Stepping Stones Triple P-Positive Parenting Program for children with disability: A systematic review and meta-analysis

Tellegen, Cassandra L.; Sanders, Matthew R.

doi:10.1016/j.ridd.2013.01.022

Cited by 149 publications

(145 citation statements)

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“…[9][10][11] Stepping Stones Triple P (SSTP) is a variant of the widely disseminated Positive Parenting Program (Triple P) that targets families of children with disabilities. 12 A recent meta-analysis found that SSTP has a moderate effect on child behavioral outcomes (d = 0.537) and a large effect on parenting style (d= 0.725), 13 consistent with meta-analyses of Triple P with typically developing children. [14][15][16][17] Further, SSTP has demonstrated efficacy specifically for families of children with autism spectrum disorders (ASDs).…”

mentioning

confidence: 61%

“…SSTP alone was associated with reductions in parentreported child behavioral and emotional problems consistent with previous research. 13,18 Further, SSTP combined with ACT was associated with reductions in dysfunctional parenting styles. The effect sizes obtained for the primary outcome (ECBI Intensity = 0.19; ECBI Problem = 0.32) are comparable to effects obtained in families of children with ASDs (ECBI Intensity = 0.26; ECBI Problem = 0.16).…”

Section: Discussionmentioning

confidence: 91%

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Interventions to Reduce Behavioral Problems in Children With Cerebral Palsy: An RCT

et al. 2014

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WHAT'S KNOWN ON THIS SUBJECT: One in 4 children with cerebral palsy (CP) have a behavioral disorder. Parenting interventions are an efficacious approach to treating behavioral disorders. There is a paucity of research on parenting interventions with families of children with CP. WHAT THIS STUDY ADDS:This is the first study to demonstrate the efficacy of a parenting intervention in targeting behavioral problems in children with CP. Further, results suggest that Acceptance and Commitment Therapy delivers additive benefits above and beyond established parenting interventions.abstract OBJECTIVE: To test Stepping Stones Triple P (SSTP) and Acceptance and Commitment Therapy (ACT) in a trial targeting behavioral problems in children with cerebral palsy (CP).METHODS: Sixty-seven parents (97.0% mothers; mean age 38.7 6 7.1 years) of children (64.2% boys; mean age 5.3 6 3.0 years) with CP (Gross Motor Function Classification System = 15, 22%; II = 18, 27%; III =12, 18%; IV = 18, 27%; V = 4, 6%) participated and were randomly assigned to SSTP, SSTP + ACT, or waitlist. Primary outcomes were behavioral and emotional problems (Eyberg Child Behavior Inventory [ECBI], Strengths and Difficulties Questionnaire [SDQ]) and parenting style (Parenting Scale [PS]) at postintervention and 6-month follow-up.RESULTS: SSTP with ACT was associated with decreased behavioral problems (ECBI Intensity mean difference [MD] = 24.12, confidence interval [CI] 10.22 to 38.03, P = .003; ECBI problem MD = 8.30, CI 4.63 to 11.97, P , .0001) including hyperactivity (SDQ MD = 1.66, CI 0.55 to 2.77, P = .004), as well as decreased parental overreactivity (PS MD = 0.60, CI 0.16 to 1.04, P = .008) and verbosity (PS MD = 0.68, CI 0.17 to 1.20, P = .01). SSTP alone was associated with decreased behavioral problems (ECBI problems MD = 6.04, CI 2.20 to 9.89, P = .003) and emotional symptoms (SDQ MD = 1.33, CI 0.45 to 2.21, P = .004). Decreases in behavioral and emotional problems were maintained at follow-up.CONCLUSIONS: SSTP is an effective intervention for behavioral problems in children with CP. ACT delivers additive benefits. Pediatrics

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confidence: 61%

Section: Discussionmentioning

confidence: 91%

Interventions to Reduce Behavioral Problems in Children With Cerebral Palsy: An RCT

et al. 2014

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“…Long-term effects in RCTs where children do not have a developmental disability or SEN have been summarized in meta-analyses as small for both child behavior and parenting (e.g., effect sizes 0.21 and 0.25 for child and parent outcomes, respectively; Lundhal et al, 2006). For children with a developmental disability, available meta-analyses have not examined long-term maintenance (c.f., Tellegen and Sanders, 2013). However, evidence of maintenance of disability-adapted EBPPs is available from single trials of SSTP.…”

