Journal of Child and Family Studies

, Volume 23, Issue 5, pp 934–944 | Cite as

Conscious Parenting: A Qualitative Study on Swedish Parents’ Motives to Participate in a Parenting Program

  • Johanna Rahmqvist
  • Michael B. WellsEmail author
  • Anna Sarkadi
Original Paper


Triple P is a parenting program that aims to prevent behavioral, emotional, and developmental problems in children. Because Triple P is a new parenting program in Sweden, it is important to see how parents felt about the intervention. The aim of this study was to find out why parents of preschool children chose to participate in Triple P in Sweden, what they thought of the Triple P curriculum, and how the program related to their parenting philosophy in general. This is a qualitative study using semi-structured interviews with seven mothers and three fathers who participated in Triple P. The interviews were transcribed verbatim and were analysed using Malterud’s method of Systematic Text Condensation. Parents chose to participate in Triple P for several reasons: they wanted to learn more about the intervention; they had specific problems that they sought help for; or they felt encouraged to participate due to advertisements and recommendations from friends. Of the Triple P curriculum, the participants especially enjoyed the “directed discussion” technique, the positive reinforcement sections, and the instructions on how to communicate effectively with their child by staying calm, close, and maintaining eye contact. It was important for many of the parents to feel validated and respected, and they liked having discussions with the preschool teacher rather than being told what to do. Parents in this Swedish sample generally liked and selectively used the strategies they learned from participating in Triple P, depending on how well these fit with their own parenting experiences and philosophy.


Sweden Qualitative research Triple P Child behavior Parents program 



The research was supported by a grant from the National Institute of Public Health, grant number HSÅ 2008/214. We wish to thank Pär Bokström for helping to analyze the interviews and supervising the research project.


