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The Triple P-Positive Parenting Program: A systematic review and meta-analysis of a multi-level system of parenting support
Abstract
This systematic review and meta-analysis examined the effects of the multilevel Triple P-Positive Parenting Program system on a broad range of child, parent and family outcomes. Multiple search strategies identified 116 eligible studies conducted over a 33-year period, with 101 studies comprising 16,099 families analyzed quantitatively. Moderator analyses were conducted using structural equation modeling. Risk of bias within and across studies was assessed. Significant short-term effects were found for: children's social, emotional and behavioral outcomes (d=0.473); parenting practices (d=0.578); parenting satisfaction and efficacy (d=0.519); parental adjustment (d=0.340); parental relationship (d=0.225) and child observational data (d=0.501). Significant effects were found for all outcomes at long-term including parent observational data (d=0.249). Moderator analyses found that study approach, study power, Triple P level, and severity of initial child problems produced significant effects in multiple moderator models when controlling for other significant moderators. Several putative moderators did not have significant effects after controlling for other significant moderators. The positive results for each level of the Triple P system provide empirical support for a blending of universal and targeted parenting interventions to promote child, parent and family wellbeing.
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“Furthermore, the lack of statistically significant subgroup results by program duration, delivery modality, and setting are also consistent with the few prior meta-analyses that have conducted similar analyses and shown no associations between these program aspects and intervention effects on ECD and parent-level outcomes [62].”
From Parenting interventions to promote early child development in the first three years of life: A global systematic review and meta-analysis (2021) · cites this paper as [62]
In the citing paper
“The lack of statistically significant subgroup results by child age are consistent with the few prior meta-analyses that have similarly shown no age effects among parenting interventions focused during early childhood [9,22] or spanning broader age ranges from early to middle childhood [49] or birth to age 18 [62].”
From Parenting interventions to promote early child development in the first three years of life: A global systematic review and meta-analysis (2021) · cites this paper as [62]
In the citing paper
“Specific intervention programs including the Circle of Security (Hoffman et al., 2006; Powell et al., 2014), Triple P (Positive Parenting Program) (Sanders et al., 2014), Video Interaction for Promoting Positive Parenting Programme (Van Zeijl et al., 2006), and Mom Power (Muzik et al., 2015), have been validated according to randomized clinical trial approaches.”
From The maternal brain and its plasticity in humans (2016) · cites this paper as Sanders et al., 2014
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A randomized controlled trial evaluating a parenting program designed specifically for grandparents
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Nicholson, J. M., & Sanders, M. R. (1999) · Journal of Divorce & Remarriage · doi:10.1300/j087v30n03_01 · Cited by 70
An evaluation of a behavioural parenting intervention for parents of gifted children
Morawska, A., & Sanders, M. R. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.02.008 · Cited by 70
Randomized Controlled Trial of a Family Intervention for Children Bullied by Peers
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A Randomized Controlled Trial of Group Stepping Stones Triple P: A Mixed‐Disability Trial
Roux, G., Sofronoff, K., & Sanders, M. R. (2013) · Family Process · doi:10.1111/famp.12016 · Cited by 69
The Impact of Three Evidence-Based Programmes Delivered in Public Systems in Birmingham, UK
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Emerging Methods in Family Research
McHale, S. M., Amato, P. R., & BOOTH, A. R. (2013) · National symposium on family issues · doi:10.1007/978-3-319-01562-0 · Cited by 68
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The Impact of Three Evidence-Based Programmes Delivered in Public Systems in Birmingham, UK
Little, M., Berry, V., Morpeth, L., et al. (2012) · PUB – Publications at Bielefeld University (Bielefeld University) · doi:10.4119/unibi/ijcv.263 · Cited by 67
