The effectiveness of a group triple P with Chinese parents who have a child with developmental disabilities: a randomized controlled trial
Abstract
The study examined the effectiveness of Group Triple P, a Level 4 variant of the Triple P multilevel system of parenting support, with Chinese parents who had a preschool aged child with a developmental disability, using randomized controlled trial design. Participants (Intervention group: 42; Waitlist Control group: 39) completed measures on child behaviour, parental stress, dysfunctional discipline styles and parental conflict before and after program completion by the Intervention group. Intervention group participants also completed these same measures six months after program completion. Compared to the Waitlist Control group, parents receiving Group Triple P reported significantly lower levels of child behaviour problems, parental stress, dysfunctional discipline style and parental conflict scores. The Intervention group participants maintained their gains six months after program completion. The results provided promising evidence for the Level 4 Group Triple P as an effective intervention program for Chinese parents who have preschool aged children with developmental disabilities.
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Studies show a reduction in parental stress via therapist-led parent-training programs for parents of children with ASD or IDD, as well as self-directed interventions for parents of children displaying CB.
“While this finding is inconsistent with studies showing a reduction in parental stress via therapist-led parent-training programs for parents of children with ASD (63–65) or IDD (66, 67), as well as self-directed interventions for parents of children displaying CB (68, 69)”
Previous research on parent training programs for parents of children with ASD or IDD consistently revealed a reduction in CB after the intervention.
“This result is in line with previous research on parent training programs for parents of children with ASD (63, 64, 71) or IDD (66, 67, 74), which consistently revealed a reduction in CB after the intervention.”
There have been studies reporting both a reduction in laxness and overreactivity after a parent training for parents of children with ASD or IDD or no effect on parenting practices at all.
“However, it has to be noted that there have been studies reporting both a reduction in laxness and overreactivity after a parent training for parents of children with ASD (83) or IDD (67) or no effect on parenting practices at all (71).”
Cites
Cohen, J. (1992) · Psychological Bulletin · doi:10.1037//0033-2909.112.1.155 · Cited by 8,771 · see citing works
Jacobson, N. S., & Truax, P. (1991) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.59.1.12 · Cited by 7,770 · see citing works
Schafer, J. L. (1999) · Statistical Methods in Medical Research · doi:10.1177/096228029900800102 · Cited by 3,949 · see citing works
The Parenting Scale: A measure of dysfunctional parenting in discipline situations.
Arnold, D. S., O'Ĺeary, S. G., Wolff, L. S., & Acker, M. M. (1993) · Psychological Assessment · doi:10.1037/1040-3590.5.2.137 · Cited by 1,515 · see citing works
Sanders, M. R. (1999) · Clinical Child and Family Psychology Review · doi:10.1023/a:1021843613840 · Cited by 1,189 · see citing works
Self-citationInnovations in Clinical Practice : A Source Book
VandeCreek, L. D., & Jackson, T. L. (1992) · Cited by 1,020 · see citing works
Schafer, J. L. (1999) · Statistical Methods in Medical Research · doi:10.1191/096228099671525676 · Cited by 920 · see citing works
Thomas, R., & Zimmer‐Gembeck, M. J. (2007) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-007-9104-9 · Cited by 754 · see citing works
Triple P-Positive Parenting Program as a public health approach to strengthening parenting.
Sanders, M. R. (2008) · Journal of Family Psychology · doi:10.1037/0893-3200.22.3.506 · Cited by 664 · see citing works
Self-citationOxford Handbook of Chinese Psychology
Bond, M. H. (2010) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780199541850.001.0001 · Cited by 659 · see citing works
Assessment of child behavior problems: The validation of a new inventory
Eyberg, S. M., & Ross, A. W. (1978) · Journal of Clinical Child Psychology · doi:10.1080/15374417809532835 · Cited by 646 · see citing works
Nowak, C., & Heinrichs, N. (2008) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-008-0033-0 · Cited by 621 · see citing works
Development, Evaluation, and Multinational Dissemination of the Triple P-Positive Parenting Program
Sanders, M. R. (2012) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-032511-143104 · Cited by 619 · see citing works
Self-citationAffiliate Stigma Among Caregivers of People with Intellectual Disability or Mental Illness
Mak, W. W. S., & Cheung, R. Y. M. (2008) · Journal of Applied Research in Intellectual Disabilities · doi:10.1111/j.1468-3148.2008.00426.x · Cited by 510 · see citing works
The critical role of nurturing environments for promoting human well-being.
