Triple P Online

Triple P Online (TPOL) is a web-based parenting intervention for families with a child between 2 and 9 years old. The intervention is delivered virtually through eight self-directed sessions of 30 to 60 minutes each. A practitioner is also available to provide three hours of support spread over approximately four sessions of 45 minutes each. The online content provides parents with tools to manage challenging child behaviour and enhance family relationships.

The information above is as offered/supported by the intervention provider.

Population characteristics as evaluated

2 to 9 years old

Level of need: Targeted-indicated
Race and ethnicities: Not reported

Model characteristics

Individual, Online or app

Setting: Online
Workforce: A practitioner with a qualification in a helping profession, such as psychology or social work.
Evidence rating:
Cost rating:

Child outcomes:

  • Preventing crime, violence and antisocial behaviour
    • Improved behaviour
    • Reduced hyperactivity
  • Supporting children’s mental health and wellbeing
    • Improved emotional wellbeing

UK available

UK tested

Published: April 2025
Last reviewed: September 2017

Model description

Triple P Online (TPOL) is part of the Triple P multilevel system of family support and is specifically for parents who prefer to access parenting support online because they are they are too busy, hesitant or unable to access a parenting intervention in-person. TOPL can be used as an early intervention strategy or as more intensive support for parents with a child with significant social, emotional, or behavioural problems.

TPOL is delivered virtually through eight self-directed sessions of 30 to 60 minutes each. A practitioner is also available to provide three hours of support spread over approximately four sessions of 45 minutes each.

Parents are given access to a website which enables them to work through modules sequentially. The content is the equivalent of Level 4 Standard Triple P, introducing parents to 17 strategies for encouraging positive child behaviour and enforcing age-appropriate discipline.

  • Ten of the strategies are designed to promote children’s competence and development (i.e. quality time; talking with children; physical affection; praise; attention; engaging activities; setting a good example; Ask, Say, Do; incidental teaching; and behaviour charts).
  • Seven strategies are designed to help parents manage misbehaviour (i.e. setting rules; directed discussion; planned ignoring; clear, direct instructions; logical consequences; quiet time; and time-out).

Parents are also introduced to a six-step planned activities routine to enhance the generalisation and maintenance of skills promoted during the sessions.

Age of child

2 to 9 years old

Target population

The intervention can be used as an early intervention strategy for children aged 2 to 9 years old, or as a more intensive intervention for parents with children up to 12 years with significant social, emotional, or behavioural problems.

Disclaimer: The information in this section is as offered/supported by the intervention provider.

Why?

Science-based assumption

Challenging child behaviours during preschool and primary school increase the risk of behavioural problems in adolescence.

Science-based assumption

Effective parenting behaviours and a predictable family environment help the child to regulate their own behaviour and reduce the risk of child behavioural problems becoming entrenched

Ineffective parenting strategies occasionally increase the risk of child behavioural problems becoming entrenched.

Who?

Science-based assumption

All parents can benefit from advice on supporting their child’s emotional needs and effective strategies for managing challenging child behaviours.

How?

Intervention

Parents learn:

Age-appropriate expectations for their child

Strategies for establishing predictable family routines

Strategies for promoting positive parent–child interaction

Strategies for reinforcing positive child behaviour through labelled praise

Strategies for implementing age-appropriate discipline.

What?

Short-term

Parents implement effective parenting strategies in the home

Parents’ confidence increases

Parent–child interaction improves.

Medium-term

Children’s self-regulatory capabilities and behaviour improves.

Long-term

Children are at less risk of antisocial behaviour in adolescence

Children are more likely to engage positively with others

Who is eligible?

Parents with concerns about the behaviour of a child between 2 and 9 years old.

How is it delivered?

Triple P Online is delivered virtually in eight self-directed sessions of 30 to 60 minutes’ duration each. In addition, one practitioner can provide three hours of support spread over approximately four sessions of 45 minutes each.

What happens during the intervention?

The intervention consists of eight modules designed to enhance parenting skills. The first four modules focus on core content, introducing positive parenting principles and 17 evidence-based parenting strategies. These modules address common challenges such as ‘dealing with disobedience’ and ‘preventing problems by planning ahead’.

The remaining four modules help parents integrate and apply these strategies to their daily routines through structured parenting plans. This approach encourages generalisation of skills, ensuring that parents can adapt the techniques to various situations.

To support engagement and learning, the intervention includes personalised content, interactive exercises, and video-based demonstrations of parenting techniques. It also features diverse parent ‘voxpops,’ where parents share their experiences, and provides a customisable, printable workbook to reinforce learning.

Who can deliver it?

Practitioners are expected to have a qualification in a helping profession and previous training in Level 4 Standard Triple P or comparable model.

What are the training requirements?

Practitioners are previously trained in a Triple P intervention. Therefore, no specific training or booster training is required for Triple P Online.

How are the practitioners supervised?

It is recommended that practitioners are supervised by one host-agency supervisor. No training specific to Triple P Online is received by the supervisor.

What are the systems for maintaining fidelity?

Intervention fidelity is maintained through the following processes:

  • Other printed material
  • Other online material
  • Face-to-face training
  • Fidelity monitoring
  • Quality assurance checklist.

Is there a licensing requirement?

No

Contact details*

*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.

TPOL qualifies for a Level 3+ rating, as it has evidence from at least one study consistent with Foundations’ Level 3 evidence strength criteria, along with evidence from other studies rated 2 or better.

