Four%Real*World%Randomised%Controlled ... · PromoCng!Alternave!Thinking!Strategies! ......
Transcript of Four%Real*World%Randomised%Controlled ... · PromoCng!Alternave!Thinking!Strategies! ......
Four Real-‐World Randomised Controlled Trials Evalua6ng Innova6ve Programmes Designed to Prevent Children’s Pathways
into Crime Nick Axford1, Tim Hobbs1, Sarah Heilmann1, Georgina Warner1, Catherine Erskine1, Luke Timmons1, Laura Whybra1, Tom Wilkinson1, VashC Berry2 and Obioha Ukoumunne3 1 The Social Research Unit at DarCngton 2 PenCLAHRC Peninsula Medical School (Plymouth University Peninsula Schools of Medicine and DenCstry) 3 University of Exeter Medical School
The Social Research Unit (SRU)
• Specialist research charity based in DarCngton, Devon, with offices in London and Glasgow • Mission: to bring science and evidence to bear on policy and pracCce related to children and young people.
• Intensive Supervision and Support Programme (ISSP) for persistent young offenders
• Youth at Risk programme for young people displaying anC-‐social behaviour
• AtlanCc Philanthropies (internaConal foundaCon) – advised on evaluaCon strategy for Ireland à funded 20 RCTs
• Three RCTs for Birmingham City Council: Triple P and Incredible Years parenCng programmes and school-‐based PromoCng AlternaCve Thinking Strategies (PATHS) programme
• KiVa – school-‐based trial of anC-‐bullying programme in Wales
SRU’s previous experience with RCTs
• Funded by the BIG LoQery Fund (£25m investment over 5 years)
• Building the evidence base for what works to prevent youth offending
• Replica6on of intervenCons with either proven or preliminary evidence of impact
• 25 interven6ons designed to divert 8-‐14 year olds away from pathways into crime
• SRU supports programmes by means of interven6on refinement and rigorous evalua6on.
• Four intervenCons selected for evaluaCon by RCT
• Contribute to building the evidence base of early intervenCon programmes in the UK
Four Real-‐World Randomised Controlled Trials
Reconn
aissance +
Refin
emen
t Protocol
Ethics
Baseline
Delivery
Final follow-‐up
Analysis
Final rep
ort
Chance UK mentoring YMCA ‘Plusone’ mentoring Malachi parent programme Ariel Trust ‘Face-‐Up’
Trial progress
SHORT&TERM:
Improved&behaviour
IN&LATER&LIFE:
Reduced&involvement&in&an?social&behaviour&and/or&the&criminal&jus?ce&system
Achieving&poten?al&and&contribu?ng&posi?vely&to&society
Higher'self+esteem
Higher'self+efficacy
Improved'posi7ve'coping'skills
Improved'social'and'rela7onship'skills
Improved'decision+making'skills
Improved'ability'to'regulate'emo7ons'and'behaviour
Higher'aspira7ons
Mentoring)rela,onship
Behaviourmanagement
Parent5focused)work
&)
Joint)&groupsessions
ImagineProblem5free)talk
)encouragestrengths
Solu,on5focused)approach
Iden,fy!))Posi,ve
feedback
a)beAerfuture
Broadeninghorizons
Interac,vetasks)with
a)purpose
seCng)&Goal5
goal)work
MEDIATING OUTCOMES
OUTCOMES
CORE COMPONENTS
Theory of change Chance UK mentoring
Chance UK mentoring
Ariel Trust ‘Face-‐Up’ school based programme
Increased !Confidence!
• To employ communication skills!
• Ask for help!
Increased !Knowledge!
• Safe & appropriate / risky behaviour!
• people and resources to turn to for help!
Intermediate!Outcomes!
Improved norms about what is acceptable behaviour!
(respect, value opinions)!
Increased likelihood of bystanders to
effectively intervene!
INOK Intervention !Inputs!
Improved Communication !
Skills!
• Positive expression!
• Refusal skills!• Negotiation skills!• How to ask for
help!
Mechanisms!
Video exercises – analysis of unwanted
behaviour!
Character profiles & videos – developing
strategies to resist peer pressure!
Debate – Practicing skills associated with assertiveness!
Character profiles & videos – developing strategies to resist peer
pressure !
Debate – PracCcing skills associated with asserCveness
Ask Emma – minimising harm & reducing risk!
Research / Presentation – where to
get advice & support!
Ultimate!Outcomes!
Reduced inappropriate sexual language, behaviour
& exploitation!
Workshops and webinars for chari6es
1. Developing IntervenCon manuals
2. Serving the right people
3. Developing a logic model
4. Defining IntervenCon AcCviCes
5. Monitoring IntervenCon Fidelity
6. Specifying resources needed for intervenCon
Challenges and lessons from real-‐world trials
• Securing Buy-‐in
• Gefng the logic model clear
• Refining the intervenCon
• Balancing the numbers
• OperaConal issues
• Managing expectaCons
The benefits of real-‐world trials
• Increase capacity to replicate interven6ons (manuals, logic models, fidelity tools, evidence-‐base of what works)
• Building knowledge and capacity of delivering evidence-‐based interven6ons
• Help to reach a high standard of evidence about the impact on young people’s lives
• Agract funding to enable replicaCon • To ulCmately reach more children and allow them to realise
their ambiCons!
Contact Details: • Nick Axford – Principal InvesCgator for the trials ([email protected])
• Sarah Heilmann – Trial Manager for YMCA Scotland and Ariel Trust ([email protected])
• Georgina Warner – Trial Manager for Chance UK and Malachi ([email protected])
Websites: • Social Research Unit: hgp://darCngton.org.uk • PrevenCon AcCon: www.prevenConacCon.org • Journal of Children's Services: hgp://darCngton.org.uk/projects/jcs