Dissemination of evidence-based parenting and family support strategies: Learning from the Triple P-Positive Parenting Program system approach

摘要

This paper discusses the evidence for parenting skills training and behavioral family intervention (BFI), and the need for early intervention and prevention programs. It presents a conceptual framework for a comprehensive multilevel parenting and family support strategy for reducing the prevalence of parenting difficulties and other family risk factors associated with child maltreatment and the development of behavioral and emotional problems in children and adolescents. The framework for the system of intervention known as the Triple P - Positive Parenting Program (Triple P) is described. Also discussed are issues in the dissemination of evidence-based psychological interventions. A dissemination approach is presented which is based on a systems-contextual perspective that views practitioner uptake as being influenced by a range of program design, training, quality maintenance, organizational and motivational variables. Our experience in the widespread dissemination and implementation of Triple P at a population-level are shared and recommendations and future directions for dissemination of evidence-based preventive family interventions are noted. (c) 2005 Elsevier Ltd. All rights reserved.