Evidence map›Paper›PMID 40106207›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique2025

Examining the rollout of the Triple P system parenting program in Manitoba on rates of child maltreatment: Administrative data analyses and document review of policies and programs.

Divya Joshi, Marni Brownell, Elizabeth Decaire, Rob Santos, Isuru Dharmasena, Heather Prior, Okechukwu Ekuma, Charlene Attard, Tracie O Afifi, Andrea Gonzalez

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Article in Canadian journal of public health = Revue canadienne de sante publique, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Divya JoshiDepartment of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada.
Marni BrownellDepartment of Community Health Sciences, Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, MB, Canada.
Elizabeth DecaireFirst Nations Health and Social Secretariat of Manitoba, Winnipeg, MB, Canada.
Rob SantosDepartment of Community Health Sciences, Manitoba Centre for Health Policy, University of Manitoba, Winnipeg, MB, Canada.
Isuru DharmasenaManitoba Centre for Health Policy, Winnipeg, MB, Canada.
Heather PriorManitoba Centre for Health Policy, Winnipeg, MB, Canada.
Okechukwu EkumaManitoba Centre for Health Policy, Winnipeg, MB, Canada.
Charlene AttardDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada.
Tracie O AfifiDepartments of Community Health Sciences and Psychiatry, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB, Canada.
Andrea GonzalezDepartment of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada. gonzal@mcmaster.ca.ORCID 0000-0003-0087-830X

Funding

Public Health Agency of Canada 1819-HQ-000068
6 · The paper itself

Abstract

interventionTriple P is a multilevel parenting program aimed at promoting children's emotional, social, and behavioural competence and preventing behavioural problems through supporting parents in positive parenting. RESEARCH QUESTION: Examine the rollout of the Triple P system parenting program on child maltreatment rates in Manitoba, Canada, using administrative data analysis and document review of policies and programs.

methodsThis population-based retrospective cohort study included 962,170 children aged 18 years or younger. Administrative healthcare and social services data from the Manitoba Population Research Data Repository were used to compare child maltreatment indicators before (1989-2004) and after (2005-2018) Triple P implementation.

resultsCompared to before Triple P implementation, injury hospitalization rates were lower in the early (2005-2011) and later (2012-2018) periods of implementation. Maltreatment hospitalization and violent death rates were not statistically different in the early period, but they were lower in the later period of Triple P implementation. The interrupted time-series analysis showed that after Triple P intervention in 2005, injury hospitalization rates increased until 2012, followed by a gradual decline through 2018, compared to the expected trend without the intervention. Maltreatment hospitalization trends displayed a decline until 2012, followed by an increase, and then a gradual decline from 2014 to 2018 relative to the anticipated trend without the intervention. These trends varied by age, sex, income quintiles, and region.

conclusionTriple P is one of several programs that may have contributed to reductions in child maltreatment rates observed in Manitoba since the implementation of the program.

Indexed as

Child AbuseParentingAdolescentChildChild, PreschoolFemaleHospitalizationHumansInfantMaleManitobaProgram EvaluationRetrospective StudiesAdministrative dataChild maltreatmentParenting programsTriple P

Identifiers

PMID40106207
PMCPMC12684825

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.