Tailoring and evaluating an evidence-based group family intervention program for parents in indigenous communities

This presentation details research evaluating the efficacy and cultural acceptability of a group behavioural family intervention program (Group Triple P – Positive Parenting Program) tailored for Australian indigenous families. This preventively oriented, early intervention program incorporates parent education groups, print and video materials, which aim to promote positive parent-child relationships, and to help parents develop effective management strategies for common behaviour problems and developmental issues. Cultural tailoring involved broad community consultation in relation to program resources and format. A pilot randomised controlled trial showed that, compared waitlist controls, group participants reported significantly lower rates of problem child behaviour and lower reliance on dysfunctional parenting practices of authoritarian discipline, anger and irritability, with a further significant reduction found for lax or permissive discipline by 6-month follow-up. There were high rates of consumer satisfaction and positive comments about the cultural acceptability of the program. Also presented is an update on an effectiveness evaluation of program implementation in regional and remote community health services across Australia. The need for culturally appropriate parenting programs, issues experienced by indigenous Health Workers, and implications for the dissemination of family interventions in indigenous communities are discussed