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Trial registered on ANZCTR
Registration number
ACTRN12623000366651
Ethics application status
Approved
Date submitted
21/03/2023
Date registered
13/04/2023
Date last updated
13/04/2023
Date data sharing statement initially provided
13/04/2023
Type of registration
Prospectively registered
Titles & IDs
Public title
Evaluation of the National Roll-out of the Triple P Online System
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Scientific title
Efficacy of the National Roll-out of the Triple P Online System in parents of children aged 0-12.
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Secondary ID [1]
309371
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Child behaviour and emotional adjustment
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Child anxiety
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Parenting children with anxiety
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Parenting babies
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Condition category
Condition code
Mental Health
325960
325960
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0
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Studies of normal psychology, cognitive function and behaviour
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
This study will take advantage of a roll-out of The Triple P Online System (TPOS) within Australia which has been funded for dissemination to all eligible Australian parents by the Commonwealth Government’s Parenting and Education Support Program from 2022. The TPOS is a web-based platform that provides parents with access to one of three Positive Parenting Programs (Triple P); Triple P Online (TPOL), Fear-Less Triple P Online (FLTPOL), and Triple P Online for Baby (TPOLB). Each of the three Triple P programs provides parents with a range of resources and tools, including interactive modules, videos, and self-help materials, to support their parenting journey. Each of the three Triple P programs contains seven or eight self-paced modules, with each module taking approximately 30 minutes to complete. Participants will have access to the TPOS for 12 months from enrolment, however, for the purposes of this study, observation will only occur for 6 months after enrolment.
Triple P Online (TPOL) - Includes eight self-paced modules that cover topics such as managing difficult behaviour, building strong relationships with children, promoting positive behaviour, and dealing with common childhood issues.
Fear-Less Triple P Online (FLTPOL) - Includes seven self-paced modules that helps parents to manage their child's anxiety and become more resilient. Specific module topics include understanding anxiety and avoidance, promoting emotional resilience, and responding to children's anxiety.
Triple P Online for Baby (TPOLB) - Designed to support parents with babies and includes seven self-paced modules. Topics include promoting positive development, survival skills for new parents, and managing common problems that occur within the early years such as sleeping and crying.
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Intervention code [1]
325408
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Parenting confidence as measured by in-program efficacy questions (custom measures designed specifically for the program).
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Assessment method [1]
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Timepoint [1]
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Assessed immediately prior to the start of each module that is commenced within 6 months after enrolment (the specified period of observation).
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Primary outcome [2]
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For Triple P Online (TPOL) - Parenting practices, parent adjustment and family functioning as measured by the The Parenting and Family Adjustment Scale
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Assessment method [2]
333844
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Timepoint [2]
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Baseline, 10 weeks after starting intervention (primary timepoint), 6-month follow-up
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Primary outcome [3]
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For Fear-Less Triple P Online (FTPOL) - Use of anxiety-enhancing parenting strategies as measured by The Parenting an Anxious Child Questionnaire
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Assessment method [3]
334357
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Timepoint [3]
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Baseline, 10 weeks after starting intervention (primary timepoint), 6-month follow-up
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Secondary outcome [1]
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For Triple P Online (TPOL) - Child behaviour, as assessed using the Child Adjustment and Parent Efficacy Scale
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Assessment method [1]
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Timepoint [1]
418457
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Baseline, 10 weeks after starting intervention, 6-month follow-up
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Secondary outcome [2]
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For Fear-Less Triple P Online (FTPOL) - Child anxiety as measured by The Brief Spence Children’s Anxiety Scale for parents
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Assessment method [2]
418458
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Timepoint [2]
418458
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Baseline, 10 weeks after starting intervention, 6-month follow-up
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Secondary outcome [3]
418459
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For Triple P Online for Baby (TPOLB) - Parental depression during the perinatal period as measured by The Edinburgh Postnatal Depression Scale
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Assessment method [3]
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Timepoint [3]
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Baseline, 10 weeks after starting intervention, 6-month follow-up
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Secondary outcome [4]
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PRIMARY OUTCOME: For Triple P Online for Baby (TPOLB) - Parental confidence in dealing with common challenges that occur in babies as measured by the The Baby Behaviour Inventory
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Assessment method [4]
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Timepoint [4]
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Baseline, 10 weeks after starting intervention (primary timepoint), 6-month follow-up