Biglan, A., Flay, B. R., Embry, D. D., & Sandler, I. N. (2012) · American Psychologist · doi:10.1037/a0026796 · Cited by 399 · see citing works
Whittingham, K., Sofronoff, K., Sheffield, J., & Sanders, M. R. (2009) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-008-9285-x · Cited by 357 · see citing works
Self-citationde Graaf, I., Speetjens, P., Smit, F., de Wolff, M., & Tavecchio, L. (2008) · Behavior Modification · doi:10.1177/0145445508317134 · Cited by 338 · see citing works
An Outcome Evaluation of the Implementation of the Triple P‐Positive Parenting Program in Hong Kong
Leung, C., Sanders, M. R., Leung, S., MAK, R., & Lau, J. T. F. (2003) · Family Process · doi:10.1111/j.1545-5300.2003.00531.x · Cited by 297 · see citing works
Self-citationDadds, M. R., & Powell, M. B. (1991) · Research on Child and Adolescent Psychopathology · doi:10.1007/bf00925820 · Cited by 286 · see citing works
Multiple Imputation for Missing Data: Making the Most of What You Know
Fichman, M., & Cummings, J. N. (2003) · Organizational Research Methods · doi:10.1177/1094428103255532 · Cited by 229 · see citing works
Behavioral Family Intervention for Children With Developmental Disabilities and Behavioral Problems
Roberts, C., Mazzucchelli, T., Studman, L., & Sanders, M. R. (2006) · Journal of Clinical Child & Adolescent Psychology · doi:10.1207/s15374424jccp3502_2 · Cited by 215 · see citing works
Self-citationEffectiveness of the Triple P Positive Parenting Program on Parenting: A Meta‐Analysis
de Graaf, I., Speetjens, P., Smit, F., de Wolff, M., & Tavecchio, L. W. C. (2008) · Family Relations · doi:10.1111/j.1741-3729.2008.00522.x · Cited by 214 · see citing works
Plant, K. M., & Sanders, M. R. (2007) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2006.02.009 · Cited by 192 · see citing works
Self-citationFurr, R. M. (2009) · Journal of Personality Assessment · doi:10.1080/00223890903379134 · Cited by 167 · see citing works
Family quality of life of Chinese families of children with intellectual disabilities
Hu, X., Wang, M., & Fei, X. (2011) · Journal of Intellectual Disability Research · doi:10.1111/j.1365-2788.2011.01391.x · Cited by 157 · see citing works
Mazzucchelli, T. G., & Sanders, M. R. (2010) · Clinical Psychology Science and Practice · doi:10.1111/j.1468-2850.2010.01215.x · Cited by 122 · see citing works
Self-citationConsumer satisfaction measures for assessing parent training programs.
Eyberg, S. M. (1993) · Cited by 113 · see citing works
Hope as a change mechanism in the treatment of posttraumatic stress disorder.
