Enhancing outcomes of low-intensity parenting groups through sufficient exemplar training : a randomized control trial

Palmer, Melanie L. and Keown, Louise J. and Sanders, Matthew R. and Henderson, Marion (2019) Enhancing outcomes of low-intensity parenting groups through sufficient exemplar training : a randomized control trial. Child Psychiatry and Human Development, 50 (3). pp. 384-399. ISSN 0009-398X (https://doi.org/10.1007/s10578-018-0847-z)

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Abstract

Low-intensity parenting groups, such as the Triple P-Positive Parenting Program Discussion Groups, appear to be a cost-effective intervention for child conduct problems. Several studies evaluating a Triple P Discussion Group on disobedience found promising results for improving child and parent outcomes. However, a sufficient exemplar training approach that incorporates generalization promotion strategies may assist parents to more flexibly apply positive parenting principles to a broader range of child target behaviors and settings, leading to greater change. We compared the effects of sufficient exemplar training to an existing narrowly focused low-intensity intervention. Participants were 78 families with a 5–8 year-old child. Sufficient exemplar training resulted in more robust changes in child behavior and superior outcomes for mothers on measures of parenting behavior, parenting self-efficacy, mental health, and perceptions of partner support at post-intervention and 6-month follow-up. These results indicate that teaching sufficient exemplars may promote generalization leading to enhanced intervention outcomes.