Section: Discussionmentioning

confidence: 99%

“…The Incredible Years program (Webster-Stratton, 2001) has been adapted and piloted with parents of children with developmental delay (McIntyre, 2008). Triple P (Sanders, 1999) has been adapted to be used with parents whose children have various disabilities and is known as Stepping Stones Triple P (SSTP; Sanders et al, 2004); SSTP has been evaluated in several RCTs and a recent meta-analysis summarized available evidence from nine RCTs and three uncontrolled studies (Tellegen and Sanders, 2013). Findings indicated that immediately after SSTP, there were significant improvements in child problem behaviors and improvements in parenting skills among parents of children with various developmental disabilities.…”

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confidence: 99%

Comparing the Effectiveness of Evidence-Based Parenting Programs on Families with and without Children with Special Educational Needs: Short-term and Long-term Gains

Totsika

Mandair²,

Lindsay

2017

Front. Educ.

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Parents of children with a disability or special educational needs (SEN) have three available options when accessing parenting programs: (a) to access a parenting program that has been adapted for use by families with a child with disability, (b) to access a disability-specific parenting program, or (c) to access a parenting program developed for typically developing children. The aim of the present study was to examine whether accessing evidence-based parenting programs (EBPPs) developed for typically developed children (option c) could benefit families of children with SEN, and whether benefits could be maintained when program delivery takes place as part of sustained service implementation. Using data from an effectiveness trial, we found that there was no evidence of differential effectiveness: i.e., families of children with SEN experienced similar gains to families whose child did not have SEN with respect to child behavior problems, parenting style, and parental mental well-being. Using data from services' sustained implementation, our findings indicated that gains during the implementation phase were of similar magnitude to gains during the research trial: following EBPPs, families of children with SEN experienced small to moderate improvements in behavior problems, and moderate to large improvements in parenting and parental mental well-being across the two phases. One year later, gains were significantly maintained in families who had accessed EBPPs as part of the research trial. While the study is not proposing that EBPPs developed for typically developing children are a replacement for disability-adapted or disability-specific parenting programs, there was a pragmatic need to evaluate the effectiveness of EBPPs that are in practice accessed by families with a child with SEN. Overall, families of children with SEN can benefit from EBPPs similarly to families whose child does not have SEN, and the gains are significant and substantial even when EBPPs are offered as part of regular service provision. Longer term maintenance of gains (1 year) in service-led implementation of EBPPs likely requires more input.

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“…Im Kontext von Bildungseinrichtungen und sozialpädagogischen Beratungsangeboten für Kinder mit Entwicklungsstö-rungen oder Behinderungen und ihre Familien wurde bereits mehrfach in randomisierten kontrollierten Studien die Wirksamkeit des StSt-Elterntrainings nachgewiesen[16,28].Die vorliegende Studie untersucht dagegen, ob das StSt-Elterntraining signifikante additive Effekte im Kontext der medizinischen Standardbehandlung von Familien mit einem entwicklungsgestörten oder behinderten Kind erzielen kann. Eine aktuelle randomisierte Studie aus den Niederlanden [16] vergleicht das StStElterntraining mit anderen im der dortigen Behindertenversorgung etablierten psychosozialen Standardhilfen (z.…”

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Versorgung von Familien mit einem entwicklungsauffälligen oder behinderten Kind

Hampel¹,

Hasmann²,

Hasmann³

et al. 2015

Monatsschr Kinderheilkd

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Stepping Stones Triple P-Positive Parenting Program for children with disability: A systematic review and meta-analysis

Cited by 149 publications

References 41 publications

Interventions to Reduce Behavioral Problems in Children With Cerebral Palsy: An RCT

Interventions to Reduce Behavioral Problems in Children With Cerebral Palsy: An RCT

Comparing the Effectiveness of Evidence-Based Parenting Programs on Families with and without Children with Special Educational Needs: Short-term and Long-term Gains

Versorgung von Familien mit einem entwicklungsauffälligen oder behinderten Kind

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