Reducing Preschoolers’ Disruptive Behavior in Public with a Brief Parent Discussion Group
Joachim, S., Sanders, M. R., & Turner, K. (2009) · Child Psychiatry & Human Development · doi:10.1007/s10578-009-0151-z · Cited by 64
Parent and Adolescent Effects of a Universal Group Program for the Parenting of Adolescents
Chu, J. T. W., Bullen, P., Farruggia, S. P., Dittman, C. K., & Sanders, M. R. (2014) · Prevention Science · doi:10.1007/s11121-014-0516-9 · Cited by 63
Ralph, A., & Sanders, M. R. (2003) · Advances in Mental Health · doi:10.5172/jamh.2.3.169 · Cited by 63
Morawska, A., & Sanders, M. R. (2006) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.11.015 · Cited by 60
Sanders, M. R., Bor, B., & Dadds, M. R. (1984) · Behavioural Psychotherapy · doi:10.1017/s0141347300009800 · Cited by 60
Guide to implementing family skills training programmes for drug abuse prevention
Kumpfer, K. L., & Crime (2009) · Cited by 57
An Evaluation of the Efficacy of a Triple P-Positive Parenting Program Podcast Series
Morawska, A., Tometzki, H., & Sanders, M. R. (2013) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0000000000000020 · Cited by 57
Turner, K., Sanders, M. R., & Wall, C. R. (1994) · Behaviour Change · doi:10.1017/s0813483900004514 · Cited by 56
Modifying the ‘Positive Parenting Program’ for parents with intellectual disabilities
Glazemakers, I., & Deboutte, D. (2012) · Journal of Intellectual Disability Research · doi:10.1111/j.1365-2788.2012.01566.x · Cited by 53
Marital Discord and Child Behavior Problems: A Description of Family Interactions During Treatment
Dadds, M. R., Sanders, M. R., Behrens, B. C., & James, J. E. (1987) · Journal of Clinical Child Psychology · doi:10.1207/s15374424jccp1603_3 · Cited by 53
A Public-Health Approach to Improving Parenting and Promoting Children's Well-Being
Sanders, M. R., & Kirby, J. N. (2014) · Child Development Perspectives · doi:10.1111/cdep.12086 · Cited by 53
Therapist-Assisted, Self-Administered Bibliotherapy to Enhance Parental Competence
Hahlweg, K., Heinrichs, N., Kuschel, A., & Feldmann, M. (2008) · Behavior Modification · doi:10.1177/0145445508317131 · Cited by 52
Leung, C., Fan, A., & Sanders, M. R. (2013) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2012.11.023 · Cited by 51
Self-citationSanders, M. R., & Plant, K. (1989) · Behavior Modification · doi:10.1177/01454455890133001 · Cited by 51
Guide to implementing family skills training programmes for drug abuse prevention
UN Office on Drugs and Crime (2009) · Cited by 51
Leung, C., Sanders, M. R., Ip, F., & Lau, J. T. F. (2006) · Journal of Children s Services · doi:10.1108/17466660200600010 · Cited by 48
Doherty, F. M., Calam, R. M., & Sanders, M. R. (2013) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jst046 · Cited by 46
An evaluation of a brief universal seminar series on positive parenting: a feasibility study
Sanders, M. R., Prior, J., & Ralph, A. (2009) · Journal of Children s Services · doi:10.1108/17466660200900002 · Cited by 45
Sanders, M. R., & Kirby, J. N. (2014) · Prevention Science · doi:10.1007/s11121-014-0475-1 · Cited by 44
Reducing Work and Family Conflict in Teachers: A Randomised Controlled Trial of Workplace Triple P
Haslam, D. M., Sanders, M. R., & Sofronoff, K. (2012) · School Mental Health · doi:10.1007/s12310-012-9091-z · Cited by 38
Boyle, C. L., Sanders, M. R., Lutzker, J. R., Prinz, R. J., Shapiro, C. J., & Whitaker, D. J. (2009) · Child Psychiatry & Human Development · doi:10.1007/s10578-009-0156-7 · Cited by 37
The Generalization of Treatment Effects in Parent Training with Multidistressed Parents
Dadds, M. R., Sanders, M. R., & James, J. E. (1987) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s0141347300012696 · Cited by 35
Implementation and process issues in using Group Triple P with Chinese parents: Preliminary findings
Crisante, L., & Ng, S. (2003) · Advances in Mental Health · doi:10.5172/jamh.2.3.226 · Cited by 33
Strengthening parent well‐being at the work—family interface: A German trial on workplace Triple P
Hartung, D., & Hahlweg, K. (2010) · Journal of Community & Applied Social Psychology · doi:10.1002/casp.1046 · Cited by 29
Dean, C., Myors, K., & Evans, E. J. (2003) · Advances in Mental Health · doi:10.5172/jamh.2.3.179 · Cited by 28
Stallman, H. M., & Sanders, M. R. (2014) · Journal of Divorce & Remarriage · doi:10.1080/10502556.2013.862091 · Cited by 27
Simonsohn, U. (2012) · Perspectives on Psychological Science · doi:10.1177/1745691612463399 · Cited by 26
Testing for Analysts’ Bias in Crime Prevention Experiments: Can We Accept Eisner’s One-tailed Test?
