A Comprehensive Meta-Analysis of Triple P-Positive Parenting Program Using Hierarchical Linear Modeling: Effectiveness and Moderating Variables

Nowak, Christoph; Heinrichs, Nina

doi:10.1007/s10567-008-0033-0

Cited by 552 publications

(371 citation statements)

References 131 publications

Supporting

Mentioning

344

Contrasting

Unclassified

Order By: Relevance

“…These findings diverge from those reported in previous studies conducted by the program developer or local license holders on Triple P as a universal prevention strategy (McTaggart and Sanders 2003;Heinrichs et al 2006) and the overall assessment in the meta-analysis by Nowak and Heinrichs (2008). However, they are similar to two other independent trials: In particular, de Graaf et al (2009) found no effects of Primary Care Triple P on any dimension of child problem behavior in a trial in the Netherlands, although a positive effect was found on lax parenting.…”

Section: Discussioncontrasting

confidence: 96%

“…It is amongst the most thoroughly evaluated parent training programs in the world. A metaanalysis by Nowak and Heinrichs (2008) identified 55 studies that had assessed the effectiveness of Triple P on a variety of outcome measures. The study reports significant positive effects on parenting (Cohen's d00.38), child problem behavior (d00.35), and parental well-being (d00.17).…”

Section: The Interventionmentioning

confidence: 99%

“…The tested program is Triple P, a program found to be effective in numerous studies conducted by the program developers and by distributors in several countries (Nowak and Heinrichs 2008). In a previous study, Malti et al (2011) reported findings based on an intention-to-treat basis.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Effects of a Universal Parenting Program for Highly Adherent Parents: A Propensity Score Matching Approach

et al. 2012

View full text Add to dashboard Cite

This paper examines the effectiveness of a group-based universal parent training program as a strategy to improve parenting practices and prevent child problem behavior. In a dissemination trial, 56 schools were first selected through a stratified sampling procedure, and then randomly allocated to treatment conditions. 819 parents of year 1 primary school children in 28 schools were offered Triple P. 856 families in 28 schools were allocated to the control condition. Teacher, primary caregiver and child selfreport data were collected at baseline, post, and two follow-up assessments. Analyses were constrained to highly adherent parents who completed all four units of the parenting program. A propensity score matching approach was used to compare parents fully exposed to the intervention with parents in the control condition, who were matched on 54 baseline characteristics. Results suggest that the intervention had no consistent effects on either five dimensions of parenting practices or five dimensions of child problem behavior, assessed by three different informants. These findings diverge from findings reported by program developers and distributors. Potential explanations for the discrepancy and implications for future research are discussed. Abstract This paper examines the effectiveness of a groupbased universal parent training program as a strategy to improve parenting practices and prevent child problem behavior. In a dissemination trial, 56 schools were first selected through a stratified sampling procedure, and then randomly allocated to treatment conditions. 819 parents of year 1 primary school children in 28 schools were offered Triple P. 856 families in 28 schools were allocated to the control condition. Teacher, primary caregiver and child selfreport data were collected at baseline, post, and two followup assessments. Analyses were constrained to highly adherent parents who completed all four units of the parenting program. A propensity score matching approach was used to compare parents fully exposed to the intervention with parents in the control condition, who were matched on 54 baseline characteristics. Results suggest that the intervention had no consistent effects on either five dimensions of parenting practices or five dimensions of child problem behavior, assessed by three different informants. These findings diverge from findings reported by program developers and distributors. Potential explanations for the discrepancy and implications for future research are discussed.

show abstract

Section: Discussioncontrasting

confidence: 96%

Section: The Interventionmentioning

confidence: 99%

See 1 more Smart Citation

Effects of a Universal Parenting Program for Highly Adherent Parents: A Propensity Score Matching Approach

et al. 2012

View full text Add to dashboard Cite

show abstract

“…The MTA study does support the use of psycho-social approaches with ADHD children as a way of reducing oppositional and noncompliant behavior [7]. The value of such approaches for the treatment of oppositional behavior is confirmed by trials of parent training interventions developed for noncompliant children based on generic behavior modification principles such as Incredible Years [39] and Triple P [21]. These have also been shown to be effective in reducing oppositional behavior in ADHD children [2,17].…”

