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The purpose of this paper is to compare the effectiveness of directive programmes led by professionals where parents were taught specific parenting knowledge and strategies (Triple P – Positive Parenting Program) and non-directive parenting programmes in the form of mutual-aid support group as a universal prevention programme.

This study employed a randomised controlled trial design. Participants included 92 Hong Kong Chinese parents with preschool children recruited from eight kindergartens and a local church. They were randomised into Group Triple P, non-directive group and control group. They completed measures on their perception of child behaviour problems and their parental stress before and after intervention.

At post-intervention, results indicated significantly greater decrease in child disruptive behaviours among participants in the Triple P group than those in the non-directive group and control group while no significant group difference was found between the latter two groups. No significant difference was found in post-intervention parental stress level among the three groups.

This study provides empirical evidence to demonstrate the effectiveness of a directive parenting programme vs a non-directive one.

The purpose of the present chapter is to provide an overview of issues facing families of children and youths with emotional and behavioral disorders (EBD). We argue that although much is written about families of individuals with disabilities, comparatively little is known about families with children in this category. We suggest that the diversity of family contribution to the individual's EBD makes studying families of this population as a unitary group quite difficult. Despite the difficulty in adequately capturing families of individuals with EBD as a single unit, we describe what is known about (a) parental satisfaction with services for children with EBD, (b) issues affecting parental and family involvement in special education programming and decision-making, (c) the impact of a child with EBD upon siblings, and (d) interventions for EBD that involve families. We conclude by pointing to areas of need for additional research and noting that while educators are in a unique position to assist families of children with EBD, they are restrained by lack of adequate training, competing policy agenda, and constraints on the resources necessary to add this responsibility to the role of classroom teachers.

The present study examined the role of socio‐demographic and family risk factors as mediators or moderators of the success of parents undertaking a universal group parent training programme for young children. The results showed that parents' capacity to change dysfunctional parenting practices was not moderated by the child's gender, family income, family type, or pre‐intervention level of parental stress, but was partially mediated by changes in parental satisfaction and efficacy. Irrespective of their socio‐demographic background, parents who completed the Triple‐P Positive Parenting Programme were equally likely to succeed in changing their parenting practices. These findings suggest the robustness of intervention effects across a diverse range of parents.

This study examined the effectiveness of the Triple P‐Positive Parenting Program in a government child health service delivery context with Chinese parents in Hong Kong. Specifically, the study sought to identify pre‐intervention variables that might predict programme outcomes such as level of clinical improvement and programme completion. Participants were 661 parents of pre‐school and primary aged children participating in a group version of the Triple P‐Positive Parenting Program. There were significant decreases in disruptive child behaviours, levels of parenting stress, general stress and anxiety and an increase in parenting sense of competence. Greater change in reports of child behaviour problems was related to lower levels of family income, new immigrant family status, and higher pre‐intervention levels of parenting stress. The present study provides a profile of parents who are most likely to benefit from parent training programmes.

The purpose of this paper is to evaluate and compare the effectiveness of two intervention formats of the Positive Parenting Programme (Triple P) – Level 4 Group Triple P (TP) and brief parent discussion group (DI) with the waitlist control group (WL).

Participants included 91 Chinese parents with preschool children in Hong Kong from eight preschools, who were randomised into the two intervention conditions (TP and DI) and a waitlist control group (WL). Parent participants completed measures on child behaviours and parenting stress before and after intervention.

Results indicated that there was a significant decrease in post-intervention child behavioural problems in the TP group, with a medium effect size when compared to the WL group. There was a decrease in post-intervention child behaviour problems in the DI group, compared with the WL group. No significant difference was found in post-intervention child behaviour problems between the TP group and the DI group.

The positive results in the present study support the extension of the implementation of Triple P interventions to the preschool setting in Hong Kong. The effectiveness of the brief parent discussion group in reducing parental report of child behaviour problems provides preliminary support for its potential as a universal preventive parenting intervention in the local context.

The study was the first evaluation of the Level-4 Triple P programme in a local school context as well as the first evaluation of effectiveness of the brief parent discussion group in the local context at the time of the study.

