Background
Objective
Methods/design
Design
Participants
Recruitment of study population
Study inclusion and exclusion criteria
Randomisation procedure
Sample size
Intervention condition | Waitlist condition | |||||||
---|---|---|---|---|---|---|---|---|
Pre-intervention | Post-intervention | Pre-intervention | Post-intervention | |||||
M
|
SD
|
M
|
SD
|
M
|
SD
|
M
|
SD
| |
Expected PS Total score | 3.0 | 0.6 | 2.7 | 0.6 | 3.0 | 0.6 | 3.0 | 0.6 |
Expected DASS-21 Total score | 18 | 10 | 13 | 10 | 18 | 10 | 18 | 10 |
Intervention
Session | Content | Duration | Delivered by |
---|---|---|---|
Being a Positive Parent Triple P Discussion Group | • Introduction to principals of positive parenting | 120 minutes | Trained Triple P practitioners employed by the NHS GGC |
• Taught skills to support child’s competence and development, and build a positive relationship with their child | |||
Dealing with Disobedience Triple P Discussion Group | • Introduction to reasons for child disobedience and parenting traps | ||
• Taught skills to encourage positive child behaviour and to manage disobedience | |||
Stress Control Session 1: Information about stress | • Introduction to Stress Control | 90 minutes | Employees of the NHS GGC, STEPS Primary Care and Mental Health Team |
• Information about common mental health problems provided | |||
Stress Control Session 2: Controlling your body | • Introduction to how stress affects your body | ||
• Taught skills to control your body | |||
Stress Control Session 3: Controlling your thoughts | • Introduction to how stress affects your thoughts | ||
• Taught skills to control your thoughts | |||
Stress Control Session 4: Controlling your actions | • Introduction to how stress affects your actions | ||
• Taught skills to control your actions | |||
Stress Control Session 5: Controlling your panic, using your breathing to control stress, prevention skills and medication | • Introduction to panic and stress | ||
• Taught skills to control panic | |||
• Information on medications and antidepressants is provided | |||
Stress Control Session 6: Controlling your sleep, wellbeing, and controlling your future | • Introduction to how stress affects your sleep | ||
• Introduction to wellbeing | |||
• Skills to control your sleep and managing stress in the future |
Intervention condition
Waitlist condition
Measures
Construct | Measure | Administration time point | Rationale for use | |||
---|---|---|---|---|---|---|
Pre- | Mid- | Post- | follow-up | |||
intervention | intervention | intervention | follow-up | |||
Primary outcome measures
| ||||||
Dysfunctional/ineffective parenting practices | The Parenting Scale (PS) [29] | ✓ | ✓ | ✓ | ✓ | To measure the effects of the combined intervention on dysfunctional/ineffective parenting practices |
Parent mental health | Depression Anxiety Stress Scales-21 (DASS-21) [30] | ✓ | ✓ | ✓ | ✓ | To measure the effects of the combined intervention on symptoms of depression, anxiety, and stress |
Secondary outcome measures
| ||||||
Disruptive child behaviour | Eyberg Child Behavior Inventory-Intensity Scale (ECBI-I) [31] | ✓ | ✓ | ✓ | To measure the effects of the combined intervention on children’s behaviour | |
Parenting experiences | Parenting Experience Survey (PES) [32] | ✓ | ✓ | ✓ | To measure the effects of the combined intervention on parenting experiences | |
Parental self-efficacy | Child Adjustment and Parent Efficacy Scale-Parent Efficacy subscale (CAPES-PE) (Morawska A, Sanders MR, Haslam D, Filus A, Fletcher R: Child Adjustment and Parent Efficacy Scale (CAPES): development and initial validation of a parent report measure, submitted) | ✓ | ✓ | ✓ | To measure the effects of the combined intervention on parental self-efficacy | |
Family relationships | Parenting and Family Adjustment Scale-Family Relationships subscale (PAFAS-FR) [33] | ✓ | ✓ | ✓ | To measure the effects of the combined intervention on family relationships | |
Positive parent mental health | Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS) [34] | ✓ | ✓ | ✓ | To measure the effects of the combined intervention on parental positive mental health | |
Other measures
| ||||||
Family demographics | Family Background Questionnaire | ✓ | To describe the demographic information of the participating families | |||
Participant satisfaction with the Triple P Discussion Groups | Triple P Client Satisfaction Questionnaire (CSQ) [35] | ✓ | To measure the acceptability and satisfaction with the Triple P Discussion Group sessions | |||
Participant satisfaction with Stress Control | Stress Control Client Satisfaction Questionnaire | ✓ | To measure the acceptability and satisfaction with the Stress Control sessions | |||
Procedure
| ||||||
Treatment fidelity of Triple P Discussion Groups | Session content checklist [36] | Completed by the practitioner/s at the end of each Triple P Discussion Group | To determine treatment fidelity and integrity of the Triple P Discussion Group sessions | |||
Inter-observer agreement of treatment fidelity of Triple P Discussion Groups | Session content checklist [36] | All Triple P Discussion Group sessions will be audio-recorded and approximately 30% of the recorded sessions will be randomly checked by an independent observer. Adherence to the intervention content will be recorded and inter-observer agreement calculated | To determine inter-observer agreement on the session content checklist designed to determine treatment fidelity of the Triple P Discussion Group sessions | |||
Treatment fidelity of Stress Control | Session content checklist - developed for this study | Completed by the practitioner/s at the end of each Stress Control session | To determine treatment fidelity and integrity of the Stress Control sessions | |||
Inter-observer agreement of treatment fidelity of Stress Control | Session content checklist - developed for this study | All Stress Control sessions will be audio-recorded and approximately 30% of the recorded sessions will be randomly checked by an independent observer. Adherence to the intervention content will be recorded and inter-observer agreement calculated | To determine inter-observer agreement on the session content checklist designed to determine treatment fidelity of the Stress Control sessions |