Table 1 The Better Start Bradford interventions

 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

Family Nurse Partnership^a

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

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

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 Parenting^a

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)