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• W8102687 abstract "nnn Children with developmental disabilities are at increased risk of developing behavioural and emotional problems and their parents are at increased risk of experiencing stress. However, many parents of children with developmental disabilities are not receiving the support they feel they need and there is limited research on parenting interventions for parents of children with developmental disabilities. This thesis expands on the evidence-base for parenting programs for children with developmental disabilities. The main piece of research conducted focuses on children with Autism Spectrum Disorders (ASDs), who have been shown to be at heightened risk of developing behavioural problems compared to children with other disabilities. Moreover, parents of children with ASD represent a population in need of increased parenting support.nnn This thesis evaluates the Stepping Stones Triple P-Positive Parenting Program (SSTP), an evidence-based parenting program designed specifically for children with disability. SSTP is a system of interventions consisting of five intervention levels of increasing intensity and narrowing population reach. A low-intensity version of SSTP, Primary Care Stepping Stones Triple P (PCSSTP) is evaluated in this thesis. PCSSTP is a brief, individually-delivered parenting program designed to be delivered by primary health care providers. The outcomes for families who have taken part in this program are described, first in a case report and then in a randomised controlled trial. Finally, a systematic review and meta-analysis of all Stepping Stones Triple P programs is presented. This review describes the impact of the different SSTP interventions on a range of child and parent outcomes.nnn Chapter 1 presents a review of the literature pertaining to parenting children with developmental disabilities. The increased risk of child behaviour problems and parenting stress associated with children with disabilities, and ASD in particular, is highlighted. A review of the existing research on parenting programs for families of children with developmental disabilities is presented. The need for a public health approach to parenting support including low-intensity interventions isn established, and the SSTP system is described to provide a backdrop to the research presented in the following chapters.Chapter 2 is a case report published in the journal Case Reports in Pediatrics. This case report describes the experiences and outcomes for the family of an eight-year-old female diagnosed by her paediatrician with Aspergerrs Disorder and ADHD Combined Type who participated in PCSSTP. The parents were concerned with their daughterrs non-compliance and cooperative play skills. After participating in the four-session parenting program, the mother reported improvements in child behaviour problems, parenting styles, parenting confidence, and parenting stress. The parents reported that they were both highly satisfied with the program and achieved success rates of 75% for reaching both of their goals for change. This paper demonstrates the potential benefits for families participating in brief parenting interventions and shows how the program can be tailored to meet the needs of families. It also highlights the need for paediatricians to be involved in identifying parents in need of support and helping them to access parenting services.nnn Chapter 3 consists of a paper submitted for publication reporting on the outcomes from a foundation randomised controlled trial evaluating PCSSTP. Sixty-four parents of children with ASD were randomly allocated to either receive the intervention or to a care-as-usual group. Significant intervention effects were found on parent-reported improvements in child behaviour problems, parenting style, parenting confidence, parenting stress, and parental conflict. There were no significant intervention effects on parental depression or anxiety, or on observations of parent and child behaviours. The significant effects were largely maintained over a six-month period. Parents who received the intervention tended to experience more clinical and reliable improvements compared to the care-as-usual group. Parents who took part in the intervention reported high levels of goal achievement and satisfaction with the program. This study demonstrates the initial feasibility and efficacy of PCSSTP, a brief parenting program.nnn Chapter 4 contains a paper submitted for publication, describing a systematic review and meta-analysis of SSTP evaluation research. Twelve studies met eligibility criteria. Meta-analyses were conducted on seven child and parent outcomes. Significant moderate effect sizes were found for child problems, the primary outcome. Significant effects were found on parenting style, parenting satisfaction and efficacy, parental adjustment, parental relationship, and observed child behaviour. No effects were found on observed parent behaviours. There were no significant differences found in effect sizes across the different levels of SSTP interventions, with the exception of child observations. Overall, this review provides support for SSTP as an effective parenting program for children with developmental disabilities.nnn Chapter 5 concludes the thesis by drawing together all the findings. The major conclusions are presented, limitations of the thesis and directions for future research are outlined along with implications for researchers and clinicians. It is argued that behavioural family interventions, including low-intensity programs, are an important intervention strategy for improving the lives of families of children with developmental disabilities." @default.
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• W8102687 date "2012-01-01" @default.
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• W8102687 title "Parenting children with developmental disabilities: Evaluation of the Stepping Stones Triple P-Positive Parenting Program" @default.
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