{
  "abstract": "Objective To assess the acceptability, feasibility and outcomes of a codesigned health education model aiming to improve outcomes for children with emotional and behavioural difficulties (EBD).Methods 12 Australian primary schools from metropolitan and rural settings participated. Half of the schools from each setting were randomised to the intervention and half to the control group. Intervention group educators in grades 1, 2 and 3 codesigned a school-based intervention and took part in fortnightly communities of practice with a paediatrician over 6 months. Educator and caregiver surveys were collected at baseline and after the 6 month intervention period. Surveys measured child EBD (Strengths and Difficulties Questionnaire), a single-item question and health service recommendations and use. All educators were asked about their confidence in identifying and supporting children with EBD and the study designed acceptability questions.Results Caregiver participation was 138 (22% of those eligible) for control schools and 348 (37% of those eligible) for intervention schools. Educator participation was 17 (81% of those eligible) for control schools and 36 (78% of those eligible) for intervention schools. Intervention educators reported a high level of acceptability and feasibility. Compared with educators in the control group, those in the intervention group reported greater confidence in identifying and supporting children with EBD at 6 months. There were no differences in educator or caregiver reports of child EBD or health service recommendation and use between groups. 85% of educators reported they would participate again and 92% said they would recommend the intervention to other educators.Conclusions A health education intervention is feasible and acceptable to educators and improves educator confidence in identifying and supporting children with EBD. Future research should assess its effectiveness in an adequately powered controlled trial.Trial registration number Australian New Zealand Clinical Trials Registry approval number 381239.",
  "authors": [
    {
      "affiliations": [
        "Centre for Community Child Health, Murdoch Children’s Research Institute, Parkville, Victoria, Australia",
        "Centre for Community Child Health, The Royal Children’s Hospital, Parkville, Victoria, Australia",
        "Department of Paediatrics, The University of Melbourne, Parkville, Victoria, Australia"
      ],
      "name": "William Garvey"
    },
    {
      "affiliations": [
        "Clinical Epidemiology and Biostatistics Unit, Murdoch Children’s Research Institute, Parkville, Victoria, Australia"
      ],
      "name": "Rachel Schembri"
    },
    {
      "affiliations": [
        "Centre for Community Child Health, Murdoch Children’s Research Institute, Parkville, Victoria, Australia",
        "Centre for Community Child Health, The Royal Children’s Hospital, Parkville, Victoria, Australia",
        "Department of Paediatrics, The University of Melbourne, Parkville, Victoria, Australia",
        "Centre for Community Child Health, Royal Children’s Hospital, Parkville, Victoria, Australia"
      ],
      "name": "Frank Oberklaid"
    },
    {
      "affiliations": [
        "Centre for Community Child Health, Murdoch Children’s Research Institute, Parkville, Victoria, Australia",
        "Centre for Community Child Health, The Royal Children’s Hospital, Parkville, Victoria, Australia",
        "Department of Paediatrics, The University of Melbourne, Parkville, Victoria, Australia",
        "Centre for Community Child Health, Royal Children’s Hospital, Parkville, Victoria, Australia",
        "Community Child Health, Murdoch Children’s Research Institute, Melbourne, Victoria, Australia"
      ],
      "name": "Harriet Hiscock"
    }
  ],
  "title": "Feasibility, acceptability and outcomes of a health education intervention for children with emotional and behaviour difficulties: a pilot cluster randomised trial",
  "uid": "63bab24f-461f-5d38-959e-8d58a3cba041"
}