Using the Triple P System of Intervention to Prevent Behavioural Problems in Children and Adolescents

Sanders, Matthew R.; Markie‐Dadds, Carol; Turner, Karen; Ralph, Alan

doi:10.1002/9780470753385.ch20

Cited by 61 publications

(63 citation statements)

References 32 publications

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“…The data obtained from current parent-only intervention studies show conflicting results. Different from our result, improvement in parents' anxiety symptoms have been determined in a few Triple P studies [47][48][49], whereas no changes have also been shown [50,51]. In Bodden's study in which CBT-based parent group intervention was applied, parents' anxiety level was reduced due to STAI scores [52].…”

Section: Discussioncontrasting

confidence: 89%

Is Triple P effective in childhood anxiety disorder? A randomized controlled study

Özyurt

Gencer

Öztürk

et al. 2018

Psychiatry and Clinical Psychopharmacology

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OBJECTIVES: Considering the role of parenting in the aetiology and maintenance of anxiety disorders, working with parents is a promising treatment strategy. Triple P-positive parenting programme is a parent-focused cognitive behaviour therapy. In this study, we aimed to investigate the effectiveness of Triple P in improvement in childhood anxiety disorders and also to assess its effects on behavioural and emotional problems, general anxiety level, severity of the disorder, and general psychosocial functioning. Parents' mental health and general well-being were also evaluated. METHODS: In this randomized controlled study, the sample consisted of 74 children, aged between 8 and 12 years, who were diagnosed as anxiety disorder by Schedule for Affective Disorders and Schizophrenia for School Age Children Present and Life-time Kiddie (K-SADS-PL). Following randomization into two equal groups, mothers of the first group participated to Group Triple P Programme, while the second group was receiving no treatment. The two groups were compared right before and after the intervention on rates of anxiety symptoms, emotional, and behavioural variables. RESULTS: Children's general anxiety level was significantly lower in the intervention group following Triple P implementation. Behavioural and emotional problems were also reduced in the intervention group. Parental anxiety and general well-being were not significantly different between two groups. CONCLUSION: It is considered that Triple P may be useful in the treatment of children's anxiety disorder but further studies about Triple P on children's anxiety disorders are needed. ARTICLE HISTORY

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Section: Discussioncontrasting

confidence: 89%

Is Triple P effective in childhood anxiety disorder? A randomized controlled study

Özyurt

Gencer

Öztürk

et al. 2018

Psychiatry and Clinical Psychopharmacology

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“…Parenting and family support programs that are based on the same conceptual models have also proven efficacious for prevention (Prinz & Dumas, 2004;Sanders, Markie-Dadds, Turner, & Ralph, 2004).…”

Section: Family-based Interventionmentioning

confidence: 99%

“…To address the problem of low penetration or utilization of parenting programs in the general population, Sanders and colleagues have developed a unique multi-level parenting and family support system known as the Triple PPositive Parenting Program (Sanders, 1999;Sanders et al, 2004Sanders et al, , 2002. The programming within Triple P builds on the substantial work pertaining to behavioral and social-learning based family interventions (Kazdin, 1997;McMahon, 2000;Miller & Prinz, 1990;Patterson, Reid, & Dishion, 1992;Prinz & Connell, 1997) Triple P uses a tiered system of intervention of increasing strength, ranging from media and information based strategies, to two levels of moderateintensity intervention using a brief consultation format, to two more intensive levels of parent training and behavioral family intervention targeting parenting skills and other family adversity factors such as marital conflict, depression and high levels of parenting stress.…”

Section: The System Of Parenting and Family Supportmentioning

confidence: 99%

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Adopting a population-level approach to parenting and family support interventions

Prinz

Sanders

2007

Clinical Psychology Review

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163

118

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Evidence-based treatments and preventive interventions in the child and family area have not met with widespread adoption by practitioners. Despite the high prevalence of child behavioral and emotional problems, many parents and families in need are not receiving or participating in services, and when they do, the most efficacious interventions are not what is usually provided. Simultaneously addressing the issues of low penetration and insufficient dissemination of evidence-based programming requires a population approach to parenting and family support and intervention. Process issues are important, particularly in relation to engagement of stakeholders, recruitment of practitioners, consideration of organizational factors, and use of media and communication strategies. This article discusses why there is a need for a population-based approach, provides a framework of how to conceptualize such an approach, and describes an example from our own work of a recently initiated prevention trial that illustrates a population-based approach in action. The rationale, structure, and goals of the Triple P System Population Trial are described in the context of the aforementioned population framework.

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“…Various components of the Triple P system have been subjected to a series of controlled evaluations, and have consistently shown positive effects on observed and parent-reported child behavior problems, parenting practices, and parents' adjustment across sites, investigators, family characteristics, cultures, and countries. The substantial evidence base supporting Triple P to date includes 43 controlled trials addressing efficacy, effectiveness, and dissemination, as well as 22 service-based field evaluations (e.g., Morawska and Sanders 2006;Plant and Sanders 2007;Sanders 1999;Sanders et al , 2004Sanders et al , 2007aTurner and Sanders 2006). An integrated series of controlled outcome studies has provided considerable evidence demonstrating the benefits of the various levels of intervention and modes of delivery in a variety of populations (see Sanders 2008).…”

mentioning

confidence: 99%

Population‐based prevention of child maltreatment: the U.S. ‘Triple‐P System’ population trial

Reading

2009

Child

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The prevention of child maltreatment necessitates a public health approach. In the U.S. Triple P System Population Trial, 18 counties were randomly assigned to either dissemination of the Triple P-Positive Parenting Program system or to the services-as-usual control condition. Dissemination involved Triple P professional training for the existing workforce (over 600 service providers), as well as universal media and communication strategies. Large effect sizes were found for three independently derived population indicators: substantiated child maltreatment, child out-ofhome placements, and child maltreatment injuries. This study is the first to randomize geographical areas and show preventive impact on child maltreatment at a population level using evidence-based parenting interventions.

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Using the Triple P System of Intervention to Prevent Behavioural Problems in Children and Adolescents

Cited by 61 publications

References 32 publications

Is Triple P effective in childhood anxiety disorder? A randomized controlled study

Is Triple P effective in childhood anxiety disorder? A randomized controlled study

Adopting a population-level approach to parenting and family support interventions

Population‐based prevention of child maltreatment: the U.S. ‘Triple‐P System’ population trial

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