Research Review: Economic evidence for interventions in children's social care: revisiting the What Works for Children project

Evidence about the cost‐effectiveness of interventions in children's services can help decision‐makers make more efficient use of scarce resources. We returned to six somewhat disparate interventions on which we had collated research evidence identified by service planners and practitioners as relevant to the well‐being of children in the course of the Economic and Social Research Council‐funded What Works for Children project. These are home visiting, parenting, cognitive–bahavioural therapy, mentoring, traffic calming and breakfast club interventions. We aimed to explore the nature and extent of evidence on cost‐benefit and cost effectiveness for these measures. We conducted searches for studies that looked at the costs as well as the effectiveness of the six interventions and found 24 studies matching our inclusion criteria. The studies were diverse in terms of study design and economic methods (including economic modelling and willingness to pay). Studies relating to parenting programmes and traffic calming gave the most positive indication that the interventions may be cost‐effective for the outcomes in question. The remainder of the studies did not give a clear picture, in large part because of a lack of demonstration that the intervention was effective.     

DELETE-2 AND DELETE-3 JACKKNIFE PROCEDURES FOR UNMASKING IN REGRESSION

Single-case deletion regression diagnostics have been used widely to discover unusual data points, but such approaches can fail in the presence of multiple unusual data points and as a result of masking. We propose a new approach to the use of single-case deletion diagnostics that involves applying these diagnostics to delete-2 and delete-3 jackknife replicates of the data, and considering the percentage of times among these replicates that points are flagged as unusual as an indicator of their influence. By considering replicates that exclude certain collections of points, subtle masking effects can be uncovered.     

myCourtroom: Rosie’s family go to court; the use of simulations in preparing social workers for court

The role of social workers in court, how they prepare, train, write and present their reports, has been the focus of much debate. Key messages from research tell us that social workers often find court work stressful; they can lack confidence in writing reports giving evidence and being cross-examined. Pre-qualification training in this area can be patchy, with many workers reporting they often learn ‘on the job.’ This article documents the journey from analysing primary and secondary research findings, via a partnership between the University of Kent Centre for Child Protection and Children and Family Court Advisory and Support Service (Cafcass), to develop a training simulation for practitioners to increase their knowledge, preparation and practice for court. The partnership turned these research findings into an interactive, immersive simulation to give practitioners the space to reflect upon and critique their experiences of court. Findings from an initial evaluation of the simulation were positive with participants highly rating its usefulness in developing courtroom skills and knowledge.     

An exploratory study of alcohol dependence and problem gambling co-development trajectories in young adults

This study examines whether there are multiple trajectories of alcohol dependence and problem gambling symptom co-occurrence in a sample (n = 679) of emerging adults. Six joint trajectory classes were identified and several baseline risk factors were associated with increased probability of being in more problematic joint trajectory classes relative to the low-risk normative class. There was no joint trajectory class characterized by both higher problem gambling risk and persistent high alcohol dependence, suggesting that alcohol dependence and problem gambling are not directly related but perhaps share common underlying causes. Contrary to this, though, none of the examined risk factors were common to both more problematic gambling and drinking trajectories. Overall, the findings (which should be considered exploratory due to small class sizes) suggest the co-development of alcohol and gambling is not uniform across all young adults, and that the reciprocal nature of this relationship in adulthood may not solidify until later in young adulthood. Future research should re-examine these findings with a larger sample, spanning further into adulthood, with additional risk factors.     

Children and Parents Deserve Better Parental Discipline Research: Critiquing the Evidence for Exclusively “Positive” Parenting

This article critiques the scientific evidence for the emerging view in nonclinical parenting research and in popular books that parents should use only positive methods of parenting and rarely resort to any disciplinary consequences. Four methodological fallacies pervade research used to support this viewpoint: the correlational fallacy (inferring causation from correlations), the trumping fallacy (permitting correlational conclusions to trump stronger causal evidence), the extrapolation fallacy (extrapolating favorable comparisons of under-usage versus over-usage to zero usage), and the lumping fallacy (lumping inappropriate and appropriate usages together). Conclusions based on any of these methodological fallacies are premature at best and counterproductive at worst. These fallacies would incorrectly make many medical procedures appear to be harmful, such as radiation treatment. Premature conclusions supporting exclusively positive parenting may partially explain the immigrant paradox in the United States and escalating criminal assaults against minors according to Swedish criminal records (where positive parenting is most prominently advocated). Exclusively positive parenting needs to be supported by stronger research, including randomized trials with oppositional defiant children, before being accepted as definitive. We also need research to understand how the parental management skills featured in effective clinical treatments for young oppositional defiant children generalize to parenting in nonclinical families.     

Women’s views about the timing of birth

Background

Estimated date of birth (EDB) is used to guide the care provided to women during pregnancy and birth, although its imprecision is recognised. Alternatives to the EDB have been suggested for use with women however their attitudes to timing of birth information have not been examined.

Are Area-Level Measures of Employment Associated with Health Behaviours and Outcomes?

Accessible employment suited to residents’ needs is an important equity issue and social determinant of health and wellbeing, and a balanced jobs-housing ratio within a region has the potential to provide health benefits. This paper aims to provide evidence on the associations between employment and health, and the potential pathways, as well as identifying spatial indicators that can be used to measure urban employment, a construct of liveability. We used 2011 census data to create and test two area-level spatial measures of urban employment with geo-coded population health behaviour and outcome data (2011 VicHealth survey) in 5206 employed adults living in urban Victoria, Australia. Those living in areas with higher levels of local employment had reduced odds of a longer commute (OR 0.87). The odds of a longer commute time was also greater for those who lived in an area where more people commuted to work by private vehicle (OR 1.20), and less for those who lived in local areas where more people travelled to work by public transport (OR 0.85) or active travel (OR 0.80). The odds of reporting longer sitting times was less for those who lived in a local area where more people commuted to work by private vehicle (OR 0.65). Those who had a longer commute times, regardless of travel mode, had greater odds of reporting more sitting during a typical weekday (OR 1.67). In turn, those who spent more time sitting had significantly greater odds of reporting poorer self-rated health (OR 1.34). Such work provides evidence to policy-makers to help build the argument for which area-level attributes are needed to support urban employment across a region.     

Applications of the Capability Approach in the Health Field: A Literature Review

The scientific understanding of the causes of global warming is based on a vast body of rigorous, peer-reviewed research, but there is little systematic empirical evidence on consequences for humans. Using direct questions about satisfaction with winter and with summer weather, I show that warming’s effects on subjective well-being can be reliably estimated from cross-sectional survey data across a broad temperature spectrum and, moreover, that these effects are large. Combining a US national survey (N = 2295) and standard National Oceanic and Atmospheric Administration data on actual month-by-month temperatures at each location over many years, shows that changes to be expected from the widely discussed, allegedly “dangerous”, 2 °C of global warming are both familiar and small, equivalent to moving from Wisconsin to Michigan, or Virginia to North Carolina, or more generally 180 miles south. Such warming will greatly increase Americans’ satisfaction with winter weather, especially in the north, but somewhat decrease satisfaction with summer weather in both north and south. On balance, the nation benefits slightly. Regional differences are large, with northerners’ gains roughly equivalent to a 1–2 % increase in their GDP, while southerners losses are about the same size. These changes are important, about as large as the combined financial implications of all other aspects of global warming. They have important policy implications, suggesting that prompt action to reduce carbon emissions may not be optimal because that would restrict warming both in the summer and in the south (gains) but also in the winter and in the north (losses).