Group Lifestyle Triple P is a 12-week intervention for parents or caregivers who are concerned about the weight and activity level of a child between 4 and 11 years old. Groups of up to 10 parents attend nine 90-minute group sessions delivered by a Triple P practitioner. During each session, parents learn strategies for managing their child’s weight through lifestyle changes. Parents also receive three individual phone conversations that tailor the group content to the family’s individual needs.
The information above is as offered/supported by the intervention provider.
4 to 11 years old
Group
Group Lifestyle Triple P is part of the Triple P multilevel system of family support, developed specifically for parents or caregivers who have concerns about the weight and activity of a child between 4 and 11 years old.
During the sessions, parents learn effective strategies for managing their child’s weight by introducing gradual permanent changes in their family’s lifestyle. This includes methods for providing healthy food choices, increasing children’s physical activity and using incentives to encourage the child to make better health-related choices.
The session topics are as follows:
At the start of the intervention, each parent receives a workbook summarising the session content, and suggestions for between-session tasks. Parent learning is also reinforced during the group sessions through presentations, group discussion, DVDs, live demonstrations of parenting skills, role-play, peer modelling, and small-group problem-solving exercises. Parents also receive four individual telephone consultations with the practitioner to update the practitioner on their family’s progress and discuss any issues.
5 to 10 years
Parents of children aged between 5 to 10 years where the parent believes their child is overweight or obese
Disclaimer: The information in this section is as offered/supported by the intervention provider.
Science-based assumption
Excess weight in early childhood increases the risk of obesity and diabetes in later childhood and adulthood
Over a quarter of all children in the UK are currently obese.
Science-based assumption
Family diet and low levels of physical activity increase the risk of childhood obesity and poor physical health.
Science-based assumption
All families can benefit from increased information about a healthy lifestyle.
Intervention
Parents learn strategies for healthy eating and physical exercise that can be incorporated into their daily routines.
Short-term
Parents and children have a better understanding of healthy dietary and activity patterns
Parents and children incorporate healthy diet and physical activities into their daily and weekly family routines.
Medium-term
Children reach and maintain a healthy BMI for their height and age.
Long-term
Healthy eating habits in adulthood
Increased physical activity in adulthood
Reduced obesity risk in childhood and adulthood.
Families are eligible if they consider their child to be overweight, the child is between 5 and 10 years of age, and the parent agrees to attend a 12-week intervention.
Group Lifestyle Triple P is a 12-week intervention that consists of nine 90-minute group sessions and three 20-minute telephone sessions, delivered by a Triple P practitioner.
Each parent receives a workbook summarising the session content with suggestions for between-session tasks. Parent learning is further reinforced through presentations, group discussion, DVDs, live demonstrations of parenting skills, role-play, peer modelling, and small-group problem-solving exercises. Parents also receive four individual telephone consultations with the practitioner to update the practitioner on their family’s progress and discuss any issues.
Practitioners with experience and qualifications in a helping profession, including dieticians, physical education teachers, nurses, psychologists, and physicians.
Practitioners attend two days’ training, one day pre-accreditation workshop, and a half-day accreditation session. It is recommended that they spend four to six hours on individual preparation before accreditation. Booster training of practitioners is not required.
It is recommended that practitioners are supervised by one host agency supervisor. Supervisors do not have intervention training.
Intervention fidelity is maintained through the following processes:
A quality assurance checklist is available for organisations to use when planning for quality assurance of Triple P. There are three standard fidelity protocols built into the Triple P Implementation Framework: (1) Practitioner Accreditation, (2) Intervention Fidelity using Session Checklists, (3) Supervision and Practitioner Support Standards using the Peer Support Network. Triple P UK offers trainer facilitated PASS sessions or a Flexibility & Fidelity workshop for professional development.
Organisation: Triple P UK
Email address: contact@triplep.uk.net
Websites: 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.
Group Lifestyle Triple P’s most rigorous evidence comes from a single RCT conducted in Australia consistent with Foundations’ Level 2 evidence strength criteria.
This study observed statistically significant improvements in Group Lifestyle Triple P children’s weight (through body mass index measurements) and parent reports of problematic weight related behaviour in comparison to families not attending the Triple P group. Group Lifestyle Triple P parents were also significantly more likely to report increased parenting self-efficacy and reduced ineffective parenting behaviours compared to parents not attending the intervention.
Group Lifestyle Triple P has preliminary evidence of improving a child outcome, but we cannot be confident that the intervention caused the improvement.
| 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 | 101 families with a child aged between 4 and 11 years old |
| Race, ethnicities, and nationalities |
|
| Population risk factors | 26% of children had a BMI in the overweight range and 74.3% in the obese range |
| Timing |
|
| Child outcomes |
|
| Other outcomes |
|
| Study rating | 2 |
| Citations | Study 1a: West, F. (2007) Lifestyle Triple P Project: Exploring the link between parenting and childhood obesity (PhD thesis, University of Queensland, School of Psychology). Study 1b: West, F., Sanders, M., Cleghorn, G. & Davies, P. (2010) Randomised clinical trial of a family-based lifestyle intervention for childhood obesity involving parents as the exclusive agents of change. Behaviour Research and Therapy. 48, 1170–1179. |
The following studies were identified for this intervention but did not count towards the intervention’s overall evidence rating. An intervention receives the same rating as its most robust study or studies.
Gerards, S. (2014) Childhood obesity prevention: Rationale, implementation and effectiveness of the Lifestyle Triple P intervention. Maastricht University. This reference refers to a randomised control trial, conducted in the Netherlands.
Gerards, S., Dagnelie, P., Gubbels, J., van Buuren, S., Hamers, F. & Jansen, M. (2015) The effectiveness of Lifestyle Triple P in the Netherlands: A randomized controlled trial. PLoS ONE. 10 (4), 1–18. This reference refers to a randomised control trial, conducted in the Netherlands.
Gerards, S., Dagnelie, P., Jansen, D., van der Goot, L., de Vries, N., Sanders, M. & Kremers, S. (2012) Lifestyle Triple P: A parenting intervention for childhood obesity. BMC Public Health. 12 (1), 267. This reference refers to a randomised control trial, conducted in the Netherlands.
Poulsen, A., Desha, L., Ziviani, J., Griffiths, L., Heaslop, A., Khan, A. & Leong, G. (2011) Fundamental movement skills and self‐concept of children who are overweight. International Journal of Pediatric Obesity.
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.
Preventing child maltreatment: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.
Enhancing school achievement & employment: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.
Preventing crime, violence and antisocial behaviour: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.
Preventing substance abuse: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.
Preventing risky sexual behaviour & teen pregnancy: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.
Preventing obesity and promoting healthy physical development: Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Aenean commodo ligula eget dolor. Aenean massa. Cum sociis natoque penatibus et magnis dis parturient.
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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