Is Triple P Positive Parenting Program Effective on Anxious Children and Their Parents? 4th Month Follow up Results

Özyurt, Gonca; Gencer, Özlem; Öztürk, Yusuf; Özbek, Aylin

doi:10.1007/s10826-015-0343-z

Cited by 13 publications

(10 citation statements)

References 47 publications

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“…While a body of evidence shows that behavioural parenting programmes are beneficial for children’s behavioural and emotional problems and in improving parenting practices, attrition rates between 30 and 60% were posted, depending on the sample included and the methodology applied (Chacko et al, 2016; Nicholson & Sanders, 1999; Oliver, 2013; Özyurt et al, 2016; Sanders, Baker, & Turner, 2012; Sanders et al, 2000). Dropout rates associated with Triple-P were lower compared to other parenting programmes, and the mean dropout rate across randomised controlled trials with community samples was reported to be between 15% and 37% (First 5 Sonoma County, 2012; Jones, 2014; Turner et al, 1999; ‘The World of Triple P’, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…Based on social learning principles and child and family behaviour therapy, this approach has strong empirical support of intervention with children, particularly those with conduct problems, the most common reason for referral to psychological and psychiatric services in childhood (Aghebati, Gharraee, Hakim, Shoshtari, & Gohari, 2014; de Graaf, Speetjens, Smit, de Wolff, & Tavecchio, 2008; Furlong et al, 2010). In addition to disruptive, aggressive externalising problems in childhood, recent studies have challenged the effectiveness of Triple-P on internalising problems, such as low self-esteem, childhood anxiety and depression, including treatment resistant depression in children victimised by peers (Furlong et al, 2010; Healy & Sanders, 2017; Özyurt, Gencer, Öztürk, & Özbek, 2016). In addition, Wakimizu, Fujioka, Iejima, and Miyamoto (2014) reported that group Triple-P is effective for reducing children’s behavioural problems, changing dysfunctional parenting practices and promoting family empowerment for families raising a child with developmental disabilities (Wakimizu et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

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Which parents dropout from an evidence-based parenting programme (Triple-P) at CAMHS? Comparison of programme-completing and dropout parents

Özbek

Gencer

Mustan

2018

Clin Child Psychol Psychiatry

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Evidence-based parenting programmes are beneficial for children's behavioural and emotional problems as well as parenting practices. Along with effectiveness, attendance affects the programme outcome and identification of risks associated with dropout may aid in development of special policy to increase engagement. In this study, we aimed to compare sociodemographics, parental attitudes, child behavioural and emotional problems of programme-completing and dropout parents from Level-4 Triple-P parenting programme applied at Child and Adolescent Mental Health Services (CAMHS). We also aimed to determine the attrition rate. In addition, we inquired whether there was a change in parenting styles and child behaviour and emotional problems before and after Level-4 Triple-P for the programme-completing parents at CAMHS. Results displayed that 52% ( n = 58) of the parents who were significantly less educated, used hostile rejecting attitudes, and reported more hyperactive/inattentive behaviour in their children compared to the parents who competed the programme ( p = 0.022, p = 0.016, p = 0.027, respectively) discontinued the programme. Parents who were able to complete the programme ( n = 54) reported a reduction in over-parenting and improvements in children's conduct problems along with overall stress levels before and after Triple-P ( p = 0.009, p = 0.040, p = 0.023). Parents at risk of discontinuing parenting programmes may require special policy to be engaged since these programmes may offer significant benefits for parenting practices and, in turn, children's well-being.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Which parents dropout from an evidence-based parenting programme (Triple-P) at CAMHS? Comparison of programme-completing and dropout parents

Özbek

Gencer

Mustan

2018

Clin Child Psychol Psychiatry

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“… ? – + + + + Özyurt 2016 [ 29 ] CBT parent only(37) vs. WL(37) K-SADS-PL GAD&SAD&SPP&SOP 8–12(9.7±1.45) 8 w 8 Sessions SCARED-C-41 −12.42 vs.-1.31 + ? – – ?…”

