ORCID Profile
0000-0003-3479-6337
Current Organisations
University of Manchester
,
Glasgow Caledonian University
,
University of Queensland
,
The University of Auckland
,
University of South Carolina
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Research Topics
In Research Link Australia (RLA), "Research Topics" refer to ANZSRC FOR and SEO codes. These topics are either sourced from ANZSRC FOR and SEO codes listed in researchers' related grants or generated by a large language model (LLM) based on their publications.
Top 5 Research Topics
ANZSRC Field of Research (FoR)
Psychology | Health, Clinical And Counselling Psychology | Developmental Psychology And Ageing | Health, Clinical and Counselling Psychology | Family and Household Studies | Industrial And Organisational Psychology | Demography | Policy and Administration | Family Law | Labour Economics | Aboriginal and Torres Strait Islander Policy | Social And Community Psychology | Social Change | Aboriginal and Torres Strait Islander Health | Sociology of Education | Developmental Psychology and Ageing | Social Policy | Public Health And Health Services Not Elsewhere Classified | Social Policy And Planning
ANZSRC Socio-Economic Objective (SEO)
Child health | Changing work patterns | Expanding Knowledge through Studies of Human Society | Occupational health (excl. economic development aspects) | Behaviour and Health | Education and training not elsewhere classified | Cultural Understanding not elsewhere classified | Families | Professions and Professionalisation | Justice and the law not elsewhere classified | Youth/child development and welfare | Aboriginal and Torres Strait Islander Health - Health System Performance (incl. Effectiveness of Interventions) | Mental health | Families and Family Services | Social Class and Inequalities |
Related Links
Publications
The Effects of Mothers' Depression on the Behavioral Assessment of Disruptive Child Behavior
Publisher: Informa UK Limited
Date: 06-2003
The Effectiveness of Group Triple P for Chinese Immigrant Parents of School Age Children Living in New Zealand
Publisher: Cambridge University Press (CUP)
Date: 13-05-2022
DOI: 10.1017/BEC.2022.1
Abstract: The study was a randomised controlled trial evaluating the effectiveness of the Group Triple P Program for Chinese immigrant parents living in New Zealand. Sixty-seven Chinese immigrant parents of a 5- to 9-year-old child with disruptive behaviour problems were randomly allocated to either an intervention or a waitlist group. Parents completed measures of child adjustment problems, general parenting practices, parenting practices in children's academic lives, parental adjustment, parental teamwork, and family relationships at pre-, post-, and 4-month follow-up. Intervention group ratings of programme satisfaction were collected following programme completion. Significant short-term intervention effects were found for improvements in child behaviour, parenting practices, parental teamwork, and parenting in the child academic context. All intervention effects, except for parental teamwork, were maintained at 4-month follow-up. There were no significant intervention effects for parental adjustment, however, medium effect sizes were found at post-intervention and follow-up. A high level of programme satisfaction was reported.
Achieving Population-Level Change Through a System-Contextual Approach to Supporting Competent Parenting
Publisher: Springer Science and Business Media LLC
Date: 22-02-2017
Childhood Depression and Conduct Disorder: I. Behavioral, Affective, and Cognitive Aspects of Family Problem-Solving Interactions
Publisher: American Psychological Association (APA)
Date: 08-1992
Children's and Parents' Cognitions About family Interaction: An Evaluation of Video-Mediated Recall and Thought Listing Procedures in the Assessment of Conduct-Disordered Children
Publisher: Informa UK Limited
Date: 12-1992
Self-administered behavioral family intervention for parents of toddlers: Part I. Efficacy.
Publisher: American Psychological Association (APA)
Date: 02-2006
Behavioural Family Intervention with parents of children with ASD: What do they find useful in the parenting program Stepping Stones Triple P?
Publisher: Elsevier BV
Date: 07-2009
Evaluation of a Brief Parenting Discussion Group for Parents of Young Children
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 02-2011
Applying Self-Regulation Principles in the Delivery of Parenting Interventions
Publisher: Springer Science and Business Media LLC
Date: 20-02-2019
DOI: 10.1007/S10567-019-00287-Z
Abstract: An in idual's capacity to self-regulate their cognitions, emotions and actions is an important life skill and emergent developmental competency for both children and parents. In iduals with better self-regulation achieve more positive life course outcomes and are less likely to develop significant mental health, social, and relationship problems. Parenting support programs that promote positive, nurturing parent-child relationships provide a unique multigenerational context to promote the self-regulatory capacity of both parents and children. Such programs provide a meaningful context and many opportunities for parents to enhance their self-regulation capacities, including skills such as goal setting, self-monitoring, self-evaluation, self-efficacy, personal agency, and thought and emotion regulation that, in turn, enable independent problem solving and responsive parenting. Parenting programs based on social learning theory, cognitive behavioral principles, and developmental theory typically include structured session activities and homework tasks that can be optimized to promote parental self-regulation. These include enhancing executive functions such as anticipating, planning ahead, following a plan, and problem solving, so that parents acquire greater cognitive flexibility, better impulse control, and are better able to generalize and apply learned parenting principles and skills beyond their immediate concerns to a broader range of child problems and challenging parenting and family situations. We illustrate how positive parenting principles and strategies can promote enhanced self-regulation, and discuss implications for research and practice.
Towards a public health approach to parenting programmes for parents of adolescents
Publisher: Oxford University Press (OUP)
Date: 23-02-2012
Abstract: Poor parenting practices have been associated with adolescent emotional and behavioural problems which are potentially preventable. Parenting interventions that are based on behavioural and social learning theories have been repeatedly shown to be effective. However, few evidence-based parenting programmes are implemented and sustained at a population level. Little research is available on supporting the general population of parents during the adolescent years. Further, a substantial research-practice gap exists regarding the impact of a universal approach to parenting programmes for parents of adolescents. This article will first examine the effects of parenting practices on adolescent outcome. Afterwards, it addresses the effectiveness of parenting programmes for parents of adolescents. Finally, it discusses the need for a public health approach to parenting programmes.
Self-Directed Behavioral Family Intervention: Do Therapists Matter?
Publisher: Informa UK Limited
Date: 12-12-2005
The Knowledge of Effective Parenting Scale (KEPS): A Tool for Public Health Approaches to Universal Parenting Programs
Publisher: Springer Science and Business Media LLC
Date: 24-04-2012
DOI: 10.1007/S10935-012-0268-X
Abstract: Improving the knowledge, skills, and confidence of parents is often the aim of parenting-focused public health strategies and parenting programs, yet research on parental knowledge is limited compared with research on other parenting variables. In this study, a nonclinical s le of 62 parents of children aged 2-3 years was assessed for knowledge of child development processes and milestones [using the Knowledge of Infant Development Inventory (KIDI)] and knowledge of effective parenting strategies [using the Knowledge of Effective Parenting Scale (KEPS)], along with self-reported measures of parenting dysfunction and nurturance, parental confidence, parental affective state, and problematic child behavior. Additionally, in-home observations of parent-child interactions were conducted with dependent measures of aversive and non-aversive parent behavior, a composite measure of parenting competence, and aversive child behavior. Results showed that KEPS scores were significantly negatively related to self-reported parenting dysfunction, internalized problematic child behavior, and parental anxiety, and positively related to observed parenting competence. Knowledge as assessed by the KIDI was significantly positively associated only with KEPS scores. These results suggest that increasing parental knowledge of effective parenting strategies at a population level is likely to be more beneficial to parents than increasing their knowledge of child development processes and milestones.
Infant sleep position, head shape concerns, and sleep positioning devices
Publisher: Wiley
Date: 04-2007
DOI: 10.1111/J.1440-1754.2007.01054.X
Abstract: The Back To Sleep c aign has successfully promoted the use of the supine sleep position for infants, with a corresponding decrease in sudden infant death syndrome death rates around the world. The aim of this study was to survey current infant sleep position practices, concerns about plagiocephaly, and the use of sleep positioning devices. A postal survey of 400 mothers of infants aged 6 weeks to 4 months was carried out in Auckland, New Zealand. Of the 278 (69.5%) respondents, the supine position was usually used in 64.8%, the prone position in 2.9%, with 32.3% using the side position or a combination of side and back positions. Approximately one-third had a concern about their infant's head shape, and 80% described practices to help prevent head deformation. Thirty per cent reported they had changed their infant's sleep position because of head shape concerns. A third of the mothers used some sort of positioning system to maintain the infant's sleep position. Anxieties about plagiocephaly, aspiration of vomit, and poor quality sleep are the main concerns that parents have about sleeping their infants on their backs. Further education is needed to inform mothers about these issues and to alleviate their fears.
Enhancing generalization and maintenance effects in systematic parent training: The role of self-management skills
Publisher: Informa UK Limited
Date: 07-1982
Facilitators and Barriers to Implementation of an Evidence-Based Parenting Intervention to Prevent Child Maltreatment
Publisher: SAGE Publications
Date: 16-11-2011
Abstract: The prevention of child maltreatment via parenting interventions requires implementation on a broad scale, which is facilitated by drawing on a multidisciplinary array of service workers located in multiple settings. This underscores the importance of understanding factors that impact worker implementation of evidenced-based parenting and family support interventions. This study involved structured interviews with 174 service providers from several disciplines who had been trained previously in the delivery of the Triple P-Positive Parenting Program. These follow-up interviews, conducted an average of about 2 years after professional in-service training, provided the basis for examining predictors of sustained program use. Predictors examined included facilitators and barriers to program use, as well as organizational and provider-level characteristics such as attitudes toward evidence-based interventions. Highlighting the importance of a systems–contextual perspective on implementation, several provider and organization-level characteristics significantly predicted program use including provider self-confidence after training, fit of program with ongoing duties, availability of posttraining support, and perceived benefit of intervention for children and families. Implications for prevention and implementation science are discussed in view of the challenges inherent in the field of child maltreatment.
Children with persistent feeding difficulties: An observational analysis of the feeding interactions of problem and non-problem eaters.
Publisher: American Psychological Association (APA)
Date: 1993
Parenting and Prematurity: Understanding Parent Experience and Preferences for Support
Publisher: Springer Science and Business Media LLC
Date: 24-05-2013
Using the Mass Media as a Population Level Strategy to Strengthen Parenting Skills
Publisher: Informa UK Limited
Date: 14-07-2008
DOI: 10.1080/15374410802148103
Abstract: Psychologists conducting interventions usually think in terms of assisting in iduals, families, or small groups. Reaching large segments of a population is typically not the way most psychologists, in particular clinical and counseling psychologists, conceptualize intervention. In the parenting field, however, where large numbers of parents and children can benefit from evidence-based information and assistance, combining population-level strategies such as the use of the mass media with parenting and family support strategies is one worth considering. This article explores that possibility.
Cognitive-Behavioral Treatment of Recurrent Nonspecific Abdominal Pain in Children: An Analysis of Generalization, Maintenance, and Side Effects
Publisher: American Psychological Association (APA)
Date: 1989
Using behaviour science to enrich development: understanding attitudes related to behavioural change and environmental management in low-resource communities
Publisher: Informa UK Limited
Date: 17-08-2021
Designing effective interventions for working parents: a web‐based survey of parents in the UK workforce
Publisher: Emerald
Date: 16-09-2011
DOI: 10.1108/17466661111176042
Abstract: The purpose of this paper is to examine working parents' experiences and attitudes and to determine if these differ according to gender. Three areas were investigated: level of reported difficulties in parenting and balancing work and family parental perceptions about the workplace as a context for the delivery of parenting support and employee preferences for intervention features. In total, 721 employed parents in the UK were recruited via their organisation and completed a web‐based survey. A total of 41 percent of parents reported their children had significant behaviour problems and 85 percent stated that worksite parenting interventions should be made available. A clear preference was found for evidence‐based interventions delivered by trained practitioners. The vast majority of men (86 percent) and women (90 percent) reported they would attend a workplace parenting intervention if one were available. The need to tailor programmes to the needs of parents is increasingly accepted. This paper analyses the potential for tailoring an evidence‐based programme for parents in the workplace. It suggests that the provision of workplace parenting programmes may benefit the organisation and the in idual and increase parental access to services.
