Karen M. T. Turner

Karen M. T. Turner
The University of Queensland | UQ

BA(Hons), MPsychClin, PhD

About

68
Publications
16,661
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2,164
Citations

Publications

Publications (68)
Article
Full-text available
To enhance the accessibility and acceptability of evidence-based parenting programs in Indigenous communities, there is a need to build a confident and skilled workforce within these diverse settings. For training to be effective, the complex histories, traditional values and practices of the communities in which a program will be delivered must be...
Article
Background: Pakistan is home to 4.6 million children who have been orphaned. Limited data on caregiving in orphanages suggests that caregivers do not have specialised training, and experience heavy workloads and high-stress levels. Supporting these caregivers to provide responsive and consistent caregiving can improve their well-being along with t...
Article
Objectives: Parenting is central to children's optimal development and accounts for a substantial proportion of the variance in child outcomes, including up to 40% of child mental health. Parenting is also one of the most modifiable, proximal, and direct factors for preventing and treating a range of children's problems and enhancing wellbeing. To...
Article
Online delivery of parenting support is steadily increasing, yet the factors that influence program engagement and efficacy are still understudied. This study used an integrated data analysis approach to identify family and program-related factors that influence outcomes. We combined individual data from seven published efficacy trials of the web-b...
Article
Full-text available
Of all the potentially modifiable influences affecting children’s development and mental health across the life course, none is more important than the quality of parenting and family life. In this position paper, we argue that parenting is fundamentally linked to the development of life skills that children need in order to achieve the United Nati...
Article
Despite wellbeing being critical for individuals and communities to thrive in life and succeed in education, there is little research that investigates how Indigenous Australian youth attending universities conceptualise wellbeing. The purpose of this research was to empower the voices and agency of Indigenous youth attending higher education insti...
Article
Full-text available
The Model of Engaging Communities Collaboratively was developed with the integration of literature reviews in cultural adaptation approaches, engagement and implementation approaches; and international Indigenous feedback to inform the processes of implementing evidence-based practices (EBP) with Indigenous populations. This model synthesises the c...
Chapter
This chapter explores the influence of culture and living context on parenting and the related implications for the optimal provision of parenting support. Developing an empirical base for an intervention approach takes time and resources, and there is growing evidence to suggest that existing proven programs can be effective in new cultural contex...
Article
Full-text available
Background: The article by Marryat, Thompson and Wilson (2017) in BMC Pediatrics presents an evaluation of the implementation of the Triple P system as a public health intervention conducted by the Glasgow City Council and NHS Greater Glasgow and Clyde. Discussion: Unfortunately, the conclusions drawn are questionable for multiple reasons. The l...
Article
Full-text available
Introduction The population-based (Lililwan) study of fetal alcohol spectrum disorder (FASD) revealed a high prevalence of FASD in the remote communities of the Fitzroy Valley, Western Australia (WA) and confirmed anecdotal reports from families and teachers that challenging child behaviours were a significant concern. In response, Marninwarntikura...
Article
Full-text available
An individual’s capacity to self-regulate their cognitions, emotions and actions is an important life skill and emergent developmental competency for both children and parents. Individuals with better self-regulation achieve more positive life course outcomes and are less likely to develop significant mental health, social, and relationship problem...
Chapter
Increasingly, parents are looking to the Internet for information and advice about parenting. This presents an opportunity to broaden the reach and availability of evidence-based parenting support in an extremely cost-effective manner if we can harness the power of the Internet to deliver engaging and effective interactive programs. Online platform...
Chapter
Primary care providers such as family doctors, pediatricians, and community child health nurses are a trusted first port of call for parents seeking advice on parenting issues, and routine well-child visits provide multiple opportunities for screening, support, and intervention. Pediatric practices and family-centered health settings are an ideal,...
Chapter
There is a need to increase access to evidence-based parenting support in disadvantaged and marginalized communities; however, cultural fit of a mainstream program may be a significant barrier to program adoption. Tailoring existing programs to local family and community needs is the most cost-effective route to achieve broader population reach, ra...
Chapter
An awareness of the complex social and political context for parenting in Indigenous cultures is important to the success of parenting interventions. This chapter shares experiences of successful program adoption, implementation, and sustainment that stem from working in partnership with an Indigenous organization, peak body, or ideally an entire c...
