Trial Review

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Trial registered on ANZCTR


Registration number
ACTRN12625000954426
Ethics application status
Approved
Date submitted
30/05/2025
Date registered
1/09/2025
Date last updated
1/09/2025
Date data sharing statement initially provided
1/09/2025
Type of registration
Prospectively registered

Titles & IDs
Public title
Evaluation of the National Roll-out of the Triple P Online System across four new online variants; Family Transitions Triple P Online, Stepping Stones Triple P Online, Resilience Triple P Online, and Teen Triple P Online.
Scientific title
Efficacy of the National Roll-out of the Triple P Online System across four new online variants for 1) parents going through separation or divorce, 2) parents of children with disability, 3) parents of children experiencing friendship difficulties or bullying, and 4) parents of teenagers,
Secondary ID [1] 314071 0
None
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Child behaviour and emotional adjustment 336827 0
Parenting children with disabilities 336829 0
Parenting during separation/divorce 336830 0
Parenting adolescence 336832 0
Parenting children having friendship difficulties or being bullied 336833 0
Condition category
Condition code
Mental Health 333317 333317 0 0
Studies of normal psychology, cognitive function and behaviour
Public Health 333318 333318 0 0
Health promotion/education

Intervention/exposure
Study type
Observational
Patient registry
False
Target follow-up duration
Target follow-up type
Description of intervention(s) / exposure
This study will take advantage of a roll-out of the Triple P Online System (TPOS) within Australia to collect data on effectiveness in a practice-as-usual context. The TPOS has been funded for dissemination to all eligible Australian parents by the Commonwealth Government’s Parenting and Education Support Program since 2022 and is a web-based platform that provides parents with access to Triple P Online variants including the four newly rolled out or soon to be rolled out programs under evaluation in the current study (commencing July 2025); Family Transitions Triple P Online, Stepping Stones Triple P Online, Resilience Triple P Online and Teen Triple P Online.

The Triple P Online programs that form part of TPOS provide parents with a range of resources and tools, including interactive modules, videos, and self-help materials, to support their parenting journey. The programs contain between four and ten online modules that each take approximately 30 minutes to complete. Participants will have access to the TPOS for 12 months from enrolment, however, for the purposes of this study, observation will only occur for 6 months after enrolment.

Family Transitions Triple P Online – Includes five self-paced modules and is designed for parents of children under 12 years who are thinking about, going through, or have recently gone through separation or divorce. The program aims to manage emotions, reduce conflict, and support their children’s adjustment. Topics include managing your own emotional reactions, improving communication with your former partner, helping children cope with family changes, and creating a stable, supportive home environment.

Stepping Stones Triple P Online – Includes ten self-paced modules designed for parents and carers of children aged under 12 years with developmental disabilities, neurodiversity (such as Autism and ADHD), or additional needs. The program provides practical strategies to support children's development, manage challenging behaviours, and enhance family life. Topics include building daily routines, improving communication, teaching new skills, encouraging independence, and fostering emotional regulation. It also offers tools to reduce parental stress and strengthen the parent-child relationship.

Resilience Triple P Online – Includes four self-paced modules designed for parents of children under 12 who are experiencing difficulties with friendships or bullying. It focuses on building children’s social and emotional skills that reduce the risk of being bullied, while empowering parents to support their child's development and collaborate effectively with schools. Parents receive practical training in how to respond to bullying, coach their children in social skills, and create supportive home environments. The program uses active skills training with video demonstrations, practice, feedback, and home tasks to consolidate learning and improve peer relationships and emotional resilience.

Teen Triple P Online – Includes six self-paced modules designed for parents of pre-teens and teenagers aged 10 to 16 years. The program offers practical strategies to strengthen family relationships, encourage responsible behaviour, and support teens' emotional well-being. Topics include understanding positive parenting principles for teenagers, promoting new skills and emotional self-regulation, managing misbehaviour, and planning for high-risk situations. It also provides tools to improve communication and reduce conflict within the family.

