Child Welfare Involved Parents and Pathways Triple P: Perceptions of Program Acceptability and Appropriateness.

Nearly half of children in the child welfare system have clinically significant behavior problems and are at risk of developing disruptive behavioral disorders. Yet, behavioral parent training interventions, which are the most effective way to treat these problems, are rarely provided to child welfare involved families. As a result, little is known about the acceptability and appropriateness of these parent training interventions with these families. This qualitative study explored implementation outcomes of an evidenced-based parenting intervention, Pathways Triple P, with families in the child welfare system. Semi-structured interviews were conducted with parents investigated for child maltreatment (n=47); following participation in the Pathways Triple P. Parents were asked about their perceptions of acceptability (program satisfaction) and appropriateness (program fit). Despite the complicated and often chaotic lives common among this vulnerable population, study findings suggest that most parents found the intervention to be useful and relevant. Pathways Triple P's content, structure and materials for parents were key aspects of acceptability and appropriateness. Barriers to participation were also identified separately for parents who did not receive the full dosage of the intervention. Study findings indicate that Pathways Triple P is a promising strategy to improve behavioral health outcomes for maltreated children and increase positive parenting behaviors for child welfare involved parents.