Clinical trial NCT04873310: Behavior Problems Prevention Using the Online Triple P Parenting Program
Official title: Behavior Problems Prevention Using the Online Triple P Parenting Program: Pilot Study of Acceptability and Feasibility
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Parenting
Keywords: program
parental competence
behavior problems
emotional problems
Lead sponsor: Universidad de los Andes, Chile
Sponsor class: OTHER
Collaborators: name: Municipalidad de Lo Barnechea, Chile
First posted: 2021-05-05
Enrollment: 1920
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: The Triple P program is a comprehensive system of parenting and family support of multilevel preventive intervention, developed for families with members up to 16 years of age, whose objective is to improve parenting skills and prevent or modify dysfunctional parenting practices, thus reducing Family risk factors that affect both child abuse, behavioral problems and emotional problems.

Detailed description: Based on the importance that evidence-based parental interventions have acquired and the need from the health field to provide innovative alternatives that facilitate access to this type of services, parental support programs given through the web emerge. There is evidence that supports the idea that parenting programs taught through the web have an influence on reducing disruptive behaviors in children.

Triple P Online (TPOL) is an adaptation of the Positive Parenting Program, Triple P, a program that has been empirically tested. This adaptation is a parental intervention through the web with self-directed modality, which is based on Level 4 of the Triple P parental program and is configured in 8 interactive sessions with online modules. The topics covered are: 1) What is Positive Parenting, 2) Reinforcing the behavior we want, 3) Teaching new skills, 4) Managing negative behaviors, 5) Managing disobedience, 6) Preventing problems through planning, 7) Making fun outings, 8) Raising confident and competent children.

The main results observed in the implementation of the online Triple P program are (Sanders et al, 2012): reduction of problem child behavior, dysfunctional parenting styles, increasing parents' confidence in their parenting role, and reduction of parental anger.

Eligibility criteria: Inclusion Criteria:

* Belong to one of the three socio-economic levels according to SIMCE classification (High, Medium and Low).
* Attend to a primary school of the Municipality of Lo Barnechea, Santiago, Chile.
* Previous participation in the instruments validations stages.
* Identification in The Strengths and Difficulties Questionnaire (SDQ) with behavior problems above the 80th percentile.
* Have Internet access.

Exclusion Criteria:

* Attend to a school that is developing or implementing a manualized program for parents associated with the prevention of behavioral problems
* Participating in a similar study.

Primary outcomes:
measure: Acceptability of the program by parents/main caregivers using the Acceptability Scale (AS)
timeFrame: Inmediately Post-intervention
measure: Feasibility of the program using the Feasibility Inventory (FI)
timeFrame: 6 months
Secondary outcomes:
measure: Parenting Scale (PS)
timeFrame: One month
measure: Parenting Task Checklist (PTC)
timeFrame: One month
measure: Alabama Parenting Questionnaire (APQ)
timeFrame: One month
measure: The Strengths and Difficulties Questionnaire (SDQ)
timeFrame: 2 months
Other outcomes:
Locations:
city: Santiago
country: Chile
facility: Universidad de los Andes
state: Las Condes
Study officials:
References:
citation: Sanders MR, Baker S, Turner KM. A randomized controlled trial evaluating the efficacy of Triple P Online with parents of children with early-onset conduct problems. Behav Res Ther. 2012 Nov;50(11):675-84. doi: 10.1016/j.brat.2012.07.004. Epub 2012 Aug 18.
citation: Arnold DS, O'Leary SG, Wolff LS, Acker MM. The Parenting Scale: A measure of dysfunctional parenting in discipline situations. Psychological Assessment. 1993; 5(2), 137-144. https://doi.org/10.1037/1040-3590.5.2.137
citation: Goodman R, Scott S. Comparing the Strengths and Difficulties Questionnaire and the Child Behavior Checklist: is small beautiful? J Abnorm Child Psychol. 1999 Feb;27(1):17-24. doi: 10.1023/a:1022658222914.
citation: Sanders MR, Woolley ML. The relationship between maternal self-efficacy and parenting practices: implications for parent training. Child Care Health Dev. 2005 Jan;31(1):65-73. doi: 10.1111/j.1365-2214.2005.00487.x.