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Prem Baby Triple P: a randomised controlled trial of enhanced parenting capacity to improve developmental outcomes in preterm infants.

Colditz P, Sanders MR, Boyd R, Pritchard M, Gray P, O'Callaghan MJ, Slaughter V, Whittingham K, O'Rourke P, Winter L, Evans T, Herd M, Ahern J, Jardine L - BMC Pediatr (2015)

Bottom Line: Early interventions that target parenting have the greatest potential to create sustained effects on child development and parental psychopathology.Triple P (Positive Parenting Program) has shown positive effects on child behaviour and adjustment, parenting practices and family functioning.Our sample size based on the ITSEA, has 80% power, predicted effect size of 0.33 and an 85% retention rate, requires 165 families are required in each group (total sample of 330 families).

View Article: PubMed Central - PubMed

Affiliation: The University of Queensland Centre for Clinical Research, Faculty of Health Sciences, The University of Queensland, Royal Brisbane and Women's Hospital, Brisbane, Australia. p.colditz@uq.edu.au.

ABSTRACT

Background: Very preterm birth (<32 weeks gestation) is associated with motor, cognitive, behavioural and educational problems in children and maternal depression and withdrawal. Early interventions that target parenting have the greatest potential to create sustained effects on child development and parental psychopathology. Triple P (Positive Parenting Program) has shown positive effects on child behaviour and adjustment, parenting practices and family functioning. Baby Triple P for Preterm infants, has been developed to target parents of very preterm infants. This study tests the effectiveness of Baby Triple P for Preterm infants in improving child and parent/couple outcomes at 24 months corrected age (CA).

Methods/design: Families will be randomised to receive either Baby Triple P for Preterm infants or Care as Usual (CAU). Baby Triple P for Preterm infants involves 4 × 2 hr group sessions at the hospital plus 4 × 30 min telephone consultations soon after transfer (42 weeks C.A.). After discharge participants will be linked to community based Triple P and intervention maintenance up to 24 months C.A. Assessments will be: baseline, post-intervention (6 weeks C.A.), at 12 and 24 months C.A. The primary outcome measure is the Infant Toddler Social & Emotional Assessment (ITSEA) at 24 months C.A. Child behavioural and emotional problems will be coded using the mother-toddler version of the Family Observation Schedule at 24 months C.A. Secondary outcome will be the Bayley Scales of Infant and Toddler Development (BSID III) cognitive development, language and motor abilities. Proximal targets of parenting style, parental self-efficacy, parental mental health, parental adjustment, parent-infant attachment, couple relationship satisfaction and couple communication will also be assessed. Our sample size based on the ITSEA, has 80% power, predicted effect size of 0.33 and an 85% retention rate, requires 165 families are required in each group (total sample of 330 families).

Discussion: This protocol presents the study design, methods and intervention to be analysed in a randomised trial of Baby Triple P for Preterm infants compared to Care as Usual (CAU) for families of very preterm infants. Publications of all outcomes will be published in peer reviewed journals according to CONSORT guidelines.

Trial registration: Australian New Zealand Clinical Trials Registry: ACTRN12612000194864.

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Related in: MedlinePlus

Conceptual model of Baby Triple P for Preterm infants.
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Fig1: Conceptual model of Baby Triple P for Preterm infants.

Mentions: Baby Triple P for Preterm infants has a strong conceptual basis with potential to make a positive contribution to family functioning and infant behavioural, cognitive and language development (Figure 1).Figure 1


Prem Baby Triple P: a randomised controlled trial of enhanced parenting capacity to improve developmental outcomes in preterm infants.

Colditz P, Sanders MR, Boyd R, Pritchard M, Gray P, O'Callaghan MJ, Slaughter V, Whittingham K, O'Rourke P, Winter L, Evans T, Herd M, Ahern J, Jardine L - BMC Pediatr (2015)

Conceptual model of Baby Triple P for Preterm infants.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4363360&req=5

Fig1: Conceptual model of Baby Triple P for Preterm infants.
Mentions: Baby Triple P for Preterm infants has a strong conceptual basis with potential to make a positive contribution to family functioning and infant behavioural, cognitive and language development (Figure 1).Figure 1

Bottom Line: Early interventions that target parenting have the greatest potential to create sustained effects on child development and parental psychopathology.Triple P (Positive Parenting Program) has shown positive effects on child behaviour and adjustment, parenting practices and family functioning.Our sample size based on the ITSEA, has 80% power, predicted effect size of 0.33 and an 85% retention rate, requires 165 families are required in each group (total sample of 330 families).

View Article: PubMed Central - PubMed

Affiliation: The University of Queensland Centre for Clinical Research, Faculty of Health Sciences, The University of Queensland, Royal Brisbane and Women's Hospital, Brisbane, Australia. p.colditz@uq.edu.au.

ABSTRACT

Background: Very preterm birth (<32 weeks gestation) is associated with motor, cognitive, behavioural and educational problems in children and maternal depression and withdrawal. Early interventions that target parenting have the greatest potential to create sustained effects on child development and parental psychopathology. Triple P (Positive Parenting Program) has shown positive effects on child behaviour and adjustment, parenting practices and family functioning. Baby Triple P for Preterm infants, has been developed to target parents of very preterm infants. This study tests the effectiveness of Baby Triple P for Preterm infants in improving child and parent/couple outcomes at 24 months corrected age (CA).

Methods/design: Families will be randomised to receive either Baby Triple P for Preterm infants or Care as Usual (CAU). Baby Triple P for Preterm infants involves 4 × 2 hr group sessions at the hospital plus 4 × 30 min telephone consultations soon after transfer (42 weeks C.A.). After discharge participants will be linked to community based Triple P and intervention maintenance up to 24 months C.A. Assessments will be: baseline, post-intervention (6 weeks C.A.), at 12 and 24 months C.A. The primary outcome measure is the Infant Toddler Social & Emotional Assessment (ITSEA) at 24 months C.A. Child behavioural and emotional problems will be coded using the mother-toddler version of the Family Observation Schedule at 24 months C.A. Secondary outcome will be the Bayley Scales of Infant and Toddler Development (BSID III) cognitive development, language and motor abilities. Proximal targets of parenting style, parental self-efficacy, parental mental health, parental adjustment, parent-infant attachment, couple relationship satisfaction and couple communication will also be assessed. Our sample size based on the ITSEA, has 80% power, predicted effect size of 0.33 and an 85% retention rate, requires 165 families are required in each group (total sample of 330 families).

Discussion: This protocol presents the study design, methods and intervention to be analysed in a randomised trial of Baby Triple P for Preterm infants compared to Care as Usual (CAU) for families of very preterm infants. Publications of all outcomes will be published in peer reviewed journals according to CONSORT guidelines.

Trial registration: Australian New Zealand Clinical Trials Registry: ACTRN12612000194864.

Show MeSH
Related in: MedlinePlus