Gilman, R., Schumm, J. A., & Chard, K. (2012) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/a0024252 · Cited by 103 · see citing works
Leung, C., & Tsang, S. (2009) · Journal of Personality Assessment · doi:10.1080/00223890903379209 · Cited by 88 · see citing works
Self-citationFacilitator's Manual for Group Triple P
Turner, K., Sanders, M. R., & Markie‐Dadds, C. (2010) · Cited by 85 · see citing works
Self-citationPsychometric Properties of the Chinese Version of the Parental Stress Scale
Cheung, S. (2000) · Medical Entomology and Zoology · Cited by 66 · see citing works
Needs of Chinese Parents of Children with Developmental Disability
Wong, S. Y., Wong, T. K. S., Martinson, I. M., Lai, A. C., Chen, W., & He, Y.-Z. (2004) · Journal of Learning Disabilities · doi:10.1177/1469004704042703 · Cited by 63 · see citing works
Illness behaviors among the Chinese
Mak, W. W. S., & Chen, S. X. (2012) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780199541850.013.0026 · Cited by 54 · see citing works
Leung, C., Sanders, M. R., Ip, F., & Lau, J. T. F. (2006) · Journal of Children s Services · doi:10.1108/17466660200600010 · Cited by 48 · see citing works
Self-citationMazzucchelli, T. G., & Sanders, M. R. (2011) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2011.07.022 · Cited by 39 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Sanders, M. R., Kirby, J. N., Tellegen, C. L., & Day, J. J. (2014) · Clinical Psychology Review · doi:10.1016/j.cpr.2014.04.003 · Cited by 1,077 · see citing works
Self-citationReichow, B., Servili, C., Yasamy, M. T., Barbui, C., & Saxena, S. (2013) · PLoS Medicine · doi:10.1371/journal.pmed.1001572 · Cited by 135 · see citing works
Interventions to Promote Well-Being in Parents of Children with Autism: a Systematic Review
Frantz, R., Hansen, S. G., & Machalicek, W. (2018) · Review Journal of Autism and Developmental Disorders · doi:10.1007/s40489-017-0123-3 · Cited by 76 · see citing works
Lo, H. H. M., Chan, S. K. C., Szeto, M. P., Chan, C. Y. H., & Choi, C. W. (2017) · Mindfulness · doi:10.1007/s12671-017-0741-y · Cited by 63 · see citing works
Skotarczak, L., & Lee, G. K. (2015) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2014.12.004 · Cited by 51 · see citing works
Families’ Access to Early Intervention and Supports for Children With Developmental Disabilities
Sapiets, S. J., Hastings, R. P., Stanford, C. E., & Totsika, V. (2022) · Journal of Early Intervention · doi:10.1177/10538151221083984 · Cited by 54 · see citing works
Au, A., Lau, K., Wong, A., Lam, C., Leung, C., Lau, J., & Lee, Y.-K. (2014) · Australian Psychologist · doi:10.1111/ap.12053 · Cited by 42 · see citing works
Self-citationHealth coaching for parents of children with developmental disabilities: a systematic review
Ogourtsova, T., O’Donnell, M., Silva, W. D. S., & Majnemer, A. (2019) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.14206 · Cited by 43 · see citing works
Efficacy of Parent–Child Interaction Therapy With Chinese ADHD Children
Leung, C., Tsang, S., Ng, G. S. H., & Choi, S.-Y. (2016) · Research on Social Work Practice · doi:10.1177/1049731516643837 · Cited by 40 · see citing works
Self-citationGroup Triple P Intervention Effects on Children and Parents: A Systematic Review and Meta-Analysis
Nogueira, S., Canário, C., Abreu‐Lima, I., Teixeira, P., & Cruz, O. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19042113 · Cited by 43 · see citing works
Leung, C., Chan, S., Lam, T., Yau, S., & Tsang, S. (2016) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2016.05.015 · Cited by 37 · see citing works
Self-citationReichow, B., Kogan, C. S., Barbui, C., Maggin, D. M., Salomone, E., Smith, I. C., Yasamy, M. T., & Servili, C. (2023) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.15764 · Cited by 38 · see citing works
Zhou, Y. Q., Chew, Q. R., Lee, M., Zhou, J., Chong, D., Quah, S. H., Ho, M., & Tan, L. J. (2017) · Children and Youth Services Review · doi:10.1016/j.childyouth.2017.10.029 · Cited by 31 · see citing works
