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The effects of the Triple P-Positive Parenting Program on preschool children with co-occurring disruptive behavior

William Bor1, Matthew R Sanders, Carol Markie-Dadds

  • 1South Brisbane Child and Youth Mental Health Service, Brisbane, Australia.

Journal of Abnormal Child Psychology
|December 17, 2002
PubMed

Insights

Both standard and enhanced Triple P behavioral family interventions significantly reduced disruptive behavior and attentional difficulties in preschoolers. Gains were maintained long-term, with no significant difference between the two program variants.

Area of Science:

  • Child Psychology
  • Behavioral Interventions
  • Developmental Disorders

Background:

  • Preschoolers often exhibit co-occurring disruptive behavior and attentional/hyperactive difficulties.
  • Behavioral family interventions (BFI) show promise in addressing these challenges.
  • Triple P is a widely used BFI with various program levels.

Purpose of the Study:

  • To compare the efficacy of an enhanced BFI (EBFI) against a standard BFI (SBFI) in preschoolers with disruptive and attentional issues.
  • To assess the impact of these interventions on child behavior, parenting practices, and parental competence.
  • To evaluate the long-term maintenance of intervention effects.

Main Methods:

  • Randomized controlled trial involving 87 preschoolers with co-occurring behavioral and attentional difficulties.
  • Families were assigned to either EBFI, SBFI, or a waitlist (WL) control group.
  • Outcomes assessed included parent-reported child behavior problems, observed child behavior, parenting styles, and parental competence at postintervention and 1-year follow-up.

Main Results:

  • Both EBFI and SBFI significantly reduced parent-reported child behavior problems and dysfunctional parenting, while increasing parental competence compared to WL.
  • EBFI showed significantly less observed child negative behavior than WL.
  • No significant differences in efficacy were found between EBFI and SBFI across outcome measures.
  • 80% of children demonstrated clinically reliable improvement in observed negative behavior from preintervention to follow-up.

Conclusions:

  • Both standard and enhanced Triple P behavioral family interventions are effective in managing disruptive behavior and attentional/hyperactive difficulties in preschoolers.
  • The observed benefits are maintained at 1-year follow-up.
  • The enhanced program did not demonstrate superiority over the standard program, suggesting the standard version is also highly effective.

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