Population-Based Prevention of Child Maltreatment: The U.S. Triple P System Population Trial
Publisher: Springer Science and Business Media LLC
Date: 22-01-2009
The Role of Practitioner Self-Efficacy, Training, Program and Workplace Factors on the Implementation of an Evidence-Based Parenting Intervention in Primary Care
Publisher: Springer Science and Business Media LLC
Date: 31-03-2011
DOI: 10.1007/S10935-011-0240-1
Abstract: This study examines factors affecting the implementation by primary care practitioners (nursing, education, allied health, and medical) of a brief parenting and family support intervention (the Primary Care Triple P-Positive Parenting Program) following professional training. It assesses the impact of prior experience, self-efficacy, program supports, program barriers, satisfaction with training, and workplace characteristics on reported extent of program use. The majority of practitioners (97%) reported using Triple P following training. Implementation was assessed as the proportion of cases seen who received the full program. Program supports (quality of format and materials) and barriers (management difficulties and lack of fit) impacted on practitioner self-efficacy, and higher self-efficacy was positively associated with implementation. Prior professional experience, satisfaction with training, and workplace factors were not significant predictors. These results highlight the importance of promoting practitioners' sense of competence or mastery of a program for facilitating the implementation of evidence-based programs in primary care settings.
Self-Directed Behavioral Family Intervention for Parents of Oppositional Children in Rural and Remote Areas
Publisher: SAGE Publications
Date: 10-1997
DOI: 10.1177/01454455970214001
Abstract: Twenty-four parents of oppositional preschoolers were randomly assigned to either a selfdirected behavioral family intervention condition (SD) or to a waitlist control group (WL). The self-directed parent training program, based on self-regulation principles, consisted of a written information package and weekly telephone consultations for 10 weeks. At posttest, in comparison to the WL group, children in the SD group had lower levels of behavior problems on parent report measures of child behavior. At posttreatment, parents in the SD condition reported increased levels of parenting competence and lower levels of dysfunctional parenting practices as compared to parents in the WL condition. In addition, mothers reported lower levels of anxiety, depression, and stress as compared to mothers in the WL condition at posttreatment. Using mother's reports, gains in child behavior and parenting practices achieved at posttreatment were maintained at 4-month follow-up.
Perceived parenting support: Relationship to parenting, parent self-regulation and child social, emotional and behavioural problems
Publisher: The University of Queensland
Date: 28-04-2023
DOI: 10.14264/0DF133B
Cognitive-behavioral treatment of recurrent nonspecific abdominal pain in children: An analysis of generalization, maintenance, and side effects
Publisher: No publisher found
Date: 1989
Does self-directed and web-based support for parents enhance the effects of viewing a reality television series based on the Triple P - Positive Parenting Programme?
Publisher: Wiley
Date: 09-2008
DOI: 10.1111/J.1469-7610.2008.01901.X
Abstract: This study investigated whether providing self-directed and web-based support for parents enhanced the effects of viewing a reality television series based on the Triple P - Positive Parenting Programme. Parents with a child aged 2 to 9 (N = 454) were randomly assigned to either a standard or enhanced intervention condition. In the standard television alone viewing condition, parents watched the six-episode weekly television series, 'Driving Mum and Dad Mad'. Parents in the enhanced television viewing condition received a self-help workbook, extra web support involving downloadable parenting tip sheets, audio and video streaming of positive parenting messages and email support, in addition to viewing the television series. Parents in both conditions reported significant improvements in their child's disruptive behaviour and improvements in dysfunctional parenting practices. Effects were greater for the enhanced condition as seen on the ECBI, two of the three parenting indicators and overall programme satisfaction. However, no significant differences were seen on other measures, including parent affect indicators. The level of improvement was related to number of episodes watched, with greatest changes occurring in families who watched each episode. Improvements achieved at post-intervention by parents in both groups were maintained at six-month follow-up. Online tip sheets were frequently accessed uptake of web-based resources was highest early in the series. The value of combining self-help approaches, technology and media as part of a comprehensive public health approach to providing parenting support is discussed.
The effects of the Triple P-Positive Parenting Program on preschool children with co-occurring disruptive behavior and attentional/hyperactive difficulties
Publisher: Springer Science and Business Media LLC
Date: 2002
Abstract: Two variants of a behavioral family intervention (BFI) program known as Triple P were compared using 87 preschoolers with co-occurring disruptive behavior and attentional/hyperactive difficulties. Families were randomly allocated to enhanced BFI (EBFI), standard BFI (SBFI), or a waitlist (WL) control group. At postintervention both BFI programs were associated with significantly lower levels of parent-reported child behavior problems, lower levels of dysfunctional parenting, and greater parental competence than the WL condition. The EBFI condition was also associated with significantly less observed child negative behavior in comparison to the WL. The gains achieved at postintervention were maintained at 1-year follow-up. Contrary to predictions, the enhanced program was not shown to be superior to the standard program using any of the outcome measures at either postintervention or follow-up. Each of the programs produced significant reductions in children's co-occurring disruptive behavior and attentional/hyperactive difficulties with 80% of the children showing clinically reliable improvement in observed negative behavior from preintervention to follow-up.
Dissemination of evidence-based parenting and family support strategies: Learning from the Triple P—Positive Parenting Program system approach
Publisher: Elsevier BV
Date: 03-2006
Socio-Ecological Predictor Model of Parental Intention to Participate in Triple P-Positive Parenting Program
Publisher: Springer Science and Business Media LLC
Date: 08-08-2008
Self-Directed Triple P (Positive Parenting Program) for Mothers with Children at-Risk of Developing Conduct Problems
Publisher: Cambridge University Press (CUP)
Date: 27-03-2006
DOI: 10.1017/S1352465806002797
Abstract: A self-directed variant of the Positive Parenting Program (Triple P) was evaluated using 63 preschool-age children at-risk of developing conduct problems. Families were randomly assigned to either Self-directed Triple P (SD), a self-administered behavioural family intervention program, or a waitlist group (WL). The 10-unit SD program teaches parents 17 parenting skills to increase pro-social child behaviours and decrease problem behaviours in home and community settings. Using mothers' reports of child behaviour and parenting practices, mothers in the SD group reported significantly less child behaviour problems, less use of dysfunctional discipline strategies, and greater parenting competence than mothers in the WL group. On measures of parental adjustment, there was no significant difference in conditions at post-intervention based on mothers' reports of depression, anxiety, stress and conflict with partners over parenting issues. Mothers' reports at 6-month follow-up indicated that gains in child behaviour and parenting practices achieved at post-intervention were maintained.
Effectiveness of Group Positive Parenting Program (Triple P) in Changing Child Behavior, Parenting Style, and Parental Adjustment: An Intervention Study in Japan
Publisher: Springer Science and Business Media LLC
Date: 09-02-2011
Do parental attributions affect treatment outcome in a parenting program? An exploration of the effects of parental attributions in an RCT of Stepping Stones Triple P for the ASD population
Publisher: Elsevier BV
Date: 2009
Community-based parenting and family support interventions and the prevention of drug abuse
Publisher: Elsevier BV
Date: 11-2000
DOI: 10.1016/S0306-4603(00)00128-3
Abstract: This paper presents a model for the development of a comprehensive, multilevel, preventively-oriented parenting and family support strategy to reduce family risk factors associated with drug abuse in young people. If parenting interventions are to make a significant impact at a population level on the prevalence of dysfunctional parenting practices, there is a need for an ecological approach to parenting support. Such an approach needs to target a variety of social contexts that are in a position to provide parents with access to evidence-based parenting interventions. The Triple P-Positive Parenting Program is discussed as an ex le of such an approach to illustrate the distinguishing features of a population level strategy. The core constructs underpinning the Triple P system include the promotion of parental self-regulation (self-sufficiency, self-efficacy, self-management, personal agency, and problem solving), through making parenting programs of adequate intensity widely available in the community through flexible delivery modalities (in idual, group, telephone assisted and self-directed). The system comprises a tiered continuum of increasingly intensive parenting interventions ranging from media interventions with wide reach, to intensive behavioural family interventions with narrow reach for high-risk families where parenting problems are complicated by other factors including marital conflict, parental mood disturbance, and lack of social support. The scientific basis of the system of intervention and possible directions for future research is discussed.
Can Technology and the Media Help Reduce Dysfunctional Parenting and Increase Engagement With Preventative Parenting Interventions?
Publisher: SAGE Publications
Date: 15-09-2008
Abstract: In an evaluation of the television series “Driving Mum and Dad Mad,” 723 families participated and were randomly assigned to either a standard or technology enhanced viewing condition (included additional Web-support). Parents in both conditions reported significant improvements from pre- to postintervention in their child's behavior, dysfunctional parenting, parental anger, depression, and self-efficacy. Short-term improvements were maintained at 6-months follow-up. Regressions identified predictors of program outcomes and level of involvement. Parents who watched the entire series had more severe problems at preintervention and high sociodemographic risk than parents who did not watch the entire series. Few sociodemographic, child, or parent variables assessed at preintervention predicted program outcomes or program engagement, suggesting that a wide range of parents from erse socioeconomic status benefited from the program. Media interventions depicting evidence-based parenting programs may be a useful means of reaching hard to engage families in population-level child maltreatment prevention programs.
Stepping stones triple p: An rct of a parenting program with parents of a child diagnosed with an autism spectrum disorder
Publisher: Springer Science and Business Media LLC
Date: 21-11-2009
DOI: 10.1007/S10802-008-9285-X
Abstract: Whilst the Triple P Positive Parenting Program has a large evidence base (Sanders, Clinical Child and Family Psychology Review 2:71-90, 1999 Sanders, Journal of Consulting and Clinical Psychology 68:624-640, 2000) and preliminary evidence indicates that Stepping Stones Triple P is also efficacious (Roberts, Journal of Clinical Child and Adolescent Psychology, 35(2):180-193, 2006), to date Stepping Stones has not been evaluated with the ASD population. Fifty-nine families with a child with ASD aged between 2 and 9 participated in this randomized controlled trial. The results demonstrate significant improvements in parental reports of child behaviour and parenting styles with the treatment effects for child behaviour, parental over reactivity and parental verbosity being maintained at follow-up 6 months later. Further, the results suggest significant improvements in parental satisfaction and conflict about parenting as well as a sleeper effect for parental efficacy. The results indicate that Stepping Stones Triple P is a promising intervention for parents of children with ASD. Limitations and future research are also addressed.
Online-Delivered Over Staff-Delivered Parenting Intervention for Young Children With Disruptive Behavior Problems: Cost-Minimization Analysis (Preprint)
Publisher: JMIR Publications Inc.
Date: 28-05-2021
Abstract: igh-prevalence childhood mental health problems like early-onset disruptive behavior problems (DBPs) pose a significant public health challenge and necessitate interventions with adequate population reach. The treatment approach of choice for childhood DBPs, namely evidence-based parenting intervention, has not been sufficiently disseminated when relying solely on staff-delivered services. Online-delivered parenting intervention is a promising strategy, but the cost minimization of this delivery model for reducing child DBPs is unknown compared with the more traditional staff-delivered modality. his study aimed to examine the cost-minimization of an online parenting intervention for childhood disruptive behavior problems compared with the staff-delivered version of the same content. This objective, pursued in the context of a randomized trial, made use of cost data collected from parents and service providers. cost-minimization analysis (CMA) was conducted comparing the online and staff-delivered parenting interventions. Families (N=334) with children 3-7 years old, who exhibited clinically elevated disruptive behavior problems, were randomly assigned to the two parenting interventions. Participants, delivery staff, and administrators provided data for the CMA concerning family participation time and expenses, program delivery time (direct and nondirect), and nonpersonnel resources (eg, space, materials, and access fee). The CMA was conducted using both intent-to-treat and per-protocol analytic approaches. or the intent-to-treat analyses, the online parenting intervention reflected significantly lower program costs ( i t /i sub /sub =23.2 i P& /i .001), family costs ( i t /i sub /sub =9.2 i P& /i .001), and total costs ( i t /i sub /sub =19.1 i P& /i .001) compared to the staff-delivered intervention. The mean incremental cost difference between the interventions was $1164 total costs per case. The same pattern of significant differences was confirmed in the per-protocol analysis based on the families who completed their respective intervention, with a mean incremental cost difference of $1483 per case. All costs were valued or adjusted in 2017 US dollars. he online-delivered parenting intervention in this randomized study produced substantial cost minimization compared with the staff-delivered intervention providing the same content. Cost minimization was driven primarily by personnel time and, to a lesser extent, by facilities costs and family travel time. The CMA was accomplished with three critical conditions in place: (1) the two intervention delivery modalities (ie, online and staff) held intervention content constant (2) families were randomized to the two parenting interventions and (3) the online-delivered intervention was previously confirmed to be non-inferior to the staff-delivered intervention in significantly reducing the primary outcome, child disruptive behavior problems. Given those conditions, cost minimization for the online parenting intervention was unequivocal. linicalTrials.gov NCT02121431 t2/show/NCT02121431
The Triple P-Positive Parenting Program: A comparison of enhanced, standard, and self-directed behavioral family intervention for parents of children with early onset conduct problems.
