Randomised feasibility trial of the helping families programme-modified: an intensive parenting intervention for parents affected by severe personality difficulties.

Specialist parenting intervention could improve coexistent parenting and child mental health difficulties of parents affected by severe personality difficulties. Conduct a feasibility trial of Helping Families Programme-Modified (HFP-M), a specialist parenting intervention. Pragmatic, mixed-methods trial, 1:1 random allocation, assessing feasibility, intervention acceptability and outcome estimates. Two National Health Service health trusts and local authority children's social care. Parents: (i) primary caregiver, (ii) 18 to 65 years, (iii) severe personality difficulties, (iv) proficient English and (v) capacity for consent. Child: (i) 3 to 11 years, (ii) living with index parent and (iii) significant emotional/behavioural difficulties. HFP-M: 16-session home-based intervention using parenting and therapeutic engagement strategies. Usual care: standard care augmented by single psychoeducational parenting session. Primary feasibility outcome: participant retention rate. (i) rates of recruitment, eligibility and data completion, and (ii) rates of intervention acceptance, completion and alliance (Working Alliance Inventory-Short Revised). Primary clinical outcome: child behaviour (Eyberg Child Behaviour Inventory). child mental health (Concerns About My Child, Child Behaviour Checklist-Internalising Scale), parenting (Arnold-O'Leary Parenting Scale, Kansas Parental Satisfaction Scale) and parent mental health (Symptom-Checklist-27). Quantitative data were collected blind to allocation. Findings broadly supported non-diagnostic selection criterion. Of 48 participants recruited, 32 completed post-intervention measures at mean 42 weeks later. Participant retention exceeded a priori rate (HFP-M=18; Usual care=14; 66.7%, 95% CI 51.6% to 79.6%). HFP-M was acceptable, with delivery longer than planned. Usual care had lower alliance rating. Child and parenting outcome effects detected across trial arms with potential HFP-M advantage (effect size range: 0.0 to 1.3). HFP-M is an acceptable and potentially effective specialist parenting intervention. A definitive trial is feasible, subject to consideration of recruitment and retention methods, intervention efficiency and comparator condition. Caution is required in interpretation of results due to reduced sample size. No serious adverse events reported. ISRCTN14573230.

Day C ，Briskman J ，Crawford MJ ，Foote L ，Harris L ，Boadu J ，McCrone P ，McMurran M ，Michelson D ，Moran P ，Mosse L ，Scott S ，Stahl D ，Ramchandani P ，Weaver T ... -  《BMJ Open》

An intervention for parents with severe personality difficulties whose children have mental health problems: a feasibility RCT.

Day C ，Briskman J ，Crawford MJ ，Foote L ，Harris L ，Boadu J ，McCrone P ，McMurran M ，Michelson D ，Moran P ，Mosse L ，Scott S ，Stahl D ，Ramchandani P ，Weaver T ... -  《-》

An intervention to improve the quality of life in children of parents with serious mental illness: the Young SMILES feasibility RCT.

Abel KM ，Bee P ，Gega L ，Gellatly J ，Kolade A ，Hunter D ，Callender C ，Carter LA ，Meacock R ，Bower P ，Stanley N ，Calam R ，Wolpert M ，Stewart P ，Emsley R ，Holt K ，Linklater H ，Douglas S ，Stokes-Crossley B ，Green J ... -  《-》

Experiences of parenting and clinical intervention for mothers affected by personality disorder: a pilot qualitative study combining parent and clinician perspectives.

Wilson R ，Weaver T ，Michelson D ，Day C ... -  《BMC Psychiatry》

Feasibility trial of a psychoeducational intervention for parents with personality difficulties: The Helping Families Programme.

Day C ，Briskman J ，Crawford MJ ，Harris L ，McCrone P ，McMurran M ，Moran P ，Morgan L ，Scott S ，Stahl D ，Ramchandani P ，Weaver T ... -  《-》