Evidence-based parenting programmes are beneficial for children’s behavioural and emotional problems as well as parenting practices. Along with effectiveness, attendance affects the programme outcome and identification of risks associated with dropout may aid in development of special policy to increase engagement. In this study, we aimed to compare sociodemographics, parental attitudes, child behavioural and emotional problems of programme-completing and dropout parents from Level-4 Triple-P parenting programme applied at Child and Adolescent Mental Health Services (CAMHS). We also aimed to determine the attrition rate. In addition, we inquired whether there was a change in parenting styles and child behaviour and emotional problems before and after Level-4 Triple-P for the programme-completing parents at CAMHS. Results displayed that 52% (n = 58) of the parents who were significantly less educated, used hostile rejecting attitudes, and reported more hyperactive/inattentive behaviour in their children compared to the parents who competed the programme (p = 0.022, p = 0.016, p = 0.027, respectively) discontinued the programme. Parents who were able to complete the programme (n = 54) reported a reduction in over-parenting and improvements in children’s conduct problems along with overall stress levels before and after Triple-P (p = 0.009, p = 0.040, p = 0.023). Parents at risk of discontinuing parenting programmes may require special policy to be engaged since these programmes may offer significant benefits for parenting practices and, in turn, children’s well-being.
AghebatiA.GharraeeB.Hakim ShoshtariM.GohariM. R. (2014). Triple p-positive parenting program for mothers of ADHD children. Iranian Journal of Psychiatry and Behavioral Sciences, 8(1), 59–65.
2.
ButlerA. M.TitusC. (2015). Systematic review of engagement in culturally adapted parent training for disruptive behavior. Journal of Early Intervention, 37, 300–318.
3.
ChackoA.JensenS. A.LowryL. S.CornwellM.ChimklisA.ChanE.. . . PulgarinB. (2016). Engagement in behavioral parent training: Review of the literature and implications for practice. Clinical Child and Family Psychology Review, 19, 204–215.
4.
de GraafI.SpeetjensP.SmitF.de WolffM.TavecchioL. (2008). Effectiveness of the Triple P Positive Parenting Program on behavioral problems in children: A meta-analysis. Behavior Modification, 32, 714–735.
5.
EmanuelL. (2008). Disruptive and distressed toddlers: The impact of undetected maternal depression on infants and young children. In EmanuelL.BradleyE. (Eds) The Tavistock Clinic Series. ‘What can the matter be?’ Therapeutic interventions with parents, infants and young children. (pp. 136–150) London, England: Karnac Books.
6.
FarringtonD. P.WelshB. C. (2008). Saving children from a life of crime: Early risk factors and effective interventions. New York, NY: Oxford University Press.
ForehandR.KotchickB. A. (2016). Cultural diversity: A wake-up call for parent training. Behavior Therapy, 47, 981–992.
9.
FriarsP. M.MellorD. J. (2007). Drop out from behavioral management training programs for ADHD: A prospective study. Journal of Child and Family Studies, 16, 427–441.
10.
FurlongM.McGillowayS.BywaterT.HutchingsJ.DonnellyM.SmithS. M.O’NeilC. (2010). Behavioural/cognitive-behavioural group-based parenting interventions for children age 3-12 with early onset conduct problems (Protocol). Cochrane Database of Systematic Reviews, 1, 2010, Issue 1. Art. No.: CD008225. DOI: 10.1002/14651858.CD008225.
11.
GoodmanR. (1997). The Strengths and Difficulties Questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38, 581–586.
12.
GoodmanR. (1999). The extended version of the Strengths and Difficulties Questionnaire as a guide to child psychiatric caseness and consequent burden. Journal of Child Psychology and Psychiatry, 40, 791–799.
13.
GrossD.JulionW.FoggL. (2001). What motivates participation and dropout among low-income urban families of color in a prevention intervention?Family Relations, 50, 246–254.
14.
GüvenirT.ÖzbekA.BaykaraB.ArkarH.ŞentürkB.İncekaşS. (2008). Psychometric properties of the Turkish version of the Strenghts and Difficulties Questionnaire ( SDQ)/Turkish Journal of Child and Adolescent Mental Health, 15, 65–74.
15.
GüvenirT.Varol TaşF.ÖzbekA.GencerÖ.EnginG.YaylacıF.KaracaB. (2014, February). ‘Children in Balçova will grow happier’: A population based trial of parenting in Balçova municipality in Turkey. Paper presented at the Helping Families Change Conference, Sydney, New South Wales, Australia.
16.
HealyK.SandersM. (2017). Antecedents of treatment resistant depression in children victimized by peers. Child Psychiatry & Human Development, 48, 107–119.
JohnstonC. (1996). Parent characteristics and parent-child interactions in families of nonproblem children and ADHD children with higher and lower levels of oppositional-defiant behavior. Journal of Abnormal Child Psychology, 24, 85–104.
19.
JonesJ. B. (2014). Group Triple P- Positive Parenting Program: Pre-post examination of parent and child outcomes, externalizing behaviour as a moderator, and characteristics of program drop outs. Windsor, Ontario, Canada: University of Windsor.
20.
KoertingJ.SmithE.KnowlesM. M.LatterS.ElseyH.McCannD. C.. . . Sonuga-BarkeE. J. (2013). Barriers to, and facilitators of, parenting programmes for childhood behavior problems: A qualitative synthesis of studies of parents’ and professionals’ perceptions. European Child & Adolescent Psychiatry, 22, 653–670.
