Abstract
Introduction
Despite support for parenting being already recognised as a
priority, there remains a paucity of evidence on how to facilitate its
adoption in regular visits of maternal and child health primary care
(PC). We describe the protocol for a study to assess the effect of an
innovative universal Touchpoints-based intervention—‘Crescer em Grande!’
(CeG!) - when supporting the process of transition to parenthood and
early infancy, at multiple PC units.
Methods and analysis
A cluster-randomised trial will be conducted in 12 PC units
(clusters) from the Lisbon metropolitan area, Portugal. Participants
will be a minimum of three family physicians and one nurse/unit, as well
as 216 expecting parents and future babies until 18 months who are using
the PC services. Sites will be randomised to either the CeG! or usual
care. The CeG! will consist of: (1) the integration of the Touchpoints
approach in PC maternal and well-child visits, with the support of 28
leaflets for parents to file in a folder; plus (2) training for PC
providers on how to perform the CeG! into existing practice. Parents
will be required to fill in questionnaires at point throughout their
child’s 18-month, mostly online. The primary outcome will be the
self-perception of parental competence (Parenting Sense of Competence
Scale). Other outcomes include: family functioning, couple dynamics,
mental health, well-being/quality of life, psychological experience of
pregnancy, attachment, child development. Acceptability, satisfaction
and feasibility of CeG! will also be obtained from providers’ and
parents’ perspectives. Costs associated with delivering the CeG! will be
calculated. Study analyses will be under the principle of
intention-to-treat.
Ethics and dissemination
Approval was obtained from the Ethics Committee of the Regional
Health Administration. The results will be shared with participants and
disseminated via peer-reviewed published papers, presentations at
scientific and professional conferences.
Trial registration number
NCT90692907
Funder
Fundação
para a Ciência e a Tecnologia
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