| 1. |
- Dahlberg, Anton, et al.
(författare)
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"Daddy comforts me" : Young Swedish children’s perspectives on their family relations before and after their parents’ participation in a parenting programme
- 2024
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Ingår i: PLOS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 19:3
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Tidskriftsartikel (refereegranskat)abstract
- Despite extensive research assessing parenting support, there is a lack of knowledge about the perspectives of the youngest children. In this study, we explored changes in preschool children's emotional and relational experiences at home before and after their parents participated in a parenting intervention, the Triple P parenting programme. Nine children in total were interviewed, aged 3-6 years, whose parents participated in a group parenting intervention. The interviews were conducted during the first and final group sessions attended by the children's parents. Data were analysed qualitatively, using a longitudinal approach, resulting in a deductive mapping of the children's statements onto four themes, based on the parenting intervention's main objectives. Further, changes in content for each of the four themes were assessed. Before the programme, children described conflicts with siblings, parents' negative emotions, and punitive parenting behaviours. After the programme, sibling conflicts remained, but parents' negative emotions decreased and parent threats and violence ceased. Positive family interactions and quality time increased, along with experiences of tenderness and being comforted. Parents also implemented new strategies such as verbal management and more comforting or soothing behaviours. Clinical implications of the results include promoting positive sibling relationships, emphasising parental self-regulation, encouraging empathy and reconciliation, and highlighting the importance of spending quality time with children. These findings contribute to a better understanding of children's perspectives and provide implications for clinical practice and future research.
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| 2. |
- Dahlberg, Anton, et al.
(författare)
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Successful implementation of parenting support at preschool : An evaluation of Triple P in Sweden
- 2022
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Ingår i: PLOS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 17:4
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Tidskriftsartikel (refereegranskat)abstract
- Although emotional and behavioural problems among young children are common and, if unaddressed, can lead to multi-facetted problems later in life, there is little research investigating the implementation of parenting programs that target these problems. In this study, the RE-AIM framework was used to evaluate the implementation of the Triple P parenting program in a preschool setting at a medium-sized municipality in Sweden. Reach increased over time, showing an overall increase in participating fathers and parents with lower education. Effectiveness outcomes showed an improvement in emotional and behavioural problems in children and less mental health-related symptoms and higher self-efficacy in parents. Adoption rate was 93.3%. To ensure staff "buy-in", designated coordinators made changes in recruitment procedures, and provided supervision and training to all Triple P practitioners. Implementation adaptations were made, such as minor revisions of parenting strategies and other program content, as well as providing child care during seminars and groups, and setting up weekend-groups. Maintenance assessed through 12 month follow-up data suggested that several child and parent outcomes were maintained over time. Uppsala municipality continues to offer Triple P to parents. The reach, effectiveness, adoption, implementation and maintenance of the program were all satisfactory and demonstrated the suitability of delivering evidence-based parenting support using preschools as an arena.
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| 3. |
- Dahlberg, Anton, et al.
(författare)
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'They Yell and I Yell Back' : Pre-schoolers' Descriptions of Conflict Laden Interactions at Home
- 2023
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Ingår i: Journal of Child and Family Studies. - : Springer. - 1062-1024 .- 1573-2843. ; 32:12, s. 3835-3847
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Tidskriftsartikel (refereegranskat)abstract
- Over the past 50 years, extensive research has been published on the parent–child relationship and parenting. However, there are very few examples where young children are at the centre of attention for describing family dynamics, relationships and conflicts. This study aimed at addressing this research and knowledge gap through exploring the emotional and relational experiences of preschool children whose parents attended a universal parenting programme. Seventeen preschool children aged 3–6 were interviewed, using an emotion-focused, pictorial-based computer assisted interview method. The children’s descriptions of their family relationships were analysed using qualitative content analysis. The children described negative interplay within the families in rich detail, especially experiences where conflicts with parents escalated and were left unresolved. Moments of positive family interactions were described as well, but they were heavily overshadowed by the narratives containing negative parenting. The children also described compensatory behaviours, such as looking for comfort from siblings or pets. The narratives in this study gave a unique insight into the emotional and relational domestic context of children in families seeking universally offered parenting support. Given adequate tools and support, children as young as 3 or 4 years old could provide extensive information about their lives. We urge future research examining parenting or family interventions to include the children’s perspectives.
