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Abstract
Introduction The population-based (Lililwan) study of fetal alcohol spectrum disorder (FASD) revealed a high prevalence of FASD in the remote communities of the Fitzroy Valley, Western Australia (WA) and confirmed anecdotal reports from families and teachers that challenging child behaviours were a significant concern. In response, Marninwarntikura Women’s Resource Centre initiated a partnership with researchers from The University of Sydney to bring the positive parenting program (Triple P) to the Valley. Triple P has been effective in increasing parenting skills and confidence, and improving child behaviour in various Indigenous communities.
Methods and analysis Extensive consultation with community leaders, service providers, Aboriginal health networks and academic institutions was undertaken and is ongoing. Based on community consultations, the intervention was adapted to acknowledge local cultural, social and language complexities. Carers of children born after 1 January 2002 and living in the Fitzroy Valley are invited to participate in Group Triple P, including additional Stepping Stones strategies for children with complex needs. Programme are delivered by local community service workers, trained and accredited as Triple P providers or ‘parent coaches’. Assessments for parent coach pretraining and post-training includes their perceived ability to deliver the intervention and the cultural appropriateness of the programme. Carers complete preintervention and postintervention and 6-month follow-up assessments of parenting practices, self-efficacy and child behaviour.
Ethics and dissemination Approval was granted by the University of Sydney Human Ethics Committee, WA Aboriginal Health Ethics Committee, WA Country Health Services Ethics Committee and Kimberley Aboriginal Health Planning Forum. Consultation with community is imperative for efficacy, engagement, community ownership and sustainability of the programme, and will be ongoing until findings are disseminated. Anonymous findings will be disseminated through peer-reviewed journals, community feedback sessions and scientific forums.
- aboriginal
- indigenous
- parenting
- triple P
- fetal alcohol spectrum disorder
- FASD
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Footnotes
Contributors EA and CM (UQ doctoral candidate) are research officers on the Jandu Yani U project and have made a significant contribution to the coordination of the project, including data collection and analysis, and development of this paper. KT is an associate investigator on the project and has contributed to the design of the project and programme resource revisions. JD and ST represent MWRC and have provided input into the local tailoring of the research design and conduct of the intervention. EJE and SE are chief investigators on the project are responsible for the conception and management of the project. All authors have contributed to the drafting of this paper and have approved the final version.
Funding This work is supported by a grant from the Australian National Health and Medical Research Council (NHMRC) targeted call for research into Fetal Alcohol Spectrum Disorder (#1068620). EJE is supported by a NHMRC practitioner fellowship (#1135959 and #1021480) and a NHMRC Centre of Research Excellence grant (#1110341).
Competing interests The Triple P—positive parenting program is owned by The University of Queensland (UQ). The university, through its main technology transfer company UniQuest Pty Ltd, has licensed Triple P International Pty Ltd (TPI) to publish and disseminate the programme worldwide. Royalties stemming from this dissemination activity are distributed to the Parenting and Family Support Centre, School of Psychology, Faculty of Health and Behavioural Sciences, and contributory authors. No author has any share or ownership in TPI. Karen Turner is a contributory author and receives royalties from TPI.
Patient consent for publication Not required.
Provenance and peer review Not commissioned; peer reviewed for ethical and funding approval prior to submission.
Data availability statement Data are available upon reasonable request.