ISRCTN ISRCTN76333739
DOI https://doi.org/10.1186/ISRCTN76333739
Sponsor Manchester Metropolitan University
Funder Public Health Research Programme
Submission date
30/04/2026
Registration date
20/05/2026
Last edited
20/05/2026
Recruitment status
Recruiting
Overall study status
Ongoing
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Parenting programmes can improve children’s behaviour and family wellbeing, but families living in more deprived areas are less likely to take part. This study tests a new toolkit (BeST Engage) designed to help Local Authorities improve how they promote and deliver parenting programmes, with the aim of increasing uptake and completion, especially among disadvantaged families.

Who can participate?
Local Authorities in the UK that deliver or commission parenting programmes for parents of children aged 4–18 years can take part. Parents are not recruited directly for the main trial; anonymised routine data are used. Some parents and Local Authority staff may take part in surveys or interviews.

What does the study involve?
Local Authorities start with usual practice and then, at different time points, begin using the BeST Engage toolkit. The toolkit provides guidance to improve communications, training and systems to increase engagement with parenting programmes. Local Authorities provide anonymised data on programme uptake and attendance. Some parents complete a short survey, and a smaller number of parents and staff take part in interviews.

What are the possible benefits and risks of participating?
Local Authorities may benefit from improved engagement with parenting programmes. Risks are minimal. The main study uses anonymised routine data, so there is no direct burden on parents. Surveys and interviews involve a small time commitment.

Where is the study run from?
The study is coordinated by Manchester Metropolitan University, with collaborators at Sheffield Hallam University, the University of Sheffield, and Queen Mary University of London. It takes place across Local Authorities in the UK.

When is the study starting and how long is it expected to run for?
May 2026 to July 2028

Who is funding the study?
National Institute for Health and Care Research (NIHR), Public Health Research Programme (NIHR168986) (UK)

Who is the main contact?
Dr Sophie Pott, bestengage@shu.ac.uk

Contact information

Prof Madelynne Arden
Principal investigator

School of Psychology
Brooks Building
Manchester Metropolitan University
Manchester
M15 6GX
United Kingdom

ORCiD logoORCID ID 0000-0002-6199-717X
Phone +44 (0)161 2472646
Email m.arden@mmu.ac.uk
Prof Abigail Millings
Principal investigator

Institute of Law & Social Sciences
Redmires Building
Arundel Street
Sheffield Hallam University
Sheffield
S1 1WB
United Kingdom

ORCiD logoORCID ID 0000-0002-7849-6048
Phone +44 (0)114 2252612
Email a.millings@shu.ac.uk
Dr Elaine Clarke
Public

Institute of Law & Social Sciences
Redmires Building
Arundel Street
Sheffield Hallam University
Sheffield
S1 1WB
United Kingdom

ORCiD logoORCID ID 0000-0002-7230-958X
Phone +44 (0)114 2252612
Email bestengage@shu.ac.uk
Dr Sophie Pott
Scientific

School of Psychology
Brooks Building
Manchester Metropolitan University
Manchester
M15 6GX
United Kingdom

ORCiD logoORCID ID 0009-0004-6439-2629
Phone +44 (0)161 2472646
Email s.pott@mmu.ac.uk

Study information

Primary study designInterventional
AllocationRandomized controlled trial
MaskingOpen (masking not used)
ControlActive
AssignmentStepped wedge cluster randomised controlled trial
PurposeHealth services research
Scientific titleA stepped wedge cluster randomised controlled trial of a Behavioural Science Toolkit to promote Engagement in local authority delivered or commissioned parenting programmes suitable for parents of school-age children (4-18 years) who are socially deprived
Study acronymBeST Engage
Study objectives To evaluate whether providing local authorities with the BeST Engage toolkit increases uptake and retention in parenting programmes among socially deprived families.

Research questions:
1. Does the use of BeST Engage, compared to the control (business as usual), result in higher uptake of parenting programmes by socially deprived families?
2. Does the use of BeST Engage, compared to the control (business as usual), result in greater completion of parenting programmes by socially deprived families?
3. Does the use of BeST Engage, compared to the control (business as usual), result in higher uptake of parenting programmes across all families?
4. Does the use of BeST Engage, compared to the control (business as usual), result in better uptake of parenting programmes for vulnerable families, i.e., black and minority ethnic families, young parents (aged under 25 years of age), and LGBTQ+ parents?
5. Does the use of BeST Engage, compared to the control (business as usual), result in greater completion of parenting programmes for vulnerable families, i.e., black and minority ethnic families, young parents (aged under 25 years of age), LGBTQ+ parents?
Ethics approval(s)

Approved 18/02/2026, Health and Education Research Ethics and Governance Committee (Brooks Building, Manchester Metropolitan University, Manchester, M15 6GX, United Kingdom; +44 (0)7584 330586; FOHE-Ethics@mmu.ac.uk), ref: EthOS ID: 84816

Health condition(s) or problem(s) studiedLow engagement (uptake and retention) in parenting programmes among socially deprived families
InterventionA stepped wedge cluster randomised controlled trial comparing uptake and retention of parenting programmes suitable for school-age children in LAs during ‘business as usual’ control periods and BeST Engage Toolkit use intervention periods. LAs will be recruited and randomised to one of three sequences that will determine the time of introduction and use of the BeST Engage toolkit. Statistical analyses will examine differences in outcomes between control and intervention periods to determine whether the BeST Engage toolkit is effective in increasing uptake and retention of parenting programmes by socially deprived families.

