Fear-Less Triple P is a parenting intervention for families with a child aged between 6 and 14 years identified as having anxiety. It is delivered by a Triple P practitioner to groups of up to eight families for six weeks. During these sessions, parents learn strategies for helping their child manage symptoms of anxiety.
The information above is as offered/supported by the intervention provider.
7 to 14 years old
Individual, Group
Fear-Less Triple P (FLTP) is part of the Triple P multi-level system of family support and is specifically for families with a child aged between 6 and 14 years experiencing moderate to high levels of anxiety.
FLTP is delivered by a Triple P practitioner to families individually, or to groups of up to eight families at a time. The intervention is delivered either via six weekly sessions lasting 1 to 1.5 hours each or via an intensive one-day group workshop of three sessions delivered in two-hour blocks. Sessions include guidance from practitioners, peer support through group discussions, and interactive components like video examples and roleplaying to practise new skills.
The primary aim of these sessions is to provide parents with strategies for helping their child manage problematic anxiety symptoms. This includes teaching parents cognitive-behavioural therapy techniques for supporting their child’s emotional regulation and coping skills, as well as psychoeducation about the nature of chidhood anxiety and the factors contributing to anxiety symptoms. Fear-Less Triple P also helps parents consider ways in which their own behaviour may be contributing to their child’s anxiety, including over-protection, excessive reassurance, and ‘rescuing’ behaviours.
6 to 14 years
Parents/caregivers of children between the ages of 6 and 14 who have moderate to high levels of anxiety
Disclaimer: The information in this section is as offered/supported by the intervention provider.
Science-based assumption
Childhood anxiety is associated with poor school engagement and an increased risk of mental health problems in adulthood.
Science-based assumption
Certain parenting behaviours can increase the risk of childhood anxiety, while other behaviours, such as warmth and reassurance, can reduce it.
Science-based assumption
Families with a child experiencing anxiety at school or at home.
Intervention
Parents learn strategies for responding to their child’s anxiety
Parents learn strategies for helping their child manage their anxiety.
Short-term
Parents are better able to help their child manage their anxiety
The child’s symptoms of anxiety decrease.
Medium-term
Reduced symptoms of anxiety over time
Increased child wellbeing
Increased child engagement at school.
Long-term
Reduced risk of mental health problems in adolescence and adulthood.
Parents with a child between the ages of 6 and 14 with problematic symptoms of anxiety.
Fear-Less Triple P can either be completed in six weekly sessions of 1 to 1.5 hours each, or as an intensive (one-day) group workshop of three sessions delivered in two-hour blocks to individual families or groups of one to eight families. It is usually delivered by a team of two to six therapists.
Parents learn about childhood anxiety and strategies for responding to it, including cognitive behaviour management techniques that they can teach to their child to help manage anxiety symptoms on their own.
These strategies are promoted through practitioner guidance and advice, peer support via group discussions, video examples, and role-play exercises for all parents to practise new skills.
A practitioner with a qualification in psychology or other helping profession typically delivers this intervention.
Practitioners receive a total of 5.5 days of training, which includes the following: 3x days of training, 1x pre-accreditation day, 4 to 6 hours of preparation for accreditation day, 0.5 day accreditation, and 2 to 3 hours peer support.
Typically, a qualified practitioner would supervise practitioners with 2 hours’ supervision time per quarter.
Practitioners learn the Triple P Peer Assisted Supervision and Support Model (PASS), a structured feedback process to promote learning of a complex set of consultation skills. Using the self-regulatory framework, practitioners are both providers and recipients of peer support. PASS sessions are conducted in small groups of 6–8 practitioners and run for 1–2 hours every month. TPUK can provide additional Clinical Support for practitioners as either a 1-day workshop or small group phone consultations with a Triple P Trainer. This support is beneficial for practitioners who do not have access to formalised or peer support.
Organisation: Triple P UK
Email address: contact@triplep.uk.net
Website/s: www.triplep-parenting.net
www.triplep.net
https://pfsc-evidence.psy.uq.edu.au/
*Please note that this information may not be up to date. In this case, please visit the listed intervention website for up to date contact details.
Fear-Less Triple P’s most rigorous evidence comes from a single RCT conducted in Australia consistent with Foundations’ Level 3 evidence strength threshold.
This study identified statistically significant reductions in the children whose parents attended Fear-Less Triple P compared to those not receiving the intervention immediately after the intervention was completed. Further reductions in children’s symptoms of anxiety continued in the Fear-Less Triple-P children in the 12 months following the intervention.
| Identified in search | 1 |
| Studies reviewed | 1 |
| Meeting the L2 threshold | 0 |
| Meeting the L3 threshold | 1 |
| Contributing to the L4 threshold | 0 |
| Ineligible | 0 |
| Study design | RCT |
| Country | Australia |
| Sample characteristics | 61 families with a child between 7 and 14 years with a diagnosis of anxiety |
| Race, ethnicities, and nationalities | 90% White |
| Population risk factors | A diagnosis of anxiety |
| Timing | Pre- and post-intervention, with follow-up assessments at 3, 6, and 12 months for the intervention group only |
| Child outcomes |
|
| Other outcomes | None |
| Study rating | 3 |
| Citations | Cobham, V. E., Filus, A. & Sanders, M. R. (2017) Working with parents to treat anxiety-disordered children: A proof of concept RCT evaluating Fear-less Triple P. Behaviour Research and Therapy. 95, 128–138. |
No other studies were identified for Fear-Less Triple P.
Note on provider involvement: This provider has agreed to Foundations’ terms of reference (or the Early Intervention Foundation's terms of reference), and the assessment has been conducted and published with the full cooperation of the intervention provider.
Rated 1: Set up and delivery is low cost, equivalent to an estimated unit cost of less than £100.
Rated 2: Set up and delivery is medium-low cost, equivalent to an estimated unit cost of £100–£499.
Rated 3: Set up and delivery is medium cost, equivalent to an estimated unit cost of £500–£999.
Rated 4: Set up and delivery is medium-high cost, equivalent to an estimated unit cost of £1,000–£2,000.
Rating 5: Set up and delivery is high cost. Equivalent to an estimated unit cost of more than £2,000.
Set up and delivery cost is not applicable, not available, or has not been calculated.
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Supporting children’s mental health and wellbeing: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.
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Rated 2: Has preliminary evidence of improving a child outcome from a quantitative impact study, but there is not yet evidence of causal impact.
Rated 2+: Meets the level 2 rating and the best available evidence is based on a study which is more rigorous than a level 2 standard but does not meet the level 3 standard.
Rated 3: Has evidence of a short-term positive impact from at least one rigorous study.
Rated 3+: Meets the level 3 rating and has evidence from other studies with a comparison group at level 2 or higher.
Rated 4: Has evidence of a long-term positive impact through at least two rigorous studies.
Rated 4+: Meets the level 4 rating and has at least a third study contributing to the Level 4 rating, with at least one of the studies conducted independently of the intervention provider.
Rating has a *: The evidence base includes mixed findings i.e., studies suggesting positive impact alongside studies, which on balance, indicate no effect or negative impact.
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