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Table 1 The Better Start Bradford interventions

From: Integrating research and system-wide practice in public health: lessons learnt from Better Start Bradford

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)
  1. aEvidence based interventions, all others are science based
  2. bIntervention participation figures are based on current service design. BiBBS participation figures are based on 60% recruitment rate. Actual numbers may vary