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

Abstract

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.

Clinical and cost effectiveness of a parent mediated intervention to reduce challenging behaviour in pre-schoolers with moderate to severe intellectual disability (EPICC-ID) study protocol: a multi-centre, parallel-group randomised controlled trial

“…The secondary outcome measures will also provide critical information on variables that are known to impact child behaviour [59,60]. Moreover, conducting a process evaluation and fidelity testing ensures the external validity of the study and will examine gaps in the implementation that are likely to hinder uptake [61].…”

Cost-effectiveness analysis of parenting interventions for the prevention of behaviour problems in children

“…However, the magnitude of such bias is difficult to estimate. It also remains important to consider, from an equity standpoint, who the beneficiaries of these interventions are [62]. Future work should collect enough data to perform sub-group analyses based on equity considerations, for instance to investigate whether socio-economic status, ethnicity etc.…”

Economic Return on Investment of Parent Training Programmes for the Prevention of Child Externalising Behaviour Problems

“…Table 2 summarizes the total cost per program and mean cost per child. Due to the possibility of parents dropping out (Ozbek et al 2018) resulting in group-sessions not running at full capacity (affecting average cost per individual), we explored the effect of increased intervention costs in a sensitivity analysis.…”

“…Lastly, it is important to note that no sub-group analyses have been conducted and that no other effects other than those on the children have been included in these analyses. We therefore do not know for which children these interventions work; it seems plausible that compliance rates of the self-help book or other barriers to the effectiveness of parenting interventions may be affected by demographic variables, such as language/cultural background or parental well-being (Gardner et al 2010;Ozbek et al 2018). Initial level or amount of problems may also impact the results.…”