The primary aim of this project is to compare the effectiveness of a group- based Alert® program and the FASD-adapted PuP program for families with young children who have received a diagnosis of FASD (including ‘At Risk’ for FASD, as per the Australia Guidelines). Effectiveness will be examined across a range of outcomes, including: child executive function, child emotional and behavioural difficulties, parent/caregiver well being, parent/caregiver emotion regulation, and quality of the caregiver-child relationship. It is hypothesised that participation in the PuP program will generate improvements in all these outcomes over time. Similarly, it is anticipated that participation in the Alert®program will also generate improvements in child executive function, child emotion regulation, and behavioural difficulties. It is hypothesised that the changes will be of greater magnitude for the PuP arm of the trial due to the moreintensive therapeutic work with the parents and family unit.
A secondary aim of the project is to examine the barriers and facilitators for treatment depending on the treatmentreceived. Likewise, it is anticipated that the PuP program will require greater resources to implement, but that the holistic nature of the intervention may have greater cost-benefits in comparison to the Alert® program.