Stepping Stones Triple P (Level 4)

Placement on Continuum of Evidence


Target Audience

Parents of children aged birth to 12 years with developmental disabilities


The Stepping Stones Triple P (SSTP) program is a behavioral family intervention for parents who have children with a developmental disability. Child behavior is changed through parenting practices that include providing children with positive attention and managing behavior through function-based behavioral techniques.


Three randomized controlled trials (RCT) have been conducted on the program. Two of the RCT's were administered with parents who had a young child with a developmental disability and the other RCT was conducted with parents who had a young child with an Autism Spectrum Disorder. All of the RCT's demonstrated a significant decrease in dysfunctional parenting practices and child misbehaviors. Specifically, the RCT's showed a decrease in the child's noncompliance and oppositional behaviors when compared to the control. Two studies had follow-up data going out 6-months and one had follow-up data one year after the intervention, demonstrating the program's sustained effects.


SSTP has two different level 4 formats in which it can be delivered:

Group Stepping Stones Triple P is delivered to parents over the course of nine weeks, which involves six 2½ hour group sessions. The sessions teach parents the principles of positive parenting and how to monitor their child’s behavior. Strategies include developing positive relationships, encouraging desirable behavior, managing misbehavior, and planning for high-risk situations. Content is taught through video demonstrations, skill practice, and positive feedback on the utilization of skills taught. Additionally, three 15-30 minute individual telephone consultations are given to help facilitate independent problem solving.

Standard Stepping Stones Triple P consists of ten 1½ hour individual sessions that cover strategies for encouraging children’s development and managing misbehavior. Parents watch video demonstrations on positive parenting skills, self-select goals and strategies to practice, and receive positive feedback on skills utilized in the clinic and at home. Parents are helped to identify high-risk situations and use a seven-step planned activity training routine to enhance generalization and maintenance.

Previous Use

Over 40,000 service providers have participated in professional Triple P training. Practitioners in countries such as Australia, Belgium, Canada, England, Germany, Hong Kong, Iran, Japan, the Netherlands, New Zealand, Romania, Singapore, Switzerland, and the United States have implemented the Triple P program.


The Stepping Stones Triple P Provider Training Course is offered to practitioners in two parts. Part one consists of a three-day training focusing on delivery and implementation of the program. Part two involves a skills-based accreditation process where practitioners must demonstrate their understanding and familiarity through role-play based competencies and a multiple choice quiz. Training for up to 20 practitioners costs $29,230 for either Group or Standard Stepping Stones Triple P.   


Considerations may include, but are not limited to the following: securing and retaining qualified facilitators, training and program costs, identifying and recruiting participants, obtaining program space, and retaining participants.

The Clearinghouse can help address these considerations. Please call 1-877-382-9185, or email


If you are interested in implementing Stepping Stones Triple P, the Clearinghouse is interested in helping you! Please call 1-877-382-9185, or email


For the Standard SSTP format, 10 regular sessions last for 90 minutes each. For the Group SSTP format six 2½ hour sessions are offered.


Standard SSTP costs $33,792 and Group SSTP costs $21,120. Costs include implementation for one year.

Evaluation Plan

To move SSTP to the Effective category on the Clearinghouse Continuum of Evidence at least one external evaluation must be conducted that demonstrates sustained, positive outcomes. This study must be conducted independent of the program developer.

The Clearinghouse can help you develop an evaluation plan to ensure the program components are meeting your goals. Please call 1-877-382-9185, or email


Contact the Clearinghouse with any questions regarding this program. Phone: 1-877-382-9185    Email:

You can also contact Triple P America, 1201 Lincoln Street, Suite 201, Columbia, South Carolina 29201 at or 1-803-451-2278.

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*Resources and associated costs reflect those identified at the time of fact sheet publication.

For information on the source of this material, please see the PDF version of this fact sheet.