Publisher: American Psychological Association (APA)
Date: 2000
Designing effective behavioral family interventions for stepfamilies
Publisher: Elsevier BV
Date: 1994
Self-administered behavioural family intervention for parents of toddlers: Effectiveness and dissemination
Publisher: Elsevier BV
Date: 12-2006
DOI: 10.1016/J.BRAT.2005.11.015
Abstract: This study examined the effectiveness of a self-administered behavioural family intervention (BFI) for parents of toddlers, within the context of a regular telephone counselling service provider. Telephone counsellors were trained in the delivery of BFI, and 110 mothers of toddlers completed the intervention. There were significant short-term effects of intervention in terms of child behaviour problems and parenting style, parenting confidence and anger. In addition, there were improvements in mother's personal adjustment, and lower levels of parenting conflict. The intervention effects were maintained at 3-month follow-up. The results provide support for the effectiveness of self-administered BFI, and have implications for the population level delivery of behavioural family interventions.
Triple P-positive parenting program: Towards an empirically validated multilevel parenting and family support strategy for the prevention of behavior and emotional problems in children
Publisher: Springer Science and Business Media LLC
Date: 1999
Abstract: This paper outlines the theoretical and empirical foundations of a unique multilevel parenting and family support strategy designed to reduce the prevalence of behavioral and emotional problems in preadolescent children. The program known as Triple P-Positive Parenting Program is a multilevel system of family intervention, which provides five levels of intervention of increasing strength. These interventions include a universal population-level media information c aign targeting all parents, two levels of brief primary care consultations targeting mild behavior problems, and two more intensive parent training and family intervention programs for children at risk for more severe behavioral problems. The program aims to determine the minimally sufficient intervention a parent requires in order to deflect a child away from a trajectory towards more serious problems. The self-regulation of parental skill is a central construct in the program. The program uses flexible delivery modalities (including in idual face-to-face, group, telephone assisted, and self-directed programs) to tailor the strength of the intervention to the requirements of in idual families. Its multidisciplinary, preventive and community-wide focus gives the program wide reach, permitting the targeting of destigmatized access points through primary care services for families who are reluctant to participate in parenting skills programs. The available empirical evidence supporting the efficacy of the program is discussed and its implications for research on dissemination are discussed.
Prevention of Child Behavior Problems Through Universal Implementation of a Group Behavioral Family Intervention
Publisher: Springer Science and Business Media LLC
Date: 14-09-2005
DOI: 10.1007/S11121-005-0013-2
Abstract: The aim of this mental health promotion initiative was to evaluate the effectiveness of a universally delivered group behavioral family intervention (BFI) in preventing behavior problems in children. This study investigates the transferability of an efficacious clinical program to a universal prevention intervention delivered through child and community health services targeting parents of preschoolers within a metropolitan health region. A quasi-experimental two-group (BFI, n = 804 vs. Comparison group, n = 806) longitudinal design followed preschool aged children and their parents over a 2-year period. BFI was associated with significant reductions in parent- reported levels of dysfunctional parenting and parent-reported levels of child behavior problems. Effect sizes on child behavior problems ranged from large (.83) to moderate (.47). Positive and significant effects were also observed in parent mental health, marital adjustment, and levels of child rearing conflict. Findings are discussed with respect to their implication for significant population reductions in child behavior problems as well as the pragmatic challenges for prevention science in encouraging both the evaluation and uptake of preventive initiatives in real world settings.
Childhood Depression and Conduct Disorder: II. An Analysis of Family Interaction Patterns in the Home
Publisher: American Psychological Association (APA)
Date: 08-1992
The efficacy of the Triple P-Positive Parenting Program in improving parenting and child behavior: A comparison with two other treatment conditions
Publisher: Elsevier BV
Date: 04-2008
DOI: 10.1016/J.BRAT.2008.01.001
Abstract: The aim of this randomized controlled trial was to evaluate the efficacy of an evidence-based parenting program (the Triple P-Positive Parenting Program), intending to improve parenting skills and children's well-being. Parents participating in a Group Triple P program (n=50 couples) were compared with parents of a non-treated control group (n=50 couples) and parents participating in a marital distress prevention program (couples coping enhancement training (CCET)) (n=50 couples). The two major goals of this study were (a) to evaluate the efficacy of Triple P compared with the two other treatment conditions over a time-span of 1 year and (b) to answer the question whether this program that was developed in Australia is culturally accepted by Swiss parents. Results revealed that Triple P was effective with Swiss families. Mothers of the Triple P group showed significant improvements in parenting, parenting self-esteem, and a decrease in stressors related to parenting. Women trained in Triple P also reported significantly lower rates of child's misbehavior than women of the two other conditions. However, in men only a few significant results were found. Positive effects of the relationship training (CCET) were somewhat lower than those for the Triple P. These findings are further discussed.
Triple P-Positive Parenting Program as a public health approach to strengthening parenting.
Publisher: American Psychological Association (APA)
Date: 08-2008
DOI: 10.1037/0893-3200.22.3.506
Abstract: Parenting programs have considerable potential to improve the mental health and well-being of children, improve family relationships, and benefit the community at large. However, traditional clinical models of service delivery reach relatively few parents. A public health approach is needed to ensure that more parents benefit and that a societal-level impact is achieved. The Triple P-Positive Parenting Program is a comprehensive, multilevel system of parenting intervention that combines within a single intervention universal and more targeted interventions for high-risk children and their parents. With Triple P, the overarching goal is to enhance the knowledge, skills, and confidence of parents at a whole-of-population level and, in turn, to reduce the prevalence rates of behavioral and emotional problems in children and adolescents. The distinguishing features of the intervention and variables that influence its effective implementation are discussed. Self-regulation is a unifying concept that is applied throughout the entire system (e.g., to interactions between children, parents, service providers, and agencies involved in delivering the intervention). Challenges and future directions for the development of public health approaches to parenting are discussed.
The positive parenting program: An early intervention to improve personal relationships between teenagers and their parents
Publisher: Elsevier
Date: 2002
Parenting and the Emotional and Behavioural Adjustment of Young Children in Families with a Parent with Bipolar Disorder
Publisher: Cambridge University Press (CUP)
Date: 14-03-2012
DOI: 10.1017/S1352465812000094
Abstract: Background: Children of parents with bipolar disorder are at increased risk of disturbance. Aims: This study examined relationships between parental mood, parenting, household organization and child emotional and behavioural adjustment in families with a parent with bipolar disorder to determine areas of specific need for parenting support. Method: 48 parents were recruited through advertisements via self-help organizations. The study was conducted online. Parental mood and activity was assessed by self-report questionnaires (CES-D, ISS, MDQ and SRM) parenting was assessed using the Parenting Scale (PS). The SDQ was used to assess the parent's view of their child's emotional and behavioural difficulties. The Confusion, Hubbub and Order Scale (CHAOS) assessed household organization. Results: Parents reported high levels of difficulties across all measures and scores were above clinical cut-offs on most scales. Children were reported as showing high levels of disturbance on the SDQ, including all sub-scales. Parenting and depression scores were significantly positively correlated, as were depression, parenting and CHAOS score. Regression analyses indicated that CHAOS was the strongest predictor of Total Difficulties and Emotional Symptoms on the SDQ. Conclusions: Families are likely to benefit from interventions tailored to meet their parenting needs.
Randomised clinical trial of a group parent education programme for Australian Indigenous families
Publisher: Wiley
Date: 13-04-2007
DOI: 10.1111/J.1440-1754.2007.01053.X
Abstract: Parenting programmes have been shown to improve children's adjustment and reduce problem behaviour however, little research has addressed outcomes for Indigenous families. The aim of this project was to assess the impact and cultural appropriateness of a parenting programme tailored for Indigenous families, an adaptation of the evidence-based Group Triple P - Positive Parenting Program. A repeated measures randomised group design methodology was used, comparing the intervention with a waitlist control condition pre- and post-intervention, with a 6-month follow-up of the intervention group. Parents attending Group Triple P reported a significant decrease in rates of problem child behaviour and less reliance on some dysfunctional parenting practices following the intervention in comparison to waitlist families. The programme also led to greater movement from the clinical range to the non-clinic range for mean child behaviour scores on all measures. Effects were primarily maintained at 6-month follow-up. Qualitative data showed generally positive responses to the programme resources, content and process. However, only a small number of waitlist families subsequently attended groups, signalling the importance of engaging families when they first make contact, helping families deal with competing demands, and offering flexible service delivery so families can resume contact when circumstances permit. This study provides empirical support for the effectiveness and acceptability of a culturally tailored approach to Group Triple P conducted by Child Health and Indigenous Health workers in a community setting. The outcomes of this trial may be seen as a significant step in increasing appropriate service provision for Indigenous families and reducing barriers to accessing available services in the community.
Predictors of care‐giver stress in families of preschool‐aged children with developmental disabilities
Publisher: Wiley
Date: 08-01-2007
DOI: 10.1111/J.1365-2788.2006.00829.X
Abstract: This study examined the predictors, mediators and moderators of parent stress in families of preschool-aged children with developmental disability. One hundred and five mothers of preschool-aged children with developmental disability completed assessment measures addressing the key variables. Analyses demonstrated that the difficulty parents experienced in completing specific care- giving tasks, behaviour problems during these care-giving tasks, and level of child disability, respectively, were significant predictors of level of parent stress. In addition, parents' cognitive appraisal of care-giving responsibilities had a mediating effect on the relationship between the child's level of disability and parent stress. Mothers' level of social support had a moderating effect on the relationship between key independent variables and level of parent stress. Difficulty of care-giving tasks, difficult child behaviour during care-giving tasks, and level of child disability are the primary factors which contribute to parent stress. Implications of these findings for future research and clinical practice are outlined.
Stepping Stones Triple P-Positive Parenting Program for children with disability: A systematic review and meta-analysis
Publisher: Elsevier BV
Date: 05-2013
DOI: 10.1016/J.RIDD.2013.01.022
Abstract: This systematic review and meta-analysis evaluated the treatment effects of a behavioral family intervention, Stepping Stones Triple P (SSTP) for parents of children with disabilities. SSTP is a system of five intervention levels of increasing intensity and narrowing population reach. Twelve studies, including a total of 659 families, met eligibility criteria. Studies needed to have evaluated SSTP, be written in English or German, contribute original data, and have sufficient data for analyses. No restrictions were placed on study design. A series of meta-analyses were performed for seven different outcome categories. Analyses were conducted on the combination of all four levels of SSTP for which evidence exists (Levels 2-5), and were also conducted separately for each level of SSTP. Significant moderate effect sizes were found for all levels of SSTP for reducing child problems, the primary outcome of interest. On secondary outcomes, significant overall effect sizes were found for parenting styles, parenting satisfaction and efficacy, parental adjustment, parental relationship, and observed child behaviors. No significant treatment effects were found for observed parenting behaviors. Moderator analyses showed no significant differences in effect sizes across the levels of SSTP intervention, with the exception of child observations. Risk of bias within and across studies was assessed. Analyses suggested that publication bias and selective reporting bias were not likely to have heavily influenced the findings. The overall evidence base supported the effectiveness of SSTP as an intervention for improving child and parent outcomes in families of children with disabilities. Limitations and future research directions are discussed.