Parenting interventions in tic disorders: an exploration of parents' perspectives
Evans, G. A. L., Wittkowski, A., Butler, H., Hedderly, T. J., & Bunton, P. (2014) · Child Care Health and Development · doi:10.1111/cch.12212 · Cited by 29 · see citing works
Sethi, S., Kerns, S. E. U., Sanders, M. R., & Ralph, A. (2014) · International Journal of Mental Health Promotion · doi:10.1080/14623730.2014.917896 · Cited by 29 · see citing works
Self-citationLeung, C., Sanders, M. R., Fung, B., & Kirby, J. N. (2014) · Journal of Family Studies · doi:10.1080/13229400.2014.11082000 · Cited by 27 · see citing works
Self-citationHe, C., Evans, N., Graham, H., & Milner, K. M. (2024) · Journal of Global Health · doi:10.7189/jogh.14.04055 · Cited by 26 · see citing works
Ragni, B., Boldrini, F., Mangialavori, S., Cacioppo, M., Capurso, M., & STASIO, S. D. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19159685 · Cited by 25 · see citing works
Lau, J. S., Lai, S., Ip, F. T.-S., Wong, P. W. C., WHO CST Team, Servili, C., Salomone, E., Pacione, L. R., Shire, S. Y., & Brown, F. L. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.915263 · Cited by 25 · see citing works
Xu, Y., Chen, F., Mirza, M. P., & Magaña, S. (2022) · Journal of Policy and Practice in Intellectual Disabilities · doi:10.1111/jppi.12432 · Cited by 22 · see citing works
Evidence-based parenting support across cultures: The Triple P—Positive Parenting Program experience
Turner, K., Singhal, M., McIlduff, C. D., Singh, S., & Sanders, M. R. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-815493-9.00019-3 · Cited by 22 · see citing works
Self-citationWong, P. W. C., Lam, Y. Y., Lau, J. S., Fok, H. K., The WHO CST Team, Servili, C., Salomone, E., Pacione, L. R., Shire, S. Y., & Brown, F. L. (2022) · Scientific Reports · doi:10.1038/s41598-022-21343-9 · Cited by 20 · see citing works
The incredible years parent program for Chinese preschoolers with developmental disabilities
Kong, M. M.-Y., & Au, T. K.-F. (2018) · Early Education and Development · doi:10.1080/10409289.2018.1461987 · Cited by 19 · see citing works
Group Triple P – A randomized controlled trial with low-income mothers
Nogueira, S., Abreu‐Lima, I., Canário, C., & Cruz, O. (2021) · Children and Youth Services Review · doi:10.1016/j.childyouth.2020.105862 · Cited by 18 · see citing works
The Effectiveness of Healthy Start Home Visit Program
Leung, C., Tsang, S., & Heung, K. (2014) · Research on Social Work Practice · doi:10.1177/1049731514533390 · Cited by 11 · see citing works
Self-citationLeung, C., Lai, C. Y. Y., Lau, D. K.-Y., Leung, S., & Pin, T. W. (2019) · Journal of Child Health Care · doi:10.1177/1367493519880447 · Cited by 10 · see citing works
Self-citationTang, E. H. H., Cheng, R. W., & Fung, W. K. (2020) · European Journal of Psychology of Education · doi:10.1007/s10212-020-00477-2 · Cited by 9 · see citing works
Rie, W. (2013) · Journal of Psychological Abnormalities in Children · doi:10.4172/2329-9525.1000113 · Cited by 9 · see citing works
Tehrani, H. D., Yamini, S., & Vazsonyi, A. T. (2023) · Journal of Experimental Criminology · doi:10.1007/s11292-023-09562-0 · Cited by 10 · see citing works
Chan, S. K. C., Leung, C., & Sanders, M. R. (2016) · Journal of Children s Services · doi:10.1108/jcs-08-2014-0038 · Cited by 7 · see citing works
Self-citationGeorge, C., Kolodziej, N., Rendall, M., & Coiffait, F.-M. (2014) · Educational and Child Psychology · doi:10.53841/bpsecp.2014.31.4.18 · Cited by 7 · see citing works
Arıdağ, N. Ç., & Erbiçer, E. S. (2017) · Ankara Üniversitesi Eğitim Bilimleri Fakültesi Özel Eğitim Dergisi · doi:10.21565/ozelegitimdergisi.372512 · Cited by 5 · see citing works
Parenting Interventions for Children with Tic Disorders: Professionals’ Perspectives
Evans, G. A. L., Wittkowski, A., Butler, H., Hedderly, T. J., & Bunton, P. (2015) · Journal of Child and Family Studies · doi:10.1007/s10826-015-0317-1 · Cited by 5 · see citing works