Local Authorities (LAs) are the unit of randomisation. The primary outcome is the number of parents from areas of high deprivation who attend/complete at least one session of the parenting programme. The stepped wedge design means that all LAs are their own control and will gain access to the BeST Engage toolkit over the course of the study, incentivising participation. Different LAs will be randomised to three different sequences and will start to use BeST Engage at different times. LAs will be allocated to the 3 sequences in a 1:1:1 ratio. Allocations will be stratified according to average IDACI scores for each LA (<0.330 or >=0.330) and percentage of White-British citizens (<85.6% or >=85.6%) for each LA.

The BeST Engage intervention is a toolkit consisting of behavioural science informed content to enable LAs to develop:
1. Parent-facing resources:
Content and design briefs to develop letters, leaflets, posters, social media to address capability, opportunity and motivation
1.1. Image guidance
1.2. Text guidance
1.3. QR code/link to translated versions in key languages

2. Professional-facing resources:
Training guide to address capability, opportunity and motivation
Checklist to evaluate the ease of access to the parenting programme with suggestions for how to make improvements (e.g., opt-out appointments)

3. Video (for both parents and professionals):
Content and design brief to develop videos about the parenting programme to address capability, opportunity and motivation
3.1. Content guidance
3.2. Guidance on who should feature in the video

Initially, each LA will use their current resources (during the control period), and then BeST Engage will be introduced. LAs will have a 3-month transition period to use the toolkit to create new resources, during which time, the sharing of routine data collected will be paused to avoid the possibility of contamination. After this transition period the developed resources will be used, and this period onwards will be the intervention period. The LAs will continue to collect routine data on uptake and retention, sharing with the research team until the end of the planned follow-up.
Intervention typeBehavioural
Primary outcome measure(s)
  1. Uptake of parenting programmes: attendance at ≥1 session measured using anonymised routinely collected data at control period (varies in length from 3-9 months); intervention period (varies in length from 3-9 months); follow-up period (7 months); variations are a function of sequence
Key secondary outcome measure(s)
  1. Retention in parenting programmes: the proportion of sessions offered that are attended, measured using anonymised Local Authority (LA) administrative data submitted to a secure database using the study Excel template, at control period (varies in length from 3-9 months); intervention period (varies in length from 3-9 months); follow-up period (7 months); variations are a function of sequence
  2. Number of sessions attended, measured using anonymised Local Authority (LA) administrative data submitted to a secure database using the study Excel template, at control period (varies in length from 3-9 months); intervention period (varies in length from 3-9 months); follow-up period (7 months); variations are a function of sequence
  3. Uptake, retention and session attendance by subgroup (ethnicity, age <25, LGBTQ+): attendance at ≥1 session, proportion of sessions offered that are attended and number of sessions attended, stratified by participant subgroup (ethnicity, age <25 years, and LGBTQ+ status), measured using anonymised Local Authority (LA) administrative data submitted to a secure database using the study Excel template, at control period (varies in length from 3-9 months); intervention period (varies in length from 3-9 months); follow-up period (7 months); variations are a function of sequence
  4. Referral method: self vs professional referral, measured using anonymised Local Authority (LA) administrative data submitted to a secure database using the study Excel template, at control period (varies in length from 3-9 months); intervention period (varies in length from 3-9 months); follow-up period (7 months); variations are a function of sequence
Completion date31/07/2028

Eligibility

Participant type(s)
Age groupAll
Lower age limit0 Years
Upper age limit100 Years
SexAll
Target sample size at registration48
Key inclusion criteriaNote that these inclusion criteria relate to the eligibility of local authorities (sites) to take part in the trial. The study does not require direct recruitment of participants.

1. Local Authorities in England delivering specified parenting programmes
2. Parents eligible for free parenting programmes suitable for children aged 4-18 years
3. Families in areas of high deprivation (top 30% Income Deprivation Affecting Children Index [IDACI])
Key exclusion criteriaNote that these exclusion criteria relate to the eligibility of local authorities (sites) to take part in the trial. The study does not require direct recruitment of participants.

1. Local Authorities not offering specified parenting programmes
2. Local Authorities unable to provide required anonymised data
Date of first enrolment01/05/2026
Date of final enrolment29/02/2028

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

There is no recruitment of participants into this study
N/A
N/A
N/A
England

Results and Publications

Individual participant data (IPD) Intention to shareYes
IPD sharing planThe datasets generated during and/or analysed during the current study will be stored in a publicly available repository (OSF)

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Study website 15/05/2026 No No

Editorial Notes

15/05/2026: Study's existence confirmed by the Health and Education Research Ethics and Governance Committee.