Predicting Utilization of Evidence-Based Parenting Interventions with Organizational, Service-Provider and Client Variables
Publisher: Springer Science and Business Media LLC
Date: 13-02-2009
DOI: 10.1007/S10488-009-0205-3
Abstract: Multidisciplinary service providers (N = 611) who underwent training in the Triple P-Positive Parenting Program participated in a structured interview 6 months following training to determine their level of post-training program use and to identify any facilitators and barriers to program use. Findings revealed that practitioners who had received training in Group Triple P, received positive client feedback, had experienced only minor barriers to implementation, and had consulted with other Triple P practitioners following training were more likely to become high users of the program. Practitioners were less likely to use the program when they had lower levels of confidence in delivering Triple P and in consulting with parents in general, had difficulties in incorporating Triple P into their work, and where there was low workplace support. These findings highlight the importance of considering the broader post training work environment of service providers as a determinant of subsequent program use.
Does the triple P-Positive Parenting Program provide value for money?
Publisher: SAGE Publications
Date: 03-2007
DOI: 10.1080/00048670601172723
Abstract: Objective: The aim of the present study was to investigate the economic case for the implementation of the Triple P–Positive Parenting Program on a population basis in Queensland, Australia, in order to reduce the prevalence of conduct disorder in children. Method: Threshold analysis was undertaken together with a limited cost-effectiveness analysis. Results: The Triple P–Positive Parenting Program is a dominant intervention that is, it costs less than the amount it saves, until the reduction in prevalence falls below 7% where net costs become positive. Conclusions: Triple P is likely to be a worthwhile use of limited health funds. The economic case is promising, but further research is required to confirm the study results.
Adopting a public health approach to the delivery of evidence-based parenting interventions.
Publisher: American Psychological Association (APA)
Date: 02-2010
DOI: 10.1037/A0018295
Coercive parenting: modifiable and nonmodifiable risk factors in parents of children with developmental disabilities
Publisher: Wiley
Date: 28-01-2021
DOI: 10.1111/JIR.12813
Abstract: Parents of children with developmental or intellectual disabilities tend to report greater use of coercive parenting practices relative to parents of typically developing children, increasing the risk of adverse child outcomes. However, to date, there is limited research exploring the role and relative contribution of modifiable and nonmodifiable risk factors in parents of children with a disability. The present study aimed to explore the role of various modifiable and nonmodifiable parenting, family and sociodemographic factors associated with the use of coercive parenting practices in parents of children with a disability. Caregivers (N = 1392) enrolled in the Mental Health of Young People with Developmental Disabilities (MHYPeDD) programme in Australia completed a cross-sectional survey about their parenting and their child aged 2-12 years with a disability. Measures covered a range of domains including relevant demographic and family background, use of coercive parenting practices, intensity of child behavioural difficulties and questions relating to parent and family functioning such as parental self-efficacy, adjustment difficulties and quality of family relationships. Parents of older children, those who were younger at the birth of their child, and parents who were co-parenting or working reported more use of coercive parenting practices. Greater intensity of child difficulties, poorer parental self-efficacy and parent-child relationships, and more parental adjustment difficulties were also significantly associated with more use of coercive parenting. Examination of the relative contribution of variables revealed parent-child relationship was a key contributing factor, followed by intensity of child behaviour problems, parent adjustment and parent confidence. These findings highlight a range of factors that should be targeted and modified through upstream prevention programmes and further inform our understanding of how coercive practices may be influenced through targeted parenting interventions.
Are Parent-Reported Outcomes for Self-Directed or Telephone-Assisted Behavioral Family Intervention Enhanced if Parents Are Observed?
Publisher: SAGE Publications
Date: 05-2007
Abstract: The study examined the effects of conducting observations as part of a broader assessment of families participating in behavior family intervention (BFI). It was designed to investigate whether the observations improve intervention outcomes. Families were randomly assigned to different levels of BFI or a waitlist control condition and subsequently randomly assigned to either observation or no-observation conditions. This study demonstrated significant intervention and observation effects. Mothers in more intensive BFI reported more improvement in their child's behavior and their own parenting. Observed mothers reported lower intensity of child behavior problems and more effective parenting styles. There was also a trend for less anger among mothers who were observed and evidence of an observation-intervention interaction for parental anger, with observed mothers in more intensive intervention reporting less anger compared to those not observed. Implications for clinical and research intervention contexts are discussed.
Every Family: A Population Approach to Reducing Behavioral and Emotional Problems in Children Making the Transition to School
Publisher: Springer Science and Business Media LLC
Date: 05-2008
DOI: 10.1007/S10935-008-0139-7
Abstract: A large-scale population trial using the Triple P-Positive Parenting Program (TPS) was evaluated. The target population was all parents of 4- to 7-year-old children residing in ten geographical catchment areas in Brisbane (intervention communities) and ten sociodemographically matched catchment areas from Sydney (5) and Melbourne (5), care as usual (CAU) comparison communities. All five levels of the Triple P multilevel system of intervention were employed including a local mass media strategy, a primary care strategy, and three more intensive levels of parenting intervention delivered by a range of service providers (e.g., health, education, and welfare sectors). Program outcomes were assessed through a computer-assisted telephone interview of a random s le of households (N = 3000) in each community at pre-intervention and again at two years post-intervention. At post-intervention there were significantly greater reductions in the TPS communities in the number of children with clinically elevated and borderline behavioral and emotional problems compared to the CAU communities. Similarly parents reported a greater reduction in the prevalence of depression, stress and coercive parenting. Findings show the feasibility of targeting dysfunctional parenting practices in a cost-effective manner and the public acceptance of an approach that blends universal and targeted program elements. Editors' Strategic Implications: This is the first positive parenting program to demonstrate longitudinal, population-level effects for parents and children. The authors provide an excellent ex le of multilevel prevention planning, coordination, execution, and evaluation.
The Triple P-positive parenting program: A comparison of enhanced, standard, and self-directed behavioral family intervention for parents of children with early onset conduct problems
Publisher: No publisher found
Date: 2000
The costs of a public health infrastructure for delivering parenting and family support
Publisher: Elsevier BV
Date: 05-2008
Randomised clinical trial of a family-based lifestyle intervention for childhood obesity involving parents as the exclusive agents of change
Publisher: Elsevier BV
Date: 12-2010
DOI: 10.1016/J.BRAT.2010.08.008
Abstract: Parent-centred interventions for childhood obesity aim to improve parents' skills and confidence in managing children's dietary and activity patterns, and in promoting a healthy lifestyle in their family. However, few studies assess changes in parenting over the course of treatment. This study describes the evaluation of a lifestyle-specific parenting program (Group Lifestyle Triple P) on multiple child and parent outcomes. One-hundred-and-one families with overweight and obese 4- to 11-year-old children participated in an intervention or waitlist control condition. The 12-week intervention was associated with significant reductions in child BMI z score and weight-related problem behaviour. At the end of the intervention, parents reported increased confidence in managing children's weight-related behaviour, and less frequent use of inconsistent or coercive parenting practices. All short-term intervention effects were maintained at one-year follow-up assessment, with additional improvements in child body size. The results support the efficacy of Group Lifestyle Triple P and suggest that parenting influences treatment outcomes. Further research is needed to evaluate the long-term effectiveness of the intervention and to elucidate the mechanisms of change.
Conflict between work and family among New Zealand teachers with dependent children
Publisher: Elsevier BV
Date: 10-2012
Reducing preschoolers' disruptive behavior in public with a brief parent discussion group
Publisher: Springer Science and Business Media LLC
Date: 25-07-2010
DOI: 10.1007/S10578-009-0151-Z
Abstract: This study examined the efficacy of a brief 2-h discussion group for parents of preschool children that show disruptive behavior on shopping trips. Forty-six parents with children aged 2-6 years were randomly assigned to either the intervention condition or a waitlist control group. Significant intervention effects were found for measures of problem child behavior, dysfunctional parenting styles and parents' confidence in the parenting role. No group differences were found for parental adjustment or conflict over parenting. Intervention gains were maintained at 6-month follow-up. Results are discussed within a primary care and public health framework.
Family Transitions Triple P
Publisher: Informa UK Limited
Date: 31-07-2007
Characteristics of Internalizing and Externalizing Disorders in Medication-Naïve, Clinically Referred Children with Attention Deficit Hyperactivity Disorder, Combined Type and Dysthymic Disorder
Publisher: SAGE Publications
Date: 05-2005
DOI: 10.1080/J.1440-1614.2005.01582.X
Abstract: Objective: Internalizing and externalizing disorders are frequently comorbid with attention deficit hyperactivity disorder, combined type (ADHD-CT) and dysthymic disorder (DD) in referred primary school-age children, yet there has been relatively little systematic research of the nature of these comorbid disorders. We describe the characteristics of parent- and child-reported internalizing and externalizing disorders in primary school-age children with ADHD-CT and DD. Method: A cross-sectional study of 45 clinically referred medication naïve children with ADHD-CT and DD, examining parent and child reports of internalizing and externalizing disorders, defined categorically and dimensionally. Results: Generalized anxiety disorder and separation anxiety disorder were increased in the DD groups, whether ADHD-CT was present or not. Major depressive disorder was increased in the ADHD-CT and DD group compared to the ADHD-CT alone and the DD alone groups. Conduct disorder was increased in the ADHD-CT alone group compared to the DD with and without ADHD-CT groups. Verbal and fullscale IQ were increased in the DD groups, whether ADHD-CT was present or not, compared to the ADHD-CT alone group. Conclusions: There is emerging evidence that DD and anxiety may represent a different phenotypic expression of a common underlying aetiological process, while the co-occurrence of ADHD-CT and anxiety disorders remains unclear. Only the ADHD-CT and DD group is significantly associated with major depressive disorder, which suggests an additive effect. In contrast, conduct disorder and decreased verbal and fullscale IQ are only associated with the ADHD-CT group, which may suggest a protective effect of DD when comorbid with ADHDCT. From a research perspective, it is important to confirm these found associations in larger s les derived from epidemiological populations.
The development and dissemination of the triple P - Positive Parenting Program: A multilevel, evidence-based system of parenting and family support
Publisher: Springer Science and Business Media LLC
Date: 2002
Abstract: This paper describes the theoretical and empirical basis of a unique multilevel system of parenting and family support known as the Triple P-Positive Parenting Program. The program incorporates five levels of intervention on a tiered continuum of increasing strength and narrowing population reach. The self-regulation framework of the program is discussed and an ecological or systems-contextual approach to dissemination of the program to service providers is highlighted. Implementation issues to consider in effective program dissemination are discussed including managing the "politics" of family support, strategies for coping with changes in government, maintaining quality, balancing cost and sustainability, and remaining data responsive. Future research directions are identified.
Parental divorce and premarital couple communication
Publisher: No publisher found
Date: 1999
A COMPARISON OF THE GENERALIZATION OF BEHAVIORAL MARITAL-THERAPY AND ENHANCED BEHAVIORAL MARITAL-THERAPY
Publisher: No publisher found
Date: 1993
Korean parents of a child with developmental disabilities: a survey of child behavior, parenting and family relationships, and parenting program preferences
Publisher: Informa UK Limited
Date: 05-09-2023
Parenting Gifted and Talented Children: Conceptual and Empirical Foundations
Publisher: SAGE Publications
Date: 21-04-2009
Abstract: There is a paucity of research focusing on the needs of gifted children and their families, in particular, there is a lack of empirically supported parenting strategies to help parents in parenting their gifted child. This article provides an overview of the literature on difficulties experienced by parents of gifted and talented children, followed by a description of the development of a parenting program designed specifically for this population. Qualitative data from a survey of parents of gifted and talented children are presented to identify key themes for supporting and assisting parents. Gifted and Talented Triple P is a customized version of Triple P—Positive Parenting Program, consisting of nine sessions, specifically tailored for the needs of parents of gifted and talented children. The program is described and the clinical implications and future research directions in assisting parents in parenting their gifted and talented child are discussed. Putting the Research to Use: The results of this study provide some key insights into the specific aspects of raising a gifted and talented child which parents struggle with, and the sorts of information they would like to receive to assist them in their role. The findings have led to the development and tailoring of a parenting intervention for parents of gifted and talented children, and have the potential to inform further research to support parents.
