Triple P With Pediatric Residents

Randomized Control Study of the Impact of Primary Care Triple P on Pediatric Residents and Their Patients

The objective of this study is to conduct a randomized control trial to evaluate the impact of Triple P on the clinic practice of pediatric residents and on select parent and child outcomes. This study will accomplish that overarching goal through addressing two specific aims.

Aim 1. Triple P's Effect on Pediatric Resident's Practice: test the effect of Triple P training on practice of pediatric residents in addressing and managing psychosocial problems.

Hypothesis 1: At the completion of the trial, residents assigned to the intervention group, compared to residents exposed to the control condition, will have:

1. increased skill levels,
2. increased confidence, and
3. increased satisfaction in dealing with and managing psychosocial issues

Aim 2. Triple P's Effect on Parent and Child Outcomes: test the effect of Triple P interventions on parent's feelings of self efficacy, parent's discipline strategies and on children's externalizing behavior.

Hypothesis 2: At the completion of the intervention, parents and children receiving the intervention, compared to those receiving the control condition, will have:

1. greater reduction in targeted child behavior problems,
2. greater reduction in dysfunctional parenting practices,
3. increased use of appropriate discipline and positive parenting strategies, and
4. greater confidence in parenting ability.

Inclusion Criteria for Pediatric Resident:

• Assigned to a participating continuity clinic

Exclusion Criteria for Pediatric Resident:

• Not assigned to a participating continuity clinic

Inclusion Criteria for Parent:

• Parent of an eligible child.
• Speaks English

Exclusion Criteria for Parent:

• A parent of an ineligible child
• Non-English speaking

Inclusion Criteria for Child:

• Treated by a participating resident
• Between 18 months and 12 years old
• Does not have any mental health diagnosis
• Is not receiving medication or therapy from a professional

Exclusion Criteria for Child:

• Not treated by a participating resident
• Age falls outside of eligible range
• Has a mental health diagnosis
• Currently receiving medication or therapy from a professional