Early Group Based Parental Support Within Child Health Service - Group Leadership

Study Overview
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Brief Summary
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All parents in Sweden are offered group based parental support within Child Health Service (CHS) but only 40% participate. Nurses feel insecure in their group leadership and express a need for education in group leadership and group dynamics. Most CHC nurses do not have formal education or training in group leadership and the aim of this study was to evaluate a group based education program in group leadership for Child Health Care (CHC) nurses.

Detailed Description
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The study follows the guidelines for complex interventions (MRC) and was set up as a randomized controlled trial (RCT) evaluated with questionnaires before and after the intervention. Focus group interviews 6 months after the intervention will be performed with the CHC nurses participating in intervention group. 3 groups with 25 CHC nurses in each group are to participate in a three day education in group leadership and group processes. The education aims to provide knowledge and awareness about group dynamics, group processes and group leadership and also aims towards increased self-awareness in the role as group leader.

Official Title
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Early Group Based Parental Support Within Child Health Service - Group Leadership

Conditions
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Family Health

Intervention / Treatment
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* Other: Education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: working within child health service in Skåne, Sweden managing at least 2 parental groups/year Exclusion Criteria: no parental groups
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Intervention group<br>Education in group leadership | Other: Education<br>* Education in group leadership<br>|
| No Intervention: Control group<br>This group fills in the questionnaire. No intervention given. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in experience of group leadership | Change in experience of group leadership will be measured by a previously used questionnaire (Wallby, T (2008) parental support un Sweden today - What, when and how. Swedish National Institute of Public Health. (Föräldrastöd i Sverige idag - Vad när hur?) and Lefevre et al, 2013. Managing parental groups during early childhood: New challenges faced by Swedish child health nurses. Journal of child health care).The questionnaire consists of 38 questions concerning structure, content and extent of parental groups as well as questions about group leadership and background characteristics. Analysis will be performed using Statistical Package for Social Sciences (SPSS) and will be presented in a descriptive way | 2 weeks before and 6 months after the education | 
| Relevance and experience of the education in group leadership | A course evaluation form previously used in educations with primary health care nurses will be completed after the intervention is completed, before leaving site. It consists of seven questions about the content and relevance of the course.Four questions were arranged with a 5-point Likert scale ranging from 1 poor to 5 excellent, and three questions were open-ended given the possibility to respond in free text.The numeric questions will be summarised and presented descriptive and the answers in text will be analysed by content analysis in a manifest way. | After completed intervention, intervention has an expected average duration of 12 weeks. | 
| Change in experience of group leadership and relevance and experience of the education in group leadership | Change in experience of group leadership and relevance and experience of the education in group leadership will be explored in Focus group interviews with at least 3 focus groups. The interviews will be analysed by manifest and latent content analyses. | 6 months after the education | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Nurse, Child health service, Family health, Education, Parental group, Group leadership, Health promotion