This program model does not meet the criteria established by the Department of Health and Human Services (DHHS) for an “evidence-based early childhood home visiting service delivery model” for the general population or for tribal populations.
Triple P–Positive Parenting Program® (Triple P) is a parenting and family support system designed to prevent and treat behavioral and emotional problems in children from birth through their teenage years. Specialized interventions target certain subgroups, including children with a disability and indigenous families. To meet the needs of different families and implementing agencies, the Triple P system uses five levels of increasing intensity, a range of delivery methods (such as one-on-one consultations in the home or group seminars), and staff from multiple disciplines (including paraprofessionals, counselors, and nurses). The intensity and length of services also varies across levels. For example, Primary Care Triple P (Level 3) includes approximately four individual consultations of 15 to 30 minutes over one to two months, and Enhanced Triple P (Level 5) includes approximately eight individualized sessions, each lasting 60 to 90 minutes.
The HomVEE review is based on Triple P interventions where home visiting was the primary service delivery mechanism with prenatal parents or families with children birth to age 5 (Triple P–Home Visiting).
This report also includes reviews of one Triple P-Home Visiting component (Child Management Training) and a specialized Triple P-Home Visiting intervention (Stepping Stones Triple P) for children with a disability; both are considered Level 4 Triple P interventions. During Child Management Training, therapists meet with parents in the home and explain how parents can help teach their children new behaviors using a six-step procedure of descriptive praise and contingent consequences. In this component, a therapist provides verbal and written instruction, lecture presentations, and modeling behavior in an effort to teach parents about a sequence of steps intended to modify their child’s behavior. Then, they observe parent-child and parent-parent interactions and provide verbal feedback and written enrichment materials. (As the model was being developed, this component was originally called Instructions + Feedback.) Stepping Stones is a variant of Triple P-Home Visiting intended specifically for parents of children with disabilities. It provides assessment of parenting strategies and then instruction and support that aim to promote child competencies in social and language skills, emotional skills, independence, and problem solving.
For more information, please read the Program Model Overview.
Note: For this model, several Triple P studies compared various components of the program model, sometimes in a single-case design format with multiple phases. For screening and reviewing studies, we focused on those with a contrast between Triple P—Home Visiting and a non-Triple P condition.
For more information, read the study database. For more information on the criteria used to determine the study ratings, please read Producing Study Ratings.
Please read Describing Effects for more information on these categories. Only results from studies that meet the standards for the high or moderate ratings are included above.
Please read the DHHS Criteria for Evidence-Based Program Models for more information.