Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal.
School of Medicine, University of Minho, 4710-057 Braga, Portugal.
Int J Environ Res Public Health. 2022 Feb 13;19(4):2113. doi: 10.3390/ijerph19042113.
Supporting parents through the delivery of evidence-based parenting interventions (EBPI) is a way of promoting children's rights, given the known benefits to child development and family wellbeing. Group Triple P (GTP) is an EBPI suitable for parents of children aged 2-12 years, who experience parenting difficulties, and/or child behavior problems. Even though GTP has been intensively studied, information lacks on the magnitude of its effects, considering the risk of bias within and across prior research. To address this, a systematic review and meta-analysis (PROSPERO registration CRD42019085360) to evaluate the effects of GTP on child and parent outcomes at short- and longer-term was performed. Through a systematic search of a set of databases, 737 research papers were identified, and 11 trials were selected. The risk of bias within and across studies was evaluated. Significant positive effects of GTP were found immediately after the intervention for child behavior problems, dysfunctional parenting practices, parenting sense of competence, psychological adjustment, parental stress levels, conflict, and relationship quality. Six months after the intervention, positive effects were found only for child behavior problems. Data suggest that GTP might be an effective EBPI leading to positive family outcomes. Substantial risk of bias was found, highlighting the importance of improving the quality of research.
为父母提供循证育儿干预（EBPI）支持是促进儿童权利的一种方式，因为这种干预对儿童发展和家庭幸福有已知的益处。群体三重 P（GTP）是一种适合 2-12 岁有育儿困难和/或儿童行为问题的父母的 EBPI。尽管 GTP 已经得到了深入研究，但由于先前研究中的偏倚风险，其影响的程度信息仍然缺乏。为了解决这个问题，我们进行了一项系统评价和荟萃分析（PROSPERO 注册 CRD42019085360），以评估 GTP 对短期和长期儿童和父母结果的影响。通过对一组数据库的系统搜索，确定了 737 篇研究论文，并选择了 11 项试验。评估了研究内和研究间的偏倚风险。干预后立即发现 GTP 对儿童行为问题、功能失调的育儿行为、育儿胜任感、心理适应、父母压力水平、冲突和关系质量有显著的积极影响。干预 6 个月后，仅发现儿童行为问题有积极影响。数据表明，GTP 可能是一种有效的 EBPI，可带来积极的家庭结果。发现存在大量偏倚风险，这突出了提高研究质量的重要性。