Participant process data including use of and engagement with the TPOS system will be observed, and parent questionnaire responses will be collected to measure program efficacy. The questionnaires used will be different for each program, with each battery of questionnaires taking approximately 15 minutes. Questionnaires include -

For Family Transitions Triple P Online
- The Psychological Adjustment to Separation Test (PAST; Sweeper & Halford, 2006)
- The Parenting Self-Regulation Scale (Tellegen et al., 2022).
- Child adjustment to separation/divorce questions

For Stepping Stones Triple P Online
- Child Adjustment and Parent Efficacy Scale-Developmental Disability (CAPES-DD; Emser et al., 2016)
- The Parenting and Family Adjustment Scale (PAFAS; Sanders & Morawska, 2010b)
- The Parenting Self-Regulation Scale (Tellegen et al., 2022)

For Resilience Triple P Online
- Feelings Checklist (Luby et al., 2004), a parental report of child depressive symptoms.
- The Peer Relationship Problems subscale of the extended CAPES (Ma et al., 2024)
- The Facilitative Parenting Scale (FPS; Healy & Sanders, 2008c)

For Teen Triple P Online
- Adolescent Functioning Scale: Parent Report (Dittman et al., 2016; Dittman et al., 2024)
- Parent-Adolescent Relationship Scale: Parent Version (PARS; (Burke et al., 2021)
- The Parenting Self-Regulation Scale (Tellegen et al., 2022)
Intervention code [1] 330647 0
Not applicable
Comparator / control treatment
No control group
Control group
Uncontrolled

Outcomes
Primary outcome [1] 341409 0
For Family Transitions Triple P Online (FT-TPOL) - Parent's adjustment to separation
Timepoint [1] 341409 0
Baseline, 10 weeks after starting intervention (primary timepoint), 6-month follow-up
Primary outcome [2] 341410 0
For Stepping Stones Triple P Online (SS-TPOL) - Children’s emotional problems
Timepoint [2] 341410 0
Baseline, 10 weeks after starting intervention (primary timepoint), 6-month follow-up
Primary outcome [3] 341411 0
For Resilience Triple P Online (R-TPOL) - Composite outcome of parenting practices related to supporting children’s peer skills and relationships
Timepoint [3] 341411 0
Baseline, 10 weeks after starting intervention (primary timepoint), 6-month follow-up
Secondary outcome [1] 447420 0
PRIMARY OUTCOME: For Teen Triple P Online - Parent-reported adolescent problem behaviour
Timepoint [1] 447420 0
Baseline, 10 weeks after starting intervention (primary timepoint), 6-month follow-up
Secondary outcome [2] 447422 0
For Family Transitions Triple P Online (FT-TPOL) - Parental self-regulation
Timepoint [2] 447422 0
Baseline, 10 weeks after starting intervention, 6-month follow-up
Secondary outcome [3] 447423 0
For Stepping Stones Triple P Online (SS-TPOL) - Parenting practices
Timepoint [3] 447423 0
Baseline, 10 weeks after starting intervention, 6-month follow-up
Secondary outcome [4] 447424 0
For Stepping Stones Triple P Online (SS-TPOL) - Parental Self-Regulation
Timepoint [4] 447424 0
Baseline, 10 weeks after starting intervention, 6-month follow-up
Secondary outcome [5] 447425 0
For Resilience Triple P Online (R-TPOL) - Parent reported child depressive symptoms
Timepoint [5] 447425 0
Baseline, 10 weeks after starting intervention, 6-month follow-up
Secondary outcome [6] 447426 0
For Resilience Triple P Online (R-TPOL) - Parent reported peer relationship problems
Timepoint [6] 447426 0
Baseline, 10 weeks after starting intervention, 6-month follow-up
Secondary outcome [7] 447427 0
For Teen Triple P Online - Parent-report of the quality of the parent-adolescent relationship
Timepoint [7] 447427 0
Baseline, 10 weeks after starting intervention, 6-month follow-up
Secondary outcome [8] 447428 0
For Teen Triple P Online - Parental Self-Regulation
Timepoint [8] 447428 0
Baseline, 10 weeks after starting intervention, 6-month follow-up
Secondary outcome [9] 448885 0
For Family Transitions Triple P Online (FT-TPOL) - Child adjustment to separation
Timepoint [9] 448885 0
Baseline, 10 weeks after starting intervention (primary timepoint), 6-month follow-up
Secondary outcome [10] 448887 0
PRIMARY OUTCOME: For Stepping Stones Triple P Online (SS-TPOL) - Children’s behavioural problems
Timepoint [10] 448887 0
Baseline, 10 weeks after starting intervention (primary timepoint), 6-month follow-up
Secondary outcome [11] 448890 0
PRIMARY OUTCOME: For Stepping Stones Triple P Online (SS-TPOL) - Parent efficacy
Timepoint [11] 448890 0
Baseline, 10 weeks after starting intervention (primary timepoint), 6-month follow-up
Secondary outcome [12] 448891 0
PRIMARY OUTCOME: For Teen Triple P Online - Parent-reported adolescent positive development
Timepoint [12] 448891 0
Baseline, 10 weeks after starting intervention (primary timepoint), 6-month follow-up
Secondary outcome [13] 448895 0
For Stepping Stones Triple P Online (SS-TPOL) - Family adjustment
Timepoint [13] 448895 0
Baseline, 10 weeks after starting intervention, 6-month follow-up

