Theoretical, Scientific and Clinical Foundations of the Triple Pā€Positive Parenting Program: A Population Approach to the Promotion of Parenting Competence

This paper outlines the theoretical, empirical and clinical foundations of a unique parenting and family support strategy designed to reduce the prevalence of behavioural and emotional problems in children and adolescents. The program known as the Triple P-Positive Parenting Program is a multi-level system of family intervention, which provides five levels of intervention of increasing strength.

These interventions include a universal population-level media strategy targeting all parents, two levels of brief primary care consultations targeting mild behaviour problems and two more intensive parent training and family intervention programs for children at risk for more severe behavioural problems. The program aims to determine the minimally sufficient intervention a parent requires in order to deflect a child away from a trajectory towards more serious problems. The selfregulation of parental skill is a central construct in the program.

The program uses flexible delivery modalities (including individual face-to-face, group, telephone-assisted and self-directed programs) to tailor the strength and format of the intervention to the requirements of individual families. Its multi-disciplinary, preventive and community-wide focus gives the program wide reach, permitting the targeting of destigmatised access points through primary care services for families who are reluctant to participate in parenting skills programs. The available empirical evidence supporting the efficacy of the program and its implications for research on dissemination are discussed.