Prem Baby Triple P: a randomised controlled trial of enhanced parenting capacity to improve developmental outcomes in preterm infants

Colditz, Paul, Sanders, Matthew R., Boyd, Roslyn, Pritchard, Margo, Gray, Peter, O'Callaghan, Michael J., Slaughter, Virginia, Whittingham, Koa, O'Rourke, Peter, Winter, Leanne, Evans, Tracey, Herd, Michael, Ahern, Jessica and Jardine, Luke (2015) Prem Baby Triple P: a randomised controlled trial of enhanced parenting capacity to improve developmental outcomes in preterm infants. BMC Pediatrics, 15 1: 1-13. doi:10.1186/s12887-015-0331-x


Author Colditz, Paul
Sanders, Matthew R.
Boyd, Roslyn
Pritchard, Margo
Gray, Peter
O'Callaghan, Michael J.
Slaughter, Virginia
Whittingham, Koa
O'Rourke, Peter
Winter, Leanne
Evans, Tracey
Herd, Michael
Ahern, Jessica
Jardine, Luke
Title Prem Baby Triple P: a randomised controlled trial of enhanced parenting capacity to improve developmental outcomes in preterm infants
Journal name BMC Pediatrics   Check publisher's open access policy
ISSN 1471-2431
Publication date 2015-03
Year available 2015
Sub-type Article (original research)
DOI 10.1186/s12887-015-0331-x
Open Access Status DOI
Volume 15
Issue 1
Start page 1
End page 13
Total pages 13
Place of publication London, United Kingdom
Publisher BioMed Central
Collection year 2016
Language eng
Formatted abstract
Background
Very preterm birth (<32 weeks gestation) is associated with motor, cognitive, behavioural and educational problems in children and maternal depression and withdrawal. Early interventions that target parenting have the greatest potential to create sustained effects on child development and parental psychopathology. Triple P (Positive Parenting Program) has shown positive effects on child behaviour and adjustment, parenting practices and family functioning. Baby Triple P for Preterm infants, has been developed to target parents of very preterm infants. This study tests the effectiveness of Baby Triple P for Preterm infants in improving child and parent/couple outcomes at 24 months corrected age (CA).

Methods/Design
Families will be randomised to receive either Baby Triple P for Preterm infants or Care as Usual (CAU). Baby Triple P for Preterm infants involves 4 × 2 hr group sessions at the hospital plus 4 × 30 min telephone consultations soon after transfer (42 weeks C.A.). After discharge participants will be linked to community based Triple P and intervention maintenance up to 24 months C.A. Assessments will be: baseline, post-intervention (6 weeks C.A.), at 12 and 24 months C.A. The primary outcome measure is the Infant Toddler Social & Emotional Assessment (ITSEA) at 24 months C.A. Child behavioural and emotional problems will be coded using the mother-toddler version of the Family Observation Schedule at 24 months C.A. Secondary outcome will be the Bayley Scales of Infant and Toddler Development (BSID III) cognitive development, language and motor abilities. Proximal targets of parenting style, parental self-efficacy, parental mental health, parental adjustment, parent-infant attachment, couple relationship satisfaction and couple communication will also be assessed. Our sample size based on the ITSEA, has 80% power, predicted effect size of 0.33 and an 85% retention rate, requires 165 families are required in each group (total sample of 330 families).

Discussion
This protocol presents the study design, methods and intervention to be analysed in a randomised trial of Baby Triple P for Preterm infants compared to Care as Usual (CAU) for families of very preterm infants. Publications of all outcomes will be published in peer reviewed journals according to CONSORT guidelines.
Keyword Preterm infants
Behavioral family intervention
Child behavioral adjustment
Child emotional adjustment
Child cognitive and language development
Parenting support/education
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

 
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