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Effects of a culturally tailored parenting support programme in Somali-born parents' mental health and sense of competence in parenting: a randomised controlled trial
Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm.; Dalarna Univ, Sch Educ Hlth & Social Studies, Falun.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Social medicine/CHAP.
Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm.; Dalarna Univ, Sch Educ Hlth & Social Studies, Falun.
Dalarna Univ, Sch Educ Hlth & Social Studies, Falun.
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2017 (English)In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 7, no 12, article id e017600Article in journal (Refereed) Published
Abstract [en]

Objectives: To evaluate the effectiveness of a culturally tailored parenting support programme on Somali-born parents’ mental health and sense of competence in parenting.

Design: Randomised controlled trial.

Setting: A city in the middle of Sweden.

Participants: Somali-born parents (n=120) with children aged 11–16 years and self-perceived stress in their parenting were randomised to an intervention group (n=60) or a waiting-list control group (n=60).

Intervention: Parents in the intervention group received culturally tailored societal information combined with the Connect parenting programme during 12 weeks for 1–2 hours per week. The intervention consisted of a standardised training programme delivered by nine group leaders of Somali background.

Outcome: The General Health Questionnaire 12 was used to measure parents’ mental health and the Parenting Sense of Competence scale to measure parent satisfaction and efficacy in the parent role. Analysis was conducted using intention-to-treat principles.

Results: The results indicated that parents in the intervention group showed significant improvement in mental health compared with the parents in the control group at a 2-month follow-up: B=3.62, 95% CI 2.01 to 5.18, p<0.001. Further, significant improvement was found for efficacy (B=−6.72, 95% CI −8.15 to −5.28, p<0.001) and satisfaction (B=−4.48, 95% CI −6.27 to −2.69, p<0.001) for parents in the intervention group. Parents’ satisfaction mediated the intervention effect on parental mental health (β=−0.88, 95% CI −1.84 to −0.16, p=0.047).

Conclusion: The culturally tailored parenting support programme led to improved mental health of Somali-born parents and their sense of competence in parenting 2 months after the intervention. The study underlines the importance of acknowledging immigrant parents’ need for societal information in parent support programmes and the importance of delivering these programmes in a culturally sensitive manner.

Clinical trial registration: NCT02114593.

Place, publisher, year, edition, pages
2017. Vol. 7, no 12, article id e017600
Keywords [en]
child protection, community child health, mental health, public health
National Category
Applied Psychology Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:uu:diva-336729DOI: 10.1136/bmjopen-2017-017600ISI: 000423826700065PubMedID: 29222136OAI: oai:DiVA.org:uu-336729DiVA, id: diva2:1166776
Funder
Public Health Agency of Sweden , 802/2014-6.2Available from: 2017-12-15 Created: 2017-12-15 Last updated: 2018-03-26Bibliographically approved

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