Eligibility
Key inclusion criteria
Parents living in Australia who access and register for the national roll out of Triple P Online System. Specific inclusion criteria vary based on the program registered for.

For Family Transitions Triple P Online
- Parents of children under 12 who are thinking about, going through, or have recently gone through separation or divorce

For Stepping Stones Triple P Online
- Parents of children under 12 years who have a disability

For Resilience Triple P Online
- Parents of children under 12 years who are experiencing friendship difficulties or bullying

For Teen Triple P Online
- Parents of adolescents between 10 and 16 years old

Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
Yes
Key exclusion criteria
N/A

Study design
Purpose
Duration
Longitudinal
Selection
Timing
Statistical methods / analysis

Recruitment
Recruitment status
Not yet recruiting
Date of first participant enrolment
Anticipated
8/09/2025
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
1200
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,WA,VIC

Funding & Sponsors
Funding source category [1] 318577 0
Commercial sector/Industry
Name [1] 318577 0
Triple P International
Country [1] 318577 0
Australia
Primary sponsor type
University
Name
The University of Queensland
Address
Country
Australia
Secondary sponsor category [1] 320975 0
Commercial sector/Industry
Name [1] 320975 0
Triple P International
Address [1] 320975 0
Country [1] 320975 0
Australia

Ethics approval
Ethics application status
Approved
Ethics committee name [1] 317177 0
The University of Queensland Human Research Ethics Committee
Ethics committee address [1] 317177 0
Ethics committee country [1] 317177 0
Australia
Date submitted for ethics approval [1] 317177 0
24/03/2025
Approval date [1] 317177 0
16/04/2025
Ethics approval number [1] 317177 0

Summary
Brief summary
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 140254 0
Prof Alina Morawska
Address 140254 0
Parenting and Family Support Centre School of Psychology University of Queensland 13 Upland Road ST LUCIA QLD 4072
Country 140254 0
Australia
Phone 140254 0
+61 7 336 57304
Fax 140254 0
Email 140254 0
[email protected]
Contact person for public queries
Name 140255 0
Alina Morawska
Address 140255 0
Parenting and Family Support Centre School of Psychology University of Queensland 13 Upland Road ST LUCIA QLD 4072
Country 140255 0
Australia
Phone 140255 0
+61 7 336 57304
Fax 140255 0
Email 140255 0
[email protected]
Contact person for scientific queries
Name 140256 0
Alina Morawska
Address 140256 0
Parenting and Family Support Centre School of Psychology University of Queensland 13 Upland Road ST LUCIA QLD 4072
Country 140256 0
Australia
Phone 140256 0
+61 7 336 57304
Fax 140256 0
Email 140256 0
[email protected]

Data sharing statement
Will the study consider sharing individual participant data?
No


What supporting documents are/will be available?

No Supporting Document Provided


Results publications and other study-related documents

Documents added manually
No documents have been uploaded by study researchers.

Documents added automatically
No additional documents have been identified.