The first study was an RCT conducted in Australia and is consistent with Foundations’ Level 3 evidence strength criteria. This study observed statistically significant improvements in TPOL parents’ reports of their child’s emotional symptoms and behaviour in comparison to parents not receiving the intervention. Additionally, TPOL parents were significantly more likely to report improvements in their use of parenting practices, increased parental self-efficacy and reductions in parental anger in comparison to parents not accessing the intervention.

The second study was an RCT conducted in New Zealand and is consistent with Foundations’ Level 2+ evidence strength criteria. This study observed statistically significant improvements in TPOL parents’ reports in their child’s behaviour and symptoms of hyperactivity in comparison to parents who did not access the intervention. Additionally, TPOL parents were significantly more likely to report improvements in their use of parenting practices, mental health symptoms (depression, anxiety, and stress), self-efficacy as a parent and greater satisfaction as a parent in comparison to parents not accessing the intervention.

TPOL can be described as evidence-based: it has evidence from at least one rigorously conducted RCT or QED demonstrating a statistically significant positive impact on at least one child outcome.

Search and review

Identified in search6
Studies reviewed2
Meeting the L2 threshold1
Meeting the L3 threshold1
Contributing to the L4 threshold0
Ineligible4

Study 1

Study designRCT
CountryAustralia
Sample characteristics

116 parents with a child aged 2 to 9 years old with elevated levels of disruptive behaviours, identified through elevated scores on the Eyberg Child Behavior Inventory.

Most families (76%) had an income at or above the Australian median and were in employment (66%). The ethnic group most identified with was described as Australian (91%).

Race, ethnicities, and nationalities

91% Australian

Population risk factors

None reported

Timing
  • Baseline
  • Post-intervention
  • Six-month follow up.
Child outcomes
  • Reduced child emotional symptoms (parent report)
  • Improved child behaviour (intensity) (parent report)
  • Improved child behaviour (problem) (parent report)
  • Reduced child conduct difficulties (parent report).
Other outcomes
  • Improved parenting style (laxness) (parent report)
  • Improved parenting style (over-reactivity) (parent report)
  • Improved parenting style (verbosity) (parent report)
  • Improved parenting confidence (behaviour self-efficacy) (parent report)
  • Improved parenting confidence (setting self-efficacy) (parent report)
  • Reduced parental anger (problem) (parent report)
  • Reduced parental anger (intensity) (parent report).
Study rating3
Citations

Sanders, M. R., Baker, S. & Turner, K. M. T. (2012). A randomized controlled trial evaluating the efficacy of Triple P Online with parents of children with early-onset conduct problems. Behaviour Research and Therapy. 50 (12), 675–684.

Study 2

Study designRCT
CountryNew Zealand
Sample characteristics

The study involved 53 parents with children aged 3 to 4 years with elevated ADHD symptoms. The majority of the children were male (71.7%). Mothers’ average age was 35.4 years, and fathers’ average age was 38.8 years.

Race, ethnicities, and nationalities

79.2% New Zealand European

Population risk factors

None reported

Timing
  • Baseline
  • Post-intervention
  • Six-month follow-up.
Child outcomes
  • Reduced hyperactivity/inattentiveness (post-intervention, mother report)
  • Reduced restlessness/impulsivity (post-intervention, mother report)
  • Improved social functioning (post-intervention, mother report)
  • Reduced defiance/aggression (post-intervention, mother report).
Other outcomes
  • Improved parenting style (laxness) (post-intervention, parent report)
  • Improved parenting style (over-reactivity) (post-intervention and six-month follow-up, parent report)
  • Improved parenting style (verbosity) (post-intervention and six-month follow-up, parent report)
  • Increased positive parenting (post-intervention, parent report)
  • Reduced parental depression (post-intervention and six-month follow-up, parent report)
  • Reduced parental anxiety (six-month follow-up, parent report)
  • Reduced parental stress (post-intervention and six-month follow-up, parent report)
  • Increased sense of parenting competence (satisfaction) (post-intervention and six-month follow-up, parent report)
  • Increased sense of parenting competence (self-efficacy) (post-intervention and six-month follow-up, parent report).
Study rating2+
Citations

Franke, N., Keown, L. J.,& Sanders, M. R. (2016) An RCT of an online parenting program for parents of preschool-aged children with ADHD symptoms. Journal of Attention Disorders. 1–11.

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.

Dittman, C. K., Farruggia, S. P., Palmer, M. L., Sanders, M. R. & Keown, L. J. (2014) Predicting success in an online parenting intervention: The role of child, parent, and family factors. Journal of Family Psychology. 28 (2), 236.

Ehrensaft, M. K., Knous-Westfall, H. M. & Alonso, T. L. (2016) Web-based prevention of parenting difficulties in young, urban mothers enrolled in post-secondary education. Journal of Primary Prevention. 37 (6), 527–542.

Love, S. M., Sanders, M. R., Turner, K. M., Maurange, M., Knott, T., Prinz, R. … & Ainsworth, A. T. (2016) Social media and gamification: Engaging vulnerable parents in an online evidence-based parenting program. Child Abuse & Neglect. 53, 95–107.

Sanders, M. R., Dittman, C. K., Farruggia, S. P. & Keown, L. J. (2014) A comparison of online versus workbook delivery of a self-help positive parenting program. Journal of Primary Prevention. 35 (3), 125–133.

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.

Cost ratings:

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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Child Outcomes:

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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.

Evidence ratings:

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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