Help When It’s Needed First: A Controlled Evaluation of Brief, Preventive Behavioral Family Intervention in a Primary Care Setting

The University of Queensland, Brisbane, Australia.
Behavior Therapy (Impact Factor: 3.69). 07/2006; 37(2):131-42. DOI: 10.1016/j.beth.2005.05.004
Source: PubMed


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.

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Available from: Karen M. T. Turner,
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    • "Finally, Level 5 is an enhanced intervention for families where parental difficulties are complicated by other sources of distress such as depression or divorce. Triple P was chosen for this project as it is evidence-based (Nowak and Heinrichs 2008), has been disseminated widely to other countries (Leung et al. 2006; Matsumoto et al. 2010), and can be offered in different formats (Markie-Dadds and Sanders 2006; Sanders et al. 2009; Turner and Sanders 2006). "
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    ABSTRACT: Several international organizations have suggested the need for disseminating existing evidence-based parenting interventions into low-resource settings of the world in order to prevent societal difficulties such as violence. Before dissemination efforts take place, it is important to examine the fit of existing interventions in these contexts. In the present study, 80 practitioners from low-resource communities in Panama, Central America, were surveyed in order to explore their views on materials, principles and strategies of an evidence-based parenting program, the Triple P Positive Parenting Program. This study is part of a larger project in which cultural relevance was also explored from parents’ perspective, instruments were translated and validated, and a RCT was carried out to determine efficacy. Practitioners in the present study were psychologists, teachers, social workers and learning disability specialists based in school settings. Descriptive statistics were used to analyze the data and regression analyses were carried out in order to determine whether socio-demographic variables predicted acceptability scores. Scores for cultural relevance and usefulness of the program were high. A sample of material was found to be interesting, familiar, and acceptable. All practitioners (100 %) expressed a need to implement a parenting program in their community. Only being female and greater hours of consultation per week were associated with greater acceptability. These results have the potential to inform implementation efforts in Panama and the study offers a methodology which can be used to explore the relevance of other programs in other low-resource settings.
    Journal of Child and Family Studies 08/2014; 24(8). DOI:10.1007/s10826-014-0028-z · 1.42 Impact Factor
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    • "relationships between parents and their children, regardless of socio-cultural boundaries, age or gender (Thomas and Zimmer-Gembeck 2007; Turner and Sanders 2006). Based on social learning, cognitive behavioural and developmental theory, the five levels of intervention range in intensity from level 1 (lowest intensity), a universal parenting programme for improving general knowledge and awareness of parenting information, to level 5, an enhanced and specialised programme targeted at families whose parenting is compromised due to significant stressors (e.g. "
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    ABSTRACT: New mothers with severe mental illness (SMI) frequently experience significant difficulties in caring for their babies. There are no structured, evidence-based interventions that guide health professionals to help these women improve early parenting. The extensively researched and effective Triple P Positive Parenting Programme has recently been expanded to families with children less than 1 year old, which provides an opportunity to develop the intervention for women with severe postnatal mental illness. This study explored the views of mothers with SMI about the acceptability and feasibility of Baby Triple P (Baby TP) in the setting of a psychiatric Mother and Baby Unit (MBU). An 88-item Q-sort was conducted with a purposive sample of 15 mothers using Q-methodology. Three main factors were identified: 'what we need', 'what we want' and 'we can do it'. A consensus was noted with general agreement about the benefits of Baby TP, and suitability of the MBU environment to accommodate Baby TP. Baby TP was viewed as an acceptable and feasible parenting intervention and deemed positive and non-stigmatising. Mothers requested more staff awareness and knowledge about the programme so that they were supported in learning and generalising skills.
    Archives of Women s Mental Health 05/2014; 17(5). DOI:10.1007/s00737-014-0429-4 · 2.16 Impact Factor
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    • "DPICS Dyadic Parent Interaction Coding System primarily targeted preschool children with subclinical EBP, with the Berkovits et al. (2010) study ruling out children exhibiting clinically elevated EBP, and the Turner and Sanders (2006) study acknowledging " low overall level of disruptive child behavior " when compared to previous Triple P outcome studies. Additionally, the Turner and Sanders (2006) study did not find significant improvements in observed measures of both parenting and child behavior. Finally, the brief versions of treatment in both studies were implemented weekly over the course of 4–8 weeks in comparison to the 2 weeks in the current study. "
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    ABSTRACT: The current pilot study examined the feasibility, acceptability, and initial outcome of an intensive and more condensed version of Parent-Child Interaction Therapy (90 minute sessions for 5 days/week over the course of 2 weeks). Using an open trial design, 11 children (M child age = 5.01 years) and their mothers completed a baseline period of 2 weeks, a treatment period of 2 weeks, and a post-treatment evaluation. A follow-up evaluation was also conducted 4 months following treatment completion. Across all assessments, mothers completed measures of child behavior and parenting stress, and observational data was collected during three 5-minute standard situations that vary in the degree of parental control (child-led play, parent-led play, & clean-up). All 11 families completed the intervention with extremely high attendance and reported high satisfaction. Results across both mother report and observations showed that: a) externalizing behavior problems were stable during the baseline period; b) treatment was effective in reducing externalizing behavior problems (ds = 1.67-2.50), improving parenting skills (ds = 1.93-6.04), and decreasing parenting stress (d = .91); and c) treatment gains were maintained at follow-up (ds = .53-3.50). Overall, preliminary data suggest that a brief and intensive format of a parent-training intervention is a feasible and effective treatment for young children with externalizing behavior problems with clinical implications for improving children's behavioral impairment in a very brief period of time.
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