Register      Login
Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE

Practitioner perceptions of the use of the Triple P – Positive Parenting Program with families from culturally diverse backgrounds

Alina Morawska A C , Matthew R. Sanders A , Jennifer O’Brien A , Christine McAuliffe B , Sue Pope B and Emily Anderson B
+ Author Affiliations
- Author Affiliations

A Parenting and Family Support Centre, School of Psychology, The University of Queensland, Brisbane, Qld 4072, Australia.

B Brisbane South Division, Brisbane, Qld 4107, Australia.

C Corresponding author. Email: alina@psy.uq.edu.au

Australian Journal of Primary Health 18(4) 313-320 https://doi.org/10.1071/PY11106
Submitted: 31 August 2011  Accepted: 17 November 2011   Published: 17 January 2012

Abstract

Parenting programs are effective as a means of preventing and treating child emotional and behavioural problems; however, engagement of families from culturally diverse populations has been low. The perceptions of practitioners who conduct parent consultations with families from culturally diverse backgrounds were assessed to examine the perceived suitability of the Triple P – Positive Parenting Program. Practitioners rated the program as moderately acceptable. Previous training in parenting intervention and years of experience working with parents impacted on practitioner ratings, as did the type of practitioner profession. Practitioners identified certain barriers to parents’ participation and preferred traditional face-to-face delivery formats. Practitioner perceptions may influence parental access to parenting programs. To enhance parental access to parenting interventions, practitioners may require additional training and education about parental preferences and evidence based practice.

Additional keywords: culture, engagement, parenting intervention, practitioner training.


References

Clayton O, Chester A, Mildon R, Matthews J (2008) Practitioners who work with parents with intellectual disability: stress, coping and training needs. Journal of Applied Research in Intellectual Disabilities 21, 367–376.
Practitioners who work with parents with intellectual disability: stress, coping and training needs.Crossref | GoogleScholarGoogle Scholar |

Crisante L, Ng S (2003) Implementation and process issues in using Group Triple P with Chinese parents: preliminary findings. Australian e-Journal for the Advancement of Mental Health (AeJAMH) 2, 226–235.

Cross-Calvert S, Johnston C (1990) Acceptability of treatments for child behavior problems: issues and implications for future research. Journal of Clinical Child Psychology 19, 61–74.
Acceptability of treatments for child behavior problems: issues and implications for future research.Crossref | GoogleScholarGoogle Scholar |

Cunningham CE, Boyle MH, Offord DR, Racine Y, Hundert J, Secord M, McDonald J (2000) Tri-ministry study: correlates of school-based parenting course utilization. Journal of Consulting and Clinical Psychology 68, 928–933.
Tri-ministry study: correlates of school-based parenting course utilization.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3crhtFOhtw%3D%3D&md5=6a8ad68eb515259f2ca665627e72c453CAS | 11068980PubMed |

Eamon MK, Venkataraman M (2003) Implementing parent management training in the context of poverty. The American Journal of Family Therapy 31, 281–293.
Implementing parent management training in the context of poverty.Crossref | GoogleScholarGoogle Scholar |

Elliott SN (1988) Acceptability of behavioral treatments: review of variables that influence treatment selection. Professional Psychology, Research and Practice 19, 68–80.
Acceptability of behavioral treatments: review of variables that influence treatment selection.Crossref | GoogleScholarGoogle Scholar |

Gross D, Fogg L, Webster-Stratton C, Garvey C, Julion W, Grady J (2003) Parent training of toddlers in day care in low-income urban communities. Journal of Consulting and Clinical Psychology 71, 261–278.
Parent training of toddlers in day care in low-income urban communities.Crossref | GoogleScholarGoogle Scholar | 12699021PubMed |

Karoly P (1993) Mechanisms of self-regulation: a systems view. Annual Review of Psychology 44, 23–52.
Mechanisms of self-regulation: a systems view.Crossref | GoogleScholarGoogle Scholar |

Katz I, La Placa V, Hunter S (2007) ‘Barriers to inclusion and successful engagement of parents in mainstream services.’ Available at http://www.jrf.org.uk/bookshop/ebooks/barriers-inclusion-parents.pdf [Verified 5 May 2008]

Kazdin AE (2008) Evidence-based treatment and practice new opportunities to bridge clinical research and practice, enhance the knowledge base, and improve patient care. The American Psychologist 63, 146–159.
Evidence-based treatment and practice new opportunities to bridge clinical research and practice, enhance the knowledge base, and improve patient care.Crossref | GoogleScholarGoogle Scholar | 18377105PubMed |