A randomized controlled trial evaluating the efficacy of Triple P Online with parents of children with early-onset conduct problems
Publisher: Elsevier BV
Date: 11-2012
DOI: 10.1016/J.BRAT.2012.07.004
Abstract: This study examined the efficacy of Triple P Online (TPOL), an eight-module intensive online positive parenting program for parents of children with early-onset disruptive behavior problems. One hundred and sixteen parents with 2-9-year-old children displaying early-onset disruptive behavior difficulties were randomly assigned to either the intervention condition (N = 60) or an internet-use-as-usual control group (N = 56). At post-intervention assessment, parents receiving the internet intervention TPOL had significantly better outcomes on measures of problem child behavior, dysfunctional parenting styles, parents' confidence in their parenting role, and parental anger. At 6-month follow-up assessment intervention gains were generally maintained, and in some cases enhanced. Consumer satisfaction ratings for the program were high. Internet-delivered self-help parenting programs appear to make a valuable contribution to a comprehensive public health approach to parenting support.
Adopting a population-level approach to parenting and family support interventions
Publisher: Elsevier BV
Date: 07-2007
DOI: 10.1016/J.CPR.2007.01.005
Abstract: Evidence-based treatments and preventive interventions in the child and family area have not met with widespread adoption by practitioners. Despite the high prevalence of child behavioral and emotional problems, many parents and families in need are not receiving or participating in services, and when they do, the most efficacious interventions are not what is usually provided. Simultaneously addressing the issues of low penetration and insufficient dissemination of evidence-based programming requires a population approach to parenting and family support and intervention. Process issues are important, particularly in relation to engagement of stakeholders, recruitment of practitioners, consideration of organizational factors, and use of media and communication strategies. This article discusses why there is a need for a population-based approach, provides a framework of how to conceptualize such an approach, and describes an ex le from our own work of a recently initiated prevention trial that illustrates a population-based approach in action. The rationale, structure, and goals of the Triple P System Population Trial are described in the context of the aforementioned population framework.
A Review of Parenting Programs in Developing Countries: Opportunities and Challenges for Preventing Emotional and Behavioral Difficulties in Children
Publisher: Springer Science and Business Media LLC
Date: 17-03-2012
DOI: 10.1007/S10567-012-0116-9
Abstract: Many children in developing countries are at risk of emotional and behavioral difficulties, which are likely to be elevated due to the effects of poverty. Parenting programs have shown to be effective preventative strategies in high-income countries, but to date the research on their effectiveness in lower-income countries is limited. International organizations such as the World Health Organization have called for the implementation of programs to prevent behavioral difficulties through the development of stable relationships between children and their parents. The aim of the present paper was to review the literature on parenting programs in developing countries in order to identify challenges, opportunities and directions for further research. First, reports of international organizations were reviewed in order to gain a preliminary overview of the field. In a second stage, a non-systematic review was carried out. Databases were searched in order to identify empirical evaluations of parenting programs in low-income countries. Finally, a systematic review was carried out to specifically identify evaluations of programs targeting emotional or behavioral outcomes. Only one study had a strong methodology among those designed to prevent emotional and behavioral outcomes. Opportunities for further program development and research are identified.
Family Intervention in Indigenous Communities: Emergent Issues in Conducting Outcome Research
Publisher: SAGE Publications
Date: 02-2007
DOI: 10.1080/10398560701701189
Abstract: Objective: Indigenous children and youth are at greater risk of emotional and behavioural problems than non-Indigenous youth, with family life stresses and parenting style identified as common risk factors. There is substantial evidence that parenting programs can improve family relationships and improve child outcomes, however little research has focused on Indigenous communities. Our team is conducting research to evaluate a culturally sensitive adaptation of a mainstream intervention, the Group Triple P – Positive Parenting Program, for Indigenous families. This paper shares some of the insights into research and clinical issues gained as non-Indigenous researchers working with urban, rural and remote Indigenous communities. Methods: The experience of the research team and feedback from practitioners and parents have been drawn on for this discussion. Conclusions: Parenting programs need to be sensitive to the political and cultural context in which parenting takes place, flexibly incorporate cultural practices and expectations, and develop an evidence base of outcomes for families in erse communities. As research is needed to evaluate the acceptability and effectiveness of these programs, culturally sensitive research practices are also necessary and the value of program evaluation and its benefit to the community must be clear. Community acceptance of the research process and the intervention itself is vital and may be influenced by community perceptions, current priorities, and local issues. If our overall aim is to increase the skilled health and mental health workforce in Indigenous communities and their use of evidence-based interventions, ongoing collaborative relationships between research institutions and service providers will serve to further this aim.
Stepping Stones Triple P seminars for parents of a child with a disability: A randomized controlled trial
Publisher: Elsevier BV
Date: 11-2011
Responding to the challenges of parenting a child with cerebral palsy: a focus group
Publisher: Informa UK Limited
Date: 2011
DOI: 10.3109/09638288.2010.535090
Abstract: To explore the unique parenting challenges that parents of children with cerebral palsy (CP) face and to explore the feasibility of a new parenting intervention, Stepping Stones Triple P (SSTP), for this population. Focus groups were conducted with parents of children with CP (n = 8) and health professionals with experience in working with families of children with CP (n = 5). The discussion was transcribed verbatim and a descriptive thematic analysis was performed. Parents stated that knowing whether a particular behaviour is the result of CP or a behavioural issue is challenging. Parents were also keen to promote communication, independence and socialisation in their child. In addition, parents also discussed the challenges of parenting under time pressure, with additional parenting tasks, under public scrutiny and with grief. Both parents and professionals found SSTP to be a feasible and appropriate intervention for parents of children with CP. The parents of children with CP in this study faced a range of parenting challenges that may be effectively targeted by a parenting intervention. In addition, parents and health professionals found SSTP content acceptable and feasible for use with parents of children with CP.
Prem Baby Triple P a new parenting intervention for parents of infants born very preterm: Acceptability and barriers
Publisher: Elsevier BV
Date: 12-2011
DOI: 10.1016/J.INFBEH.2011.06.004
Abstract: Over 10% of preterm infants develop major disabilities, 50% develop behavioural problems and 40% need special education (Huddy et al., 2001 Webster, 2003). Prem Baby Triple P is a new variant of the Positive Parenting Program (Triple P) adapted specifically for parents of very preterm infants. The aim of this study is to assess the acceptability of Prem Baby Triple P to parents of infants born preterm and to test whether parental attributions and parental perception of infant health/developmental status are barriers to intervention acceptability. One hundred and twenty-three parents of preterm infants participated, 83 parents of very preterm infants and 40 parents of preterm infants. In addition, 32 parents of term infants participated as a comparison group. The acceptability of Prem Baby Triple P was moderately high and did not differ significantly across the three groups. Parental attributions were not found to be barriers to intervention acceptability and parental perceptions that their infant is less healthy/developmentally delayed facilitated Prem Baby Triple P acceptance in parents of infants born very preterm. This suggests that the planned Prem Baby Triple P content is acceptable to parents of infants born very preterm and sensitised to medical and developmental issues. These findings, as social validation data, will contribute towards the further development of Prem Baby Triple P and a future randomised controlled trial.
Investigation of the effectiveness and social validity of the Triple P Positive Parenting Program in Japanese society.
Publisher: American Psychological Association (APA)
Date: 02-2010
DOI: 10.1037/A0018181
Abstract: A pilot trial provided some evidence that the Triple P Positive Parenting Program is effective with and acceptable to a Japanese population in Australia (Matsumoto, Sofronoff, & Sanders, 2007). This effectiveness study aimed to address theoretical and practical concerns related to the parent training program in community settings in Japan. The research used community resources within an ecological framework. Fifty-four Japanese families living in a Tokyo metropolitan area were randomly assigned to either a treatment or a wait-list control group. Program effects and acceptability were examined and then compared with the outcomes from the trial with Japanese parents living in Australia. The results showed significant program effects and high levels of acceptability of the program and core parenting skills, which was consistent with the pilot trial. The findings provided support for the effectiveness and sociocultural validation of Triple P in Japanese society. Intervention effects and program acceptability as well as limitations and future research are discussed.
Reflections on the Challenges of Effective Dissemination of Behavioural Family Intervention: Our Experience with the Triple P – Positive Parenting Program
Publisher: Wiley
Date: 29-07-2005
Workplace Triple P: A controlled evaluation of a parenting intervention for working parents.
Publisher: American Psychological Association (APA)
Date: 08-2011
DOI: 10.1037/A0024148
Abstract: This paper examined the effects of a parenting intervention targeting working parents called Workplace Triple P. The intervention targeted both parenting and work factors, focusing on key transition times (e.g., from home to work) and trained parents to more effectively manage these transitions. One-hundred-and-twenty-one working parents with children ranging in age from 1-16 years were randomly assigned to either a Workplace Triple P condition (WPTP) or to a waitlist control condition (WLC). Results showed that parents who had received the intervention reported significantly lower levels on measures of personal distress and dysfunctional parenting and higher levels of work commitment, work satisfaction, and self-efficacy. Implications for the delivery of parenting interventions as employee assistance programs are discussed along with how such interventions can enhance work and family life.
The effects of planned activities and child management procedures in parent training: An analysis of setting generality
Publisher: Elsevier BV
Date: 09-1982
Can skills training prevent relationship problems in at-risk couples? Four-year effects of a behavioral relationship education program
Publisher: No publisher found
Date: 2001
THE IMPACT OF PARENT TRAINING ON MARITAL FUNCTIONING: A COMPARISON OF TWO GROUP VERSIONS OF THE TRIPLE P-POSITIVE PARENTING PROGRAM FOR PARENTS OF CHILDREN WITH EARLY-ONSET CONDUCT PROBLEMS
Publisher: Cambridge University Press (CUP)
Date: 04-2003
Developing web‐based T riple P ‘P ositive P arenting P rogramme’ for families of children with asthma
Publisher: Wiley
Date: 12-05-2013
DOI: 10.1111/CCH.12073
Abstract: We examined the feasibility of self-directed Triple P 'Positive Parenting Programme' for optimizing parents' management of childhood asthma and behaviour. Eligible families were invited to access asthma-specific web-based Triple P as part of a preliminary randomized controlled study. Initial study information and introductory website pages received considerable interest but intervention uptake was poor with high rates of attrition. Although parents of children with asthma show willingness to access web-based parenting support, further work is necessary to develop engaging websites and determine barriers to uptake, and adherence to online parenting interventions with this population.
Parenting Gifted and Talented Children: What are the Key Child Behaviour and Parenting Issues?
Publisher: SAGE Publications
Date: 2008
DOI: 10.1080/00048670802277271
Abstract: Objective: The literature on gifted and talented children is limited. Little is known about the types and nature of difficulties experienced by gifted and talented children, and even less known about parenting issues related to parenting a gifted and talented child. The aim of the present study was to describe children's behavioural and emotional adjustment, and the factors that contribute to children's difficulties, as well as to examine the styles of discipline used by parents of gifted and talented children and their level of confidence in managing specific parenting tasks. Method: A survey of parents of gifted and talented children was conducted, with 211 parents meeting criteria for the study. Results: For a community s le, in general gifted and talented children exhibit no more behavioural difficulties than do other children. But children in this s le seemed to show higher levels of emotional symptoms and peer problems. Children's behavioural and emotional difficulties were best predicted by parenting factors, particularly parental confidence. Parents reported that they were less likely to be permissive with their child, but they tended to use a more authoritarian style of parenting characterized by lecturing and a strong reaction to any problems. Conclusions: There are a number of implications for future research, clinical practice, and the development of parenting interventions for this group of parents.
Is the Triple P-Positive Parenting Program Acceptable to Parents from Culturally Diverse Backgrounds?