  1. Bor, William, Sanders, Matthew R., & Markie-Dadds, Carol. (2002). The effects of the Triple P-positive parenting program on preschool children with co-occurring disruptive behavior and attentional/hyperactive difficulties. Journal of Abnormal Child Psychology, 30(6), 571–587.PubMedCrossRefGoogle Scholar
  2. Börjesson, Britt, Paperin, Christina, & Lindell, Marianne. (2004). Maternal support during the first year of infancy. Journal of Advanced Nursing, 45(6), 588–594.PubMedCrossRefGoogle Scholar
  3. Bremberg, S. (2004). Nya verktyg för föräldrar: förslag till nya former av föräldrastöd (New tools for parents: Proposals for new forms of parenting) (Vol. 49). Sweden: Statens folkhälsoinstitut Stockholm.Google Scholar
  4. Buehler, C., & Gerard, J. M. (2002). Marital conflict, ineffective parenting, and children’s and adolescents’ maladjustment. Journal of Marriage and Family, 64, 78–92.CrossRefGoogle Scholar
  5. Cina, A., Blattner-Bolliger, D., Bodenmann, G., Hahlweg, K., & Sanders, M. R. (2006). Positive Parenting Program (Triple P): Theoretischer und empirischer Hintergrund und erste Erfahrungen im deutschsprachigen Raum. [Positive Parenting Program (Triple P): Its theoretical and empirical background and first experiences with this approach in German speaking Europe]. Zeitschrift für Familienforschung (Journal of Family Research), 18(1), 66–88.Google Scholar
  6. de Graaf, I., Speetjens, P., Smit, F., de Wolff, M., & Tavecchio, L. (2008). Effectiveness of the Triple P Positive Parenting Program on behavioral problems in children: A meta-analysis. Behavior Modification, 32(5), 714–735.PubMedCrossRefGoogle Scholar
  7. Duvander, Ann-Zofie. (2008). Family policy in Sweden: An overview. Social Insurance Report, 15, 1–18.Google Scholar
  8. Fägerskiöld, A. M., & Ek, A.-C. (2003). Expectations of the Child Health Nurse in Sweden: Two perspectives. International Nursing Review, 50, 119–128.PubMedCrossRefGoogle Scholar
  9. Fägerskiöld, A. M., Wahlberg, V., & Ek, A.-C. (2000). What child health nurses believe mothers with infants expect of them. Nursing and Health Sciences, 2, 83–91.CrossRefGoogle Scholar
  10. Furlong, M., McGilloway, S., Bywater, T., Hutchings, J., Smith, S.M., & Donnelly, M. (2012). Behavioural and cognitive‐behavioural group‐based parenting programmes for early‐onset conduct problems in children aged 3–12 years. Cochrane Database of Systematic Reviews(2). doi:  10.1002/14651858.CD008225.pub2.
  11. Gallart, Sonia C., & Matthey, Stephen. (2005). The effectiveness of group Triple P and the impact of the four telephone contacts. Behaviour Change, 22(2), 71–80.CrossRefGoogle Scholar
  12. Guldbrandsson, K., & Bremberg, S. (2006). Two approaches to school health promotion–a focus on health-related behaviours and general competencies. An ecological study of 25 Swedish municipalities. Health Promotion International, 21(1), 37–44.PubMedCrossRefGoogle Scholar
  13. Gustafsson, L.H. (2009). Förskolor använder sektmetod. Retrieved Sept 15 2012, from
  14. Hannon, P., Morgan, Anne, & Nutbrown, C. (2006). Parents’ experiences of a family literacy programme. Journal of Early Childhood Research, 4, 19–44.CrossRefGoogle Scholar
  15. Kaminski, W., Jennifer, V., Anne, L., Filene, J. H., & Boyle, C. L. (2008). A meta-analytic review of components associated with parent training program effectiveness. Journal of Abnormal Child Psychology, 36(4), 567–589.PubMedCrossRefGoogle Scholar
  16. Krishnakumar, A., & Buehler, C. (2000). Interparental conflict and parenting behaviors: A meta-analytic review. Family Relations, 49, 25–44.CrossRefGoogle Scholar
  17. Leung, C., Sanders, M. R., Leung, S., Mak, R., & Lau, J. (2003). An Outcome evaluation of the implementation of the Triple P-Positive Parenting Program in Hong Kong. Family Process, 42(4), 531–544.PubMedCrossRefGoogle Scholar
  18. Malterud, K. (2012). Systematic text condensation: A strategy for qualitative analysis. Scandinavian Journal of Public Health, 40(8), 795–805.PubMedCrossRefGoogle Scholar
  19. Malti, T., Ribeaud, D., & Eisner, M. P. (2011). The effectiveness of two universal preventive interventions in reducing children’s externalizing behavior: A cluster randomized controlled trial. Journal of Clinical Child and Adolescent Psychology, 40(5), 677–692.PubMedCrossRefGoogle Scholar
  20. Marmot, M., Atkinson, T., Bell, J., Black, C., Broadfoot, P., Cumberlege, J., Mulgan, G. (2010). Fair society, healthy lives: The marmot review, executive summary. From
  21. Morawska, A., & Sanders, M. R. (2006). A review of parental engagement in parenting interventions and strategies to promote it. Journal of Children’s Services, 1(1), 29–40.Google Scholar
  22. Morawska, A., Sanders, M. R., Goadby, E., Headley, C., Hodge, L., McAuliffe, C., et al. (2011). Is the Triple P-Positive Parenting Program acceptable to parents from culturally diverse backgrounds? Journal of Child and Family Studies, 20(5), 614–622.CrossRefGoogle Scholar