Kazdin AE, Siegel TC, Bass D (1990) Drawing upon clinical practice to inform research on child and adolescent psychotherapy: a survey of practitioners. Professional Psychology, Research and Practice 21, 189–198.
Drawing upon clinical practice to inform research on child and adolescent psychotherapy: a survey of practitioners.Crossref | GoogleScholarGoogle Scholar |

Leung C, Sanders MR, Leung S, Mak R, Lau J (2003) An outcome evaluation of the implementation of the triple P − Positive Parenting Program in Hong Kong. Family Process 42, 531–544.
An outcome evaluation of the implementation of the triple P − Positive Parenting Program in Hong Kong.Crossref | GoogleScholarGoogle Scholar | 14979223PubMed |

Lundahl B, Risser HJ, Lovejoy MC (2006) A meta-analysis of parent training: moderators and follow-up effects. Clinical Psychology Review 26, 86–104.
A meta-analysis of parent training: moderators and follow-up effects.Crossref | GoogleScholarGoogle Scholar | 16280191PubMed |

Matsumoto Y, Sofronoff K, Sanders M (2007) The efficacy and acceptability of the Triple P parenting program in a cross-cultural context: results of an efficacy trial. Behaviour Change 24, 205–218.
The efficacy and acceptability of the Triple P parenting program in a cross-cultural context: results of an efficacy trial.Crossref | GoogleScholarGoogle Scholar |

McCabe KM, Yeh M, Garland AF, Lau AS, Chavez G (2005) The GANA program: a tailoring approach to adapting parent child interaction therapy for Mexican Americans. Education & Treatment of Children 28, 111–129.

McKay MM, McCadam K, Gonzales JJ (1996) Addressing the barriers to mental health services for inner city children and their caretakers. Community Mental Health Journal 32, 353–361.
Addressing the barriers to mental health services for inner city children and their caretakers.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK28vjslartQ%3D%3D&md5=4425a9157f304dd62654771e406ba88fCAS | 8840078PubMed |

Morawska A, Sanders MR (2006) A review of engagement and strategies to promote engagement with parenting interventions. Journal of Children’s Services 1, 29–40.

Morawska A, Sanders MR (2011) Parental use of time out revisited: a useful or harmful parenting strategy. Journal of Child and Family Studies 20, 1–8.
Parental use of time out revisited: a useful or harmful parenting strategy.Crossref | GoogleScholarGoogle Scholar |

Morawska A, Sanders MR, Goadby E, Headley C, Hodge L, McAuliffe C, Pope S, Anderson E (2011) Is the Triple P-Positive Parenting Program acceptable to parents from culturally diverse backgrounds? Journal of Child and Family Studies 20, 614–622.
Is the Triple P-Positive Parenting Program acceptable to parents from culturally diverse backgrounds?Crossref | GoogleScholarGoogle Scholar |

Patterson GR (1982) ‘Coercive family process.’ (Castalia Publishing Co.: Eugene, Oregon)

Prinz RJ, Sanders MR, Shapiro CJ, Whitaker DJ, Lutzker JR (2009) Population-based prevention of child maltreatment: The U.S. Triple P System Population Trial. Prevention Science 10, 1–12.
Population-based prevention of child maltreatment: The U.S. Triple P System Population Trial.Crossref | GoogleScholarGoogle Scholar | 19160053PubMed |

Reid MJ, Webster-Stratton C, Beauchaine TP (2001) Parent training in Head Start: a comparison of program response among African American, Asian American, Caucasian, and Hispanic mothers. Prevention Science 2, 209–227.
Parent training in Head Start: a comparison of program response among African American, Asian American, Caucasian, and Hispanic mothers.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD387gt1Crsw%3D%3D&md5=a04b77deaa14d2428c46696209ff3efaCAS | 11833925PubMed |

Sanders MR (2008) The Triple P − Positive Parenting Program as a public health approach to strengthening parenting. Journal of Family Psychology 22, 506–517.
The Triple P − Positive Parenting Program as a public health approach to strengthening parenting.Crossref | GoogleScholarGoogle Scholar | 18729665PubMed |

Sanders MR, Tully LA, Baade PD, Lynch ME, Heywood AH, Pollard GE, Youlden DR (1999) A survey of parenting practices in Queensland: implications for mental health promotion. Health Promotion Journal of Australia 9, 112–121.