21.
LeCompteG.LeCompteA.ÖzerS. (1978). Parental attitudes of mothers with three different socioeconomic levels from Ankara: An adaptation of a psychometric scale, 1(1), 5–8.
22.
LipseyM.DerzonJ. (1998). Predictors of violent or serious delinquency in adolescence and early adulthood: A synthesis of longitudinal research. In LoeberR.FarringtonD. P. (Eds.), Serious and violent juvenile offenders: Risk factors and successful interventions (pp. 86–105). Thousand Oaks, CA: Sage.
23.
Markie-DaddsC.SandersM. R. (2006). Self-directed Triple P (Positive Parenting Program) for mothers with children at-risk of developing conduct problems. Behavioural and Cognitive Psychotherapy, 34, 259–275.
24.
McCabeK. M. (2002). Factors that predict premature termination among Mexican-American children in outpatient psychotherapy. Journal of Child and Family Studies, 11, 347–359.
25.
McNicholasF. (2012). To adhere or not, and what we can do to help. European Child & Adolescent Psychiatry, 21, 657–663.
26.
MorawskaA.SandersM. (2006). A review of parental engagement in parenting interventions and strategies to promote it. Journal of Children’s Services, 1(1), 29–40.
27.
NicholsonJ. M.SandersM. R. (1999). Randomized controlled trial of behavioral family intervention for the treatment of child behavior problems in stepfamilies. Journal of Divorce & Remarriage, 30(3–4), 1–23.
28.
OdgersC. L.MoffittT. E.BroadbentJ. M.DicksonN.HancoxR. J.HarringtonH.. . . CaspiA. (2008). Female and male antisocial trajectories: From childhood origins to adult outcomes. Development and Psychopathology, 20, 673–716.
29.
OliverR. T. (2013). Cognitive dissonance: The causal factor for drop out from parent training programs among ethnically diverse parent populations. Prescott Valley, AZ: Northcentral University.
30.
OwensP. L.HoagwoodK.HorwitzS. M.LeafP. J.PoduskaJ. M.KellamS. G.IalongoN. S. (2002). Barriers to children’s mental health services. Journal of the American Academy of Child & Adolescent Psychiatry, 41, 731–738.
31.
ÖztürkY.AkayA.EnginG. (2014). Effectiveness of Triple P-Positive Parenting Program on childhood attention deficit hyperactivity disorder: A prospective case control study. Paper presented at the Helping Families Change Conference, Sydney, New South Wales, Australia. February 19–21, 2014.
32.
ÖzyurtG.GencerÖ.ÖztürkY.ÖzbekA. (2016). Is Triple P Positive Parenting Program effective on anxious children and their parents? 4th month follow up results. Journal of Child and Family Studies, 25, 1646–1655.
33.
PetersS.CalamR.HarringtonR. (2005). Maternal attributions and expressed emotion as predictors of attendance at parent management training. Journal of Child Psychology and Psychiatry, 46, 436–448.
34.
PrinzR. J.SandersM. R.ShapiroC. J.WhitakerD. J.LutzkerJ. R. (2009). Population-based prevention of child maltreatment: The U.S. Triple P system population trial. Prevention Science, 10, 1–12.
35.
SagvoldenT.ArcherT. (2009). Attention deficit disorder: Clinical and basic research. New York, NY: Routledge.
36.
SandersM. R.BakerS.TurnerK. M. (2012). A randomized controlled trial evaluating the efficacy of Triple P online with parents of children with early-onset conduct problems. Behaviour Research and Therapy, 50, 675–684.
37.
SandersM. R.MontgomeryD. T.Brechman-ToussaintM. L. (2000). The mass media and the prevention of child behavior problems: The evaluation of a television series to promote positive outcomes for parents and their children. Journal of Child Psychology and Psychiatry, 41, 939–948.
38.
SandersM. R.RalphA.SofronoffK.GardinerP.ThompsonR.DwyerS.BidwellK. (2008). Every family: A population approach to reducing behavioral and emotional problems in children making the transition to school. The Journal of Primary Prevention, 29, 197–222.
39.
TecmenA. (2016). The discursive construction of liminality in Turkey’s nation brand: Representations of liminality in tourism as expressions of Turkish foreign policy. Bristol, UK: University of Bristol.
40.
TurnerK. M. T.SandersM. R.Markie-DaddsC. (1999). Practitioner’s manual for enhanced Triple P. Brisbane, Queensland, Australia: Families International.
41.
WakimizuR.FujiokaH.IejimaA.MiyamotoS. (2014). Effectiveness of the group-based positive parenting program with Japanese families raising a child with developmental disabilities: A longitudinal study. Journal of Psychological Abnormalities, 3, Article 113. doi:10.4172/2329-9525.1000113
42.
WellsM. B.SarkadiA.SalariR. (2016). Mothers’ and fathers’ attendance in a community-based universally offered parenting program in Sweden. Scandinavian Journal of Public Health, 44, 274–280.
WilliamsG (1997). Reflection on some dynamics of eating disorders: ‘ no entry’ defences and foreign bodies. International Journal of Psychoanalysis, 78(Pt5), 927–941.
45.
YalınS.ÖzbekA.GüvenirT.BaydurH. (2013). Advanced Psychometric properties of the Turkish version of Strenghts and diffuciulties questionnaire (SDQ), 20(1), 23–32.
