Enhancing outcomes of low-intensity parenting groups through sufficient exemplar training: a randomized control trial

Melanie L. Palmer*, Louise J. Keown, Matthew R. Sanders, Marion Henderson

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    12 Citations (Scopus)
    15 Downloads (Pure)

    Abstract

    Low-intensity parenting groups, such as the Triple P-Positive Parenting Program Discussion Groups, appear to be a cost-effective intervention for child conduct problems. Several studies evaluating a Triple P Discussion Group on disobedience found promising results for improving child and parent outcomes. However, a sufficient exemplar training approach that incorporates generalization promotion strategies may assist parents to more flexibly apply positive parenting principles to a broader range of child target behaviors and settings, leading to greater change. We compared the effects of sufficient exemplar training to an existing narrowly focused low-intensity intervention. Participants were 78 families with a 5–8 year-old child. Sufficient exemplar training resulted in more robust changes in child behavior and superior outcomes for mothers on measures of parenting behavior, parenting self-efficacy, mental health, and perceptions of partner support at post-intervention and 6-month follow-up. These results indicate that teaching sufficient exemplars may promote generalization leading to enhanced intervention outcomes.

    Original languageEnglish
    Pages (from-to)384-399
    Number of pages16
    JournalChild Psychiatry and Human Development
    Volume50
    Issue number3
    Early online date9 Oct 2018
    DOIs
    Publication statusPublished - 15 Jun 2019

    Funding

    Acknowledgements We would like to thank all the participating families for their time and effort. This study was completed as part of a Universitas 21 Joint PhD from the University of Auckland and the University of Glasgow. We are grateful to the University of Auckland for a doctoral scholarship that enabled the first author to the complete this research as well as support for research costs. Marion Hender-son was supported by MRC/CSO Quinquennial funding of the Social Relationships and Health Improvement Programme, which is part of the MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, MC 12017/11, SPHSU11. Prior to 2015, Marion Henderson was supported by UK Medical Research Council Grant U130031238.

    Keywords

    • conduct problems
    • generalization
    • intervention
    • low-intensity
    • parenting

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