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Effectiviteit van Triple P in Nederland: stand van zaken en controverse

Effectiveness of Triple P in the Netherlands: state of affairs and controversy

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Kind en adolescent

Samenvatting

Inleiding

Het opvoedprogramma Triple P wordt in ruim de helft van de Nederlandse gemeenten aangeboden. In dit artikel geven we de effecten van Triple P weer die worden gevonden in internationale meta-analyses en Nederlandse onderzoeken. Daarnaast bespreken we controverses rondom het onderzoek naar Triple P.

Methode

We bespreken systematisch internationale meta-analyses en Nederlandse onderzoeken met een controlegroep.

Resultaten

In buitenlands onderzoek lijkt het effect van Triple P op gedragsproblemen van kinderen en opvoedvaardigheden van ouders groter dan dat van gebruikelijke zorg. In Nederland is de effectiviteit van Triple P niveau 3 en 4 echter niet groter dan die van gebruikelijke zorg; de andere niveaus zijn niet onderzocht.

Conclusie

Belangenverstrengeling van de ontwikkelaars van Triple P lijkt de resultaten van buitenlandse onderzoeken, waar zij vaak bij betrokken zijn, te beïnvloeden. De Nederlandse onderzoeken zijn op één na onafhankelijk en vinden dat Triple P niet effectiever is dan gebruikelijke zorg.

Abstract

Objective

The Triple P – Positive Parenting Program is available in over 50% of the Dutch municipalities. In this article we summarize the effects of Triple P as found in international meta-analyses and Dutch research. We also discuss the controversy surrounding Triple P.

Method

We systematically discuss international meta-analyses and Dutch studies with a control group.

Results

According to international research, the effect of Triple P on child behavioural problems and parenting skills is greater than that of care-as-usual. In the Netherlands, Triple P levels 3 and 4 are not more effective than care-as-usual; other levels of Triple P have not been studied.

Discussion

Conflict of interest among the developers of Triple P appears to influence the results of international research on Triple P in which they are often involved. Dutch research is performed independently of Triple P developers (except for one study) and finds that Triple P is not more effective than care-as-usual.

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Dankbetuiging

Met dank aan prof. dr. Tom van Yperen (Nederlands Jeugdinstituut), dr. Marjolijn Distelbrink (Verwey-Jonker Instituut), dr. Sanne Gerards (Maastricht University), dr. Daniëlle Jansen (Universitair Medisch Centrum Groningen) en dr. Pauline Naber (Hogeschool InHolland) voor het kritisch meelezen van de eerste versie van het manuscript en drs. Carine Kielstra en drs. Marion van Bommel van Families First (Triple P Nederland) voor het geven van informatie over Triple P.

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Authors and Affiliations

  1. Afdeling Medische Psychologie en Maatschappelijk Werk, Wilhelmina Kinderziekenhuis, UMC Utrecht, Lundlaan 6, Huispost KA.00.004.0, 3584 EA, Utrecht, Nederland

    R. Schappin

  2. Programma Zorginnovatie, Trimbos-instituut, Utrecht, Nederland

    I. M. de Graaf

  3. Afdeling Gezondheidswetenschappen, Universitair Medisch Centrum Groningen, Universiteit Groningen, Groningen, Nederland

    S. A. Reijneveld

Authors
  1. R. Schappin
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  2. I. M. de Graaf
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  3. S. A. Reijneveld
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Corresponding author

Correspondence to R. Schappin.

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Links

Factsheet Triple P: https://www.trimbos.nl/producten-en-diensten/webwinkel/product/?prod=AF1417

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Schappin, R., de Graaf, I.M. & Reijneveld, S.A. Effectiviteit van Triple P in Nederland: stand van zaken en controverse. Kind Adolesc 38, 75–90 (2017). https://doi.org/10.1007/s12453-017-0140-0

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  • DOI: https://doi.org/10.1007/s12453-017-0140-0

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