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- Lindner, Philip, et al.
(author)
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Combining online Community Reinforcement and Family Training (CRAFT) with a parent-training programme for parents with partners suffering from alcohol use disorder : study protocol for a randomised controlled trial
- 2018
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In: BMJ Open. - : BMJ. - 2044-6055. ; 8:8
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Journal article (peer-reviewed)abstract
- Introduction: Partners and children of individuals with alcohol use disorder (AUD) present with impaired quality of life and mental health, yet seldom seek or participate in traditional supportive interventions. Engaging the parent/partner without AUD in treatment is a promising way of supporting behavioural change in both the child and the parent with AUD. Universal parent-training (PT) programmes are effective in increasing children’s well-being and decreasing problem behaviours, but have yet to be tailored for children with a parent with AUD. Community Reinforcement Approach And Family Training (CRAFT) programmes are conceptually similar, and aim to promote behavioural change in individuals with AUD by having a concerned significant other change environmental contingencies. There has been no study on whether these two interventions can be combined and tailored for partners of individuals with AUD with common children, and delivered as accessible, online self-help.Methods and analysis: n=300 participants with a child showing mental health problems and partner (co-parent) with AUD, but who do not themselves present with AUD, will be recruited from the general public and randomised 1:1 to either a four-module, online combined PT and CRAFT programme or a psychoeducation-only comparison intervention. Primary outcome will be the child’s mental health. Additional outcomes will cover the partner’s drinking, the participants own mental health and drinking, the child’s social adjustment, treatment seeking in all three parties and parental self-efficacy. Measures will be collected preintervention, mid-intervention and postintervention, and three times during a 2-year follow-up period. Data will be analysed using mixed-effects modelling.Ethics and dissemination: This study has been approved by the Stockholm Regional Ethical Review Board (2016/2179-31). The results will be presented at conferences and published as peer-reviewed publications.Trial registration number: ISRCTN38702517; Pre-results.
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- Lindner, Philip, et al.
(author)
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Combining online community reinforcement and family training with a parent training program for parents with partners suffering from alcohol use disorder : Study protocol for a randomized controlled trial
- 2018
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Conference paper (other academic/artistic)abstract
- Introduction: Partners and children of individuals with alcohol use disorder (AUD) present impaired quality of life and mental health, yet seldom seek or participate in traditional supportive interventions. Engaging the parent/partner without AUD in treatment is a promising way of supporting behavior change in both the child and the parent with AUD. Universal parent training (PT) programs are effective in increasing children´s well-being and decreasing problem behaviors, but have yet to be tailored for children with a parent with AUD. Community reinforcement approach and family training (CRAFT) programs are conceptually similar, and aim to promote behavior change in individuals with AUD by having a concerned significant other change environmental contingencies. There has been no study on whether these two interventions can be combined and tailored for partners of individuals with AUD with common children, and delivered as accessible, online self-help. Methods and analysis: N=300 participant who share a child showing mental health problems with a person with AUD, but do not present AUD themselves, will be recruited from the general public and randomized 1:1 to either a four-module, online combined PT and CRAFT program, or a psychoeducation-only comparison intervention. Primary outcome will be the child’s mental health. Additional outcomes will cover the partner’s drinking, the participants own mental health and drinking, the child’s social adjustment, treatment-seeking in all three parties, and parental self-efficacy. Measures will be collected pre-, mid- and post-intervention, and three times during a two-year follow-up period. Data will be analyzed using mixed effects modeling. Trial status: This trial is currently recruiting.
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- Marini, Lorenzo, et al.
(author)
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Climate drivers of bark beetle outbreak dynamics in Norway spruce forests
- 2017
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In: Ecography. - : Wiley. - 0906-7590 .- 1600-0587. ; 40:12, s. 1426-1435
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Journal article (peer-reviewed)abstract
- Bark beetles are among the most devastating biotic agents affecting forests globally and several species are expected to be favored by climate change. Given the potential interactions of insect outbreaks with other biotic and abiotic disturbances, and the potentially strong impact of changing disturbance regimes on forest resources, investigating climatic drivers of destructive bark beetle outbreaks is of paramount importance. We analyzed 17 time-series of the amount of wood damaged by Ips typographus, the most destructive pest of Norway spruce forests, collected across 8 European countries in the last three decades. We aimed to quantify the relative importance of key climate drivers in explaining timber loss dynamics, also testing for possible synergistic effects. Local outbreaks shared the same drivers, including increasing summer rainfall deficit and warm temperatures. Large availability of storm-felled trees in the previous year was also strongly related to an increase in timber loss, likely by providing an alternative source of breeding material. We did not find any positive synergy among outbreak drivers. On the contrary, the occurrence of large storms reduced the positive effect of warming temperatures and rainfall deficit. The large surplus of breeding material likely boosted I. typographus population size above the density threshold required to colonize and kill healthy trees irrespective of other climate triggers. Importantly, we found strong negative density dependence in I. typographus that may provide a mechanism for population decline after population eruptions. Generality in the effects of complex climatic events across different geographical areas suggests that the large-scale drivers can be used as early warning indicators of increasing local outbreak probability. Ecography
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- Åström, Therese, et al.
(author)
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The SAVRY Improves Prediction of Reoffending : A Naturalistic Longitudinal Comparative Study
- 2017
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In: Research on social work practice. - : Sage Publications. - 1049-7315 .- 1552-7581. ; 27:6, s. 683-694
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Journal article (peer-reviewed)abstract
- Purpose: This study investigated the utility of the risk assessment “Structured Assessment of Violence Risk in Youth” (SAVRY) within the social services in Stockholm County, Sweden.Method: SAVRY assessments of 56 adolescents were compared to assessments guided by another instrument (Adolescent Drug Abuse Diagnosis [ADAD]; n = 38) and assessments without support of a structured method (n = 38).Results: The results showed that social workers conducting SAVRY assessments documented a significantly larger number of risk and protective factors compared to the other assessments, and these factors predicted, with a few exceptions, reoffending to a larger extent. SAVRY summary risk rating significantly predicted the occurrence of serious violent crimes (area under the curve [AUC] = .80, p < .01) and less serious violence (AUC = .70, p < .05).Conclusions: SAVRY performed at least as well in naturalistic settings as in previous studies conducted in more controlled environments. Furthermore, the SAVRY performed better than the other structured instrument (ADAD).
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