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| 4. |
- Fäldt, Anna, 1975-, et al.
(författare)
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Family-Based Intervention for Substance Using Parents : Experiences and Resource Use
- 2023
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Ingår i: Research on social work practice. - : Sage Publications. - 1049-7315 .- 1552-7581. ; 33:7, s. 810-821
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: The study aimed to assess families? resource use and to explore parents? experiences of the Sofia model, a family-based intervention for parents with substance use disorder (SUD). Methods: Interviews were conducted with 14 parents. Data were analyzed with qualitative content analysis. The resource use assessment was estimated based on data for 40 families referred to the Sofia model and 30 reference families. Results: Parents described difficulties accessing family support and differences in received services in the Sofia model. The intervention lacked focus on the children. Families? communication regarding substance use did not increase. Resource use estimations indicated larger use of services by families in the Sofie model, but little co-parent and child-specific support. Conclusions: The intervention failed its aim to focus on the children, and enhance communication about SUD. Parents voiced a need for more long-term comprehensive support for their children and themselves.
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| 5. |
- Fängström, Karin, et al.
(författare)
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The feasibility of the In My Shoes computer assisted interview for eliciting evaluative content in interviews with young children
- 2020
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Ingår i: Children and youth services review. - : Elsevier BV. - 0190-7409 .- 1873-7765. ; 119
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Tidskriftsartikel (refereegranskat)abstract
- During the last decade the evaluative content of children's accounts in interviews has attracted growing interest. However, research on methods to further enable such accounts remains scarce, specifically with regard to the youngest children. The present explorative study examined to what extent the computer-assisted interview In My Shoes (IMS) aided preschool aged children in verbalising experiences of distress or discomfort. Children aged 4 and 5 years old (N = 28) were interviewed about their annual health visit using IMS. The interviews were analysed qualitatively with a focus on the IMS prompts and children's evaluative statements. The statements were also compared to the coded distress displayed at the video recorded health visit.The results showed that almost all children who in the interviews verbalised experiences of distress/discomfort at the health visit (n = 11) did so in relation to the IMS prompts and questions. These children could describe and distinguish between their emotional reactions and physical sensations. For some of the children who did not verbalise emotional content related to the specific visit, IMS still worked as a prompt to elicit negative emotional experiences associated to other health events (n = 10, whereof 80% were 4 years of age). All 5-year olds who displayed distress at the health visit also verbalised such experiences (n = 6), while almost none of 4-year-olds did so.The conclusion is that IMS appears to be a feasible method to aid children verbalising emotional and physical aspects of negative emotional experiences.
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| 6. |
- Johansson, Nina, et al.
(författare)
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Social workers’ perspectives on a medical home model for children and adolescents in out of home care : an interview study
- 2021
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Ingår i: BMC Health Services Research. - : BioMed Central (BMC). - 1472-6963. ; 21:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: This study seeks to explore how social workers have perceived and experienced a medical home model for children and adolescents in out-of-home care in Uppsala County, Sweden.Method: A qualitative explorative study was conducted, which involved ten semi-structured individual telephone interviews with social workers. The study sample included employees within the social service, working in a specialised case unit who had experience of referring children and/or adolescents to the medical home model called Hälsofam. Data were analysed inductively using thematic analysis.Results: The findings of the current study indicated that working with Hälsofam has offered social workers a way into the health care sector and an active collaborative working situation, with focus on organised work across the ‘silos’ of care services. However, the findings raised the question of whether or not all children and adolescents have the same possibility to receive care from Hälsofam.Conclusion: The findings indicated that the Hälsofam model had a positive impact on the interrelations between the social service and the health care sector. Yet, findings showed that personal views of the social worker and the societal situation in which they operate create limitations for providing care for every child and adolescent. This study adds to the extant literature for it addresses the limitations within the work of children and adolescents in out-of-home care.
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| 7. |
- Sarkadi, Anna, Professor, 1974-, et al.
(författare)
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Are We Ready to Really Hear the Voices of Those Concerned? : Lessons Learned from Listening to and Involving Children in Child and Family Psychology Research
- 2023
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Ingår i: Clinical Child and Family Psychology Review. - : Springer Nature. - 1096-4037 .- 1573-2827.
