Parenting Practices Clinical Trial
The present study aims to examine the effectiveness of a parenting intervention, the Triple
P Positive Parenting Program Level 3 discussion groups "dealing with disobedience". Triple P
is a system of interventions to support families and was developed at the University of
Queensland in Australia in the 1980's. As few studies have tested the effectiveness of
parenting programs in developing countries, the present study took place in a developing
country, Panama.
In a recent study carried out in Australia, this same intervention was found effective in
reducing child behaviour problems and the use of dysfunctional parenting (Morawska, Haslam,
Milne & Sanders, 2011).
This is a randomized controlled trial (RCT) with two groups (waiting list versus Triple P
discussion groups) and measurements at pre-intervention, post intervention, three and six
months follow up.
The intervention trialed was a 2-hour, one-session discussion group on child noncompliance.
Groups were composed by a maximum of 10 parents and were facilitated by the principal
researcher, who is an accredited practitioner. The groups were interactive and discussion
based, and a power point presentation with embedded-video clips were used to aid the
facilitator. The key points that were covered in the discussion group included reasons for
disobedience, parenting traps, encouraging good behaviour, and managing disobedience.
Parents also received a workbook that included the content covered in the discussion group
and 2 follow up telephone calls to check how they were doing after.
Participants were randomly assigned to a treatment group (Triple P discussion groups) or to
a waiting list group. A statistician independent from the research team generated a random
list of numbers. Randomization was stratified based on the level of child behavioural
difficulties (high or low) measured at baseline. In order to ensure allocation concealment,
sequentially-numbered, opaque, sealed envelopes (SNOSE) were opened after participants
agreed to take part in the study and completed a baseline assessment. After randomization,
those assigned to the waiting list group were assessed at time 1 (baseline) and then 4
weeks, 3 months and 6 months after the first assessment. Those assigned to the treatment
group were assessed at time 1 (baseline), 2 weeks, 3 months and 6 months after the
intervention. Assessments were carried out by a research assistant who was blind to group
allocation.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment
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