Table 1.
The Better Start Bradford interventions
| Intervention | Description | Service Provider | Recipients per yr. (% BiBBS)b | Main Outcome / Domain | Evaluation planned | Proposed Method for Evaluation | ||
|---|---|---|---|---|---|---|---|---|
| Implement-ation | Before & After | Effective-ness | ||||||
| Antenatal Support | ||||||||
| Personalised Midwifery | Continuous midwife care | BDHFT Midwifery Services | 500 (300) | Maternal mental health | X | X | Propensity Score (Control BiBBS women receiving standard midwifery care) | |
| Family Links Antenatal | Universal antenatal parenting skills programme | Local Authority | 200 (120) | Maternal mental health (PHQ8) | X | X | Pre and post study of difference in main outcome for participants | |
| ESOL+ | English language course for women with little or no English during pregnancy | Shipley FE College | 90 (54) | Socio emotional / language | X | Validation of logic model | ||
| Antenatal & Postnatal Support | ||||||||
| Family Nurse Partnershipa | Intensive home visiting for vulnerable women aged < 25 | BDCT | 100 (60) | Monitoring only | National evaluation currently underway | |||
| Baby Steps | Parent education programme for vulnerable parents | VCS – Action For Children | 100 (60) | Parent Infant relationship | X | X | X | Propensity Score (Control BiBBS women receiving standard midwifery care) |
| Doula | Late pregnancy, birth and post-natal support for vulnerable women | VCS Action For Community Ltd | 82 (50) | Implementation | X | X | Implementation using monitoring data + interviews women | |
| HAPPY | Healthy eating & parenting course for overweight mums with a BMI over 25. | VCS – Barnardo’s | 120 (72) | BMI age 2 | X | X | X | Trial within Cohort (TwiCs) (Control: eligible BiBBS women not selected to rec’ HAPPY) |
| Perinatal Support Service | Perinatal support for women at risk of mild/moderate mental health issues | VCS – Family Action | 140 (84) | Maternal mental health (PHQ9) | X | X | Implementation Evaluation | |
| Postnatal Support | ||||||||
| Breast feeding (BF) support service | Universal practical and emotional support to breastfeeding mums and their families | VCS – Health For All (Leeds) | TBC | BF duration | X | Validation of logic model | ||
| Early Years Support | ||||||||
| Home-Start | Peer support for vulnerable women | VCS – Home-Start | 45 (27) | Socio-emotional | X | Validation of logic model | ||
| Little Minds Matter | Support and nurturing of parent-infant relationships for those at risk of relationship problems | BDCT/ Family Action | 40 (24) | Socio-emotional | X | Validation of logic model | ||
| HENRY | Universal group programme to improve healthy eating and physical activity in young children | VCS & Schools / HENRY | 186 (111) | BMI age 5 | X | X | X | Propensity Score (Control matched BiBBS women not attending HENRY) |
| Incredible Years Parentinga | Universal parenting programme for parents with toddlers | VCS – Barnardo’s | 160 (96) | Socio-emotional | X | X | X | Propensity Score (Control matched BiBBS women not attending) |
| Cooking for a Better start | Universal cook and eat sessions | VCS - HENRY | 72 (43) | Implementation | X | Validation of logic model | ||
| Pre-schoolers in the Playground | Pre-schoolers physical activity in the playground | Schools | 108 (65) | Physical activity /obesity | X | X | Trial within Cohort (cluster randomised) | |
| Forest Schools | Outdoor play in the natural environment for young children & parents | VCS – Get Out More CiC | 90 (54) | Physical activity /obesity | X | Trial within Cohort (cluster randomised) | ||
| Better Start Imagine | Book gifting & book sharing sessions | VCS – BHT Early Education and Training | 1015 (609) | Parent attitudes and behaviours @ 2 yrs | Validation of logic model for sharing session. Acceptability of book gifting in different cultures | |||
| I CAN Early Talk | Strengthening parents’ and practitioners’ knowledge in improving language development | VCS – BHT Early Education and Training | 115 (69) | Staff / parental knowledge | X | Implementation Evaluation | ||
| Talking Together | Universal screening for language delay of 2 year olds; in home programme for parents with children at risk of delay. | VCS – BHT Early Education and Training | 954 (572) | Language assessment at 3 month follow up | X | X | X | Trial within Cohort (Control: Waiting list comparison grp) |
aEvidence based interventions, all others are science based
bIntervention participation figures are based on current service design. BiBBS participation figures are based on 60% recruitment rate. Actual numbers may vary