Comparing apples and pears: misleading conclusions about the population mental health impact of a parenting programme, a commentary on Marryat, Thompson and Wilson (2017)

BMC Pediatrics
Matthew SandersJames Kirby

Abstract

The article by Marryat, Thompson and Wilson (2017) in BMC Pediatrics presents an evaluation of the implementation of the Triple P system as a public health intervention conducted by the Glasgow City Council and NHS Greater Glasgow and Clyde. Unfortunately, the conclusions drawn are questionable for multiple reasons. The lack of a controlled design precludes defensible conclusions about intervention effects free from routine threats to internal validity. There was a substantial mismatch between the intervention sample and the population sample assessed. The article's title and abstract leave readers with the mistaken impression that the children assessed for outcome were suitably representative of intervention families, when in fact many of the children in the intervention families were missing from the teacher-report outcome assessment (a single questionnaire), and many or most of the children in the teacher-report outcome assessment belonged to families who had never received the intervention. Although Triple P targets parent-child relations and child behavioural and emotional problems at home, Marryat et al. narrowly defined mental health impact as child difficulties in nursery or preschool, while not reporting data from prac...Continue Reading

References

Aug 24, 2001·Social Psychiatry and Psychiatric Epidemiology·J M NajmanG J Shuttlewood
Mar 3, 2007·Journal of Abnormal Child Psychology·Rae Thomas, Melanie J Zimmer-Gembeck
Mar 6, 2007·Clinical Psychology Review·Ronald J Prinz, Matthew R Sanders
Feb 5, 2008·BMJ : British Medical Journal·Harriet HiscockMelissa Wake
Jan 23, 2009·Prevention Science : the Official Journal of the Society for Prevention Research·Ronald J PrinzJohn R Lutzker
May 18, 2010·Child and Adolescent Psychiatry and Mental Health·Kurt HahlwegSebastian Naumann
Sep 16, 2011·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Tina MaltiManuel P Eisner
Dec 14, 2011·Annual Review of Clinical Psychology·Matthew R Sanders
Feb 24, 2015·Prevention Science : the Official Journal of the Society for Prevention Research·Anilena MejiaMatthew R Sanders
Apr 19, 2016·Journal of Child and Adolescent Mental Health·Inge Wessels, Catherine L Ward

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