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Parental competence and parenting style will be measured by the (1) Problem Setting and Behaviour Checklist (PSBC) [ 26], a 28-item rating scale that assesses how confident parents are in dealing with child behaviour problems in various settings and (2) the Parenting Scale (PS) [ 27], 30 items on parenting behaviour (permissiveness, overreactivity, verbosity).
Will the intervention Child Talks have an impact on patients who are parents in terms of parental competence?
Secondary outcomes will be children and parents' perceived social support, perceived parental competence, parental involvement with their child's treatment, positive parenting behaviour and children's emotional and behavioural problems.
Secondary outcome-measures are children and parents' perceived social support, perceived parental competence, parental involvement with their child's treatment, positive parenting behaviour, and children's emotional and behavioural problems.
Another quasi-experimental study that compared Primary Care Triple P to care-as-usual did find significantly higher levels of parental competence and more positive parenting in the Primary Care Triple P group, but no significant differences between groups in terms of child emotional and behavioral problems [ 30].
Contextual factors included risk and complexity of the decision to participate, parental competence judgment and the child's or parents decision to participate.
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With regard to our previous findings that Primary Care Triple P was not effective in reducing child problem behaviors [ 19], in the current study we investigated whether Primary Care Triple P would nonetheless improve parental competences in parents of preterm-born or asphyxiated term-born preschoolers with emotional and behavioral problems.
Results focus on: 1) the families' present situation, healh representations and their social/relational and parental competences ; 2) for the young people: the intellectual and scholastic competences, behaviour, social relationships with their peers.
When parental competences are indeed improved, this could provide evidence for the effectiveness of the working mechanism of Triple P: to change child behavior through parenting behavior.
However, the working mechanism behind Triple P suggests that child problem behavior is reduced through enhancement of the quality of the parent child interaction, by improving parental competences [ 18].
Consistent with Bandura's [Psychol. Rev. 84 (1977) 191; Am. Psychol. 44 (1989 11755] formulations, parental self-efficacy and parenting competence were positively associated when parental knowledge of development was high.
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