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Effects of a Universal Parenting Program for Highly Adherent Parents: A Propensity Score Matching Approach

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Abstract

This paper examines the effectiveness of a group-based universal parent training program as a strategy to improve parenting practices and prevent child problem behavior. In a dissemination trial, 56 schools were first selected through a stratified sampling procedure, and then randomly allocated to treatment conditions. 819 parents of year 1 primary school children in 28 schools were offered Triple P. 856 families in 28 schools were allocated to the control condition. Teacher, primary caregiver and child self-report data were collected at baseline, post, and two follow-up assessments. Analyses were constrained to highly adherent parents who completed all four units of the parenting program. A propensity score matching approach was used to compare parents fully exposed to the intervention with parents in the control condition, who were matched on 54 baseline characteristics. Results suggest that the intervention had no consistent effects on either five dimensions of parenting practices or five dimensions of child problem behavior, assessed by three different informants. These findings diverge from findings reported by program developers and distributors. Potential explanations for the discrepancy and implications for future research are discussed.

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Acknowledgements

We wish to acknowledge financial support for the study by the Swiss National Science Foundation, the Jacobs Foundation, the Swiss Federal Office of Public Health, the Canton of Zurich Ministry of Education, and the Julius Baer Foundation. We also thank the anonymous reviewers for helpful comments on earlier versions of this article.

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Correspondence to Manuel Eisner.

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Table 4

Table 4 Means and standard deviations of all dependent variables in the treated and matched untreated subgroups at pre (T1), post (T2), follow-up 1 (T3) and follow-up 2 (T4) assessments

Table 5

Table 5 Means and standard deviations in the full sample at pre (T1), post (T2), follow-up 1 (T3) and follow-up 2 (T4) assessments

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Eisner, M., Nagin, D., Ribeaud, D. et al. Effects of a Universal Parenting Program for Highly Adherent Parents: A Propensity Score Matching Approach. Prev Sci 13, 252–266 (2012). https://doi.org/10.1007/s11121-011-0266-x

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