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文化适应型育儿方案对居住在瑞典的索马里父母和儿童心理健康的影响:一项纵向队列研究。

Impact of a culturally tailored parenting programme on the mental health of Somali parents and children living in Sweden: a longitudinal cohort study.

机构信息

School of Education, Health and Social Studies, Hogskolan Dalarna, Falun, Sweden

Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.

出版信息

BMJ Open. 2021 Aug 19;11(8):e045067. doi: 10.1136/bmjopen-2020-045067.

Abstract

OBJECTIVES

This study aimed to evaluate the long-term impact (3-year follow-up) of a culturally tailored parenting support programme (Ladnaan) on the mental health of Somali-born parents and their children living in Sweden.

METHODS

In this longitudinal cohort study, Somali-born parents with children aged 11-16 were followed up 3 years after they had participated in the Ladnaan intervention. The Ladnaan intervention comprises two main components: societal information and the Connect parenting programme delivered using a culturally sensitive approach. It consists of 12 weekly group-based sessions each lasting 1-2 hours. The primary outcome was improved mental health in children, as measured by the Child Behaviour Checklist (CBCL). The secondary outcome was improved mental health in parents, as measured by the General Health Questionnaire-12. Data were collected from the parent's perspective.

RESULTS

Of the 60 parents who were originally offered the intervention, 51 were included in this long-term follow-up. The one-way repeated measures (baseline to the 3-year follow-up) analysis of variance for the CBCL confirmed maintenance of all the treatment gains for children: total problem scores (95% CI 11.49 to 18.00, d=1.57), and externalising problems (95% CI 2.48 to 5.83, d=0.86). Similar results were observed for the parents' mental health (95% CI 0.40 to 3.11, d=0.46).

CONCLUSION

Positive changes in the mental health of Somali-born parents and their children were maintained 3 years after they had participated in a parenting support programme that was culturally tailored and specifically designed to address their needs. Our findings highlight the long-term potential benefits of these programmes in tackling mental health issues in immigrant families.

TRIAL REGISTRATION NUMBER

NCT02114593.

摘要

目的

本研究旨在评估一项文化适宜型育儿支持计划(Ladnaan)对在瑞典生活的索马里出生父母及其子女心理健康的长期影响(3 年随访)。

方法

在这项纵向队列研究中,对参加 Ladnaan 干预措施 3 年后的 11-16 岁索马里出生父母及其子女进行了随访。Ladnaan 干预措施包括两个主要组成部分:社会信息和使用文化敏感方法提供的 Connect 育儿计划。它由 12 个每周一次的小组会议组成,每次持续 1-2 小时。主要结局是儿童心理健康的改善,通过儿童行为检查表(CBCL)进行测量。次要结局是父母心理健康的改善,通过一般健康问卷-12(GHQ-12)进行测量。数据是从父母的角度收集的。

结果

在最初提供干预的 60 位父母中,有 51 位被纳入了这项长期随访研究。CBCL 的单向重复测量(基线至 3 年随访)方差分析证实了所有治疗效果在儿童中的维持:总分(95%CI 11.49 至 18.00,d=1.57)和外化问题(95%CI 2.48 至 5.83,d=0.86)。父母心理健康方面也观察到了类似的结果(95%CI 0.40 至 3.11,d=0.46)。

结论

在参加了一项文化适宜型且专门针对他们需求设计的育儿支持计划后,3 年后,索马里出生父母及其子女的心理健康得到了积极的改善。我们的研究结果突出了这些计划在解决移民家庭心理健康问题方面的长期潜在益处。

试验注册号

NCT02114593。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/872b/8378386/a01cb0541719/bmjopen-2020-045067f01.jpg

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