Abstract
BackgroundBecoming the parent of a new baby comes with a range of challenges including difficulties with emotional adjustment, couple relationship issues and difficulty managing common infant behaviors, such as crying and sleep problems. This time can be especially challenging for couples who experience a range of risk factors. Previous parenting interventions for parents of babies have shown mixed results. This protocol paper describes a randomized controlled trial of a group-based parenting intervention for high-risk parents expecting their first baby.Methods/designParticipants will be randomized to either Group Baby Triple P or Care as Usual (CAU). Group Baby Triple P involves 4 × 2 h group sessions delivered during pregnancy and 4 individual telephone sessions of 30 min each in the early postnatal period. Outcomes will be assessed via parent self-report questionnaire, home observations and a baby diary 10 weeks and 6 months post-birth. Primary outcomes will be parental confidence and perceived competence. Secondary outcomes will include parental responsiveness and bonding with the baby, relationship happiness, life satisfaction, depression, anxiety and stress, and infant crying and sleep. Analyses will involve a series of rANOVA and rMANOVAs, t-tests and a multilevel modeling approach.DiscussionA brief summary, strengths and potential implications are discussed.Trial registrationAustralian New Zealand Clinical Trials Registry: ANZCTR 12613000948796. Registered 27 August, 2013.
Highlights
Becoming the parent of a new baby comes with a range of challenges including difficulties with emotional adjustment, couple relationship issues and difficulty managing common infant behaviors, such as crying and sleep problems
The study will experimentally test the relative impact of Baby Triple P against care as usual in a randomized controlled trial aimed at improving baby and parenting outcomes
It will allow intention-to-treat analysis. This protocol paper outlines the background and design of a randomized controlled trial of Baby Triple P for first-time pregnant parents in high-risk populations. It will fill the much-needed gap in the literature as to whether a program that combines parenting, parental wellbeing and the couple relationship is effective in helping high-risk parents ease into the transition to parenthood
Summary
This protocol paper outlines the background and design of a randomized controlled trial of Baby Triple P for first-time pregnant parents in high-risk populations It will fill the much-needed gap in the literature as to whether a program that combines parenting, parental wellbeing and the couple relationship is effective in helping high-risk parents ease into the transition to parenthood. The inclusion of the observational assessment of responsiveness using the Care Index aims to combat some of the biases of the self-report measures Another limitation could be the use of a care as usual control group in place of an attention-placebo comparison, as any possible changes after the intervention might be due to the additional support and attention received from the facilitator rather than the specific content of Baby Triple P. TPI had no involvement in the study design, collection, analysis or interpretation of data, or writing of this report. Author details 1Parenting and Family Support Centre, School of Psychology, The University of Queensland Brisbane, St Lucia, QLD 4067, Australia. 2Center for Self-Report Science, Center for Social & Economic Research, University of Southern California, Los Angeles, USA
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