLUSIONS RFTS is as effective as home visiting in improving infant attachment security and maternal sensitivity . The effect sizes for RFTS were comparable to those of individual attachment interventions in this relatively inexpensive , community-based group intervention
Caution must therefore be exercised in interpreting results , but the case for investment in parenting and health visitor-related programmes appears most strong , especially when impacts beyond the health sector are taken into account .
In the workplace an economic return on investment in a number of comprehensive workplace health promotion programmes and stress management projects ( largely in the USA ) was reported , while group-based exercise and psychosocial interventions are of potential benefit to older people .