Section: Resultsmentioning

confidence: 99%

“…Therefore confirming this finding will require further research in future. Regarding high/unclear risk, excluding one high-risk study [ 29 ] changed the efficacy of the outcome. This finding highlighted the need for caution when interpreting the current results, and the importance of further studies to confirm our conclusions.…”

Section: Discussionmentioning

confidence: 99%

“…Waters reported that parents with high anxiety scores were more likely to drop out, both in the intervention group and the control group, but only a non-significant trend was observed on the DASS-42 Anxiety subscales from pre-treatment to post-treatment [ 17 ]. And Ozyurt reported a significant improvement in parental anxiety in the intervention group from pre-treatment to post-treatment [ 29 ]. No previous studies have explored the differences between implementing parent-only CBT for children with anxiety when parents met the diagnostic criteria for anxiety or depression.…”

Section: Discussionmentioning

confidence: 99%

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Efficacy and acceptability of parent-only group cognitive behavioral intervention for treatment of anxiety disorder in children and adolescents: a meta-analysis of randomized controlled trials

et al. 2021

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Background Anxiety disorder is the most prevalent mental disorder among children and adolescents, causing significant psychosocial problems and physical health conditions. Cognitive behavioral therapy (CBT) is an effective treatment for anxiety disorder in children and adolescents. And parent-only CBT is an alternative treatment for childhood anxiety disorder, which includes psychologists and parents rather than children in the treatment. As a new type of CBT, parent-only CBT has some advantages. However, it remains unclear whether parent-only CBT interventions are effective for treating children and adolescents with anxiety disorder. Methods In this study, we evaluated the efficacy (the mean change scores of the anxiety rating scale from baseline to post-treatment, standardized mean difference SMD) and acceptability (the proportion of patients in the treatment group who withdrew from treatment early for any reason, risk ratios RRs) of parent-only cognitive behavioral therapy (CBT) for children and adolescents with anxiety disorder. We searched electronic databases, including PubMed, Cochrane Library, Embase, Web of Science, ProQuest, and PsycINFO from inception to June 2019. We included randomized controlled trials (RCTs) comparing parent-only CBT either with waitlist (WL), or CBT with parents in children and adolescents with anxiety disorder. Results Finally, six RCTs with 407 participants were included in the meta-analyses. In terms of efficacy, pooled analyses indicated that parent-only CBT was significantly more effective than WL for reducing anxiety symptoms with SMD of − 0.72 (95% CI − 1.41 to − 0.03, p = 0.04), and more remission rate with RR of 4.33 (37.96% vs. 6.85, 95% CI 1.82 to 10.27, p = 0.0009) at post-treatment. And our analyses showed no evidence that parent-only CBT had significantly greater efficacy than CBT with parents with SMD of 0.21 (95% CI − 0.09 to 0.50, p = 0.17). Acceptability in the parent-only CBT group was not significantly different to the WL group with RR of 0.92 (95% CI 0.52 to 1.62, p = 0.77), and was significantly worse than in the CBT with parents group with RR of 1.93 (95% CI 1.05 to 3.57, p = 0.03). Conclusions Current evidence indicates that parent-only CBT can be an alternative and acceptable intervention for treating children and adolescents with anxiety disorder.

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Social Learning Influences: Modelling, Instructions, Consequences

Mazzucchelli

2018

Handbook of Parenting and Child Development Across the Lifespan

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Is Triple P Positive Parenting Program Effective on Anxious Children and Their Parents? 4th Month Follow up Results

Cited by 13 publications

References 47 publications

Which parents dropout from an evidence-based parenting programme (Triple-P) at CAMHS? Comparison of programme-completing and dropout parents

Which parents dropout from an evidence-based parenting programme (Triple-P) at CAMHS? Comparison of programme-completing and dropout parents

Efficacy and acceptability of parent-only group cognitive behavioral intervention for treatment of anxiety disorder in children and adolescents: a meta-analysis of randomized controlled trials

Social Learning Influences: Modelling, Instructions, Consequences

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