> Impact and evidence
Our impact and evidence
A strong evidence base, delivering impact through accessible training and learning
Togetherness has a substantial evidence base for impact, including published research papers. The Solihull Approach model that underpins all of our programmes has been highly rated throughout its almost 30-year history.

A proven model for success
Both qualitative and quantitative, the Solihull Approach model has proven improvements in:

Child prosocial behaviour

Parent child relationships

Anxiety and stress

Behaviour difficulties

Practitioner satisfaction
The Approach provides practical, evidence-based solutions to help practitioners, families, and individuals navigate emotional health and relationships effectively.
Togetherness is backed by research evidence in early brain development and the significance of early relationships and experience. The emphasis on close, connected, attuned relationships underpins all of our training and resources.
Research over our history evidences the impact of a range of interventions informed by the Solihull Approach model.

A randomised control trial (RCT)
The Understanding your child programme was included in the rated programmes by the Early Intervention Foundation (now Foundations) following the publication of a Randomised Control Trial in 2019 which confirmed significant benefits to both children and parents.

Published research
Togetherness programmes are regularly reviewed by both Togetherness and its partners. In 2023, research published by the peer reviewed journal, Community Practitioner confirmed the significance of the online learning pathway, Understanding your baby, in improving parents’ self-belief across various aspects of parenting.
Research publications
The most recently published research on the impact of Togetherness (formerly the Solihull Approach) training and interventions:
Specialist nurses’ experiences of working with parental support in each and every encounter, according to an evidence based model in child healthcare (Sweden)
Bryggman, M., Berger, E., Bäck-Pettersson, S. and Olsson-Tail, M. (2025)
Open Journal of Nursing, 15, 198-210
The Swedish study, published on March 21, 2025, demonstrates the usefulness of the Solihull Approach model in infant and toddler care. Nurses in infant and toddler care were trained in the model and the impact of the training on the nurses’ work with young children and parents was subsequently investigated.
Effectiveness of a static web-based postnatal parenting programme: Solihull Approach’s ‘Understanding your baby’.
Sanchez Egana, R. and Douglas, H. (2023)
Community Practitioner
Evaluating the pre and post measures embedded in the online course, this report demonstrates the significant improvements in parents’ self belief across various aspects of parenting, such as feeding, soothing, establishing routines, and understanding their babies needs.
Adapting the Solihull Approach for staff caring for adults with learning disabilities and/or autism: evaluation of a pilot programme.
Neilson, T. (2022)
Learning disability Practice, 25(1).
This report describes a pilot project in which the two-day foundation training was adapted for practitioners who care for adults with learning disabilities and/or autism. The aim was to enhance their understanding of behaviour that challenges in this population.
Solihull Approach groups for Orthodox Jewish Mothers
Hill, B., Boscoe, A. and de Lange, B. (2021)
Community Practitioner, 94(1), 44-47
The study on groups delivered to mothers in the Orthodox Jewish community showed a statistically significant increase in warmth, a reduction in parental depression, anxiety and stress, and progress towards parenting goals.
The Solihull Approach 10 week programme: a randomised controlled trial
Douglas, H. and Johnson, R. (2019)
The Community Practitioner, 9 (7), 45-47
The RCT on the course for parents Understanding your child’s behaviour assessed three self-report measures used at two time-points – pre- and post-intervention – measuring child behaviour, parental emotional health and child-parent relationship.
Participants’ responses in the intervention group were compared with waiting-list controls, after controlling for pre-test scores, by analysis of covariance, as per protocol. The results show that, compared with not attending, attendance at the Solihull Approach group resulted in improvements in: child prosocial behaviour and conduct problems; parental anxiety and stress, and the parent-child relationship (increase in closeness, decrease in conflict), in a cohort that can be considered characteristic of the UK population in terms of ethnicity and those typically attending such groups (majority female). Furthermore, the impact on closeness in the parent-child relationship and parental stress showed highly statistically significant results, with a 99.995% probability that these could not have occurred by chance.
Using the Solihull Approach in breastfeeding support groups: Maternal perceptions
Monique, Tan., Rheeston, M. and Douglas, H. (2017)
British Journal of Midwifery 25(12), pp 765-773
The findings of a study exploring the use of the Solihull Approach in breastfeeding support groups from the perspective of breastfeeding mothers. The Solihull Approach helps to create safe spaces and helped ensure tailored informational and emotional support which sustained the mothers attendance to the group.
Understanding your pupil’s behaviour: a pilot study from two primary schools in Kent
Hassett, A. and Appleton, R. (2016)
Research report
This report records quantitative statistical analysis six months on from the Whole School training. Teachers in School ‘A’ showed a statistically significant increase in satisfaction with their helping role, self-esteem, and teacher efficacy scores as well as a decrease in feeling burnt out/stressed. The teachers at School ‘B’ who did not receive the training only showed an improvement in teacher efficacy over the period.
Taking part in ‘Understanding your child’s behaviour’ and positive changes for parents
Appleton, R., Douglas, H., Rheeston, M. (2016)
The Community Practitioner, 89: 2, 42-48
An evaluation of the experience of 105 parents who completed the ‘Understanding Your Child’s Behaviour’ course showed that over 90% of parents found the group helped them understand their child and identify changes. Recurring themes were that they had a better relationship with their child after taking part and they felt more confident.
Parents’ evaluation of ‘Understanding your child’s behaviour’, a parenting group based on the Solihull Approach
Johnson, R., Wilson, H. (2012)
Community Practitioner, 85: 5, 29-33
An evaluation of the views of over 200 parents took part in the ‘Understanding your child’s behaviour’ course showed that 95% of parents found the course highly satisfactory. Parents increased their knowledge of strategies and solutions for responding to children’s behaviour, they improved their interactions with their children and were better able to recognise and respond to their own and their children’s feelings.
Meeting expectations: The pilot evaluation of the Solihull Approach parenting group
Bateson, K., Delaney, J., Pybus, R. (2008)
Community Practitioner, 81: 5, 28-31
Research into the effectiveness of the Solihull Approach ‘Understanding your child’s behaviour’ course showed improvement in child behaviour and a reduction in parental stress.
A pilot evaluation study of the Solihull Approach
Milford, R., Kleve, L., Lea, J., Greenwood, R. (2006)
Community Practitioner, 79:11, 358-362
Using a control group, results showed a statistically significant decrease in distress and in parental perception of child difficulty in favour of the experimental group.
Containment, reciprocity and behaviour management: preliminary evaluation of a brief early intervention (the Solihull Approach) for families with infants and young children
Douglas, H., Brennan, A. (2004)
International Journal of Infant Observation, 7: 1, 89-107
This research showed that parents’ anxiety about their children decreased significantly along with the severity of problems, which also decreased.
The Solihull Approach: changes in health visiting practice
Douglas, H., Ginty, M. (2001)
Community Practitioner, 74(6), 222-224
This research showed that parents’ anxiety about their children decreased significantly along with the severity of problems, which also decreased.