Section: Introductionmentioning

confidence: 99%

A small-scale randomized controlled trial of the revised new forest parenting programme for preschoolers with attention deficit hyperactivity disorder

Thompson

Laver-Bradbury

Ayres³

et al. 2009

Eur Child Adolesc Psychiatry

133

134

View full text Add to dashboard Cite

The revised new forest parenting programme (NFPP) is an 8-week psychological intervention designed to treat ADHD in preschool children by targeting, amongst other things, both underlying impairments in self-regulation and the quality of mother–child interactions. Forty-one children were randomized to either the revised NFPP or treatment as usual conditions. Outcomes were ADHD and ODD symptoms measured using questionnaires and direct observation, mothers’ mental health and the quality of mother–child interactions. Effects of the revised NFPP on ADHD symptoms were large (effect size >1) and significant and effects persisted for 9 weeks post-intervention. Effects on ODD symptoms were less marked. There were no improvements in maternal mental health or parenting behavior during mother–child interaction although there was a drop in mothers’ negative and an increase in their positive comments during a 5-min speech sample. The small-scale trial, although limited in power and generalizability, provides support for the efficacy of the revised NFPP. The findings need to be replicated in a larger more diverse sample

show abstract

“…Triple P focuses on: (a) basics of communication skills, reinforcement, monitoring, etiology of conduct disorders, goals of parenting and systematic behavior observation, (b) learning principles and promotion of healthy development, (c) strategies to deal with child problem behavior, parenting routines, and (d) plans of common activities and coping with situations at risk. Efficacy and effectiveness of Triple P have been internationally demonstrated (e.g., de Graaf, Speetjens, Smit, de Wolff, & Tavecchio, 2008;Markie-Dadds & Sanders, 2006;Nowak & Heinrichs, 2008;Sanders, Bor, & Morawska, 2007).…”

mentioning

confidence: 99%

Enhancing positive development of children: Effects of a multilevel randomized controlled intervention on parenting and child problem behavior

et al. 2011

View full text Add to dashboard Cite

Parent-oriented and school-oriented programs that aim to improve child behavior and mental health are well established, few studies focus on the possibility of additional benefits arising from a combined intervention. This study uses a randomized control trial and assesses whether the combination of two standardized evidence-based intervention programs, Triple P (a self-directed parent-oriented intervention that focuses on strengthening parenting skills) and Fit and Strong for Life (a school-based intervention that focuses on stress management skills for children), was more likely to improve parenting and child behavior compared to either program alone and to a no-treatment control group. Data including pre-and post-test measures, as well as four-month follow-up data, were obtained from 78 teachers and 745 parents. Using linear mixed models, results showed that parents in the self-directed Triple P condition engaged in less negative parenting behavior, more positive parenting strategies, scored lower on stress, and reported more parental self-efficacy at post-test. The effects remained at the four-month follow-up. Additionally, after treatment parents in the Triple P condition observed less behavioral problems in their child (although teachers did not). The Fit and Strong for Life intervention yielded no effects in respect to child problem behavior. Last, there was no additional benefit of the combined intervention group above that found for Triple P. This study encourages the utility, practicality, and efficacy of the self-directed Triple P Program and illustrates its effectiveness on positive parenting skills and problem child behavior.

show abstract

A Comprehensive Meta-Analysis of Triple P-Positive Parenting Program Using Hierarchical Linear Modeling: Effectiveness and Moderating Variables

Cited by 552 publications

References 131 publications

Effects of a Universal Parenting Program for Highly Adherent Parents: A Propensity Score Matching Approach

Effects of a Universal Parenting Program for Highly Adherent Parents: A Propensity Score Matching Approach

A small-scale randomized controlled trial of the revised new forest parenting programme for preschoolers with attention deficit hyperactivity disorder

Enhancing positive development of children: Effects of a multilevel randomized controlled intervention on parenting and child problem behavior

Contact Info

Product

Resources

About