Appendix D: Gaps in the evidence

Appendix D: Gaps in the evidence

PHIAC identified a number of gaps in the evidence relating to the interventions under examination, based on an assessment of the evidence. These gaps are set out below.

  1. There is a lack of valid methods for measuring the emotional and social wellbeing of primary schoolchildren and monitoring changes over time.

  2. There is a lack of evidence on the cost effectiveness of interventions to promote the emotional and social wellbeing of primary schoolchildren, particularly multi-component programmes. There is also a lack of evidence on the effect of these interventions on social, health and education outcomes (and costs) in the longer term.

  3. There is a lack of evidence on the relationship between standard measures of emotional and social wellbeing and those used to measure quality adjusted life years (QALY).

  4. There is a lack of UK evidence on the effectiveness and cost effectiveness of interventions to prevent and manage stress, including the use of relaxation and cognitive behavioural techniques.

  5. There is a lack of evidence on effective and cost effective ways of promoting the emotional and social wellbeing of vulnerable primary schoolchildren. Vulnerable children include those from certain black and minority groups, those who are looked after and others at risk of experiencing emotional problems.

  6. There is a lack of evidence on effective ways to involve the parents or carers of primary schoolchildren in school-based programmes to improve their children's emotional and social wellbeing. Evidence is particularly needed on how to engage parents or carers from disadvantaged backgrounds.

The Committee made 5 recommendations for research. These are listed in section 5.