Papers by Sarah Stewart-brown
Archives of Disease in Childhood, Dec 21, 2016
Objective Evaluating effectiveness and costeffectiveness of 'Families for Health V2 0 (FFH) compa... more Objective Evaluating effectiveness and costeffectiveness of 'Families for Health V2 0 (FFH) compared with usual care (UC). Design Multicentre randomised controlled trial (RCT) (investigators blinded, families unblinded) and economic evaluation. Stratified randomisation by family; target of 120 families. Setting Three National Health Service Primary Care Trusts in West Midlands, England. Participants Overweight or obese (≥91st or ≥98th centile body mass index (BMI)) children aged 6-11 years and their parents/carers, recruited March 2012-February 2014. Interventions FFH; a 10-week community-based family programme addressing parenting, lifestyle change and social and emotional development. UC; usual support for childhood obesity at each site. Main outcome measures Primary outcomes were 12-months change in children's BMI z-score and incremental cost per quality-adjusted life-year gained (QALY). Secondary outcomes included changes in children's physical activity, fruit and vegetable consumption and quality of life, parents' BMI and mental well-being, family eating/activity, parent-child relationships and parenting style. Results 115 families (128 children) were randomised to FFH (n=56) or UC (n=59). There was no significant difference in BMI z-score 12-months change (0.114, 95% CI -0.001 to 0.229, p=0.053; p=0.026 in favour of UC with missing value multiple imputation). One secondary outcome, change in children's waist z-score, was significantly different between groups in favour of UC (0.15, 95% CI 0.00 to 0.29). Economic evaluation showed that mean costs were significantly higher for FFH than UC (£998 vs £548, p<0.001). Mean incremental cost-effectiveness of FFH was estimated at £552 175 per QALY. Conclusions FFH was neither effective nor cost-effective for the management of obesity compared with UC. Trial registration number ISRCTN45032201.
Social Science Research Network, Oct 1, 2012
The views expressed herein are those of the authors and do not necessarily reflect the views of t... more The views expressed herein are those of the authors and do not necessarily reflect the views of the National Bureau of Economic Research. NBER working papers are circulated for discussion and comment purposes. They have not been peerreviewed or been subject to the review by the NBER Board of Directors that accompanies official NBER publications.
Parenting and health: a call for action
Paediatrics and child health, Mar 1, 2018
Abstract Paediatricians and healthcare professionals working with children are well placed to obs... more Abstract Paediatricians and healthcare professionals working with children are well placed to observe parents and see a wide range of parenting from the exceptional to the abusive. Parenting has important short, medium and long term effects on child physical and mental health. Understanding these effects more fully helps paediatricians to comment on parenting, offer advice or refer to parenting programmes. This article outlines advances in neuroscience and attachment theory as well as contemporary issues that underpin the case for parenting intervention. It also discusses the rationale and evidence base for particular programmes, the UK policy context, and makes some suggestions on how paediatricians may wish to support better parenting.
Resilience and well-being
Oxford University Press eBooks, Sep 1, 2018
Resilience and well-being are relatively new to public health and psychiatry, and the research th... more Resilience and well-being are relatively new to public health and psychiatry, and the research that underpins the concepts is often found in the publications of other disciplines—psychology, neuroscience, physiology, and philosophy. This chapter argues, using ideas from a range of disciplines, that resilience and well-being are integrally linked in that resilience is a product, a marker, and a developer of mental well-being. A level of well-being commensurate with a particular challenge enables a resilient response, and by enabling development in the face of the challenge, resilience enhances well-being. Both resilience and well-being are developmental and the key to successful development is a sensitive, attuned, and trusting relationship, which conditions the self-regulation response. Approaches to enhancing resilience and well-being are therefore very similar. They start with relational support in infancy and childhood, and carry on throughout the life course, with activities and programmes that support the development of self–regulation.
Systematic review of the effectiveness of interventions in the treatment of emotional abuse
Public Health Implications of Childhood Behaviour Problems and Parenting Programmes
Key concepts and definitions
Oxford University Press eBooks, Jan 21, 2010
Growth in Children with Diabetes
Springer eBooks, 1984
Individual and group-based parenting programmes for the prevention of child abuse and neglect
Higher levels of mental wellbeing predict lower risk of common mental disorders in the Danish general population
Mental Health & Prevention, Jun 1, 2022
Evaluating health promotion in schools: reflections
PubMed, 2001
Randomised controlled trial (RCT) and economic evaluation of the Family Links Nurturing Programme
http://isrctn.org/>, Jan 17, 2013
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Papers by Sarah Stewart-brown