This study examined the impact of a brief seminar series on positive parenting (Selected Triple P) on behavioural and emotional problems in pre‐adolescent children and on inter‐parental conflict, parenting style, relationship quality, parental adjustment and parental confidence. Two hundred and forty‐four parents with children aged four to seven years were assigned to one of three conditions: (a) partial exposure condition involving attendance at a single introductory seminar; (b) full exposure (attendance at all three seminars); or (c) a waitlist control group. Analyses were completed for the 109 participants for whom full data were obtained. There was a significant reduction in parental reports of problem child behaviour and dysfunctional parenting styles with the introductory seminar alone. However, exposure to all three seminars was associated with significant improvements in all dysfunctional parenting styles and in the level of inter‐parental conflict. There were no significant differences between conditions at post‐intervention on parental reports of depression, anxiety, stress, relationship quality or parental confidence. This study provides preliminary support for the efficacy of a brief universal parenting intervention in improving child behaviour and parenting variables associated with the development and maintenance of child conduct problems. The findings also offer preliminary support for the notion that positive outcomes for both parents and children can be achieved through the delivery of brief preventive parenting interventions that require minimal time commitments from parents.

The purpose of this paper is to examine the implementation and adaptation of group Triple P, an evidence-based parenting intervention developed in Australia, for a Latina population living in the USA.

Mothers with pre-school age children participated in the programme, which was offered by a community mental health agency. The final study sample consisted of 174 Latina mothers.

Participation in group Triple P was associated with clinically significant improvements in maternal mental health, parenting styles, and child behaviour problems. Additionally, mothers reported high levels of satisfaction with the programme.

Triple P is a promising intervention for Latina caregivers who are concerned about the behaviour of their young children. It can be implemented successfully into community-based mental health care systems.

This is the first study to examine the applicability of Triple P to Latina caregivers.

While evidence-based parenting interventions (EBPIs) are proven effective at addressing numerous emotional and behavioral health challenges for children and youth, and reduce rates of child maltreatment, they are often not well implemented in the real-world settings. Even with the state-of-the art training, many practitioners do not deliver the intervention, or do so at a reduced capacity. The purpose of this paper is to examine system-contextual implementation factors that predict timely initiation of use of an EBPI (i.e. within the first six months following training). A secondary purpose is to document additional impacts of training.

Repeated measures were used to collect predictors and the dependent variable. The relationship between participant characteristics and use of the Triple P program was estimated using exact logistic regression.

The results from 37 practitioners across three communities indicated approximately 54 percent delivered the intervention with at least one family within the first six months following training. Practitioner self-efficacy immediately following training and general attitudes toward evidence-based practices were the most significant predictors of timely use of the model. The vast majority of practitioners, regardless of implementation status, generalized learning from the training to other aspects of their work.

Prospective examination of the predictive value of implementation factors helps to refine targeted approaches to support implementation.

This article reports on the first health technology appraisal conducted jointly between the National Institute for Health and Clinical Excellence (NICE) and Social Care Institute for Excellence (SCIE). The appraisal systematically reviewed evidence for the clinical effectiveness of parent‐training/education programmes in the management of children with conduct disorders. This appraisal is highly topical in the light of cross‐cutting policy agendas concerned with increasing parenting capacity. It is also methodologically innovative in its approach to synthesising the meta‐analysis of trial evidence on outcomes of programmes with qualitative evidence on process and implementation. The appraisal found parent‐training/education programmes to be effective in the management of children with conduct disorders, and it identifies the generic characteristics of effective programmes. It is concluded that this approach offers an exemplar for the development of systematic reviewing of complex psychosocial interventions that are relevant to integrated children's services.

The purpose of this paper is to provide a selective, UK‐focused review of recent literature on effective interventions for preventing and reducing conduct problems in 3‐8 year olds; and to update the chapter in the Sutton et al. (2004) research report Support from the Start on effective interventions for children aged 3‐8.

The authors provide a narrative review of the risk factors for conduct disorder.

The review describes risk factors for conduct disorder in this age range and presents an approach to selecting effective programmes. It describes some of the better quality evidence‐based interventions in this age range that have been disseminated and successfully implemented in the UK.

The review provides an update of the accumulating evidence for interventions aimed at preventing and reducing conduct problems in the 3‐8 year old age group. It introduces innovative models designed for service delivery and examines lessons learned from implementation of these programmes. The paper provides recommendations that paper can be used by service providers to help make informed decisions and offer effective programmes to families.