Topic: Behavioral Problems, Parenting
Target Population: Parents
Sector: Community-Based
This program is delivered to parents with children who are 0 to 12 years old and who have disabilities and is intended to impact parents and their children.
The Stepping Stones Triple P (SSTP) program, a community-based parenting intervention, is designed to improve parenting skills by helping parents recognize and understand their child's developmental and behavioral issues and address these challenges through enhancing parents' knowledge, abilities, and self-esteem.
Six-month and 1-year follow-up results from several randomized controlled trials have demonstrated significant decreases in dysfunctional parenting practices and child misbehaviors (i.e., child's noncompliance and oppositional behaviors) when compared to wait-list control groups and care as usual groups.
SSTP can be delivered in several different formats:
Triple P was created in Australia in 1977 and has been implemented in 25 countries around the world. No specific previous use information was available for SSTP.
Standard and Group SSTP are delivered by school counselors, nurses, psychologists, and social workers; Primary Care SSTP is delivered by teachers, school counselors, nurses, home visitors, and family physicians or pediatricians; Selected Seminars SSTP is delivered by professionals involved in education, disability services, health services, or voluntary organizations. Length of training varies based on the format being implemented, but it, generally, requires 2 to 3 days of training that includes 1 day of pre-accreditation.
Considerations for implementing this program include recruiting participants and acquiring their buy-in, securing facilitators and ensuring they receive training, finding space to hold program sessions, and providing child care during sessions.
The Clearinghouse can help address these considerations. Please call 1-877-382-9185 or email Clearinghouse@psu.edu
If you are interested in implementing SSTP, the Clearinghouse is interested in helping you!
Please call 1-877-382-9185 or email Clearinghouse@psu.edu
Standard SSTP is delivered in 10-weekly, 90-minute sessions. Group SSTP is delivered in six 2.5-hour group sessions and three 20-minute phone consultations. Primary Care SSTP consists of three to four 15- to 30-minute consultations with families held over 1 to 2 months. Selected Seminars SSTP is delivered in three 90-minute seminars.
Information on implementation costs was not located. Please use details in the Contact section for to learn more.
To move SSTP to the Effective category on the Clearinghouse Continuum of Evidence at least one external evaluation must be conducted that demonstrates sustained, positive outcomes. This study must be conducted independently of the program developer.
The Clearinghouse can help you develop an evaluation plan to ensure the program components are meeting your goals. Please call 1-877-382-9185 or email Clearinghouse@psu.edu
Contact the Clearinghouse with any questions regarding this program.
Phone: 1-877-382-9185 Email: Clearinghouse@psu.edu
You may also contact Triple P America, Inc., by mail 1201 Lincoln St., Suite 201, Columbia, SC, 29201, phone 1-803-451-2278, email contact.us@triplep.net, or visit https://www.triplep.net/glo-en/contact/
Kleefman, M., Jansen, D., Stewart, R., & Reijneveld, S. The effectiveness of Stepping Stones Triple P parenting support in parents of children with borderline to mild intellectual disability and psychosocial problems: A randomized controlled trial. BMC Medicine, 12. https://doi.org/10.1186/s12916-014-0191-5
Plant, K. M., & Sanders, M. R. (2007). Reducing problem behavior during care-giving in families of preschool-aged children with developmental disabilities. Research in Developmental Disabilities, 28(4), 362-385. https://doi.org/10.1016/j.ridd.2006.02.009
Roberts, C., Mazzucchelli, T., Studman, L., & Sanders, M. R. (2006). Behavioral family intervention for children with developmental disabilities and behavioral problems. Journal of Clinical Child and Adolescent Psychology, 35(2), 180-193. https://doi.org/10.1207/s15374424jccp3502_2
Roux, G., Sofronoff, K., & Sanders, M. (2013). A randomized controlled trial of group Stepping Stones Triple P: A mixed-disability trial. Family Process, 52(3), 411-424. https://doi.org/10.1111/famp.12016
Ruane, A., Carr, A., Moffat, V., Finn, T., Murphy, A., O’Brien, O., … O’Dwyer, R. (2019). A randomised controlled trial of the group Stepping Stones Triple P training programme for parents of children with developmental disabilities. Clinical Child Psychology and Psychiatry, 24(4), 728-753. https://doi.org/10.1177/1359104519827622
Tellegen, C. L., & Sanders, M. R. (2014). A randomized controlled trial evaluating a brief parenting program with children with autism spectrum disorders. Journal of Consulting and Clinical Psychology, 82(6), 1193-1200. https://doi.org/10.1037/a0037246
Whittingham, K., Sofronoff, K., Sheffield, J., & Sanders, M. R. (2008;2009;). Stepping Stones Triple P: An RCT of a parenting program with parents of a child diagnosed with an autism spectrum disorder. Journal of Abnormal Child Psychology, 37(4), 469-480. https://doi.org/10.1007/s10802-008-9285-x
Bezzina, L. A., Rice, L. J., Howlin, P., Tonge, B. J., & Einfeld, S. L. (2017). Syndrome specific modules to enhance the Stepping Stones Triple P public health intervention: Syndrome specific modules Stepping Stones Triple P. Journal of Intellectual Disability Research, 61(9), 836-842. https://doi.org/10.1111/jir.12405
Hodgetts, S., Savage, A., & McConnell, D. (2013). Experience and outcomes of Stepping Stones Triple P for families of children with autism. Research in Developmental Disabilities, 34(9), 2572-2585. https://doi.org/10.1016/j.ridd.2013.05.005
Kasperzack, D., Schrott, B., Mingebach, T., Becker, K., Burghardt, R., & Kamp-Becker, I. (2020). Effectiveness of the Stepping Stones Triple P group parenting program in reducing comorbid behavioral problems in children with autism. Autism, 24(2), 423-436. https://doi.org/10.1177/1362361319866063
Ruane, A. I., & Carr, A. (2019). Systematic review and meta‐analysis of Stepping Stones Triple P for parents of children with disabilities. Family Process, 58(1), 232-246. https://doi.org/10.1111/famp.12352
Ruane, A., Carr, A., & Moffat, V. (2019). A qualitative study of parents’ and facilitators’ experiences of group Stepping Stones Triple P for parents of children with disabilities. Clinical Child Psychology and Psychiatry, 24(4), 694-711. https://doi.org/10.1177/1359104518807265
Sanders, M. R., Mazzucchelli, T. G., & Studman, L. J. (2004). Stepping Stones Triple P: The theoretical basis and development of an evidence-based positive parenting program for families with a child who has a disability. Journal of Intellectual & Developmental Disability, 29(3), 265-283. https://doi.org/10.1080/13668250412331285127
Schrott, B., Kasperzack, D., Weber, L., Becker, K., Burghardt, R., & Kamp-Becker, I. (2019). Effectiveness of the Stepping Stones Triple P group parenting program as an additional intervention in the treatment of autism spectrum disorders: Effects on parenting variables. Journal of Autism and Developmental Disorders, 49(3), 913-923. https://doi.org/10.1007/s10803-018-3764-x
Tellegen, C. L., & Sanders, M. R. (2013). Stepping Stones Triple P-positive parenting program for children with disability: A systematic review and meta-analysis. Research in Developmental Disabilities, 34(5), 1556-1571. https://doi.org/10.1016/j.ridd.2013.01.022
Whittingham, K., Sanders, M. R., McKinlay, L., & Boyd, R. N. (2019). Parenting intervention combined with acceptance and commitment therapy: Processes of change. Journal of Child and Family Studies, 28(6), 1673-1680. https://doi.org/10.1007/s10826-019-01386-9