TY - JOUR
T1 - Primary Care Triple P for parents of NICU graduates with behavioral problems
T2 - a randomized, clinical trial using observations of parent-child interaction
AU - Schappin, Renske
AU - Wijnroks, Lex
AU - Uniken Venema, Monica
AU - Wijnberg-Williams, Barbara
AU - Veenstra, Ravian
AU - Koopman-Esseboom, Corine
AU - Mulder-De Tollenaer, Susanne
AU - van der Tweel, Ingeborg
AU - Jongmans, Marian
PY - 2014/12/14
Y1 - 2014/12/14
N2 - BACKGROUND: Preterm-born or asphyxiated term-born children show more emotional and behavioral problems at preschool age than term-born children without a medical condition. It is uncertain whether parenting intervention programs aimed at the general population, are effective in this specific group. In earlier findings from the present trial, Primary Care Triple P was not effective in reducing parent-reported child behavioral problems. However, parenting programs claim to positively change child behavior through enhancement of the parent-child interaction. Therefore, we investigated whether Primary Care Triple P is effective in improving the quality of parent-child interaction and increasing the application of trained parenting skills in parents of preterm-born or asphyxiated term-born preschoolers with behavioral problems.METHODS: For this pragmatic, open randomized clinical trial, participants were recruited from a cohort of infants admitted to the neonatal intensive care units of two Dutch hospitals. Children aged 2-5 years, with a gestational age <32 weeks and/or birth weight <1500 g and children with a gestational age 37-42 weeks and perinatal asphyxia were included. After screening for a t-score ≥60 on the Child Behavior Checklist, children were randomly assigned to Primary Care Triple P (n = 34) or a wait-list control group (n = 33). Trial outcomes were the quality of parent-child interaction and the application of trained parenting skills, both scored from structured observation tasks.RESULTS: There was no effect of the intervention on either of the observational outcome measures at the 6-month trial endpoint.CONCLUSIONS: Primary Care Triple P, is not effective in improving the quality of parent-child interaction nor does it increase the application of trained parenting skills in parents of preterm-born or asphyxiated term-born children with behavioral problems. Further research should focus on personalized care for these parents, with an emphasis on psychological support to reduce stress and promote self-regulation.TRIAL REGISTRATION: Netherlands National Trial Register NTR2179 . Registered 26 January 2010.
AB - BACKGROUND: Preterm-born or asphyxiated term-born children show more emotional and behavioral problems at preschool age than term-born children without a medical condition. It is uncertain whether parenting intervention programs aimed at the general population, are effective in this specific group. In earlier findings from the present trial, Primary Care Triple P was not effective in reducing parent-reported child behavioral problems. However, parenting programs claim to positively change child behavior through enhancement of the parent-child interaction. Therefore, we investigated whether Primary Care Triple P is effective in improving the quality of parent-child interaction and increasing the application of trained parenting skills in parents of preterm-born or asphyxiated term-born preschoolers with behavioral problems.METHODS: For this pragmatic, open randomized clinical trial, participants were recruited from a cohort of infants admitted to the neonatal intensive care units of two Dutch hospitals. Children aged 2-5 years, with a gestational age <32 weeks and/or birth weight <1500 g and children with a gestational age 37-42 weeks and perinatal asphyxia were included. After screening for a t-score ≥60 on the Child Behavior Checklist, children were randomly assigned to Primary Care Triple P (n = 34) or a wait-list control group (n = 33). Trial outcomes were the quality of parent-child interaction and the application of trained parenting skills, both scored from structured observation tasks.RESULTS: There was no effect of the intervention on either of the observational outcome measures at the 6-month trial endpoint.CONCLUSIONS: Primary Care Triple P, is not effective in improving the quality of parent-child interaction nor does it increase the application of trained parenting skills in parents of preterm-born or asphyxiated term-born children with behavioral problems. Further research should focus on personalized care for these parents, with an emphasis on psychological support to reduce stress and promote self-regulation.TRIAL REGISTRATION: Netherlands National Trial Register NTR2179 . Registered 26 January 2010.
KW - Adult
KW - Asphyxia Neonatorum
KW - Child Behavior Disorders
KW - Child, Preschool
KW - Female
KW - Follow-Up Studies
KW - Gestational Age
KW - Humans
KW - Infant, Premature
KW - Infant, Premature, Diseases
KW - Infant, Very Low Birth Weight
KW - Intensive Care Units, Neonatal
KW - Male
KW - Parent-Child Relations
KW - Parenting
KW - Primary Health Care
U2 - 10.1186/s12887-014-0305-4
DO - 10.1186/s12887-014-0305-4
M3 - Article
C2 - 25495747
SN - 1471-2431
VL - 14
SP - 305
JO - BMC Pediatrics [E]
JF - BMC Pediatrics [E]
ER -