Sanders MR, Markie-Dadds C, Tully LA, Bor W (2000) The Triple P − Positive Parenting Program: a comparison of enhanced, standard and self-directed behavioural family intervention for parents of children with early onset conduct problems. Journal of Consulting and Clinical Psychology 68, 624–640.
The Triple P − Positive Parenting Program: a comparison of enhanced, standard and self-directed behavioural family intervention for parents of children with early onset conduct problems.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD3cvlvVOksQ%3D%3D&md5=5ba1849ae3ddbaacd1d5d3222cd29c9cCAS | 10965638PubMed |

Sanders MR, Markie-Dadds C, Rinaldis M, Firman D, Baig N (2007) Using household survey data to inform policy decisions regarding the delivery of evidence-based parenting interventions. Child: Care, Health and Development 33, 768–783.
Using household survey data to inform policy decisions regarding the delivery of evidence-based parenting interventions.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD2snitVKkuw%3D%3D&md5=2bba3390b4663cc2ea7e57b665c73e88CAS |

Sanders M, Calam R, Durand M, Liversidge T, Carmont SA (2008) Does self-directed and web-based support for parents enhance the effects of viewing a reality television series based on the Triple P – Positive Parenting Programme? Journal of Child Psychology and Psychiatry 49, 924–932.
Does self-directed and web-based support for parents enhance the effects of viewing a reality television series based on the Triple P – Positive Parenting Programme?Crossref | GoogleScholarGoogle Scholar | 18492040PubMed |

Sawrikar P, Katz I (2008) Enhancing family and relationship service accessibility and delivery to culturally and linguistically diverse families in Australia. Family Relationships Clearinghouse 3, 1–20.

Seng AC, Prinz RJ, Sanders MR (2006) The role of training variables in effective dissemination of evidence-based parenting interventions. International Journal of Mental Health Promotion 8, 20–28.

Shapiro CJ, Prinz RJ, Sanders MR (2008) Population-wide parenting intervention training: initial feasibility. Journal of Child and Family Studies 17, 457–466.
Population-wide parenting intervention training: initial feasibility.Crossref | GoogleScholarGoogle Scholar |

Story MT, Neumark-Stzainer DR, Sherwood NE, Holt K, Sofka D, Trowbridge FL, Barlow SE (2002) Management of child and adolescent obesity: attitudes, barriers, skills, and training needs among health care professionals. Pediatrics 110, 210–214.

Turner KM, Sanders MR (2006) Dissemination of evidence-based parenting and family support strategies: learning from the Triple P – Positive Parenting Program system approach. Aggression and Violent Behavior 11, 176–193.
Dissemination of evidence-based parenting and family support strategies: learning from the Triple P – Positive Parenting Program system approach.Crossref | GoogleScholarGoogle Scholar |

Turner KMT, Richards M, Sanders MR (2007) Randomised clinical trial of a group parent education programme for Australian indigenous families. Journal of Paediatrics and Child Health 43, 429–437.
Randomised clinical trial of a group parent education programme for Australian indigenous families.Crossref | GoogleScholarGoogle Scholar |

Weisz JR, Gray JS (2008) Evidence-based psychotherapy for children and adolescents: data from the present and a model for the future. Child and Adolescent Mental Health 13, 54–65.
Evidence-based psychotherapy for children and adolescents: data from the present and a model for the future.Crossref | GoogleScholarGoogle Scholar |

Willgerodt MA, Thompson EA (2006) Ethnic and generational influences on emotional distress and risk behaviors among Chinese and Filipino American adolescents. Research in Nursing & Health 29, 311–324.
Ethnic and generational influences on emotional distress and risk behaviors among Chinese and Filipino American adolescents.Crossref | GoogleScholarGoogle Scholar |

Young KT, Davis K, Schoen C, Parker S (1998) Listening to parents: a national survey of parents with young children. Archives of Pediatrics & Adolescent Medicine 152, 255–262.

Youssef J, Deane FP (2006) Factors influencing mental-health help-seeking in Arabic speaking communities in Sydney, Australia. Mental Health, Religion & Culture 9, 43–66.
Factors influencing mental-health help-seeking in Arabic speaking communities in Sydney, Australia.Crossref | GoogleScholarGoogle Scholar |