Publisher: Springer Science and Business Media LLC
Date: 09-11-2010
A commentary on evidenced-based parenting programs: Redressing misconceptions of the empirical support for Triple P
Publisher: Springer Science and Business Media LLC
Date: 22-11-2012
Perceived Parenting Ability and Systemic Sclerosis
Publisher: Wiley
Date: 24-11-2010
DOI: 10.1002/MSC.197
Abstract: The purpose of this study was to compare perceived parenting abilities in mothers with systemic sclerosis (SSc) based on the subtype of SSc and age group of their children, and to examine how the degree of pain, fatigue and functional ability relates to parenting ability. In this cross-sectional survey, 74 mothers with SSc, who had children aged 18 years or younger living at home with them, completed a series of questionnaires online or on paper. The questionnaires included the Parent Disability Index (PDI) and surveys regarding demographic information, pain (visual analogue scale), fatigue (Multidimensional Assessment of Fatigue) and functional ability (Health Assessment Questionnaire). An analysis of variance revealed that the mean age of the mother (F(2,71) = 7.9 p < 0.01), mean PDI score (F(2,68) = 5.4 p < 0.01) and mean pain score (F(2,71) = 4.0 p = 0.02) were each associated with the age group of the children. The univariate analysis of variance results showed that dichotomized pain (F(1,69) = 13.3 p < 0.01), fatigue (F(1,69) = 18.9 p < 0.01) and disability (F(1,69) = 9.8 p < 0.01) were each associated with the PDI score. The multivariate analysis of variance results showed that dichotomized pain (F(1,68) = 7.5 p < 0.01) and fatigue (F(1,68) = 12.7 p < 0.01) were associated with the PDI. Mothers with SSc report difficulty with parenting, which can be related to the severity of the symptoms. The findings suggest that interventions to reduce pain and fatigue may improve perceived parenting ability.
Lifestyle Triple P: a parenting intervention for childhood obesity
Publisher: Springer Science and Business Media LLC
Date: 03-04-2012
Discussing Assessment Findings with Families
Publisher: Informa UK Limited
Date: 07-1993
Can skills training prevent relationship problems in at-risk couples? Four-year effects of a behavioral relationship education program.
Publisher: American Psychological Association (APA)
Date: 2001
Using Consumer Input to Tailor Evidence-Based Parenting Interventions to the Needs of Grandparents
Publisher: Springer Science and Business Media LLC
Date: 25-06-2011
What are the Parenting Experiences of Fathers? The Use of Household Survey Data to Inform Decisions About the Delivery of Evidence-Based Parenting Interventions to Fathers
Publisher: Springer Science and Business Media LLC
Date: 07-05-2010
DOI: 10.1007/S10578-010-0188-Z
Abstract: Participants were 933 fathers participating in a large-scale household survey of parenting practices in Queensland Australia. Although the majority of fathers reported having few problems with their children, a significant minority reported behavioral and emotional problems and 5% reported that their child showed a potentially problematic level of oppositional and defiant behavior. Reports of child problems were associated with fathers' levels of personal stress and socioeconomic disadvantage. Approximately half of all fathers reported the use of one or more coercive parenting strategies (shouting and yelling, hitting the child with their hand or with an object) with fathers' use of hitting being associated with child behavior difficulties. Fathers reported low rates of help seeking or participation in parenting courses, with socially disadvantaged fathers being less likely to complete parenting programs than other fathers. Implications for research on increasing fathers' participation rates in parenting programs are discussed and directions for future research highlighted.
Prematurity and parental self-efficacy: The Preterm Parenting & Self-Efficacy Checklist
Publisher: Elsevier BV
Date: 12-2012
DOI: 10.1016/J.INFBEH.2012.07.009
Abstract: There is a lack of research investigating parental self-efficacy in parents of infants born preterm as well as a paucity of parental self-efficacy measures that are domain-specific and theoretically grounded. This study aimed to compare parental self-efficacy in parents of infants born term, preterm and very preterm as well as to test whether parental self-efficacy mediates the relationship between psychological symptoms and parental competence. In order to achieve this, a new measure of parental self-efficacy and parental competence relevant for the preterm population and consistent with Bandura's (1977, 1986, 1989) conceptualisation of self-efficacy was developed. Participants included 155 parents, 83 of whom were parents of very preterm (GA<32 weeks), 40 parents of preterm (GA<37 weeks) and 32 parents of term born infants. Parents completed the Preterm Parenting & Self-Efficacy Checklist (the new measure), Family Demographic Questionnaire, Depression Anxiety Stress Scale and Self-Efficacy Questionnaire. This initial study indicates that the Preterm Parenting & Self-Efficacy Checklist has adequate content validity, construct validity, internal consistency and split half reliability. Contrary to expectations, parents of very preterm infants did not report significantly lower overall levels of parental self-efficacy or significantly higher levels of psychological symptoms compared to parents of preterm and term infants. Parental self-efficacy about parenting tasks mediated the relationship between psychological symptoms and self perceived parental competence as predicted. Clinical implications of the results and suggestions for future research are discussed.
A comparison of the generalization of behavioral marital therapy and enhanced behavioral marital therapy.
Publisher: American Psychological Association (APA)
Date: 1993
Online-Delivered Over Staff-Delivered Parenting Intervention for Young Children With Disruptive Behavior Problems: Cost-Minimization Analysis
Publisher: JMIR Publications Inc.
Date: 11-03-2022
DOI: 10.2196/30795
Abstract: High-prevalence childhood mental health problems like early-onset disruptive behavior problems (DBPs) pose a significant public health challenge and necessitate interventions with adequate population reach. The treatment approach of choice for childhood DBPs, namely evidence-based parenting intervention, has not been sufficiently disseminated when relying solely on staff-delivered services. Online-delivered parenting intervention is a promising strategy, but the cost minimization of this delivery model for reducing child DBPs is unknown compared with the more traditional staff-delivered modality. This study aimed to examine the cost-minimization of an online parenting intervention for childhood disruptive behavior problems compared with the staff-delivered version of the same content. This objective, pursued in the context of a randomized trial, made use of cost data collected from parents and service providers. A cost-minimization analysis (CMA) was conducted comparing the online and staff-delivered parenting interventions. Families (N=334) with children 3-7 years old, who exhibited clinically elevated disruptive behavior problems, were randomly assigned to the two parenting interventions. Participants, delivery staff, and administrators provided data for the CMA concerning family participation time and expenses, program delivery time (direct and nondirect), and nonpersonnel resources (eg, space, materials, and access fee). The CMA was conducted using both intent-to-treat and per-protocol analytic approaches. For the intent-to-treat analyses, the online parenting intervention reflected significantly lower program costs (t168=23.2 P .001), family costs (t185=9.2 P .001), and total costs (t171=19.1 P .001) compared to the staff-delivered intervention. The mean incremental cost difference between the interventions was $1164 total costs per case. The same pattern of significant differences was confirmed in the per-protocol analysis based on the families who completed their respective intervention, with a mean incremental cost difference of $1483 per case. All costs were valued or adjusted in 2017 US dollars. The online-delivered parenting intervention in this randomized study produced substantial cost minimization compared with the staff-delivered intervention providing the same content. Cost minimization was driven primarily by personnel time and, to a lesser extent, by facilities costs and family travel time. The CMA was accomplished with three critical conditions in place: (1) the two intervention delivery modalities (ie, online and staff) held intervention content constant (2) families were randomized to the two parenting interventions and (3) the online-delivered intervention was previously confirmed to be non-inferior to the staff-delivered intervention in significantly reducing the primary outcome, child disruptive behavior problems. Given those conditions, cost minimization for the online parenting intervention was unequivocal. ClinicalTrials.gov NCT02121431 t2/show/NCT02121431
Achieving Population-Level Change Through a System-Contextual Approach to Supporting Competent Parenting (vol 20, pg 36, 2017)
Publisher: Springer Science and Business Media LLC
Date: 18-03-2017
Häufigkeit psychischer Auffälligkeiten und Begleitsymptome bei drei- bis sechsjährigen Kindern: Ergebnisse der Braunschweiger Kindergartenstudie
Publisher: Hogrefe Publishing Group
Date: 05-2004
DOI: 10.1024/1422-4917.32.2.97
Abstract: Zusammenfassung: Fragestellung: Im Rahmen der Braunschweiger Kindergartenstudie wurde die Häufigkeit psychischer Auffälligkeiten und Begleitsymptome bei Kindern im Alter zwischen 3 und 6 Jahren untersucht. Methode: Die Untersuchung wurde im November 1998 in allen städtischen Kindertagesstätten Braunschweigs mit einer leicht modifizierten Version des Elternfragebogens über das Verhalten von Kindern und Jugendlichen/CBCL 4-18 durchgeführt. Von N = 809 Kindern liegen Elterneinschätzungen vor. Ergebnisse: Die Prävalenzraten für psychische Störungen bei Kindergartenkindern liegen zwischen 0,5% und 5,0%, wobei in dieser Altersgruppe Aggressives Verhalten, Aufmerksamkeitsprobleme und Soziale Probleme am häufigsten auftreten. Es werden außerdem Komorbiditätsraten für die einzelnen Syndromskalenpaare der CBCL berichtet. Diskussion: Abschließend werden die vorliegenden Ergebnisse mit anderen Untersuchungen verglichen und Implikationen vor allem für die Prävention kindlicher Verhaltensauffälligkeiten diskutiert.
The role of parenting programmes in the prevention of child maltreatment
Publisher: Informa UK Limited
Date: 12-2011
An evaluation of a behavioural parenting intervention for parents of gifted children
Publisher: Elsevier BV
Date: 06-2009
DOI: 10.1016/J.BRAT.2009.02.008
Abstract: Parents of gifted children identify a need for tailored parenting support, and gifted children have unique requirements and vulnerabilities. The aim of this study was to assess the efficacy of a tailored behavioural parenting intervention, for enhancing the parenting skills of parents of gifted children and to assess the effect of these changes on the behavioural and emotional adjustment of their gifted child. A randomised controlled trial of tailored Group Triple P - Positive Parenting Program was conducted with 75 parents of children identified as gifted. Results indicated significant intervention effects for the number and frequency of parent reported child behaviour problems, as well as hyperactivity in the intervention group, relative to a waitlist control. Parents also reported significant improvements in their own parenting style, including less permissiveness, harshness, and verbosity when disciplining their child. No intervention effects were evident for teacher reports, except for a trend in relation to hyperactivity. This study demonstrated that a tailored behavioural parenting intervention is effective and acceptable for parents of gifted children, and thus has clinical implications for the delivery of parenting interventions for this population.
The Lifestyle Behaviour Checklist: A measure of weight-related problem behaviour in obese children
Publisher: Informa UK Limited
Date: 2009
DOI: 10.3109/17477160902811199
Abstract: Parents are often targeted for childhood obesity interventions and parent training is regarded as an integral component of family-based treatments for obesity. However, few studies have examined what challenges parents of obese children face managing their children's behaviour, and how these challenges might be addressed in treatment. To address this gap in knowledge, we describe the development and evaluation of a new measure, the Lifestyle Behaviour Checklist (LBC). The LBC lists 26 concerns parents might have about children's eating behaviour, activity, and other weight-related behaviours and includes a Problem scale (extent of problems) and Confidence scale (parents' confidence in dealing with these problems). This study explored the psychometric properties of the LBC in a s le of 182 parents of healthy weight, overweight, or obese 4 to 11-year-old children. A comparison is given for families with healthy weight children and families with obese children. The new measure successfully differentiated families with and without obese children, correctly classifying 91.1% of participants. Parents of healthy weight children reported lower levels of lifestyle behaviour problems (d=2.40) and higher levels of parenting self-efficacy (d=1.96) than parents of obese children. The LBC scales had high internal consistency and moderate test-retest stability (12 weeks). The lifestyle behaviour construct appears a useful way to conceptualise parenting challenges faced by parents of obese children, and the LBC a valid and reliable instrument. Routine administration of the LBC in childhood obesity research may assist in the development of more effective management approaches.
An epidemiological examination of parenting and family correlates of emotional problems in young children.
Publisher: American Psychological Association (APA)
Date: 2011
DOI: 10.1111/J.1939-0025.2011.01104.X
Abstract: The present article used data from a community s le of primary caregivers of children between 4 and 7 years old to investigate the prevalence and correlates of emotional symptoms in young children transitioning to elementary school. Mothers (n = 3,483) and fathers (n = 1,019) living in metropolitan areas of eastern Australia participated in a telephone survey of parenting practices and child behavioral and emotional problems. Fifteen percent of mothers and 12% of fathers reported that their child showed clinically elevated levels of emotional symptoms. The most common parental responses to a child's anxious or distressed behavior were to use physical contact, talk in a soothing voice, or encourage their child to be brave, while fewer than 10% of parents ignored their child's distress by not giving any attention. For mothers, reports of child emotional symptoms were associated with mothers' use of physical contact to soothe their children, mothers' level of personal stress and depression, their confidence in managing anxious or distressed behavior, and consistency in their application of discipline. Fathers' encouragement of their children to be brave and fathers' confidence in managing anxious or distressed behavior were associated with reduced child emotional symptoms. These findings have implications for the development of universal prevention programs for internalizing disorders in children.
