{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T16:05:32Z","timestamp":1784563532370,"version":"3.55.0"},"reference-count":22,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"unspecified","delay-in-days":19,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Academic Unit of Child Psychiatry South-West Sydney (AUCS), Discipline of Psychiatry & Mental Health, Faculty of Medicine & Health, School of Clinical Medicine, UNSW Sydney","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,7,10]]},"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>As the rates of child developmental delay and disability (referred onwards as developmental needs) increase globally, so does the number of caregivers caring for a child with developmental needs. It is well known that caring for a child with disability and\/or delay leads to many challenges. While historically intervention services have focused on the child, it is increasingly being recognised that a whole family intervention approach is needed to improve both child and caregiver outcomes. The Now &amp; Next programme is a family-centred, peer-led support programme targeted at improving caregiver skills in developing strengths-based goals across child, family and personal domains, taking practical steps to achieve these goals and building a support network. In doing so, the programme aims to improve goal achievement as well as caregivers\u2019 capacity to plan and navigate supports, sense of competence, empowerment, community support and overall quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>This study will use a mixed-methods design, drawing on both quantitative and qualitative components. Quantitative data will measure changes in caregiver and child outcomes compared with a control group, while qualitative data will investigate caregivers\u2019 experiences with the programme, including their perspectives on facilitators and barriers to programme engagement. Appropriate descriptive and inferential statistics will be used to evaluate quantitative data. Qualitative data will be analysed using thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>The study was approved by the University of New South Wales research ethics committee (iRECS10368). Findings will be shared through conference presentations and published manuscripts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>ACTRN12626000083392 (Trial registered on ANZCTR).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2026-122129","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T15:30:29Z","timestamp":1784561429000},"page":"e122129","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Mixed-methods evaluation protocol for the Now &amp; Next programme: a codesigned, family-centred peer-led caregiver support programme"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1888-2956","authenticated-orcid":false,"given":"Sara","family":"Cibralic","sequence":"first","affiliation":[{"name":"Psychiatry and Mental Health\/School of Clinical Medicine, UNSW Medicine & Health, Sydney, New South Wales, Australia"},{"name":"Academic Unit of Child Psychiatry (AUCS), South Western Sydney Local Health District & Ingham Institute, Liverpool, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvana","family":"Mahmic","sequence":"additional","affiliation":[{"name":"Plumtree Children\u2019s Services, Marrickville, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anoo","family":"Bhopti","sequence":"additional","affiliation":[{"name":"School of Primary and Allied Health Care\/Department of Occupational Therapy, Monash University, Frankston, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret L.","family":"Kern","sequence":"additional","affiliation":[{"name":"Centre for Wellbeing Science\/Faculty of Education, The University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lulu","family":"Barker","sequence":"additional","affiliation":[{"name":"Psychiatry and Mental Health\/School of Clinical Medicine, UNSW Medicine & Health, Sydney, New South Wales, Australia"},{"name":"Academic Unit of Child Psychiatry (AUCS), South Western Sydney Local Health District & Ingham Institute, Liverpool, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prasadhini","family":"De Silva","sequence":"additional","affiliation":[{"name":"Psychiatry and Mental Health\/School of Clinical Medicine, UNSW Medicine & Health, Sydney, New South Wales, Australia"},{"name":"Academic Unit of Child Psychiatry (AUCS), South Western Sydney Local Health District & Ingham Institute, Liverpool, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eram","family":"Afroze","sequence":"additional","affiliation":[{"name":"Plumtree Children\u2019s Services, Marrickville, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kylie","family":"Aekins","sequence":"additional","affiliation":[{"name":"Plumtree Children\u2019s Services, Marrickville, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6296-8306","authenticated-orcid":false,"given":"Valsamma","family":"Eapen","sequence":"additional","affiliation":[{"name":"Psychiatry and Mental Health\/School of Clinical Medicine, UNSW Medicine & Health, Sydney, New South Wales, Australia"},{"name":"Academic Unit of Child Psychiatry (AUCS), South Western Sydney Local Health District & Ingham Institute, Liverpool, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,7,20]]},"reference":[{"key":"2026072008301620000_16.7.e122129.1","doi-asserted-by":"crossref","first-page":"e1100","DOI":"10.1016\/S2214-109X(18)30309-7","article-title":"Developmental disabilities among children younger than 5 years in 195 countries and territories, 1990\u20132016: a systematic analysis for the Global Burden of Disease Study 2016","volume":"6","author":"Olusanya","year":"2018","journal-title":"Lancet Glob Health"},{"key":"2026072008301620000_16.7.e122129.2","unstructured":"Australian Bureau of Statistics . 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