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Successful implementation of parenting support at preschool: An evaluation of Triple P in Sweden
Anton Dahlberg1, Raziye Salari1, Karin Fängström1
1Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Insights
Implementing the Triple P parenting program in Swedish preschools successfully improved child behavior and parent well-being. The program showed good reach, effectiveness, adoption, and maintenance, demonstrating its value in early childhood settings.
Area of Science:
- Child Psychology
- Public Health Interventions
- Program Implementation Science
Background:
- Emotional and behavioral problems in young children can lead to long-term issues.
- Research on the implementation of parenting programs for these issues is limited.
- Preschools offer a potential setting for delivering evidence-based parenting support.
Purpose of the Study:
- To evaluate the implementation of the Triple P parenting program in a Swedish preschool setting using the RE-AIM framework.
- To assess the reach, effectiveness, adoption, implementation, and maintenance of the program.
- To determine the suitability of preschools as an arena for evidence-based parenting support.
Main Methods:
- Utilized the RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) framework.
- Collected data on program reach, child and parent outcomes, adoption rates, implementation strategies, and long-term maintenance.
- Program delivered in a medium-sized municipality in Sweden.
Main Results:
- Increased reach over time, with higher participation from fathers and parents with lower education.
- Demonstrated effectiveness in improving children's emotional and behavioral problems and enhancing parents' mental health and self-efficacy.
- High adoption rate (93.3%) with successful implementation strategies including staff training, adaptations, and flexible scheduling.
- Maintenance of positive outcomes at 12-month follow-up.
Conclusions:
- The Triple P parenting program implementation in preschools was satisfactory across all RE-AIM dimensions.
- Preschools are a suitable and effective arena for delivering evidence-based parenting support.
- The program's success indicates its potential for wider adoption in early childhood settings.
Abstract:
Although emotional and behavioural problems among young children are common and, if unaddressed, can lead to multi-facetted problems later in life, there is little research investigating the implementation of parenting programs that target these problems. In this study, the RE-AIM framework was used to evaluate the implementation of the Triple P parenting program in a preschool setting at a medium-sized municipality in Sweden. Reach increased over time, showing an overall increase in participating fathers and parents with lower education. Effectiveness outcomes showed an improvement in emotional and behavioural problems in children and less mental health-related symptoms and higher self-efficacy in parents. Adoption rate was 93.3%. To ensure staff "buy-in", designated coordinators made changes in recruitment procedures, and provided supervision and training to all Triple P practitioners. Implementation adaptations were made, such as minor revisions of parenting strategies and other program content, as well as providing child care during seminars and groups, and setting up weekend-groups. Maintenance assessed through 12 month follow-up data suggested that several child and parent outcomes were maintained over time. Uppsala municipality continues to offer Triple P to parents. The reach, effectiveness, adoption, implementation and maintenance of the program were all satisfactory and demonstrated the suitability of delivering evidence-based parenting support using preschools as an arena.
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