The Reflective Fostering Programme—improving the wellbeing of children in care through a group intervention for foster carers: a randomised controlled trial

Abstract Background The needs of children in care are a government priority, yet the evidence base for effective interventions to support the emotional wellbeing of children in care is lacking. Research suggests that supporting the carer-child relationship, by promoting the carer’s reflective parent...

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Autores principales:	Nick Midgley, Karen Irvine, Beth Rider, Sarah Byford, Antonella Cirasola, Poushali Ganguli, Thando Katangwe-Chigamba, Jamie Murdoch, Martin Pond, Benita Pursch, Sheila Redfern, Zena Louise Richards, Lee Shepstone, Erika Sims, Caroline Smith, Eva Sprecher, Ann Marie Swart, Solange Wyatt, David Wellsted
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Parenting Foster care Children in care Reflective parenting Reflective Fostering Programme Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/cc76eadb622e4aa09927510e1b37b15e
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spelling	oai:doaj.org-article:cc76eadb622e4aa09927510e1b37b15e2021-11-28T12:28:27ZThe Reflective Fostering Programme—improving the wellbeing of children in care through a group intervention for foster carers: a randomised controlled trial10.1186/s13063-021-05739-y1745-6215https://doaj.org/article/cc76eadb622e4aa09927510e1b37b15e2021-11-01T00:00:00Zhttps://doi.org/10.1186/s13063-021-05739-yhttps://doaj.org/toc/1745-6215Abstract Background The needs of children in care are a government priority, yet the evidence base for effective interventions to support the emotional wellbeing of children in care is lacking. Research suggests that supporting the carer-child relationship, by promoting the carer’s reflective parenting, may be an effective approach to improving the wellbeing of these children. Methods The study comprises a definitive, superiority, two-armed, parallel, pragmatic, randomised controlled trial, with embedded process evaluation and economic evaluation, and an internal pilot, to evaluate the effectiveness, and cost-effectiveness, of the Reflective Fostering Programme. Randomisation is at the individual level using a 1:1 allocation ratio. The study is being conducted in local authority sites across England, and is targeted at foster carers (including kinship carers) looking after children aged 4 to 13. Consenting participants are randomly allocated to the Reflective Fostering Programme (intervention arm) in addition to usual support or usual support alone (control arm). The primary outcome is behavioural and emotional wellbeing of the child 12 months post-baseline, and secondary outcomes include the following: foster carer’s level of stress, quality of life, reflective capacity, compassion fatigue and burnout, placement stability, the quality of the child-carer relationship, child’s capacity for emotional regulation, and achievement of personalised goals set by the carer. Discussion A feasibility study has indicated effectiveness of the Programme in improving the child-carer relationship and emotional and behavioural wellbeing of children in care. This study will test the effectiveness and cost-effectiveness of implementing the Reflective Fostering Programme as an additional aid to the support already available to local authority foster carers. Trial registration ISRCTN 70832140 .Nick MidgleyKaren IrvineBeth RiderSarah ByfordAntonella CirasolaPoushali GanguliThando Katangwe-ChigambaJamie MurdochMartin PondBenita PurschSheila RedfernZena Louise RichardsLee ShepstoneErika SimsCaroline SmithEva SprecherAnn Marie SwartSolange WyattDavid WellstedBMCarticleParentingFoster careChildren in careReflective parentingReflective Fostering ProgrammeMedicine (General)R5-920ENTrials, Vol 22, Iss 1, Pp 1-23 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Parenting Foster care Children in care Reflective parenting Reflective Fostering Programme Medicine (General) R5-920
spellingShingle	Parenting Foster care Children in care Reflective parenting Reflective Fostering Programme Medicine (General) R5-920 Nick Midgley Karen Irvine Beth Rider Sarah Byford Antonella Cirasola Poushali Ganguli Thando Katangwe-Chigamba Jamie Murdoch Martin Pond Benita Pursch Sheila Redfern Zena Louise Richards Lee Shepstone Erika Sims Caroline Smith Eva Sprecher Ann Marie Swart Solange Wyatt David Wellsted The Reflective Fostering Programme—improving the wellbeing of children in care through a group intervention for foster carers: a randomised controlled trial
description	Abstract Background The needs of children in care are a government priority, yet the evidence base for effective interventions to support the emotional wellbeing of children in care is lacking. Research suggests that supporting the carer-child relationship, by promoting the carer’s reflective parenting, may be an effective approach to improving the wellbeing of these children. Methods The study comprises a definitive, superiority, two-armed, parallel, pragmatic, randomised controlled trial, with embedded process evaluation and economic evaluation, and an internal pilot, to evaluate the effectiveness, and cost-effectiveness, of the Reflective Fostering Programme. Randomisation is at the individual level using a 1:1 allocation ratio. The study is being conducted in local authority sites across England, and is targeted at foster carers (including kinship carers) looking after children aged 4 to 13. Consenting participants are randomly allocated to the Reflective Fostering Programme (intervention arm) in addition to usual support or usual support alone (control arm). The primary outcome is behavioural and emotional wellbeing of the child 12 months post-baseline, and secondary outcomes include the following: foster carer’s level of stress, quality of life, reflective capacity, compassion fatigue and burnout, placement stability, the quality of the child-carer relationship, child’s capacity for emotional regulation, and achievement of personalised goals set by the carer. Discussion A feasibility study has indicated effectiveness of the Programme in improving the child-carer relationship and emotional and behavioural wellbeing of children in care. This study will test the effectiveness and cost-effectiveness of implementing the Reflective Fostering Programme as an additional aid to the support already available to local authority foster carers. Trial registration ISRCTN 70832140 .
format	article
author	Nick Midgley Karen Irvine Beth Rider Sarah Byford Antonella Cirasola Poushali Ganguli Thando Katangwe-Chigamba Jamie Murdoch Martin Pond Benita Pursch Sheila Redfern Zena Louise Richards Lee Shepstone Erika Sims Caroline Smith Eva Sprecher Ann Marie Swart Solange Wyatt David Wellsted
author_facet	Nick Midgley Karen Irvine Beth Rider Sarah Byford Antonella Cirasola Poushali Ganguli Thando Katangwe-Chigamba Jamie Murdoch Martin Pond Benita Pursch Sheila Redfern Zena Louise Richards Lee Shepstone Erika Sims Caroline Smith Eva Sprecher Ann Marie Swart Solange Wyatt David Wellsted
author_sort	Nick Midgley
title	The Reflective Fostering Programme—improving the wellbeing of children in care through a group intervention for foster carers: a randomised controlled trial
title_short	The Reflective Fostering Programme—improving the wellbeing of children in care through a group intervention for foster carers: a randomised controlled trial
title_full	The Reflective Fostering Programme—improving the wellbeing of children in care through a group intervention for foster carers: a randomised controlled trial
title_fullStr	The Reflective Fostering Programme—improving the wellbeing of children in care through a group intervention for foster carers: a randomised controlled trial
title_full_unstemmed	The Reflective Fostering Programme—improving the wellbeing of children in care through a group intervention for foster carers: a randomised controlled trial
title_sort	reflective fostering programme—improving the wellbeing of children in care through a group intervention for foster carers: a randomised controlled trial
publisher	BMC
publishDate	2021
url	https://doaj.org/article/cc76eadb622e4aa09927510e1b37b15e
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The Reflective Fostering Programme—improving the wellbeing of children in care through a group intervention for foster carers: a randomised controlled trial

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