Cost and effects of a universal parenting programme delivered to parents of preschoolers
2015 (English)In: European Journal of Public Health, ISSN 1101-1262, E-ISSN 1464-360X, Vol. 25, no 6, 1035-1042 p.Article in journal (Refereed) Published
Parenting programmes are effective in improving child behaviour and parental well-being, but long follow-up studies of universally offered programmes are scarce.
A cluster randomized controlled trial was conducted to assess the costs and effects of Triple P levels 2-3 on child externalizing behaviours and parental mental health. The programme was offered universally to parents of preschoolers (self-selection allowed). Preschools were randomized to Triple P or a waitlist control. Health outcomes were reduction in externalizing behaviours measured on the Eyberg Child Behaviour Inventory-22 and improvement in parental mental health measured on the Depression Anxiety Stress Scales collected at baseline, 6-, 12- and 18-month follow-up. Child outcomes were based on 355 children aged 3-5 years (child sample) and parental outcomes on 759 parents (parental sample) with baseline data. Costs were collected from a municipality perspective, including 312 children and 488 parents with baseline data in the intervention preschools.
Sixty-seven (29%) parents attended the intervention. Triple P showed no significant improvement in child externalizing behaviours or parental mental health at either of the follow-up points. Triple P had an average yearly total cost of 3007 Swedish Krona (SEK) (€323) per child or 1922 SEK (€207) per parent. Running Triple P cost 227 SEK (€24) per child or 145 SEK (€16) per parent yearly.
Offering low intensity levels of Triple P with 29% attendance may not be a reasonable use of public resources, as no evidence of improvement in child externalizing behaviours or parental mental health was found.
Place, publisher, year, edition, pages
2015. Vol. 25, no 6, 1035-1042 p.
Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy Pediatrics
IdentifiersURN: urn:nbn:se:uu:diva-269208DOI: 10.1093/eurpub/ckv106ISI: 000367163900024PubMedID: 26063699OAI: oai:DiVA.org:uu-269208DiVA: diva2:882422
FunderSwedish Research Council Formas, 259 - 2012-68Public Health Agency of Sweden