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.

Abstract

Three variants of a behavioral family intervention (BFI) program known as Triple P were compared using 305 preschoolers at high risk of developing conduct problems. Families were randomly assigned to enhanced BFI (EBFI), standard BFI (SBFI), self-directed BFI (SDBFI), or wait list (WL). At postintervention, the 2 practitioner-assisted conditions were associated with lower levels of parent-reported disruptive child behavior, lower levels of dysfunctional parenting, greater parental competence, and higher consumer satisfaction than the SDBFI and WL conditions. Overall, children in EBFI showed greater reliable improvement than children in SBFI, SDBFI, and WL. By 1-year follow-up, children in all 3 conditions achieved similar levels of clinically reliable change in observed disruptive behavior. However, the EBFI and SBFI conditions showed greater reliable improvement on parent-observed disruptive child behavior.

Reducing problem behavior during care-giving in families of preschool-aged children with developmental disabilities

“…Scores range from 13 to 91 with higher scores indicating higher levels of consumer satisfaction with the program. The scale has a high internal consistency of .96 (Sanders, Markie-Dadds, Tully, & Bor, 2000) which is similar to scores in the current sample (α = .92).…”

“…Whilst this finding has not previously been demonstrated in the parent training literature pertaining to children with developmental disabilities, it is consistent with results of Triple P-Positive Parenting Program (Sanders, 1999) comparison trials which suggest that enhanced interventions do not consistently produce better short-or long-term effects (Bor et al, 2002;Sanders, MarkieDadds, Tully et al, 2000) as compared with standard interventions. These researchers (Bor et al, 2002;Sanders, Markie-Dadds, Tully et al, 2000) argue that the standard parenting program has been empirically validated as being a powerful intervention in its own right, and that changes in parenting practices and associated changes in negative child behavior resulting from this program may act as a catalyst for producing changes in other areas of family functioning. This may mean that there is little scope for the enhanced interventions to impact further on both parent and child behavior.…”

Prevention of Child Behavior Problems Through Universal Implementation of a Group Behavioral Family Intervention

“…The present study extends the literature on the prevention of serious conduct problems by evaluating the effects of a large-scale, universally accessible, population-level application in a primary health care setting of the Triple P-Positive Parenting Program (Sanders, 1999;Sanders et al, 1996aSanders et al, , 2000Turner et al, 1998). We report here the immediate, 1-year and 2-year outcomes for 804 children whose parent(s) participated in a regionally based universal program of group Triple-P.…”

“…Group Triple-P is described extensively elsewhere (Sanders et al, 2000;Turner et al, 1998). Briefly, enrolled parents participated in a 2-hr training workshop in groups of about 10 parents (representing on average about 8 children), once a week for 4 weeks, followed by a 15-min telephone support session once a week for 4 weeks.…”

“…For an intervention to be considered suitable for a population-level implementation several conditions need to be met (Sanders et al, 2000). These include having (1) evidence available about the prevalence of the target problem (child behavior) and the targeted risk factors (parenting variables); (2) evidence that shows that modifying the risk factors are associated with improvements in the targeted problem; (3) an available, effective, and culturally appropriate intervention that can be readily disseminated, and (4) a delivery mechanism to enable the program to be widely implemented in the community.…”