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Eligibility
Key inclusion criteria
Parents of children aged between 0 and 12 years, living in Australia who access and register for the national roll out of Triple P Online System. Emphasis on adequate representation of Indigenous Australians and parents from CALD and LGBTQI+ populations.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
N/A
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Study design
Purpose
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Duration
Longitudinal
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Selection
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Timing
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
24/04/2023
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
1500
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,WA,VIC
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Triple P International
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Address [1]
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11 Market Street
Indooroopilly QLD 4068
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Country [1]
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Australia
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Primary sponsor type
University
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Name
The University of Queensland
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Address
The University of Queensland
St Lucia QLD 4072
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Country
Australia
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Secondary sponsor category [1]
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Commercial sector/Industry
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Name [1]
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Triple P International
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Address [1]
315350
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11 Market Street
Indooroopilly QLD 4068
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The University of Queensland Human Research Ethics Committee
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Ethics committee address [1]
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Cumbrae-Stewart Building The University of Queensland St Lucia QLD 4072
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
312392
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Approval date [1]
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06/12/2022
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Ethics approval number [1]
312392
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Summary
Brief summary
Research Aims: 1. To determine the effectiveness of the Triple P Online System (TPOS) and each individual TPOS variant (Triple P Online, Fear-Less Triple P, Triple P for Baby) on child and parent outcomes. 2. To examine the relationship between pre-intervention characteristics (moderators) and program outcomes (child and parent effects, module completion, and program satisfaction). 3. To identify predictors of responders and non-responders to TPOS interventions at each stage of the engagement and completion process (commencing the programs, completion of within-module activities, module completion and program completion). The Triple P Online System has been disseminated in Australia since 2014 and randomized controlled trials have shown that the system is effective in improving parenting practices, enhancing parenting efficacy and reducing child behavioural and emotional problems. Little is known however about its efficacy in a practice-as-usual context and about parents’ interaction with the program and the mediators and moderators that influence program outcomes. This study will take advantage of a roll-out of TPOS within Australia to collect data on effectiveness in a practice-as-usual context. The TPOS system has been funded for dissemination to all eligible Australian parents by the Commonwealth Government’s Parenting and Education Support Program from 2022. Continuous tracking of program outcomes embedded within the Triple P Online System interventions, will provide an ongoing quality management and improvement process. A mix of routinely collected Triple P Online System (TPOS) process data, mapped against parent and child characteristics and parent questionnaire responses pre, during and post program completion will track program effectiveness and allow rapid identification of specific areas for improvement. Tracking of module-by-module parent progress and program use will enable us to identify specific program components that are especially effective and engaging, as well as any that are less engaging and effective for parents.
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Trial website
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Trial related presentations / publications
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Public notes
https://www.triplep-parenting.net.au/ (intervention website)
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Contacts
Principal investigator
Name
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A/Prof Alina Morawska
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Address
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Parenting and Family Support Centre
School of Psychology
University of Queensland
13 Upland Road
ST LUCIA QLD 4072
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Country
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Australia
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Phone
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+61 7 336 57304
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Alina Morawska
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Address
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Parenting and Family Support Centre
School of Psychology
University of Queensland
13 Upland Road
ST LUCIA QLD 4072
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Country
124503
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Australia
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Phone
124503
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+61 7 336 57304
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Alina Morawska
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Address
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Parenting and Family Support Centre
School of Psychology
University of Queensland
13 Upland Road
ST LUCIA QLD 4072
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Country
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Australia
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Phone
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+61 7 336 57304
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Fax
124504
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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