The Thriving Kids and Parents Schools Project: Protocol of an Incomplete Stepped Wedged Cluster Randomised Trial Evaluating the Effectiveness of a Triple P Seminar Series
The Thriving Kids and Parents Schools Project: Protocol of an Incomplete Stepped Wedged Cluster Randomised Trial Evaluating the Effectiveness of a Triple P Seminar Series for Parents of Primary School Aged Children
The Australian Government Department of Education, Skills and Employment
5,000 participants
May 4, 2023
Interventional
Conditions
Summary
The pandemic has significantly impacted the day-to-day lives of many children, their families, and schools, which has resulted in increased levels of anxiety, depression, social isolation, and loneliness among young people. An integrated public health model of interventions is needed to address the problem and to safeguard the mental health and wellbeing of children. The Triple P – Positive Parenting Program is a system of evidence-based parenting with a strong evidence-base and wide international reach. When implemented as a public health approach, this program has demonstrated positive effects on child wellbeing at a population level. The current study is the first large-scale, multi-site randomised controlled trial of a newly developed, low-intensity variant of Triple P, a schools-based seminar series, as a response to the impacts of the pandemic. The evaluation will employ an Incomplete Batched Stepped Wedge Cluster Randomised Trial Design. At least 300 Australian primary schools, from South Australia, Queensland, and Victoria will be recruited and randomised in three batches. Within each batch, schools will be randomly assigned to either start the intervention immediately or start in six weeks. Parents will be recruited from participating schools. The Triple P seminar series includes three seminars titled: “The Power of Positive Parenting”, “Helping Your Child to Manage Anxiety”, and “Keeping your child safe from Bullying”. Parents will complete measures about child wellbeing, parenting, parenting self-regulation and other key intervention targets at baseline, six weeks after baseline, and 12 weeks after baseline. Intervention effectiveness will be evaluated with a Multilevel Piecewise Latent Growth Curve Modelling approach. Based on the strong evidence for the more intensive versions of each of the seminars, we anticipate finding improvements in primary intervention targets, including child social, emotional, and behavioural wellbeing, general parenting practices, and parenting self-efficacy/self-regulation. We also expect to find improvements in secondary outcomes such as child anxiety, depression, family adjustment, and specific parenting practices that facilitate child anxiety. The findings from this study will extend the current knowledge of the effects of evidence-based parenting support delivered through brief, universally offered, low intensity school-based parenting seminars in a post pandemic world.
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Interventions
The intervention used in the present study consists of three Triple P – Positive Parenting Program seminars. The Thriving Kids and Parents Schools Project (TKPSP) seminar series is a universal offer designed for all parents and likely to be of particular interest to parents who are generally coping well but having some concerns about aspects of their child’s social or emotional development or have parenting concerns and are seeking further information and support. Seminars will be delivered by experienced, accredited Triple P practitioners online via videoconferencing software and each seminar takes about 90 to 120 minutes to complete, including Q&A time. The seminars are in presentation format with video components. Practitioners use session checklists to make sure they are adhering the intervention requirements. The three interconnected seminars focus on an important set of strategies to help parents support their child’s development and help them thrive now and into adolescence. For each step, parents will be given a six-week window to attend seminars on weekly or fortnightly basis until their post-intervention survey is due. Seminars in the TKPSP series cover the following topics: • The Power of Positive Parenting seminar provides the building blocks for the Triple P program (Sanders et al., 2009). It introduces the five core principles of positive parenting, assists parents to understand children’s behaviour and introduces practical strategies to support children’s social and emotional development. • The Helping Your Child to Manage Anxiety seminar is a light-touch version of the Fearless Triple P program (Cobham et al., 2017). This seminar is designed to equip parents with the skills and strategies needed to support children to manage their emotions and overcome challenges. • The Keeping your Child Safe from Bullying seminar is developed as the low-intensity version of the Resilience Triple P program (Healy & Sanders, 2014). This seminar provides parents with strategies to maintain good communication with their children, develop positive peer relationships, and address conflict and bullying.
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ACTRN12623000852651