Strengthening Supports for Children 0-8 years and their Families: A Literature Review
Dew, A., Bortoli, T. D., Brentnall, J., & Bundy, A. C. (2014) · The Sydney eScholarship Repository (The University of Sydney) · Cited by 4 · see citing works
Meerson, R., Buchholz, H., Kammerer, K., Göster, M., Schobel, J., Ratz, C., Pryss, R., Taurines, R., Romanos, M., Gamer, M., et al. (2024) · Frontiers in Digital Health · doi:10.3389/fdgth.2024.1462682 · Cited by 4 · see citing works
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Supriatna, E., Alawiyah, T., & Yuliani, W. (2019) · Abdimas Siliwangi · doi:10.22460/as.v2i2p175-182.3322 · Cited by 3 · see citing works
Hamzallari, O., Stanke, K. M., Stefanek, E., & Spiel, G. (2025) · Children and Youth Services Review · doi:10.1016/j.childyouth.2025.108419 · Cited by 2 · see citing works
Wong, P. W. C., Lam, Y. Y., Lau, J. S., & Fok, H. K. (2021) · Research Square · doi:10.21203/rs.3.rs-408342/v1 · Cited by 2 · see citing works
Kassa, G. M., Yu, Z., Yitayew, F. M., & Gross, D. A. (2025) · Journal of Global Health · doi:10.7189/jogh.15.04018 · Cited by 6 · see citing works
Yuen, M., Chan, K., Chau, L., Shum, K. K., Ip, H. L., Shao, S., & Lee, D. A. (2025) · Advancing inclusive and special education in the Asia-Pacific · doi:10.1007/978-981-96-5662-2_6 · Cited by 1 · see citing works
Skura, M., Dryżałowska, G., Steinhagen, A., & Lorens‐Rosa, W. (2025) · Child Care Health and Development · doi:10.1111/cch.70150 · Cited by 1 · see citing works
Leung, C., Sanders, M. R., Fung, B., & Kirby, J. N. (2014) · Journal of Family Studies · doi:10.5172/jfs.2014.4595 · Cited by 1 · see citing works
Self-citationPositive Parenting: Babies and Toddlers Group-Based Parental InterventionsPreprint
Antonaccio, V., Balsa, A. I., & Cid, A. (2018) · SSRN Electronic Journal · doi:10.2139/ssrn.3131939
Wilson, P., Marryat, L., Thompson, L. C., Coyne, J., & Allerhand, M. (2019) · Australian Psychologist · doi:10.1111/ap.12448
Liu, Q. (2019) · American Educational Research Association Annual Meeting (AERA) · doi:10.3102/1436135
Hai, T., Penner, K. E., Loran, K. L., Fida, H., Tongol, N. A. C., Cameron, E. A., Giuliano, R. J., & Roos, L. E. (2025) · Journal of Technology in Behavioral Science · doi:10.1007/s41347-025-00534-x
Peng, J., He, J., & Li, N. (2025) · International Journal of Mental Health Promotion · doi:10.32604/ijmhp.2025.066405
Li, D., Feng, X., Yuanyuan, Li, Y., Zhang, L., Tian, T., Wu, X., Wu, D., & Yao, J. (2025) · Trials · doi:10.1186/s13063-025-09156-3
Abramov, R., Stern, A., Feniger‐Schaal, R., Elefant, C., Goldner, L., & Rabinowitch, T.-C. (2026) · PLoS ONE · doi:10.1371/journal.pone.0349576
- Authors
- Leung, C., Fan, A., & Sanders, M. R.
- Affiliations
- Hong Kong Polytechnic University (HK)
- The University of Queensland (AU)
- Corresponding author
- Leung, Cynthia
- Venue
- Research in Developmental Disabilities
- Publisher
- Elsevier BV
- Published
- 2013-03
- Volume
- 34
- Issue
- 3
- Pages
- 976-984
- ISSN
- 0891-4222 (ISSN-L)
- OpenAlex
- W2089517827
- Cited by
- 51
- References
- 35
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 2 · 2023: 3 · 2022: 6 · 2021: 2 · 2020: 2 · 2019: 5 · 2018: 2 · 2017: 4 · 2016: 4 · 2015: 2 · 2014: 9 · 2013: 2
- FWCI
- 6.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Research in Developmental Disabilities (publishedVersion)
- PubMed (publishedVersion)
- PolyU Institutional Research Archive (Hong Kong Polytechnic University) (submittedVersion)
- Research Explorer (The University of Manchester) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- parenting support, developmental disabilities, Chinese parents, preschool children, child behavior problems, parental stress, parental conflict, intervention effectiveness, maintenance of gains
- MeSH terms
- Adult, Child Behavior, Developmental Disabilities, Child, Preschool, China, Female, Humans, Male, Parent-Child Relations, Parents, Stress, Psychological, Program Evaluation, Parenting, Treatment Outcome
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