Impact of Pathways Triple P on Pediatric Health-Related Quality of Life in Maltreated Children.
Paul Lanier, Allison Dunnigan, Patricia L Kohl
PMID 30074927WHAT IT FOUND
Children in child welfare cases who received a 14-week home parenting program reported quality of life more than 6 points higher than children receiving usual services.
Parents also reported higher scores.
Key findings
01On child self-report, the total quality-of-life score was more than 6 points higher in the program group than in usual services, and the paper reports this as significant (P = .03).
02On parent proxy report, the total quality-of-life score was significantly higher in the program group (P = .04), but the effect became a trend after adding background factors (P = .058).
03Child reports showed significant gains in psychosocial functioning (P = .04) and emotional functioning (P = .02), while parent reports showed a significant gain only in social functioning (P = .01).
STILL TO COME
How it was doneWhat they found
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What it does not show
The main outcome relied on child and parent self-reports, and parents knew which group they were in, so expectancy or social desirability could have affected scores. The control group was not a no-service group; usual services varied and included other parenting training or mental health and behavioral health services. The program had multiple components, so the study cannot show which part of the parenting intervention produced the improvement. There were trends toward imbalance between groups on parent race and caregiver gender. The sample came from child welfare families in one Midwest region and excluded children with current sexual abuse allegations, medical fragility, or pervasive developmental disorder. Follow-up was only at the end of the 14-week intervention, so the paper does not show whether gains lasted. Attrition reduced the analyzed sample to 119 dyads, and child self-report analyses used only 96 children.
Declared interests
No author conflict-of-interest declaration is present in the article text. The publication types indicate NIH extramural research support.
The easy way to misread this
Do not conclude that any single part of the parenting program caused better quality of life for all maltreated children. The program had multiple components, the control group received varied usual services, including other parenting training or mental health and behavioral health services, and follow-up was only at the end of the 14-week intervention.