Positive Parenting Program (Triple P) - Level 3 Primary Care
Category
Family Support
Child's Age
0-1 years, 1-2 years, 2-3 years, 3-4 years, 4-5 years
Participant
Parents/Guardian
Languages
English, Spanish, French, Other
Brief Description
Brief one-on-one consultation for parents of a child with mild to moderate behavioral difficulties, focused on a specific problem behavior or issue.
Expected Impact
- Fewer parent-reported problem behaviors among the treatment group
- Decreased Eyberg Child Behavior Inventory (ECBI) scores
- Decreased likelihood of dysfunctional parenting practices
- Increased parenting satisfaction
- Reduced anxiety and stress levels
- Improved parenting self-efficacy
Core Components for Model Fidelity
- One-on-One Consultation: Sessions are designed to work on a continuum.
- Session 1: Assessment of the presenting problem
- Session 2: Developing a parenting plan
- Session 3: Review of implementation
- Session 4: Follow up. If necessary, referral options are discussed.
Languages Materials are Available in
English, Spanish, French, Other*
*Contact purveyor about additional available languages.
Delivery Mode
In person, virtual via teleconference or telephone calls, or a combination.
Dosage
3-4 one-on-one consultation sessions delivered over 4-6 weeks, with each session lasting approximately 15-30 minutes each.
Infrastructure for Implementation
Materials: Practioners receive access to the Practitioner’s Manual for Primary Care Triple P; Access to the Primary Care Triple P PowerPoint presentation; Triple P Tip Sheet Series — Sample Pack (includes Positive Parenting Booklet and a sample of Triple P Tip Sheets); Access to the Every Parent’s Survival Guide video. Parents receive selected Tip Sheets and 1 Positive Parenting Booklet. Practitioners receive Practitioner's Kit for Primary Care Triple P, sample Triple P Tip Sheet Series, Positive Parenting Booklet, and access to the Triple P Provider Network including the Every Parent Survival Guide video.
Staffing Requirements
Staffing requires a Primary Care Triple P Accredited practitioner. This practitioner only needs to have a knowledge of child development to be eligible for training.
NCPC strongly recommends staff receive training in the Standards of Quality for Family Support and Strengthening. Contact Positive Childhood Alliance North Carolina (PCANC) or National Family Support Network (NFSN) for more information, training, and certification.
Training for Model Fidelity
Practitioners must complete training and accreditation through Triple P America. Training is available in-person or a hybrid option supported by video conference.
The in-person option includes 2 days of training, 1 pre-accreditation day, and a half-day accreditation day. Preparation for the accreditation day requires 4-6 hours of time to prepare for the quiz and competency assessment. It is also strongly recommended that practitioners participate in peer support post-training, which can vary in time and/or frequency (usually about 1 hour a month, but may be more frequent at the beginning).
Contact Information
https://www.triplep.net/glo-en/the-triple-p-system-at-work/the-system-explained/
contact.us@triplep.net
803-451-2278
Sara van Driel, PhD: Community Engagement/Implementation Consultant at Triple P America; sara@triplep.net
Ashley Lindsay: Community Engagement/Implementation Consultant at Triple P America; ashley.lindsay@triplep.net
Cost Estimates
2023 cost for Level 3 Primary Care virtual Open Enrollment is $2425/person, which is inclusive of training, pre-accreditation, accreditation, practitioner materials, and access to the Triple P Provider Network and Automated Scoring and Reporting Application. The 2023 cost for a virtual agency-based training for 20 practitioners is $36,085 (which equates to approximately $1804 per person when there are 20 practitioners). Agency-based trainings can be provided in-person for additional fee of $250 per day.
Smart Start Local Partnerships interested in Triple P training should connect with their local Lead Implementing Agency for North Carolina. If you are unsure of your local contact, please email contact.us@triplep.net. Further, the 2023 cost for parent materials for Primary Care are estimated to be between $2-$15 per family. The costs noted here are just for training and parent materials. Other start up costs are dependent on the agency and specific practitioner.
Purpose Service Code (PSC)
5505 - Parent Education
Program Identifier (PID)
Positive Parenting Program (Triple P) - Level 3 Primary Care
Minimal Outputs for NCPC Reporting
FY 24-25:
- Number of parent/guardians participating†
†Select Family Support Programs data collection will include basic demographic data for parent/guardian participants including Race, Ethnicity. Data on interpretation and transportation will be collected when appropriate.
Minimal Outcomes for NCPC Reporting
FY 24-25:
- Increase in positive parenting practices
Minimal Measures for NCPC Reporting
FY 24-25:
- TRIPLE P CLIENT SATISFACTION
QUESTIONNAIRE – Level 3 (Primary Care) - TRIPLE P PARENTING EXPERIENCE SURVEY - LEVEL 3
NCPC Evidence Categorization
Evidence Informed - 2 publications. One randomized control trial with comparison group and one multiple probe evaluation.
