We have developed a health literacy training program for new parents called Parenting Plus. The program embeds graded health literacy and shared decision-making skills across a number of health topics relevant to new parents. The feasibility of implementing the Parenting Plus intervention across Western Sydney Local Health District was established in a 2018 pilot study funded by the Western Sydney Local Health District Research and Education Network Grant scheme.
We will now employ an effectiveness-implementation hybrid design to examine the replicability and scalability of the project across three Local Health Districts (LHDs). This includes a cluster-randomised controlled trial of the Parenting Plus intervention delivered within established New Parents Groups across Western Sydney LHD, Sydney LHD and South Western Sydney LHD compared to standard parenting groups in these LHDs. The trial involves longitudinal data collection (6+12-months) to assess the impact on psychosocial outcomes, health service use and health outcomes. Qualitative methods will provide practical advice on implementation and adaptability of the intervention within and across the LHDs.