Reducing problem behavior during care-giving in families of preschool-aged children with developmental disabilities
Publisher: Elsevier BV
Date: 07-2007
DOI: 10.1016/J.RIDD.2006.02.009
Abstract: This study evaluated two variants of a behavioral parent training program known as Stepping Stones Triple P (SSTP) using 74 preschool-aged children with developmental disabilities. Families were randomly allocated to an enhanced parent training intervention that combined parenting skills and care-giving coping skills (SSTP-E), standard parent training intervention alone (SSTP-S) or waitlist control (WL) condition. At post-intervention, both programs were associated with lower levels of observed negative child behavior, reductions in the number of care-giving settings where children displayed problem behavior, and improved parental competence and satisfaction in the parenting role as compared with the waitlist condition. Gains attained at post-intervention were maintained at 1-year follow-up. Both interventions produced significant reductions in child problem behavior, with 67% of children in the SSTP-E and 77% of children in the SSTP-S showing clinically reliable change from pre-intervention to follow-up. Parents reported a high level of satisfaction with both interventions.
Development, Evaluation, and Multinational Dissemination of the Triple P-Positive Parenting Program
Publisher: Annual Reviews
Date: 27-04-2012
DOI: 10.1146/ANNUREV-CLINPSY-032511-143104
Abstract: The quality of parenting children receive has a major influence on their development, well-being, and life opportunities. Of all the potentially modifiable influences that can be targeted through preventive interventions, none are more important than the quality of parenting children experience. Prevention interventions targeting parenting should be widely used to promote positive developmental outcomes for children and adolescents. This review argues that the development of comprehensive evidence-based strategies to improve the quality of parenting is best viewed as a major public health challenge. Using the Triple P-Positive Parenting Program as an exemplar, the initial development, gradual transformation into a public health model, and then global dissemination of the approach is described. The assumptions underpinning the public health approach to parenting support are discussed, along with key criteria that need to be met for the approach to work. Factors that facilitate and impede the global implementation and dissemination of evidence-based parenting programs are considered along with implications for future research, policy, and practice.
Ethical and professional issues in the implementation of population-level parenting interventions.
Publisher: American Psychological Association (APA)
Date: 06-2008
The Relationship Between Obstructive Sleep Apnea and Self-Reported Stroke or Coronary Heart Disease in Overweight and Obese Adults with Type 2 Diabetes Mellitus
Publisher: Oxford University Press (OUP)
Date: 09-2012
DOI: 10.5665/SLEEP.2090
Concurrent predictors of dysfunctional parenting and maternal confidence: implications for parenting interventions
Publisher: Wiley
Date: 05-06-2007
DOI: 10.1111/J.1365-2214.2007.00758.X
Abstract: The often intense nature of the conflict between parents and their toddlers requires better understanding of what happens during this stage of development and how difficulties can be prevented from escalating in the future. Clarification of the nature of family and parenting factors related to toddler behaviour allows better capacity for intervention development and tailoring to in idual families. A total of 126 mothers of toddlers completed a self-report assessment battery, examining child behaviour, parenting style and confidence, as well as broader family adjustment measures. The study found that maternal confidence and dysfunctional parenting were interrelated and were also predicted best by parenting variables, in contrast to socio-demographic and child variables. Maternal confidence also mediated the relationships between family income and toddler behaviour. Parenting style and confidence are important modifiable factors to target in parenting interventions. The implications for the development, implementation and delivery of parenting interventions are discussed.
Preventing behavioural and emotional problems in children who have a developmental disability: A public health approach
Publisher: Elsevier BV
Date: 11-2011
DOI: 10.1016/J.RIDD.2011.07.022
Abstract: Children with developmental disabilities are at substantially greater risk of developing emotional and behavioural problems compared to their typically developing peers. While the quality of parenting that children receive has a major effect on their development, empirically supported parenting programs reach relatively few parents. A recent trend in parenting intervention research has been the adoption of a public health approach to improve the quality of parenting at a population level. This has involved delivering parenting interventions on a large scale and in a cost-effective manner. Such trials have been demonstrated to reduce negative parenting practices, prevent child maltreatment, and reduce child behavioural and emotional problems. However, these trials have been restricted to parents of children who are developing typically. This paper explores the rational for the extension of a population health approach to parenting interventions for children with developmental disabilities. It is argued that a population-based implementation and evaluation trial of an empirically supported system of interventions is needed to determine whether this approach is viable and can have a positive impact on parents and their children in a disability context. The Stepping Stones Triple P--Positive Parenting Program is presented as an ex le of a parenting intervention that satisfies the requirements for such a trial. Tasks and challenges of such a trial are discussed.
Behavioral marital therapy: An evaluation of treatment effects across high and low risk settings
Publisher: Elsevier BV
Date: 1990
Maintenance of treatment gains: A comparison of Enhanced, Standard, and Self-directed Triple P-Positive Parenting Program
Publisher: Springer Science and Business Media LLC
Date: 03-07-2007
DOI: 10.1007/S10802-007-9148-X
Abstract: This report describes the 3 year outcomes of three different variants of the Triple P-Positive Parenting Program, a behavioural family intervention. Families were randomly assigned to one of three intervention conditions or to a waitlist condition. At 1 year follow-up there were similar improvements on observational and self-report measures of preschooler disruptive behaviour for Enhanced, Standard and Self Directed variants of Triple P. At 3 year follow-up (completed by 139 families), each condition showed a similar level of maintenance of intervention effects. Approximately 2/3 of preschoolers who were clinically elevated on measures of disruptive behaviour at pre-intervention moved from the clinical to the non-clinical range. Across conditions, there was a comparable preventive effect for each intervention for these high risk children. The implications of the findings for the development of brief, cost effective parenting interventions within a public health framework are discussed.
Parent Behavior Importance and Parent Behavior Frequency Questionnaires: Psychometric Characteristics
Publisher: Springer Science and Business Media LLC
Date: 06-11-2007
Supporting families affected by adversity: An open feasibility trial of Family Life Skills Triple P
Publisher: Elsevier BV
Date: 09-2023
Parenting knowledge and its role in the prediction of dysfunctional parenting and disruptive child behaviour
Publisher: Wiley
Date: 03-02-2009
DOI: 10.1111/J.1365-2214.2008.00929.X
Abstract: There is a paucity of research on the relationship between parental knowledge, parenting and parenting self-efficacy, and some inconsistencies have been reported in the literature. Parent knowledge of effective parenting strategies was assessed among 68 parents from a non-clinic s le, who also completed questionnaires relating to parenting confidence, quality of parenting and child behaviour. Parents with greater knowledge tended to be less dysfunctional, and reported significantly higher education and income levels. Parenting confidence explained a significant proportion of the variance in reported frequency of disruptive child behaviour while knowledge did not independently contribute to the prediction. However, the relationship between parenting confidence and dysfunctional parenting was moderated by the level of knowledge. There was a stronger negative relationship between confidence and dysfunctional parenting when knowledge level was low than when it was high. Post hoc analyses indicated that the relationship between parenting knowledge and disruptive child behaviour was moderated by the level of parenting dysfunction. Parenting knowledge and reported frequency of disruptive behaviour were positively related when the level of dysfunction was low, but were unrelated when it was high. Parents with low levels of knowledge and confidence in their parenting may be at greater risk of dysfunctional parenting and might benefit from interventions designed to enhance both knowledge and confidence. Results are interpreted in relation to inconsistencies with previous research and implications for future methodologies.
Consumer Engagement and the Development, Evaluation, and Dissemination of Evidence-Based Parenting Programs
Publisher: Elsevier BV
Date: 06-2012
The effectiveness of a Group Triple P with Chinese parents who have a child with developmental disabilities: A randomized controlled trial
Publisher: Elsevier BV
Date: 03-2013
DOI: 10.1016/J.RIDD.2012.11.023
Abstract: The study examined the effectiveness of Group Triple P, a Level 4 variant of the Triple P multilevel system of parenting support, with Chinese parents who had a preschool aged child with a developmental disability, using randomized controlled trial design. Participants (Intervention group: 42 Waitlist Control group: 39) completed measures on child behaviour, parental stress, dysfunctional discipline styles and parental conflict before and after program completion by the Intervention group. Intervention group participants also completed these same measures six months after program completion. Compared to the Waitlist Control group, parents receiving Group Triple P reported significantly lower levels of child behaviour problems, parental stress, dysfunctional discipline style and parental conflict scores. The Intervention group participants maintained their gains six months after program completion. The results provided promising evidence for the Level 4 Group Triple P as an effective intervention program for Chinese parents who have preschool aged children with developmental disabilities.
The treatment of recurrent abdominal pain in children: A controlled comparison of cognitive-behavioral family intervention and standard pediatric care.
Publisher: American Psychological Association (APA)
Date: 1994
The Triple P System of Evidence-Based Parenting Support: Past, Present, and Future Directions
Publisher: Springer Science and Business Media LLC
Date: 11-07-2023
DOI: 10.1007/S10567-023-00441-8
Abstract: Triple P is an integrated, multi-level system of evidence-based parenting support designed to promote the well-being of children and families to reduce prevalence rates of social, emotional, and behavioral problems in children and adolescents and to prevent child maltreatment. The system developed gradually over four decades to address the complex needs of parents and children from erse family, socioeconomic and cultural backgrounds. It blends universal and targeted programs, a focus on developing parental self-regulation capabilities, and adopts a life span perspective with a population health framework. The Triple P system is used as a case ex le to discuss the past, present and future challenges, and opportunities involved in developing, evaluating, adapting, scaling and maintaining a sustainable system of evidence-based parenting intervention. Seven stages of program development are outlined from initial theory building and development of the core parenting program through to the sustained deployment of the intervention system delivered at scale. The importance of ongoing research and evaluation is highlighted so that different programs within the system evolve and adapt to address the contemporary concerns and priorities of families in erse cultural contexts. A well-trained workforce is essential to deliver evidence-based programs, in a need-responsive manner that blends both fidelity of delivery and flexibility and is tailored to respond to the needs of in idual families and local context. Programs need to be gender-sensitive, culturally informed, and attuned to the local context including relevant policies, resources, cultural factors, funding, workforce availability and their capacity to implement programs.
Help When It’s Needed First: A Controlled Evaluation of Brief, Preventive Behavioral Family Intervention in a Primary Care Setting
Publisher: Elsevier BV
Date: 06-2006
DOI: 10.1016/J.BETH.2005.05.004
Abstract: This study evaluated the effects of a brief 3- to 4-session behavioral family intervention program for parents of preschool-aged children in a primary care setting, compared to parents in a wait-list control condition. Parents receiving the Primary Care Triple P-Positive Parenting Program intervention reported significantly lower levels of targeted child behavior problems, dysfunctional parenting, and reduced parental anxiety and stress in comparison to wait-listed parents at postassessment. These short-term effects were largely maintained at 6-month follow-up assessment of the intervention group. Implications of these findings for the prevention of behavioral and emotional problems in children are discussed.
Challenges and new directions in developing effective empirically validated parenting and family intervention programs
Publisher: Elsevier
Date: 2002
Parental divorce and premarital couple communication.
Publisher: American Psychological Association (APA)
Date: 03-1999
Population-Based Provider Engagement in Delivery of Evidence-Based Parenting Interventions: Challenges and Solutions
Publisher: Springer Science and Business Media LLC
Date: 03-2010
DOI: 10.1007/S10935-010-0210-Z
Abstract: Population-wide interventions do not often address parenting, and relatively little is known about large scale dissemination of evidence-based parenting interventions. Most parenting interventions are not designed to reach the majority of parents in a geographic area or to influence prevalence rates for a problem, nor do they take full advantage of the existing workforce. Implementation of parenting interventions on this scale is a complex process examination of such efforts can inform both research and policy. The US Triple P System Population Trial, designed to reduce child maltreatment at a population level, affords a unique opportunity to examine the steps involved in launching positive parenting support at a population level via an existing provider workforce. The implementation process is described challenges and solutions are discussed.