Research Summary
Two of the most relevant studies on Primary Care Triple P include a randomized control trial1 and a study using a multiple probe design.2 Participants included 30 families in Australia from low-income areas with high rates of unemployment and 9 families living near Atlanta, GA. Child ages ranged from 2-7 years. Results indicated significantly fewer parent-reported problem behaviors among the treatment group families post-intervention. Parents in the treatment group reported fewer problems at home and had decreased Eyberg Child Behavior Inventory (ECBI) scores at post assessment, compared to their peers in the control group. Treatment parents also reported fewer dysfunctional parenting practices, greater parenting satisfaction, and lower anxiety and stress levels at posttest. Participants reported increased parenting self-efficacy after the intervention, as measured by the Parenting Experience Survey (PES) and Parenting Tasks Checklist (PTC).
- ^ See Turner & Sanders (2006). This randomized control trial sampled 30 families with a child between ages 2-6 years who had not yet started primary school in low-income areas of Brisbane, Australia with high rates of unemployment. Research measures included the Family Background Questionnaire (FBQ), Parent Daily Report (PDR), Eyberg Child Behavior Inventory (ECBI), Home and Community Problem Checklist (HCPC), Parenting Scale (PS), observation settings, Family Observation Scale (FOS), the Parenting Sense of Competence Scale (PSOC), Depression-Anxiety-Stress Scales (DASS), Goal Achievement Scales (GAS), the Parenting Experience Survey (PES), and the Client Satisfaction Questionnaire (CSQ). All participants were assessed pre- and post-intervention. Families who were randomly assigned to the treatment group were also assessed at a 6-month follow-up after the intervention was completed. The control group consisted of eligible families on the waitlist for treatment. The treatment group received weekly 30-minute one-on-one consultations for three weeks, with a three-to-four-week break before the fourth and final session, if needed. Sessions were focused on a specific concern. Together, the practitioner and parent identified goals for the intervention, developed a monitoring system, negotiated a parenting plan, and reviewed the parent's implementation. Sessions were delivered by nurses trained and accredited to provide Primary Care Triple P. Results indicated significantly fewer parent-reported problem behaviors among the treatment group families post-intervention, as measured by the PDR. Parents in the treatment group reported fewer problems at home and had decreased ECBI scores at post assessment, compared to their peers in the control group. Treatment parents also reported fewer dysfunctional parenting practices, greater parenting satisfaction, and lower anxiety and stress levels at posttest.
- ^ See Boyle et al. (2009). This study used a multiple probe design to evaluate Primary Care Triple P. The sample population included 10 children (ages 3-7 years) from 9 families living near Atlanta, GA. Each family was matched for comparison with another family (family A and family B) and all families were assessed before, during, and after completing Primary Care Triple P. Family A started treatment first and, once an impact was observed, family B began the intervention. If there was no change in family A’s child after the four sessions of Primary Care Triple P, they were offered up to 2 booster sessions. Measures included videotaped family observations, Eyberg Child Behavior Inventory (ECBI), Parenting Tasks Checklist (PTC), Family Background Questionnaire, Parenting Experience Survey (PES), and Client Satisfaction Questionnaire (CSQ). Results indicated significant reductions in ECBI intensity scores (p < .001) and problem scores (p < .001) from pretest to follow-up. Participants’ PTC scores increased significantly between pre- and posttest (p < .001) as well as pretest and follow-up (p < .001). PES scores increased significantly from pretest to posttest (p < .001).
Researched Population
- Families from low-income areas in Australia with high rates of unemployment
- Families from Atlanta, GA
- Children ages 2-7 years
Clearinghouse and Compendium References
California Evidence-Based Clearinghouse for Child Welfare- Triple P- Positive Parenting Program System rated 2 Supported by Research Evidence and 3 Promising Research Evidence 
Home Visiting Evidence of Effectiveness- does not meet criteria
Blueprints Programs- Triple P System rated Promising
Boyle, C. L., Sanders, M. R., Lutzker, J. R., Prinz, R. J., Shapiro, C., & Whitaker, D. J. (2010). An analysis of training, generalization, and maintenance effects of Primary Care Triple P for parents of preschool-aged children with disruptive behavior. Child Psychiatry & Human Development, 41, 114-131. https://doi.org/10.1007/s10578-009-0156-7
Level 3 – Triple P. (n.d.). https://www.triplep.net/glo-en/the-triple-p-system-at-work/the-system-explained/level-3/
Triple P. Primary Care Triple P. (2021). https://www.triplep.net/files/2515/2886/8097/ENG_Primary_Care_Triple_P_LTR.pdf
Turner, K. M., & Sanders, M. R. (2006). Help when it’s needed first: A controlled evaluation of brief, preventive behavioral family intervention in a primary care setting. Behavior Therapy, 37(2), 131-142. https://doi.org/10.1016/j.beth.2005.05.004
Local Partnerships Currently Implementing
Local Partnerships in purple have adopted Positive Parenting Program (Triple P) - Level 3 Primary Care. Local Partnership contact information can be found here.