Table 2). Almost one quarter of parents reported reliable change from pre to post assessment. This rate dropped slightly for standard parents at follow-up but showed further improvement for families in the smalltalk conditions. The proportion of parents showing reliable improvements was highest in the smalltalk plus condition at follow-up, and this was significantly greater than for parents in the standard condition. Table 2 Summary of parent-reported and observed outcomes for the SPG platform Pre to Post smalltalk improved SPG standard on Parent-reported: plus more than home activities with Directly observed: carer descriptive language overall facilitator’ behaviour ‘carer smalltalk improved smalltalk on Directly observed: plus more than carer descriptive language follows child’s lead maintains/extends child’s interest overall facilitator’ behaviour ‘carer child sustained engagement smalltalk improved SPG standard on Parent-reported: more than child fine motor skills Parent-reported: improved smalltalk smalltalk plus more than language Pre to Follow up smalltalk plus improved SPG standard on Parent-reported: more than child personal-social skills Directly observed: maintains/extends child’s interest overall facilitator’ behaviour ‘carer smalltalk plus improved smalltalk on Directly observed: more than maintains/extends interest overall facilitator’ behaviour ‘carer smalltalk improved SPG standard on Parent-reported more than home activities with child child personal-social skills Around 1 in 5 families required home coaching (i.e. the plus condition) to gain benefits from smalltalk. Across both the MCH and SPG platforms, 18% of families were more likely to achieve
Table 2). Almost one quarter of parents reported reliable change from pre to post assessment. This rate dropped slightly for standard parents at follow-up but showed further improvement for families in the smalltalk conditions. The proportion of parents showing reliable improvements was highest in the smalltalk plus condition at follow-up, and this was significantly greater than for parents in the standard condition. Table 2 Summary of parent-reported and observed outcomes for the SPG platform Pre to Post smalltalk plus improved more than SPG standard on Parent-reported: home activities with Directly observed: carer descriptive language overall ‘carer facilitator’ behaviour smalltalk plus improved more than smalltalk on Directly observed: carer descriptive language follows child’s lead maintains/extends child’s interest overall ‘carer facilitator’ behaviour child sustained engagement smalltalk improved more than SPG standard on Parent-reported: child fine motor skills smalltalk improved more than smalltalk plus Parent-reported: language Pre to Follow up smalltalk plus improved more than SPG standard on Parent-reported: child personal-social skills Directly observed: maintains/extends child’s interest overall ‘carer facilitator’ behaviour smalltalk plus improved more than smalltalk on Directly observed: maintains/extends interest overall ‘carer facilitator’ behaviour smalltalk improved more than SPG standard on Parent-reported home activities with child child personal-social skills Around 1 in 5 families required home coaching (i.e. the plus condition) to gain benefits from smalltalk. Across both the MCH and SPG platforms, 18% of families were more likely to achieve