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Prem Baby Triple P: a randomised controlled trial of enhanced parenting capacity to improve developmental outcomes in
Paul Colditz1,2, Matthew R Sanders3, Roslyn Boyd4
1The University of Queensland Centre for Clinical Research, Faculty of Health Sciences, The University of Queensland, Royal Brisbane and Women's Hospital, Brisbane, Australia. p.colditz@uq.edu.au.
Insights
This study evaluated Baby Triple P for Preterm infants, a parenting program. It aims to improve outcomes for very preterm infants and their families, with results expected at 24 months corrected age.
Area of Science:
- Neonatal care and developmental pediatrics.
- Child psychology and developmental disorders.
- Parenting interventions and family support.
Background:
- Very preterm birth (<32 weeks gestation) is linked to developmental challenges in children and maternal mental health issues.
- Parenting interventions show promise for improving child development and parental well-being.
- Baby Triple P for Preterm infants is a targeted program for parents of very preterm infants.
Purpose of the Study:
- To test the effectiveness of Baby Triple P for Preterm infants.
- To improve child and parent/couple outcomes at 24 months corrected age (CA).
- To provide evidence for early interventions in preterm infant care.
Main Methods:
- Randomized trial comparing Baby Triple P for Preterm infants to Care as Usual (CAU).
- Intervention includes group sessions and telephone consultations, with maintenance up to 24 months CA.
- Primary outcome: Infant Toddler Social & Emotional Assessment (ITSEA); Secondary outcomes: Bayley Scales of Infant and Toddler Development (BSID III), parenting style, parental self-efficacy, mental health, attachment, and couple satisfaction.
Main Results:
- Study protocol outlines the design and methods for a randomized trial.
- Data collection includes assessments at baseline, post-intervention, 12, and 24 months CA.
- A sample size of 330 families (165 per group) is required for 80% power.
Conclusions:
- This protocol details a randomized trial of Baby Triple P for Preterm infants versus CAU.
- Findings will be published in peer-reviewed journals following CONSORT guidelines.
- The study aims to provide valuable insights into supporting families of very preterm infants.
Background:
Very preterm birth (<32 weeks gestation) is associated with motor, cognitive, behavioural and educational problems in children and maternal depression and withdrawal. Early interventions that target parenting have the greatest potential to create sustained effects on child development and parental psychopathology. Triple P (Positive Parenting Program) has shown positive effects on child behaviour and adjustment, parenting practices and family functioning. Baby Triple P for Preterm infants, has been developed to target parents of very preterm infants. This study tests the effectiveness of Baby Triple P for Preterm infants in improving child and parent/couple outcomes at 24 months corrected age (CA).
Methods/Design:
Families will be randomised to receive either Baby Triple P for Preterm infants or Care as Usual (CAU). Baby Triple P for Preterm infants involves 4 × 2 hr group sessions at the hospital plus 4 × 30 min telephone consultations soon after transfer (42 weeks C.A.). After discharge participants will be linked to community based Triple P and intervention maintenance up to 24 months C.A. Assessments will be: baseline, post-intervention (6 weeks C.A.), at 12 and 24 months C.A. The primary outcome measure is the Infant Toddler Social & Emotional Assessment (ITSEA) at 24 months C.A. Child behavioural and emotional problems will be coded using the mother-toddler version of the Family Observation Schedule at 24 months C.A. Secondary outcome will be the Bayley Scales of Infant and Toddler Development (BSID III) cognitive development, language and motor abilities. Proximal targets of parenting style, parental self-efficacy, parental mental health, parental adjustment, parent-infant attachment, couple relationship satisfaction and couple communication will also be assessed. Our sample size based on the ITSEA, has 80% power, predicted effect size of 0.33 and an 85% retention rate, requires 165 families are required in each group (total sample of 330 families).
Discussion:
This protocol presents the study design, methods and intervention to be analysed in a randomised trial of Baby Triple P for Preterm infants compared to Care as Usual (CAU) for families of very preterm infants. Publications of all outcomes will be published in peer reviewed journals according to CONSORT guidelines.
Trial Registration:
Australian New Zealand Clinical Trials Registry: ACTRN12612000194864.
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