  23. Nowak, C., & Heinrichs, N. (2008). A comprehensive meta-analysis of Triple P-Positive Parenting Program using hierarchical linear modeling: Effectiveness and moderating variables. Clinical Child and Family Psychology Review, 11(3), 114–144.PubMedCrossRefGoogle Scholar
  24. Patterson, G. R., Chamberlain, P., & Reid, J. B. (1982). A Comparative evaluation of a Parent-Training Program. Behavior Therapy, 13, 638–650.CrossRefGoogle Scholar
  25. Prinz, R. J., Sanders, M. R., Shapiro, C. J., Whitaker, D. J., & Lutzker, J. R. (2009). Population-based prevention of child maltreatment: The US Triple P system population trial. Prevention Science, 10(1), 1–12.PubMedCrossRefGoogle Scholar
  26. Sandelowski, M. (1986). The problem of rigor in qualitative research. Advances in Nursing Science.Google Scholar
  27. Sanders, M. R. (1999). Triple P-Positive Parenting Program: Towards an empirically validated multilevel parenting and family support strategy for the prevention of behavior and emotional problems in children. Clinical Child and Family Psychology Review, 2(2), 71–90.PubMedCrossRefGoogle Scholar
  28. Sanders, M. R. (2000). Community-based parenting and family support interventions and the prevention of drug abuse. Addictive Behaviors, 25(6), 929–942.PubMedCrossRefGoogle Scholar
  29. Sanders, M. R. (2008). Triple P-Positive Parenting Program as a public health approach to strengthening parenting. Journal of Family Psychology, 22(4), 506.PubMedCrossRefGoogle Scholar
  30. Sanders, M. R., Markie-Dadds, C., Tully, L. A., & Bor, W. (2000). The triple P-positive parenting program: a comparison of enhanced, standard, and self-directed behavioral family intervention for parents of children with early onset conduct problems. Journal of Consulting and Clinical Psychology, 68(4), 624.PubMedCrossRefGoogle Scholar
  31. Sanders, M. R., Markie-Dadds, C., & Turner, K. M. T. (2003). Theoretical, scientific and clinical foundations of the Triple P-Positive Parenting Program: A population approach to the promotion of parenting competence (Vol. 1). Queensland: Parenting and Family Support Centre, The University of Queensland.Google Scholar
  32. Sarkadi, Anna (red). (2009). Föräldrastöd i Sverige idag: vad, när och hur?: rapport till Statens Folkhälsoinstitut (Parent in Sweden today : what, when and how ?: Report to the National Institute of Public Health). Institutionen för kvinnors och barns hälsa (Institute for Women’s and Children’s Health).Google Scholar
  33. Spoth, R., & Redmond, C. (1995). Parent motivation to enroll in parenting skills programs: A model of family Context and health belief predictors. Journal of Family Psychology, 9(3), 294–310.CrossRefGoogle Scholar
  34. Stenhammar, C., Wells, M., Åhman, A., Wettergren, B., Edlund, B., & Sarkadi, A. (2012). Children are exposed to temptation all the time’–parents’ lifestyle-related discussions in focus groups. Acta Paediatrica, 101(2), 208–215.PubMedCrossRefGoogle Scholar
  35. Swedish Council on Health Technology Assessment. (2010). Program för att förebygga psykisk ohälsa hos barn: en systematisk litteraturöversikt. (Programs to prevent mental illness in children: A systematic literature review). Stockholm.Google Scholar
  36. Taylor, Ted K., & Biglan, Anthony. (1998). Behavioral family interventions for improving child-rearing: A review of the literature for clinicians and policy makers. Clinical Child and Family Psychology Review, 1(1), 41–60.PubMedCrossRefGoogle Scholar
  37. Thomas, R., & Zimmer-Gembeck, M. J. (2007). Behavioral outcomes of parent-child interaction therapy and Triple P—Positive Parenting Program: A review and meta-analysis. Journal of Abnormal Child Psychology, 35(3), 475–495.PubMedCrossRefGoogle Scholar
  38. Triple P. (2011). Triple P Positive Parenting Program for every parent. Retrieved 2011-08-15, 2011, from
  39. Turner, K. M. T., & Sanders, M. R. (2006). Help when it’s needed first: A controlled evaluation of brief, preventive behavioral family intervention in a primary care setting. Behavior Therapy, 37(2), 131–142.PubMedCrossRefGoogle Scholar
  40. Wells, M. B., & Sarkadi, A. (2012). Do father-friendly policies promote father-friendly child-rearing practices? A review of Swedish parental leave and child health centers. Journal of Child and Family Studies, 21(1), 25–31.CrossRefGoogle Scholar
  41. Zubrick, S. R., Ward, K. A., Silburn, S. R., Lawrence, D., Williams, A. A., Blair, E., et al. (2005). Prevention of child behavior problems through universal implementation of a group behavioral family intervention. Prevention Science, 6, 287–304.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Johanna Rahmqvist
    • 1
  • Michael B. Wells
    • 1
    Email author
  • Anna Sarkadi
    • 1
  1. 1.Department of Women’s and Children’s HealthUppsala UniversityUppsalaSweden

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