Accessibility statement

IBPI: Clinical and cost effectiveness of an online integrated bipolar parenting intervention: A randomised controlled trial

Parents with bipolar disorder (BD) find that the mood changes they experience make parenting challenging. They often report high levels of stress and low parenting confidence, while their children’s emotional and behavioural wellbeing is also impacted. Parents with BD often want parenting support but worry they might lose access to their children if they disclose this. Accessible, flexible, and confidential online parenting support is a way to provide this without adding to worries parents already have. Children of parents with BD often have emotional and behavioural problems, which can lead to mental health problems, including BD, as they grow up. Parents need support to help their children flourish, which may also help parents themselves feel better. 

The IBPI team at Lancaster University created an online intervention to support parents with BD which was acceptable to parents and helped with both child emotional and behaviour problems and parenting. The IBPI trial aims to fully assess whether an updated version of this intervention is effective and represents value for money.

Parents with BD with a child aged 4-11 years old in the UK were invited to participate in the IBPI trial through NHS mental health trusts, mental health charities and social media. Participants who agreed to take part were either offered the online intervention or usual care, decided randomly. Parents completed questionnaires about their child, their parenting, their mood, and their anxiety when starting the study, with then again when followed up 24 and 48 weeks later.

A total of 303 parents with BD joined the trial between March 2023 and November 2025. Follow-up data collection will continue until November 2026. 17 participants also took part in an interview to share their thoughts on how helpful they found the IBPI intervention. Trial results are expected early 2027 and will be posted here.

Please also visit the Lancaster University webpage to learn more: Bipolar-Parenting-Study - Lancaster University

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Funding

Funders(s): NIHR Health Technology Assessment (NIHR131483)
Start Date: April 2022
End Date: January 2027

Members

YTU Team:

External Members

  • Professor Steve Jones, Chief Investigator (Lancaster University)
  • Eirian Kerry, Trial Manager (Lancaster University)
  • Aliya Zaheen, Research Assistant (Lancashire & South Cumbria NHS Foundation Trust)
  • Julia Halstead, Administrator (Lancaster University)
  • Christopher Lodge, PPI Lead (Lancaster University)
  • Professor Fiona Lobban, Qualitative Lead (Lancaster University)
  • Professor Sarah Byford and Nahel Yaziji, Health Economists (Kings College London)
  • Professor Richard Morriss, Bipolar Diagnosis Lead (University of Nottingham)
  • Professor Cathy Cresswell, Parenting Intervention and Child Evaluation Lead (University of Oxford)
  • Dr Chris Sutton, Statistics Lead, University of Manchester  
  • Dr Jasper Palmier-Claus, Trust Liaison and Implementation Lead (Lancaster University)    
  • Professor Anne Duffy, Expert in Developmental Risk for Bipolar (Queens University, Canada)               

Signposting

If you would like to talk to someone about your mental health there are many different ways you can access information and support.

  • Mind – provides information, training, and support for people with mental health problems and their families: https://www.mind.org.uk/
  • Rethink Mental Illness – provides information, training and support for people with mental health problems and their families: https://www.rethink.org/
  • Bipolar UK – provides information and support for people with bipolar, including support groups and support lines: https://www.bipolaruk.org/
  • Campaign Against Living Miserably – provides online information and telephone/online chat support to people experiencing distress: https://www.thecalmzone.net/
  • The Hub of Hope – provides details of mental health support services in your area (UK only): https://hubofhope.co.uk/
  • Patient Advice and Liaison Service (PALS) - provide a point of contact for patients, their families and their carers to offer confidential advice, support and information on health-related matters: What is PALS (Patient Advice and Liaison Service)? - NHS (www.nhs.uk)

If you need more urgent help and are already in contact with mental health services, please contact them directly. If you are not in contact with mental health services, the following might be helpful:

  • Your usual GP practice
  • Your local out of hours GP or Accident and Emergency. Please visit nhs.uk if you’re unsure where to find these services
  • If you are unsure of what help you need, call 111 for the NHS telephone advice service
  • For someone to talk to over the phone, call Samaritans on 116 123 or email jo@samaritans.org
  • If you feel there is a serious and immediate risk, please call the emergency services on 999

Contact Us

IBPI Trial Team, Lancaster University  ibpi@lancaster.ac.uk

York Trials Unit Team ytu-ibpi@york.ac.uk

More information on the trial can be found at the following link:

https://www.lancs.ac.uk/spectrum/IBPI