Parents Plus Children’s Programme
The Parents Plus Children’s Programme (PPCP) is for parents with a child between the ages of 6 and 11, with concerns about the child's behaviour, learning or emotional development.
The programme is designed for delivery in both specialist clinical settings such as child mental health services, and in frontline community and primary care community settings where the emphasis is largely preventative.
Parents attend approximately nine group sessions where they learn skills for how to communicate better with their children, manage emotional and behaviour problems, as well as be less stressed, more relaxed and happier parents.
The programme involves reviewing DVD parenting and communication clips, as well as group discussion, amongst other activities, and it aims to improve positive family relationships and child behaviour.
EIF Programme Assessment
Child outcomes
This programme can affect outcomes for children in Active and healthy, physical and mental wellbeing.
According to the best available evidence for this programme's impact, it can achieve the following positive outcomes for children:
Preventing crime, violence and antisocial behaviour
Reduced behavioural difficulties
based on study 1
based on study 2
Reduced conduct problems
based on study 1
Reduced hyperactivity
based on study 2
This programme also has evidence of supporting positive outcomes for couples, parents or families that may be relevant to a commissioning decision. Please see About the evidence for more detail.
Who is it for?
The best available evidence for this programme relates to the following age-groups:
Primary school
How is it delivered?
The best available evidence for this programme relates to implementation through these delivery models:
- Group
Where is it delivered?
The best available evidence for this programme relates to its implementation in these settings:
- Children's centre or early-years setting
- Primary school
- Community centre
- In-patient health setting
- Out-patient health setting
How is it targeted?
The best available evidence for this programme relates to its implementation as:
- Targeted indicated
Where has it been implemented?
- Netherlands
- Singapore
- United Kingdom
- Ireland
Ireland provision
Ireland evaluation
About the programme
What happens during the delivery?
How is it delivered?
- The main group work component of PPCP is delivered in nine sessions of 2.5 hours’ duration each by two practitioners, to groups of 15 parents.
- In addition, individual one-to-one (one-hour) sessions are offered to parents prior to group work. Family sessions involving four individual sessions with the parent and teenager, are also offered.
NB: In the most robust study, only the main group work component was offered.
What happens during the intervention?
- The main group work component involves reviewing DVD parenting clips, as well as engaging in group discussion, worksheets, role-play, homework and handouts.
- In the family sessions, parents are supported to play with and problem-solve with their children.
What are the implementation requirements?
Who can deliver it?
- Two practitioners deliver this programme. Both are Parents Plus Facilitators with NFQ-7/8 level qualifications.
What are the training requirements?
- The practitioners have 22.5 hours of programme training.
- Booster training of practitioners is recommended.
How are the practitioners supervised?
- It is recommended that practitioners are supervised by one host-agency supervisor (qualified to NFQ-7/8 level).
- It is recommended that practitioners are also supervised by one programme developer supervisor (qualified to NFQ-7/8 level).
What are the systems for maintaining fidelity?
Programme fidelity is maintained through the following processes:
- Training manual
- Other printed material
- Other online material
- Video or DVD training
- Face-to-face training
- Fidelity monitoring
- Published quality protocol with monitoring checklist.
Is there a licensing requirement?
There is no licence required to run this programme.
How does it work? (Theory of Change)
How does it work?
- Developing and maintaining warm, positive, and enjoyable relationships with children is central to changing behaviour.
- Once parents ‘tune in to’ and understand their children, they are in a better position to learn more effective parenting strategies.
- Parents unintentionally reinforce unwanted child behaviours through ineffective parenting strategies.
- PPCP assumes that when parents have the opportunity to reflect on the reasons underpinning their child’s behaviour, they will understand how they can encourage children’s positive behaviours rather than unintentionally reinforce unwanted behaviours through ineffective parenting strategies.
- More effective parenting strategies lead to short-term improvements in children’s behaviour as well as reduced parental stress.
- In the longer term, children will be less likely to engage in antisocial behaviour, have an improved sense of self and perform better in school.
Intended outcomes
- Achieving in all areas of learning and development
- Active and healthy, physical and mental wellbeing
- Active and healthy, physical and mental wellbeing
- Active and healthy, physical and mental wellbeing
- Active and healthy, physical and mental wellbeing
- Safe and protected from harm
- Safe and protected from harm
Contact details
Dr John Sharry
admin@parentsplus.ie
About the evidence
PPCP’s most rigorous evidence comes from a comparison group study and an RCT, both of which were conducted in Ireland. These studies identified statistically significant positive impact on a number of child and parent outcomes. One study is rated as a level 2+ and the other as a level 2. A programme receives the same rating as its most robust study, and so PPCP receives a 2+ rating overall.