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Tidskriftsartikel (refereegranskat)abstract
- A changing view of children, accelerated by the Convention of the Rights of the Child (UN in Convention on the rights of the child, UN Doc. A/RES/44/25, 1989, http://www2.ohchr.org/english/law/pdf/crc.pdf) has shifted the landscape of child and family research over the last few decades. Once viewed with low credibility and operating outside the interpretive framework of adult researchers, the rights-bearing child is increasingly recognized not only as having the capacity but also the right to participate in research. More recently, this movement has transitioned from the direct engagement of children as research participants—now considered commonplace, although less so for those who are structurally vulnerable—to the involvement of children in research design, review, conduct, and dissemination. Yet, both practical and ethical challenges remain. While children have the right to participation, they also have the right to protection. In this commentary, we set out to: (i) lay forth epistemic, child rights, and child sociology arguments for doing research about, with and by children and youth; (ii) recount our own journey of including children and youth in research to demonstrate the unique knowledge and insights gained through these approaches; and (iii) offer lessons learned on how to engage children and youth in research, including the involvement of structurally vulnerable groups.
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| 8. |
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| 9. |
- Sarkadi, Anna, Professor, 1974-, et al.
(författare)
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Evaluation of the Teaching Recovery Techniques community-based intervention for unaccompanied refugee youth experiencing post-traumatic stress symptoms (Swedish UnaccomPanied yOuth Refugee Trial; SUPpORT) : study protocol for a randomised controlled trial
- 2020
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Ingår i: Trials. - : NLM (Medline). - 1745-6215. ; 21:1
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: In 2015, 162,877 persons sought asylum in Sweden, 35,369 of whom were unaccompanied refugee minors (URMs). Refugee children, especially URMs, have often experienced traumas and are at significant risk of developing mental health problems, such as symptoms of post-traumatic stress disorder (PTSD), depression and anxiety, which can continue years after resettlement. The Swedish UnaccomPanied yOuth Refugee Trial (SUPpORT) aims to evaluate a community-based intervention, called Teaching Recovery Techniques (TRT), for refugee youth experiencing PTSD symptoms.METHODS/DESIGN: A randomised controlled trial will be conducted in which participants will be randomly allocated to one of two possible arms: the intervention arm (n = 109) will be offered the TRT programme, and the waitlist-control arm (n = 109) will receive services as usual, followed by the TRT programme around 20 weeks later. Outcome data will be collected at three points: pre-intervention (T1), post-intervention (T2; about 8 weeks after randomisation) and follow-up (T3; about 20 weeks after randomisation).DISCUSSION: This study will provide knowledge about the effect and efficiency of a group intervention for URMs reporting symptoms of PTSD in Sweden. TRIAL REGISTRATION: ISRCTN, ISRCTN47820795. Prospectively registered on 20 December 2018.
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| 10. |
- Taljedal, Torun, et al.
(författare)
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Patterns of mental health problems and well-being in children with disabilities in Sweden : A cross-sectional survey and cluster analysis
- 2023
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Ingår i: PLOS ONE. - : NLM (Medline). - 1932-6203. ; 18:7
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Children with disabilities have an increased risk of mental health problems. Patterns of mental health problems and well-being may vary. AIMS: To identify patterns of mental health problems and well-being in children with disabilities in Sweden, and investigate the influence of parental background (migration, education), and child cognitive level. METHOD: In this cross-sectional study, cluster analysis was used to analyse parents' ratings of conduct problems, emotional symptoms, and prosocial behaviour on the Strengths and Difficulties Questionnaire (SDQ) in children with disabilities (n = 136). The influence of parental background (migration, education) and child cognitive level on cluster membership was explored through multinomial logistic regression. RESULTS: Five clusters of mental health patterns emerged. Three clusters had mean ratings near or past clinical cut-off for one each of the SDQ-subscales. One cluster had difficulties on all three subscales. Greater child cognitive difficulties increased the likelihood of low prosocial behaviour (OR 2.501, p < .001) and of difficulties on all three subscales (OR 2.155, p = .006). Parental background did not influence cluster membership. CONCLUSION: Children with disabilities display varying mental health patterns. Awareness of the complexity of mental health patterns among children with disabilities is important. Screening and support for emotional symptoms and prosocial behaviour deficits should be considered for children with conduct problems.
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