Skip to content

Preventing preschool behaviour problems: A community based, cluster-controlled trial.

Preventing preschool externalising behaviour problems: A cluster controlled trial evaluating the 'Toddlers Without Tears' parenting program delivered at age 8-15 months

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12606000239561
Acronym
TWT – Toddlers Without Tears
Enrollment
370
Registered
2006-06-15
Start date
2004-02-01
Completion date
Unknown
Last updated
2026-02-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The study aims to prevent the development of child externalizing behaviour problems (eg aggression, oppositional defiance) by offering parents anticipatory guidance on how to effectively manage toddler behaviour. Up to 20% of Australian children aged 4 to 16 years experience significant behaviour problems and only ¼ of these receive professional help. Treating established problems is time and cost intensive and so a prevention approach is required. This community-based study will assess the effectiveness of a parenting program designed to promote warm and appropriate parenting, and to offer alternatives to harsh, punitive parenting (known to contribute to externalising problems). MCH nurses deliver the program. It is the first study of its kind in the world to offer a universal, primary health care preventive program for externalising behaviour problems.

Interventions

Arm A - Intervention: Parenting program (one 15-minute session at the routine individual Maternal and Child Health (MCH) 8-month visit, and two 2-hour group sessions when the children are ages 12 and 15 months) that discuss normal toddler behaviour development, ways to encourage desirable behaviour, and ways to manage misbehaviour. Strategies were derived from systematic reviews of parenting programs for treating established child externalising behaviour problems. Programs delivered by Maternal

Arm A - Intervention: Parenting program (one 15-minute session at the routine individual Maternal and Child Health (MCH) 8-month visit, and two 2-hour group sessions when the children are ages 12 and 15 months) that discuss normal toddler behaviour development, ways to encourage desirable behaviour, and ways to manage misbehaviour. Strategies were derived from systematic reviews of parenting programs for treating established child externalising behaviour problems. Programs delivered by Maternal and Child Health (MCH) Nurses and co-facilitated by parenting experts.

Sponsors

Dr Harriet Hiscock
Lead SponsorIndividual

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
0 to No maximum
Healthy volunteers
No

Inclusion criteria

Eligible participants were parents of children aged 6 months attending community well-child clinics across 6 Melbourne local government areas during August/September 2004. Families were recruited from a broad sociodemographic sample.

Exclusion criteria

Parents with insufficient English to attend a parenting group and complete brief written questionnaires.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026