An Analysis of Training, Generalization, and Maintenance Effects of Primary Care Triple P for Parents of Preschool-Aged Children with Disruptive Behavior
Publisher: Springer Science and Business Media LLC
Date: 21-08-2009
DOI: 10.1007/S10578-009-0156-7
Abstract: A brief primary care intervention for parents of preschool-aged children with disruptive behavior was assessed using a multiple probe design. Primary Care Triple P, a four session behavioral intervention was sequentially introduced within a multiple probe format to each of 9 families to a total of 10 children aged between 3 and 7 years (males = 4, females = 6). Independent observations of parent-child interaction in the home revealed that the intervention was associated with lower levels of child disruptive behavior both in a target training setting and in various generalization settings. Parent report data also confirmed there were significant reductions in intensity and frequency of disruptive behavior, an increase in task specific parental self-efficacy, improved scores on the Parent Experience Survey, and high levels of consumer satisfaction. All short-term intervention effects were maintained at four-month follow-up. Implications for the delivery of brief interventions to prevent conduct problems are discussed.
Family interaction and child psychopathology: A comparison of two observation strategies
Publisher: Springer Science and Business Media LLC
Date: 12-1992
DOI: 10.1007/BF01321292
Enhancing Accessibility and Engagement in Evidence-Based Parenting Programs to Reduce Maltreatment: Conversations With Vulnerable Parents
Publisher: Informa UK Limited
Date: 2013
Predictors of psychological adjustment, experienced parenting burden and chronic sorrow symptoms in parents of children with cerebral palsy
Publisher: Wiley
Date: 08-06-2012
DOI: 10.1111/J.1365-2214.2012.01396.X
Abstract: To investigate the role of child behaviour, parental coping and experiential avoidance in predicting the psychological outcomes of: (i) psychological symptoms (ii) chronic sorrow symptoms and (iii) experienced parenting burden in parents of children with cerebral palsy (CP). This study is a cross-sectional, correlational study. Ninety-four parents of children (aged 2-12 years) with CP (various levels of motor functioning GMFCS I-V) participated. Together, the three predictors of child behaviour, parental coping and experiential avoidance explained 36.8% of the variance in psychological symptoms with child behavioural problems and experiential avoidance as significant unique predictors. In addition, 15.8% of the variance in chronic sorrow symptoms was explained by the three predictors with experiential avoidance alone as a significant unique predictor. Lastly, the predictors together explained 24.3% of the variance in experienced parenting burden with child behavioural problems and experiential avoidance as significant unique predictors. This study demonstrates a relationship between child behavioural problems and parental psychological symptoms and experienced parenting burden as well as a relationship between experiential avoidance and parental psychological symptoms, experienced parenting burden and chronic sorrow symptoms.
Scaling Up Parenting Interventions is Critical for Attaining the Sustainable Development Goals
Publisher: Springer Science and Business Media LLC
Date: 04-05-2021
Behavioral family intervention for children with developmental disabilities and behavioral problems
Publisher: Informa UK Limited
Date: 05-2006
DOI: 10.1207/S15374424JCCP3502_2
Abstract: The outcomes of a randomized clinical trial of a new behavioral family intervention, Stepping Stones Triple P, for preschoolers with developmental and behavior problems are presented. Forty-eight children with developmental disabilities participated, 27 randomly allocated to an intervention group and 20 to a wait-list control group. Parents completed measures of parenting style and stress, and independent observers assessed parent-child interactions. The intervention was associated with fewer child behavior problems reported by mothers and independent observers, improved maternal and paternal parenting style, and decreased maternal stress. All effects were maintained at 6-month follow-up.
The treatment of recurrent abdominal pain in children: A controlled comparison of cognitive-behavioral family intervention and standard pediatric care
Publisher: No publisher found
Date: 1994
Using household survey data to inform policy decisions regarding the delivery of evidence‐based parenting interventions
Publisher: Wiley
Date: 26-01-2007
DOI: 10.1111/J.1365-2214.2006.00725.X
Abstract: This study used household survey data on the prevalence of child, parent and family variables to establish potential targets for a population-level intervention to strengthen parenting skills in the community. The goals of the intervention include decreasing child conduct problems, increasing parental self-efficacy, use of positive parenting strategies, decreasing coercive parenting and increasing help-seeking, social support and participation in positive parenting programmes. A total of 4010 parents with a child under the age of 12 years completed a statewide telephone survey on parenting. One in three parents reported that their child had a behavioural or emotional problem in the previous 6 months. Furthermore, 9% of children aged 2-12 years meet criteria for oppositional defiant disorder. Parents who reported their child's behaviour to be difficult were more likely to perceive parenting as a negative experience (i.e. demanding, stressful and depressing). Parents with greatest difficulties were mothers without partners and who had low levels of confidence in their parenting roles. About 20% of parents reported being stressed and 5% reported being depressed in the 2 weeks prior to the survey. Parents with personal adjustment problems had lower levels of parenting confidence and their child was more difficult to manage. Only one in four parents had participated in a parent education programme. Implications for the setting of population-level goals and targets for strengthening parenting skills are discussed.
An Outcome Evaluation of the Implementation of the Triple P‐Positive Parenting Program in Hong Kong
Publisher: Wiley
Date: 12-2003
DOI: 10.1111/J.1545-5300.2003.00531.X
Abstract: The present study evaluated the effectiveness of the Positive Parenting Program (Triple P) with a s le of Chinese parents of children with early onset conduct-related problems in Hong Kong. The participants consisted of 91 parents whose children attended maternal and child health centers and child assessment centers for service, and were between three to seven years old. Participants were randomly assigned to the intervention (TP) and a waitlist control group (WL). There was no significant difference in pre-intervention measures between the two groups. However, at post intervention, participants in the TP group reported significantly lower levels of child behavior problems, lower dysfunctional parenting styles, and higher parent sense of competence, compared to the WL group. Implications of these findings for the use of Triple P with families of Chinese descent are discussed.
Prevention: The Role of Early Universal and Targeted Interventions
Publisher: Springer New York
Date: 17-08-2010
Does parental attributional retraining and anger management enhance the effects of the Triple P-Positive Parenting Program with parents at risk of child maltreatment?
Publisher: Elsevier BV
Date: 2004
Parent Problem Checklist: Tool for assessing parent conflict
Publisher: Informa UK Limited
Date: 16-04-2009
The effects of instructions, feedback and cueing procedures in behavioural parent training
Publisher: Informa UK Limited
Date: 04-1982
The Effect of Behavioral Family Intervention on Knowledge of Effective Parenting Strategies
Publisher: Springer Science and Business Media LLC
Date: 24-11-2011
Population-Wide Parenting Intervention Training: Initial Feasibility
Publisher: Springer Science and Business Media LLC
Date: 28-09-2007
Hearing Loss in Perinatally HIV-infected and HIV-exposed but Uninfected Children and Adolescents
Publisher: Ovid Technologies (Wolters Kluwer Health)
Date: 08-2012
Couple Communication in Stepfamilies
Publisher: Wiley
Date: 11-11-2007
DOI: 10.1111/J.1545-5300.2007.00226.X
Abstract: Effective communication is assumed to help sustain couple relationships and is a key focus of most relationship education programs. We assessed couple problem-solving communication in 65 stepfamily and 52 first-time-marrying couples, with each group stratified into high risk and low risk for relationship problems based on family-of-origin experiences. Relative to partners in first-time couples, partners in stepfamily couples were less positive, less negative, and more likely to withdraw from discussion. Risk was associated with communication in first-time but not stepfamily couples. Stepfamily couples do not exhibit the negative communication evident in high-risk first-time-marrying couples, and available relationship education programs that focus on reducing negative communication are unlikely to meet the needs of stepfamilies.
A Controlled Evaluation of an Enhanced Self-Directed Behavioural Family Intervention for Parents of Children With Conduct Problems in Rural and Remote Areas
Publisher: Cambridge University Press (CUP)
Date: 03-2006
DOI: 10.1375/BECH.23.1.55
Abstract: Few studies have examined the impact of parenting interventions for families in rural and isolated areas who have children with conduct problems, where access to professional services can be difficult. The present investigation compared the effects of three conditions, two levels of self-directed behavioral family intervention: an enhanced self-directed program that combined a self-help program using written materials and a weekly telephone consultation (ESD), a self-help program (SD) and a waitlist control group (WL). At postintervention the ESD group reported significantly lower levels of disruptive behaviour, and lower levels of dysfunctional parenting than the SD and WL controls, and higher levels of consumer satisfaction. At 6 months follow-up the main effects for the ESD group had been maintained. The SD group continued to evidence improvement from postintervention to follow-up such that 65% of children in the ESD condition and 57% of children in the SD condition showed clinical reliable change on measures of disruptive behaviour. Implications of findings and directions for future research are discussed.
Stepping Stones Triple P: The theoretical basis and development of an evidence-based positive parenting program for families with a child who has a disability
Publisher: Informa UK Limited
Date: 09-2004
The Promotion of Self-Regulation Through Parenting Interventions
Publisher: Springer Science and Business Media LLC
Date: 21-08-2020
DOI: 10.1007/S10567-013-0129-Z
Abstract: The capacity for a parent to self-regulate their own performance is argued to be a fundamental process underpinning the maintenance of positive, nurturing, non-abusive parenting practices that promote good developmental and health outcomes in children. Deficits in self-regulatory capacity, which have their origins in early childhood, are common in many psychological disorders, and strengthening self-regulation skills is widely recognised as an important goal in many psychological therapies and is a fundamental goal in preventive interventions. Attainment of enhanced self-regulation skills enables in iduals to gain a greater sense of personal control and mastery over their life. This paper illustrates how the self-regulatory principles can be applied to parenting and family-based interventions at the level of the child, parent, practitioner and organisation. The Triple P-Positive Parenting Program, which uses a self-regulatory model of intervention, is used as an ex le to illustrate the robustness and versatility of the self-regulation approach to all phases of the parent consultation process.
Parental Use of Time Out Revisited: A Useful or Harmful Parenting Strategy?
Publisher: Springer Science and Business Media LLC
Date: 26-03-2010
Mechanisms of Change in Population-Based Parenting Interventions for Children and Adolescents
Publisher: Informa UK Limited
Date: 08-02-2022
DOI: 10.1080/15374416.2022.2025598
Abstract: Developing an effective population-level system of evidence-based parenting support capable of shifting (at a population level) rates of child maltreatment and social, emotional, and behavioral problems in children requires an integrated theory of change. This paper presents a systems-contextual model of change and identifies modifiable mechanisms that can potentially explain population-level changes in parenting and child outcomes. Using the Triple P-Positive Parenting Program as an exemplar of a tiered, multi-level system of evidence-based parenting interventions, we discuss the putative mechanisms of change necessary to produce change in child behavior, parenting, practitioner behavior, and organizational changes to support the sustained implementation of an intervention. A model of change is proposed that blends theoretical perspectives derived from social learning theory, self-regulation theory, applied behavior analysis, cognitive behavior principles, developmental theory, and principles derived from the fields of public health, implementation science, and economics to explain change in the behavior at the community wide level. Different types of interventions targeting different populations and mechanisms are used to illustrate how sustainable change in child and parent outcomes can be achieved. Evidence supporting specific mechanisms and moderators of intervention effects are discussed as well as directions for future research on mechanisms.
Mealtime Behavior and Parent-Child Interaction: A Comparison of Children with Feeding Problems, and Nonclinic Controls
Publisher: Oxford University Press (OUP)
Date: 1997
Abstract: Examined the role of family interaction factors in dietary compliance problems reported by parents of children with cystic fibrosis (CF). The family mealtime interactions of children with CF, children with feeding problems and nonclinic controls were observed, and parents monitored children's eating behavior at home. Parents of children with CF reported more concern about feeding problems and recorded more disruptive mealtime behavior than parents of nonclinic children. Observational data showed children with CF to display overall rates of disruptive mealtime behavior not significantly different from either comparison group. Mothers of children with CF were observed to engage in higher rates of aversive interaction with their child than did mothers of nonclinic controls. Fathers of children with CF reported lower marital satisfaction than fathers of controls. Both mothers and fathers of children with CF reported lower parenting self-efficacy than non-CF families. Clinical implications are discussed.
Related Organisations
University Of Manchester
Location: United Kingdom of Great Britain and Northern Ireland
Glasgow Caledonian University
Location: United Kingdom of Great Britain and Northern Ireland
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