Chapter
Early childhood education and child care settings have the potential to support parents and promote children’s cognitive, social, and emotional development, with likely long-term positive impacts well beyond school readiness. This chapter describes the development and pilot testing of a parallel program to Triple P, the Positive Early Childhood Edu...
Chapter
Innovation has characterized the whole field of behavioral family intervention since its inception. This chapter reflects on the innovative developments that have occurred over the past four decades as the field of evidence-based parenting support has evolved in response to cumulating evidence relating to effectiveness. Despite these advances, it i...
Article
This paper evaluates program, workplace and process factors associated with implementation and sustainment of an evidence-based parenting support program (EBP) in disadvantaged communities. Correlation analyses and binary logistic regressions were used to assess the associations between key implementation support factors and program implementation...
Article
Objective: This randomized controlled trial examined the efficacy of Triple P Online Brief, a low-intensity online positive parenting program for parents of children with early onset disruptive behavior problems. Method: Two hundred parents with 2-9-year-old children displaying early onset disruptive behavior difficulties were randomly assigned...
Article
This paper presents a review of the empirical literature for studies evaluating factors that facilitate and create barriers to sustained program implementation in disadvantaged communities. It outlines study methodology and sustainment outcomes and proposes a conceptual model that involves implementation sustainment support for providers delivering...
Article
Full-text available
An evaluation measure of enablers and inhibitors to sustained evidence-based program (EBP) implementation may provide a useful tool to enhance organizations' capacity. This paper outlines preliminary validation of such a measure. An expert informant and consumer feedback approach was used to tailor constructs from two existing measures assessing ke...
Article
The aim of this study was to examine the feasibility (accessibility, engagement and impact) of adding social media and gaming features (e.g., social sharing with anonymity, badges to incentivize skills practice, an accredited facilitator for support) and access via smartphones to an evidenced-based parenting program, Triple P Online. The highly vul...
Article
Indigenous children have elevated risk for poor health, behavioural, emotional, and social outcomes. Significant evidence exists that parenting programs can reduce family risk factors and improve outcomes for children and families; however, mainstream programs have had slower uptake in Indigenous communities than other communities. Culturally sensi...
Conference Paper
The need for better access to evidence-based parenting interventions has been widely recognized. Rather than a ‘one size fits all‘ approach, a system of evidence-based support is needed that acknowledges the different needs and preferences of parents. This includes complementing intensive interventions with prevention and early intervention program...
Conference Paper
As program developers, we have endeavoured to reduce barriers for families in accessing effective parenting and family support, and have conducted community consultation about program acceptability and barriers to implementation. Much of the feedback has related to training and post-training support for Indigenous workers. This project involved an...
Conference Paper
Reaching vulnerable parents with effective parenting programs is a formidable challenge. Despite the demonstrated effectiveness of evidence-based parenting programs, relatively few parents access them. Aside from logistical obstacles, the stigma surrounding a child’s behavioral or emotional disorders constitutes a meaningful barrier to participatio...
Article
Full-text available
A meta-analytic review of the Triple P-Positive Parenting program by Wilson et al., recently published in BMC Medicine, claimed to demonstrate that although Triple P is widely disseminated and adopted, the evidence attesting to the effectiveness of the program is not as convincing as it may appear. Although this review addresses the important issue...
Article
Full-text available
This study examines factors affecting the implementation by primary care practitioners (nursing, education, allied health, and medical) of a brief parenting and family support intervention (the Primary Care Triple P-Positive Parenting Program) following professional training. It assesses the impact of prior experience, self-efficacy, program suppor...
Article
Full-text available
Conflict of interest: The Triple P-Positive Parenting Program is owned by the University of Queensland (UQ). The University through its main technology transfer company UniQuest Pty Limited has licensed Triple P International Pty Ltd to disseminate the program worldwide. Royalties stemming from this dissemination activity are distributed to the Pa...
Chapter
INTRODUCTIONTHEORETICAL BASIS OF TRIPLE P-Positive Parenting Program?TOWARD A MODEL OF PARENTAL COMPETENCEEFFECTIVENESS OF TRIPLE PDELIVERY FORMATSACCESSING TRIPLE P INTERVENTIONSISSUES REGARDING SUCCESSFUL PROGRAM IMPLEMENTATION
Article