Sherman, L. W., & Strang, H. (2009) · Journal of Experimental Criminology · doi:10.1007/s11292-009-9073-9 · Cited by 25
Family Intervention Services program evaluation: A brief report on initial outcomes for families
Cann, W. G., Rogers, H. J., & Matthews, J. M. (2003) · Advances in Mental Health · doi:10.5172/jamh.2.3.208 · Cited by 25
Cann, W. G., Rogers, H. J., & Worley, G. (2003) · Advances in Mental Health · doi:10.5172/jamh.2.3.201 · Cited by 24
de Graaf, I., Onrust, S. A., Haverman, M., & Janssens, J. (2009) · Infant and Child Development · doi:10.1002/icd.634 · Cited by 23
The Role of Parent Training in the Cognitive Behavioral Treatment of Children's Headaches
Beames, L., Sanders, M. R., & Bor, W. (1992) · Behavioural Psychotherapy · doi:10.1017/s0141347300016943 · Cited by 20
Pouretemad, H., Khoshabi, K., Roshanbin, M., & Jadidi, M. (2009) · PubMed · Cited by 19
Rogers, H., Cann, W. G., Cameron, D., Littlefield, L., & Lagioia, V. (2003) · Advances in Mental Health · doi:10.5172/jamh.2.3.216 · Cited by 17
Cina, A., Röösli, M., Schmid, H., Lattmann, U. P., Fäh, B., Schönenberger, M., Kern-Scheffelt, W., Randall, A. K., & Bodenmann, G. (2011) · Family Science · doi:10.1080/19424620.2011.601903 · Cited by 16
Förderung der Elternkompetenz durch Triple P-Elterntrainings
Bertram, H., Hahlweg, K., Heinrichs, N., Kuschel, A., & Naumann, S. (2007) · Praxis der Kinderpsychologie und Kinderpsychiatrie · doi:10.13109/prkk.2007.56.8.676 · Cited by 16
Sarkadi, A., Sampaio, F., Kelly, M. P., & Feldman, I. (2014) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2013.12.012 · Cited by 13
The effects of instructions, feedback and cueing procedures in behavioural parent training
Sanders, M. R. (1982) · Australian Journal of Psychology · doi:10.1080/00049538208254717 · Cited by 13
Effectiveness of a Standard Parenting-Skills Program in Reducing Stealing and Lying in Two Boys
Venning, H. B., Blampied, N. M., & France, K. G. (2003) · Child & Family Behavior Therapy · doi:10.1300/j019v25n02_03 · Cited by 12
Promoting positive youth development: Through a brief parenting intervention program
Chand, N., Farruggia, S. P., Dittman, C. K., Sanders, M. R., & Chu, J. T. W. (2013) · Acquire (CQUniversity) · Cited by 11
Sanders, M. R. (1982) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s0141347300007825 · Cited by 11
Crisante, L. (2003) · Advances in Mental Health · doi:10.5172/jamh.2.3.191 · Cited by 9
Moharreri, F., Shahrivar, Z., Tehranidoost, M., & Mahmoudi‐Gharaei, J. (2008) · Cited by 8
Multiple Levels and Modalities of Measurement in a Population-Based Approach to Improving Parenting
Metzler, C. W., Sanders, M. R., & Rusby, J. C. (2013) · National symposium on family issues · doi:10.1007/978-3-319-01562-0_12 · Cited by 7
The effects of parent self‐recording and home feedback in systematic parent training
Sanders, M. R. (1980) · The Exceptional Child · doi:10.1080/0156655800270106 · Cited by 7
Harrison, J., & Thompson, A. P. (2007) · Charles Sturt University Research Output (CRO) · Cited by 7
Glazemakers, I. (2012) · Cited by 5
Empowerment in family and school (EIFAS). A randomised controlled trial
Schmid, H., Anliker, S., Bodenmann, G., Cina, A., Fäh, B., Kern, W., Lattmann, U. P., & Schönenberger, M. (2007) · Cited by 2
Parent Training Programs for Parents of Teenagers
Salari, R. (2009) · Cited by 1
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“Specific intervention programs including the Circle of Security (Hoffman et al., 2006; Powell et al., 2014), Triple P (Positive Parenting Program) (Sanders et al., 2014), Video Interaction for Promoting Positive Parenting Programme (Van Zeijl et al., 2006), and Mom Power (Muzik et al., 2015), have been validated accor…”
Metadata
- Authors
- Sanders, M. R., Kirby, J. N., Tellegen, C. L., & Day, J. J.
- Affiliations
- The University of Queensland (AU)
- Corresponding author
- Sanders, Matthew R.
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2014-06
- Volume
- 34
- Issue
- 4
- Pages
- 337-357
- ISSN
- 0272-7358 (ISSN-L)
- OpenAlex
- W2147100455
- Cited by
- 1,077
- References
- 170
- Citations by year
- 2026: 86 · 2025: 98 · 2024: 110 · 2023: 104 · 2022: 83 · 2021: 95 · 2020: 119 · 2019: 94 · 2018: 78 · 2017: 72 · 2016: 83 · 2015: 36 · 2014: 17
- FWCI
- 10.48
- Type
- journal article
- Language
- en
- Update notices
- erratum (2014-12-01)
- Open access
- closed
- Locations
- Clinical Psychology Review (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Social Sciences › Psychology › Clinical Psychology › Child Therapy and Development
- Keywords
- Triple P-Positive Parenting Program, parenting support, child behavior problems, parenting practices, parenting satisfaction, parental adjustment, parent-child relationship, child well-being, family well-being
- MeSH terms
- Adult, Child, Child Behavior Disorders, Female, Humans, Male, Parents, Personal Satisfaction, Social Support, Program Evaluation, Parenting
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