Study 1
| Citation: | Coughlin et al., 2009 |
| Design: | Comparison group study |
| Country: | Ireland |
| Sample: | 74 families with children between 6 and 11 years old (mean age approx 8 years old) |
| Timing: | Post-test |
| Child outcomes: |
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| Other outcomes: |
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| Study rating: | 2+ |
Coughlin, M., Sharry, J., Fitzpatrick, C., Guerin, S., & Drumm, M. (2009). A controlled clinical evaluation of the parents plus children’s programme: A video-based programme for parents of children aged 6 to 11 with behavioural and developmental problems. Clinical Child Psychology and Psychiatry, 14(4), 541-558.
Available at
http://www.parentsplus.ie/wp/wp-content/uploads/2015/06/Coughlan-PPCP.pdf
Study design and sample
This was a comparison group study, conducted in Ireland, with a sample of children between the ages of 6 and 11 (mean age approx 8 years old). Children were recruited from four different clinics, having been referred to a Child Mental Health Service. The study included children with significant behavioural problems, and in many cases associated developmental difficulties.
The study involved a sequential block assignment of children to a PPCP group or a wait-list control group. Assignment to groups was therefore not random; instead, children were assigned to groups depending on the date of their referral – the first block of 12-15 children presenting to a clinic was assigned to the treatment, and further referrals were placed into the wait-list control group.
Measures
Assessments were conducted at pre-test, post-test, and at a five-month follow-up (however, there was no control group at this five-month follow-up point). Participants were assessed on:
- Child behaviour (including emotional problems, conduct problems, hyperactivity, peer problems, pro-social behaviour, and total behavioural difficulties) was measured using the Strengths and Difficulties Questionnaire (parent report).
- Parenting stress (including difficult child, parent distress, and parent-child dysfunctional interaction dimensions) was measured using the Parenting Stress Index - Short Form (parent report).
Findings
At post-test, this study identified statistically significant positive impact on a number of child and parent outcomes, including:
- Total behavioural difficulties (Strengths and Difficulties Questionnaire; parent report)
- Conduct problems (Strengths and Difficulties Questionnaire; parent report)
- Parental stress (Parenting Stress Index; parent report).
Study 2
| Citation: | Hand et al., 2013 |
| Design: | RCT |
| Country: | Ireland |
| Sample: | 75 parents with children aged between 6 and 11 years |
| Timing: | Post-test |
| Child outcomes: |
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| Other outcomes: |
|
| Study rating: | 2 |
Hand, A., McDonnell, E., Honari, B., & Sharry, J. (2013). A community led approach to delivery of the Parents Plus Children's Programme for the parents of children aged 6–11. International Journal of Clinical and Health Psychology, 13(2), 87-90.
Available at
http://www.sciencedirect.com/science/article/pii/S1697260013700115
Study design and sample
This was an RCT study, conducted in Ireland, with a sample of 75 parents who had a child aged between 6 and 11 years. Parents were recruited from three primary schools in an open invitation, but some families were specifically selected by school staff due to being considered ‘most in need’. None of the target children were, however, in receipt of clinical services at the time of the study.
The study involved random assignment of children to the PPCP intervention group and a wait-list control group.
Measures
-
Child behaviour (including emotional problems, conduct problems, hyperactivity, peer problems, pro-social behaviour, and total behavioural difficulties) was measured using the Strengths and Difficulties Questionnaire (parent report).
-
Parent stress (including difficult child, parent distress, and parent-child dysfunctional interaction dimensions) was measured using the Parenting Stress Index - Short Form (parent report).
-
Parents’ satisfaction with their children’s behaviour, with themselves as parents, and with their parent-child relationship, was measured using the Kansas Parent Satisfaction Scale (parent report).
Findings
This study identified statistically significant positive impact on a number of child and parent outcomes, including:
- Total behavioural difficulties (Strengths and Difficulties Questionnaire; parent report)
- Hyperactivity (Strengths and Difficulties Questionnaire; parent report)
- Parental stress (Parenting Stress Index; parent report)
- Parental distress (Parenting Stress Index; parent report)
- Parent-child interaction difficulties (Parenting Stress Index; parent report)
- Parental perception of child as difficult (Parenting Stress Index; parent report)
- Overall parental satisfaction (Kansas Parent Satisfaction Scale; parent report).