Phase 1

A new RISE paper has been published in Family Process. The article entitled “Preventing child mental health problems in southeastern Europe: Feasibility study (phase 1 of MOST framework)” describes the main Pre-Post results of the Feasibility study (Phase 1). The accepted version of the published article is available here:

Phase 2

Results from Phase 2 indicated that the most cost-effective version of PLH for Young Children was five sessions delivered with basic engagement boosters (e.g., providing transport and childcare to assist parents in reducing barriers for participation) and supervision on demand for program facilitators. Investment in reducing more barriers and increasing incentives did not turn out to be cost-effective in these LMICs.  This optimised version of the program is to be tested in the gold standard evaluation (a randomised controlled trial) in Phase 3 of the RISE project.

Phase 3

Because of restrictions on in-person meetings during the COVID-19 pandemic, the optimised program had to be delivered online (via Zoom, Teams and similar software) during Phase 3.  In this randomised controlled trial, the program was compared with one group-based lecture on child development.  Under these conditions, compared with the lecture, the program demonstrated small advantageous effects in key outcomes, including child mental health (oppositional defiant disorder and conduct disorder), when these were measured immediately after parents had received the program. At follow-up 12 months later, there was no difference in outcomes, except for parental stress, for parents who received the program and those who received the lecture. Parental stress was lower in the intervention group than in the lecture group at both the immediate and 12-month follow-up.  We designed the lecture to be useful for parents (without specifically addressing child mental health), but some parents reported disappointment at not being allocated to the PLH condition.

Final Conclusion

We recommend a stepped-care approach to making parenting and child development information widely available to everyone, so that all parents can receive some information, and others who report higher levels of child behavior problems and parenting challenges receive longer, more intensive programs. Mechanisms for effectively supporting parents with challenges over the longer term, and finding low-cost solutions for sustainability – especially when using online delivery formats instead of in-person delivery – need further evaluation.

30 June 2022

The official end of the RISE project. 

Thank you to everyone that supported the project during the last four years.

11 May 2022 - 13 May 2022

The final Consortium meeting will take place at Lake Ohrid, North Macedonia. 

14 March 2022

The follow-up assessments of the randomized-controlled trial have been successfully completed in the three implementation countries.

20 January 2022

The EU Research & Innovation Magazine HORIZON mentions RISE in an article about the effects of the pandemic on child and youth mental health. The full article is available here:

And this is the video:

27 December 2021

Study Protocol article for the RCT published

The study protocol of the randomised-controlled trial (Phase 3 of RISE) was published in Trials. The peer-reviewed paper entitled “Prevention of child mental health problems through parenting interventions in Southeastern Europe (RISE): study protocol for a multi-site randomised controlled trial” is openly available here:

02 December 2021

Start of Follow-up interviews for the RCT

Parents that participated in one of the parenting interventions (parent training, lecture on parenting) will be interviewed one last time to assess more long-term effects. In North Macedonia, the assessors started to contact the participants. Next, the follow-up assessments will also start in the other two implementation sites (Republic of Moldova and Romania).

24 September 2021

Post-assessments for RCT completed

The post-assessment interviews for the randomised-controlled trial (Phase 3) were successfully completed. In a next step, the families that participated in the parenting intervention will be interviewed for the follow-up assessment (planned for Winter 2021).

23/24 September 2021

RISE Consortium annual meeting

The RISE Consortium met for the annual meeting. The meeting specifically focused on the planning of dissemination activities. This includes peer-reviewed publications, conference presentations and dissemination activities in the three implementation countries to enhance widespread and sustained use of parenting support within existing systems.

07 September 2021

A new RISE paper has been published in Family Process. The article entitled “Preventing child mental health problems in southeastern Europe: Feasibility study (phase 1 of MOST framework)” describes the main Pre-Post results of the Feasibility study (Phase 1). The accepted version of the published article is available here:

13 July 2021

Program delivery completed

The service delivery for the RCT has been completed: The last parent was conducted in Romania. The post-assessments are ongoing.

17 May 2021

Completion of recruitment for the RCT

The recruitment for the randomised-controlled trial has been successfully completed. 

06 May 2021

Completion of program implementation in North Macedonia

In North Macedonia, the delivery of the parent groups (lecture and PLH) has been completed. In the other two implementation sites (Republic of Moldova and Romania), the program implementation is still ongoing.

29 March 2021

The informed consent for parents that participated in the optimisation study (Phase 2) is available on the RISE website now (see work package 3:

22 March 2021 - 26 March 2021

Start of the program delivery: the first parent groups were conducted in North Macedonia. These are part of the randomised-controlled trial (Phase 3). Prior program start, the parents were randomly allocated to one of the two conditions (PLH, 5 sessions; lecture, 1 session).

19 March 2021

RISE researchers contributed to a journal article on the PLH super study. This initiative aims to strengthen collaborations of researchers, policy makers, and (non) governmental organisations in the field of family support in low- and middle income countries in order to foster the implementation of evidence-based prevention programs at large scale. The commentary has been published in “Frontiers in Public Health” and is openly available here:

03 February 2021

Parenting for Lifelong Health (PLH) training for the RCT (Phase 3): The PLH booster training for the local coaches was successfully completed in the three implementation countries. In a next step, the local coaches will train the PLH facilitators in the local languages. Then, the facilitators will deliver the parent program to parents in the three countries North Macedonia, Republic of Moldova and Romania.

18 January 2021