Parenting programmes have been shown to improve children's adjustment and reduce problem behaviour; however, little research has addressed outcomes for Indigenous families. The aim of this project was to assess the impact and cultural appropriateness of a parenting programme tailored for Indigenous families, an adaptation of the evidence-based Grou...
Article
Full-text available
The aim of the present study was to investigate the economic case for the implementation of the Triple P-Positive Parenting Program on a population basis in Queensland, Australia, in order to reduce the prevalence of conduct disorder in children. Threshold analysis was undertaken together with a limited cost-effectiveness analysis. The Triple P-Pos...
Article
Full-text available
Indigenous children and youth are at greater risk of emotional and behavioural problems than non-Indigenous youth, with family life stresses and parenting style identified as common risk factors. There is substantial evidence that parenting programs can improve family relationships and improve child outcomes, however little research has focused on...
Article
This section illustrates the diversity of clinical problems commonly encountered in paediatric psychology. It presents an overview of the role of the paediatric psychologist and the typical professional responsibilities they perform. A sample of disorders seen by paediatric psychologists is reviewed. Strategies for conducting a comprehensive assess...
Article
This paper discusses the evidence for parenting skills training and behavioral family intervention (BFI), and the need for early intervention and prevention programs. It presents a conceptual framework for a comprehensive multilevel parenting and family support strategy for reducing the prevalence of parenting difficulties and other family risk fac...
Article
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...
Article
This presentation details research evaluating the efficacy and cultural acceptability of a group behavioural family intervention program (Group Triple P – Positive Parenting Program) tailored for Australian indigenous families. This preventively oriented, early intervention program incorporates parent education groups, print and video materials, wh...
Article
This paper draws on learnings from dissemination and diffusion research to discuss predictors of dissemination outcomes, obstacles to effective dissemination, and phases of dissemination failure. A model is presented of effective dissemination of a multilevel system of intervention known as the Triple P-Positive Parenting Program (Triple P). This m...
Article
Aims to take the stress out of parenting and to make parenting easier by providing practical answers to everyday problems.
Article
Full-text available
The Triple P-Positive Parenting Program is a behavioural family intervention program that aims to prevent severe behavioral, emotional and developmental problems in children by enhancing the knowledge, skills, and confidence of parents. This study evaluated the effect of training general practitioners in the use of the primary care version of the T...
Article
This thesis presents a program of research evaluating the implementation of a primary care intervention program for disruptive child behaviour, and the process of dissemination of the intervention to primary care staff. The specific aims were to: 1) evaluate the effectiveness and acceptability of a brief, preventive behavioural family intervention...
Article
Full-text available
This paper describes the theoretical and empirical basis of a unique multilevel system of parenting and family support known as the Triple P-Positive Parenting Program. The program incorporates five levels of intervention on a tiered continuum of increasing strength and narrowing population reach. The self-regulation framework of the program is dis...
Article
This article examines the role of a population strategy targeting the media and professionals in primary care services as part of a comprehensive parenting and family support system to improve the health status and well-being of children.
Article
Full-text available
Examined the role of family interaction factors in dietary compliance problems reported by parents of children with cystic fibrosis (CF). The family mealtime interactions of children with CF, children with feeding problems and nonclinic controls were observed, and parents monitored children's eating behavior at home. Parents of children with CF rep...
Article
Full-text available
Examined the role of family interaction factors in dietary compliance problems reported by parents of children with cystic fibrosis (CF). The family mealtime interactions of children with CF, children with feeding problems and nonclinic controls were observed, and parents monitored children's eating behavior at home. Parents of children with CF rep...
Article
Full-text available
This controlled treatment- outcome study compared the effects of behavioural parent training (BPT) and standard dietary education (SDE) on the mealtime interaction, feeding behaviour, nutritional status, and adjustment of children with feeding disorders. Participants were 20 children (aged between 18 months and five years) with persistent feeding d...
Article
Childhood disruptive behaviour disorders are the most common childhood adjustment problems, resulting in significant personal costs to the family and major problems for the community. The GP is in a good position to identify such behaviours at an early stage and to institute appropriate management strategies based on modifying family interaction pa...

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